Chaand Nagpaul’s Post

Thanks Chaand and Dr Hussein. Well said . I think it’s time to dismantle the current CQC and replace it with trained personnel and inspectors who know what general practice is all about. Keep on the good work.👍

My GP friends who are still in France are so much better off without anything like CQC and inspections. They have their load of bureaucracy too but much less than GP partners in the UK. So much time is lost in the UK for tasks that are not care related...

Thanks Chaand (and Dr Shan Hussain). I think it's the perennial problem, common to Care Quality Commission and General Medical Council: 'who relates the regulator?' The regulatory frameworks and governance structures underpinning the CQC (/ GMC) are weak and unbalanced, and their culture is too often far from the principles of Good Medical Practice. Far from the interests of patients being the first concern, bureaucratic processes are slavishly adhered to; rather than treating colleagues with kindness, courtesy, and respect, they are bullied and belittled; and instead of being accurate, fair, and objective in the reporting and assessment of colleagues, inspections and reports are used as an opportunity to demean and humiliate, with little to no evidence of constructive support or development. The end result is to further harm and demoralise colleagues, to undermine and damage the public trust in the profession, and to endanger, rather than safeguard, patient safety. A new system is desperately needed - a co-created, collaborative, and evidence-based approach, based on constructive support and development for colleagues, and demonstrably focused on improving patient safety, with robust processes for meaningful accountability..

It is such a sad sad sad situation, that benefits nobody. Having been “there” I can testify to the damage this does to the individuals involved. This has to come to an end and we need to find a way for practices to demonstrate that they have good governance with out the burden and heartache.

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