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Westminster GP practice rated as Inadequate by CQC

20 October 2016
St Philips Medical Centre
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has once again rated St Philips Medical Centre in Westminster as Inadequate - following a Care Quality Commission re-inspection in August.

Although some evidence of improvement was found at the practice it is not sufficient to provide the necessary assurance that patients were receiving safe high quality care. It was therefore decided that St Philips Medical Centre continued to require the additional support offered by remaining in special measures for a further fixed period.

Inspectors rated the practice as Inadequate for being safe, effective and well-led. It was rated Requires Improvement for being caring and responsive.

The practice provides GP care services to approximately 11,000 people, many of them students, living in the Westminster area. It has a high turnover as many patients move away once their studies are completed.

CQC inspectors carried out the announced inspection at St Philips Medical Centre on 2 August 2016. This was to follow up an inspection carried out in November 2015, when CQC found the practice was not meeting the fundamental standards of quality and safety in a number of areas.

Following the latest inspection CQC has formally warned the practice that it must make urgent improvements in quality and safety. 

Areas where the practice was found to be failing this time include included:

  • There was still limited evidence of a multidisciplinary approach to patient care and treatment
  • The practice had not introduced care plans for older people and at risk groups
  • There were continuing gaps in key areas of staff training and appraisal.

Professor Ursula Gallagher, Deputy Chief Inspector of General Practice in CQC’s London region said: “It is important that the people who are registered at The St Philips Medical Centre can rely on getting the high quality care which everyone is entitled to receive from their GP.

“St Philips Medical Centre drew up a special measures turnaround action plan to improve its performance in response to the findings of the previous inspection. At the follow up inspection we reviewed the practice’s progress in implementing this plan. The practice had made improvements in some areas but much of the action plan remained to be implemented. Overall, it had not addressed sufficiently concerns identified at our previous inspection and we identified additional concerns at our latest inspection. As a result the practice remains in special measures and we will return to inspect again within six months. If, at the end of this second period, the necessary improvements are not found the CQC will take further actions to ensure that patients get the care they are entitled to.”

Patients registered with practices being placed into special measures should be aware that the package of support being offered by NHS England and the Royal College of GPs will ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made. These practices will not close.


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Last updated:
29 May 2017

Notes to editors

Patients registered with practices which are placed into special measures should be aware that the package of support being offered by NHS England and the Royal College of GPs will ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made. This does not mean that these practices will close.

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 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.