How to achieve 'outstanding'
CQC compliance topped a recent Medical Protection
survey of practice managers’ main concerns. We profile
a practice who were recently inspected by the CQC, and
interview two inspection managers about how practices
can prepare for the process
A recent Medical Protection survey of practice managers identified that their
main challenge is complying with the Care Quality Commission (CQC).
The Health and Social Care Act (2008) introduced the CQC’s fundamental standards. These new standards came into force for general practices on 1 April 2015 and replaced the CQC’s Guidance about Compliance Essential
Standards of Quality and Safety and its 28 outcomes.
The new fundamental standards incorporate the previous regulations and are not too dissimilar; however they do include new regulations:
the duty of candour
- the fit and proper persons requirement for directors
- the requirement to display performance assessments
Cuckoo Lane Surgery, London
The CQC recently visited Cuckoo Lane and rated them outstanding. Sam
McCaffrey visited the practice to find out why.
Tucked away in a quiet corner of the Hanwell Health Centre in London
is a small general practice that is making a big name for itself. Cuckoo
Lane Surgery is certainly not your average GP practice, it is an alternative
provider of medical services run by nurse practitioners. While standard
GP appointments are available, the vast majority of patients are seen
and treated by nurses.
It was also recently rated outstanding by the CQC.
In its report the CQC found Cuckoo Lane to be outstanding for being
well-led and providing responsive and effective services. The inspectors
also found that the care provided to older people, people with long-term
conditions, families, children and young people, people living in
vulnerable circumstances and people experiencing poor mental health,
including people with dementia, was outstanding.
How did the practice achieve this?
Carol Sears, nurse practitioner and one of the two directors of Cuckoo
Lane, believes that being outstanding is all about going the “extra mile”.
“I think if you want to be outstanding you first have to be good,” she said.
“To be outstanding you have to do extra. You have to be able to show
you’re auditing your care, that you’re looking at your patient population
and asking what they need and then putting that in place.”
At Cuckoo Lane they go an extra three or four miles. Among their
successes, they were instrumental in establishing an area-wide
approach to the three-tier model of shared care for diabetes; they
provide spirometry tests, and a weekly clinic for patients registered
at other practices, which has resulted in a 25% reduction in hospital
admissions for COPD patients; and they are involved in a vanguard for
whole systems integrated care.