Out-of-hours monitoring must involve local GPs, LMC warns

Local doctors must not be stripped of their 'crucial' role in monitoring primary care out-of-hours services, LMC leaders have warned.

Out-of-hours care: local GPs must be involved

The warning from Cornwall and Isles of Scilly LMC came after a series of investigations into out-of-hours services in the area.

NHS Cornwall and Isles of Scilly published a report earlier this month which revealed that public sector outsourcing company Serco, which runs GP out-of-hours services in the area, had altered some of the data it submitted for performance management.

The PCT said an independent clinical review into Serco ‘has shown that in a small number of cases computer records were changed and there was insufficient justification for those changes’.

Serco had previously been investigated by the Care Quality Commission (CQC) and was ordered to improve its services.

Cornwall and Isles of Scilly LMC chairman Dr Peter Merrin said local GPs were unhappy that the PCT had removed the LMC from the out-of-hours services monitoring process.

‘This extinguishes a potentially crucial source of independent oversight from local doctors that they feel would have benefited the safety and quality of local patient care.’

‘The clinical commissioning group (CCG) must look to rectify this problem before it takes responsibility for local services,’ he said.

Dr Merrin said it was encouraging that the recent CQC evaluation and an independent local report by former primary care czar Dr David Colin-Thomé had acknowledged concerns and 'made sensible recommendations for the future'.

'It is particularly pleasing that Serco, the company with responsibility for out-of-hours care, has taken steps to resolve some of the shortcomings regarding staffing of the service,' he added. 'However, it appears that some of the important lessons from this issue have not been learned.'

Paul Forden, managing director of Serco’s clinical healthcare business, welcomed the reports. He said: 'As Dr Colin-Thomé’s report states: "I did not find any evidence that the current out-of-hours service is or has been systematically clinically unsafe". 'The report also acknowledges that we have put in place an action plan to address all the issues raised in the earlier CQC report.

'This is making excellent progress and all the required actions will be complete by the end of this month.  We are pleased that our service continues to be highly rated in independent patient surveys.'

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

phone and laptop

Blanket rollout of patient record access programme halted

Plans to roll out access for all patients to prospective entries to their GP medical...

GP sign

Scottish GP capacity hits lowest point in more than a decade

Scotland has lost 3% of its full-time equivalent (FTE) GP workforce since 2019 -...


GPs fear funding cuts and sidelining of LMCs as ICS model beds in

GPs fear hospital trust overspends could become 'general practice's problem' as representation...

Doctor on a computer

3 reasons why recruiting with GP Jobs makes your life easier

How GP Jobs can help you fill vacancies in your practice.

Amoxicillin antibiotic drug capsules

Viewpoint: How can we reduce antibiotic prescribing?

Dr Anita Sharma, who has been involved with several antibiotic prescribing initiatives...

Person typing on laptop

Complaints against GPs up 37% compared with pre-pandemic levels

Written complaints about GP practices have surged by more than a third compared with...