The latest on CQC update

The first wave of CCGs and practices to be inspected under the new system is now well under way and information is beginning to emerge about the inspections and how the inspection team prepare for and carry out their visits.

Two pieces of information which could be very helpful to practice managers have been published this week:

CQC Inspection Reports

 Two practices in Salford have been rated as outstanding in their recent CQC inspections. This is encouraging news for GP surgeries as many managers have been concerned that it will be very difficult to obtain an “outstanding” overall rating - even when there are many elements of outstanding practice and care.

The reports make interesting reading and could give other practices lots of tips and hints about what the inspection team is looking for. Some of the areas highlighted in the reports included:

  • Staff training – practices showed evidence of recent training, good record keeping and a forward plan for meeting mandatory requirements.
  • Policies were in place and most importantly, staff knew about them.
  • The staff were able to describe situations and incidents in response to questions – giving examples of how they listen to patients, follow procedures and escalate incidents.
  • The practices had clear values and objectives which the whole team were aware of.
  • Good communication was demonstrated both internally and externally with other providers, the LAT and CCG.
  • There were clearly identified leads for aspects of service, safety and quality – everyone knows who they are and how to use procedures.

Overall, the inspection teams were particularly impressed with staff going “above and beyond” which is quite a common situation in general practice.

The reports can be found on the CQC website.

Once you have read the inspection reports, have a think about what you could do to ensure your practice also achieves such a high standard.

CQC Intelligent Monitoring

The Provider Handbook for GP Practices, issued in October, outlined how CQC would use Intelligent Monitoring as part of its preparation for inspection visits. This week has seen the release of the data on an individual practice basis. The aim of this is to identify potential areas of risk prior to an inspection visit which could then be looked at in more detail.

The information is coming from a number of sources including:

  • QOF
  • General Practice  Patient Survey
  • Electronic Prescribing Analysis and Costs (ePACT)
  • Hospital; Episode Statistics (HES)
  • Information Centre Indicator Portal – provides information about the population and health inequalities
  • NHS Comparators

The data set takes a significant amount of indictors from QOF to establish risk areas in the domain of Effective Care. The main areas from QOF are:

  • Diabetes
  • Mental Health
  • Atrial Fibrillation
  • Hypertension
  • Smoking
  • Osteoporosis
  • Cervical Screening
  • Dementia
  • Learning Disabilities
  • Palliative care

To establish a baseline position relating to Caring and Responsive services – the indicators are taken from the General Practice Patient Survey.

All the information used, is already publically available but has been put into a new format and set of documents for this purpose. The following link shows some high level data about GP practices in England.

This link to the CQC website allows practices to look at individual reports. Take a look and see what your report has highlighted.

If you require any further guidance or support the FPM group has a wide range tools to help practices in demonstrating compliance with the CQC requirements. For more details contact the team on 0333 240 4010 or email


Sunil 04/08/2015

Q. Have you found any disadvantages corpamed to WP Super Cache, that “Nginx helper plugin” doesn’t cover?From a user perspective fastcgi_cache needs more work. For example, if I want to purge complete cache, I need to do rm -rf in folder nginx using for caching.WP Super Cache W3 Total Cache are both easy to use. W3 Total Cache also offers other features like Object-Cache, Database-cache, minify, CDN. Which are all good.Nginx's fastcgi_cache is more raw in that sense. I *think* nginx must be burning less CPU cycles while creating a full-page cached copy as corpamed to any WordPress plugin. Just a intuitive guess, I do not have any data to support this thought.Personally, I am not driven by benchmarks. That is why while trying different config I didn't bother to run any benchmark. Q. Regarding Nginx-Helper, option to purge all cache files for a specific multisite, and more ??Nginx-Helper supports purging when a page/post is edited. Even when a comment is approved on a post/page.We are definitely planning to add a Purge ALL option in near future. For that, I first plan to contact developer of If he can implement purge all in his module it will be safer. Purging cache for a multi-site is tricky. Nginx stores cached content using hashes. WP Super Cache/W3 Total Cache plugin uses domain-names URLs. In WP Super Cache, you can just delete everything for an individual site at a path like /wp-content/cache/supercache/ Nginx, it will be easy to purge all cached content. But for a specific site, as of now there is no way to track what pages are cached. I will see if we can maintain a list of cached-pages using Nginx-Helper plugin or some other mechanism. Another idea would be to ask nginx to use separate cache-dir per domains (mapped to $http_host value). This may be done efficiently using nginx map{..}.Thanks for giving this idea though. I will definitely dig deeper into this

Janet Baker 26/11/2014

Hi, Really useful article by Kate. Just struggling to get the individual link to the CQC individual reports? Just wondering if it is my pc or if the link has broken? Thanks very much. Kind regards, Janet Baker

smoketolive 26/11/2014

Nice posting.

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