CQC replies about the Coulsdon Medical Centre
01/05/2018 17:54:00......Posted by Mario Creatura
Following our first and second letters to the Care Quality Commission on the closure of the Coulsdon Medical Centre, we today received this reply:
'Dear Cllr Clancy, Cllr Creatura and Mr Parker,
Thank you for your correspondence of 6 and 27 April 2018 written as representatives of Coulsdon West Ward, raising objections to the closure of Coulsdon Medical Centre. As the Acting Deputy Chief Inspector (London), Sir David Behan has asked me to respond to you.
I appreciate residents have made very positive comments about the care and treatment they have received from the practice over many years.
As you may be aware, the Care Quality Commission (CQC) registers and inspects services to make sure health and social care services provide people with safe, effective, compassionate high quality care and encourage services to improve.
CQC has carried out three inspections of Coulsdon medical Centre. Following the first one in June 2016 we identified a number of patient safety concerns. The practice was rated Inadequate and placed into Special Measures. This process gave the practice time to seek support from relevant services to make the required improvements.
At the second inspection in June 2017, we were pleased to see significant improvements and we rated the practice as Requires Improvement and took them out of Special Measures. At our most recent inspection carried out in February 2018, we found some of these improvements had not been maintained with particular regard to patient safety. We have once again rated the practice Inadequate and placed them in Special Measures. The report following our last inspection was published on 18 April 2018 and can be found on our website at:
I am aware of how popular a GP, Dr Khan is. CQC received many emails and letters from patients informing us of this. I also know that our reports have consistently made reference to the fact that Dr Khan is caring, considerate and kind to his patients. However, providing a good general practice is about more than being kind and responsive. They must be safe, effective and well –led and this practice has not been able to demonstrate this.
The Commissioners and NHS England have been aware of our concerns. They and other organisations have been providing support to Dr Khan and they have been in contact with him throughout the past two years.
It is disappointing to find that with this support Dr Khan has been unable to sustain the improvements and ensure the services provided are safe and effective, as well as being caring and responsive.
Thank you for raising your concerns with us and I hope my response answers your questions. If you have any further questions, please contact Emma Dove, Inspection Manager for South West London by email at firstname.lastname@example.org.
Michele Golden, Acting Deputy Chief Inspector.'
Michele's letter is very helpful and informative - but it doens't advise us what the some 3,500 residents who are currently registered with Dr Khan should do. I have therefore written back to ask them to provide that guidance:
'Many thanks Alexandra.
Dear Michele - thank you for your reply to our letters. It is useful to understand your priorities, ones we entirely accept.
Whilst we entirely understand the priority to provide only the best service for our residents, the reply did not answer several of our questions:
- What is the timeline for improving the Coulsdon Medical Centre from this point? Can a development plan be implemented to bring the Centre up to the standard required with supporting external assistance? Will a new GP be offered the practice? Is there a support mechanism in place to retain the service so that it doesn't cease to exist on the retirement of Dr Khan in October?
- There are some 3,500 local patients at the practice. They have formally been told nothing about the closure. As their representatives we asked for some guidance about what they should do in the short to long-term? Should they register elsewhere, and if so where please? Many are understandably concerned and need reassurance as to what to do next, if anything.
Your help answering these important additional points from our letters would be appreciated.'