GP out-of-hours service to remain in special measures
Care Quality Commission has told Vocare, known locally as Somerset
Doctors Urgent Care, that it must make further improvements to its
NHS 111 service and its GP Out of Hours service following a recent
re-inspection of its services.
GP Out of Hours service was placed into special measures in April
2017 and the CQC's inspectors recently carried out a follow-up inspection
to follow up progress against two Warning Notices which had been
previously issued. The service remains in special measures.
Rankine, Deputy Chief Inspector of General Practice, said: "Out
of hours services are a vital part of the urgent care system which
takes pressure away from Accident and Emergency and GP services
by allowing people to have easy access to healthcare and advice."
am disappointed to see that Vocare are still not demonstrating that
it can provide the service that patients need and we have issued
a further four warning notices to ensure significant improvements
are taking place and will continue to monitor the services."
need to demonstrate that they are ensuring people with the most
urgent needs are prioritised at times of high demand, and to ensure
that care and advice is delivered safely and effectively, and they
are referred to the right service as quickly as possible when necessary."
"We are aware that there have been many changes within the
operational structure of Vocare and did see aspects of good care
during our inspection provided by committed staff who treated patients
courteously and with dignity and respect."
leadership of Vocare have provided assurances to us that it now
has oversight of the issues and are making the improvements necessary.
We will continue to work closely with our stakeholders including
Somerset Clinical Commissioning Group to monitor and inspect the
service to ensure that improvements are put in place."
In the NHS111 service CQC has told Vocare that it must make a number
of improvements including ensuring:
all patients are treated with dignity and respect.
care and treatment is provided in a safe way to patients.
effective systems and processes are established to ensure
good governance in accordance with the fundamental standards of
sufficient numbers of suitably qualified, competent, skilled
and experienced persons are deployed to meet the fundamental standards
of care and treatment.
serious incidents, deaths or safeguarding referrals are subject
to statutory notifications to the Care Quality Commission.
reports of both inspections have been published at http://www.cqc.org.uk/location/1-2842370798