Nurse-led GP practice wins 'outstanding' rating from CQC

A GP practice run entirely by nurse practitioners has been rated 'outstanding' by the CQC following its inspection in January, placing it among the top 3% of practices in the country.

CQC ratings: Nurse-led practice wins 'outstanding' rating
CQC ratings: Nurse-led practice wins 'outstanding' rating

The Cuckoo Lane Surgery, in Ealing, West London, was praised by inspectors for being ‘particularly responsive to the needs of the local community’ – especially for its more vulnerable patients.

It is run by two directors – both nurses – as opposed to the more conventional GP partner-led model. There are three GPs working at the practice.

In the practice’s rating report, the CQC highlighted the practice’s strong leadership, comending it for having ‘a clear leadership structure’ where ‘staff felt supported by management’.

Just 36 out of almost 1,100 practices rated so far have been awarded top marks for ‘outstanding’. Around 880 have been found ‘good’, while 124 have been rated ‘requires improvement’ and 41 ‘inadequate’.

'Great example of outstanding care'

CQC head of general practice inspection for London, Michele Golden, said: ‘We found that the Cuckoo Lane Practice is providing an "outstanding" service, particularly for people whose circumstances may make them vulnerable.

‘We were particularly impressed with the practice’s work to initiate positive service improvements for local patients and the commitment of all staff to continuously seek improved outcomes for local people.

‘Staff demonstrated a sound understanding of the differing needs of their patients and reflected these needs when planning and delivering services. This is a great example of what outstanding care looks like.’

The CQC emphasised the following points of outstanding practice in its report for Cuckoo Lane Surgery:

  • Regular spirometry tests, weekly clinics for patients registered at other local practices and support for patients to maintain self-management plans has led to improved symptom control and reduced hospital admissions for 25% of patients with lung disease.
  • Targeted treatment and support for local patients with a mental illness is offered to enable more integrated care outside of hospital settings. The transfer of care has led to 19 local patients previously receiving secondary care, now getting direct treatment from their local practice.
  • Integrated care is provided for older patients through a dedicated Age UK support worker being based at the practice three days a week, providing care for older patients living alone. Transport is also provided, to help patients that are house bound or have difficulty travelling to the practice, attend appointments.

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