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Dr Kandiah Pathmanathan’s practice rated Inadequate by CQC

16 February 2017
Dr Kandiah Pathmanathan
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has rated Dr Kandiah Pathmanathan’s practice at the Covent Garden Medical Centre in central London, as Inadequate overall following an inspection in November 2016.

Care Quality Commission inspectors found that patients were at risk of harm because systems and processes were not in place in a way to keep them safe. Inspectors identified concerns with the way significant incidents were managed, with infection prevention and control measures; with management of medicines; and arrangements for dealing with emergencies.

Other findings included:

  • Risks to patients were not consistently assessed, monitored or managed.
  • Patients’ care and treatment did not consistently reflect current evidence-based guidelines.
  • Patient feedback indicated delays in obtaining routine appointments.
  • The needs of patient groups were not fully taken into account when planning services. For example, the provider told inspectors that due to pressure of work he had to concentrate on patients with acute healthcare issues, and did not always have the time to support the practice nurse to manage patients with long-term conditions.

Professor Ursula Gallagher, CQC Deputy Chief Inspector of primary medical services said:

“It is important that people who are registered at Dr Kandiah Pathmanathan’s practice can rely on getting the high quality care which everyone is entitled to receive from their GP."

“The practice must now ensure that care and treatment is provided in a safe way. It must ensure that sufficient numbers of suitably qualified, staff are deployed and that they receive appropriate support, to enable them to safely carry out their duties. It must ensure that emergency medical equipment is safe and used in a safe way and ensure the proper and safe management of medicines and it must ensure that patients’ care and treatment reflects current evidence-based guidelines."

“We are placing this practice in special measures – and we would now encourage the practice to seek the support it needs to improve.  Practices placed in special measures will be inspected again within six months. If insufficient improvements have been made we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service."

Patients registered with the practices being placed into special measures should be aware that a package of support is offered by NHS England and the Royal College of GPs to ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made.

You can read the report in full on our website


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Last updated:
29 May 2017

Notes to editors

Dr Kandiah Pathmanathan’s practice provides GP services to approximately 2,800 patients in Westminster. 

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice and out-of-hours service, we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students),People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia). 

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.