Places in England where HALF the GPs are failing revealed
- In some areas almost half of GPs have are inadequate or require improvement
- Elsewhere 46 per cent have been given the highest rating of outstanding
- The analysis by the Health Service Journal (HSJ) looked at inspection reports
Sophie Borland Health Editor For The Daily Mail
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Stephen Matthews For Mailonline
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The worst areas to live for seeing a GP are today exposed by an analysis of inspection reports.
It reveals how in some parts of England almost half of all surgeries have been rated inadequate or require improvement.
Elsewhere in the country, a staggering 46 per cent of practices have been given the highest rating of outstanding.
Here, MailOnline has created a full breakdown for each NHS Clinical Commissioning Group and their practices in England.
In some parts of England almost half of all surgeries have been rated inadequate or requires improvement (file picture)
BEST AREAS FOR GPS
% of GPs which are outstanding
Nottingham West 46.2%
Ashford, Kent 28.6%
Rushcliffe, Nottinghamshire 27.3%
North Derbyshire 22.9%
North Tyneside 19.2%
Health bosses said the worst surgeries were clustered in areas which were extremely overcrowded and struggling to attract GPs.
These include East London and Essex where many practices are run by a single doctor nearing retirement working out of a few converted rooms of their house.
The analysis by the Health Service Journal (HSJ) looked at the inspection reports of 6,476 GP surgeries – the majority of the 7,700 in England.
WORST AREAS FOR GPS
% of GPs which are inadequate or require improvement
Havering, London 48.4%
Waltham Forest, London 37.1%
Thurrock, Essex 36.4%
Barking Dagenham, Essex 34.5%
Mansfield Ashfield, Notts. 31.8%
These had been undertaken by the Care Quality Commission watchdog and each practice has been given a rating of ‘outstanding’, ‘good’, ‘requires improvement’ or ‘inadequate.’
The HSJ then worked out which health trust – or Clinical Commissioning Group – had the highest number of poorly performing or good surgeries.
The worst is Havering in East London where a shocking 48.4 per cent of practices are either ‘inadequate’ or ‘requires improvement.’
In nearby Waltham Forest, the proportion is 37.1 per cent, while it is only marginally better in Thurrock, in Essex, at 36.4 per cent.
The analysis by the Health Service Journal (HSJ) looked at the inspection reports of 6,476 GP surgeries – the majority of the 7,700 in England (file picture)
Yet in Nottinghamshire West some 46.2 per cent are outstanding – ten times higher than the national average.
Many surgeries across England are struggling to cope with the pressures of the aging population, migration and a national shortage of GPs.
Waiting times for appointments are getting longer and doctors are restricting their availability further by routinely closing for lunch or entire afternoons.
Senior managers in Essex and East London – which have the highest number of failing practices – said GPs were working alone from their own homes.
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Rahul Chaudhauri, head of primary care at Thurrock CCG, said: ‘In Thurrock we face a unique situation where many of our GPs are working single-handed in premises that are often converted homes, rather than dedicated healthcare buildings. Thurrock is traditionally under-doctored with many nearing retirement.
‘We are working with NHS England, who commission primary care in the area, to restructure and improve primary care facilities in Thurrock and we are confident with our plans for updating premises and improving quality, we will see a marked improvement in primary care in Thurrock over the next three to four years.’
Experts said GPs in the best areas including Nottinghamshire and Cumbria had spent years working together to improve performance.
Rebecca Rosen, senior fellow at the Nuffield Trust, said: ‘It’s a tradition of leadership, investment in primary care and focus on peer led improvement that define the high performers.’
A report by MPs on the Public Accounts Committee in January exposed how a fifth of surgeries closed their doors from 3pm on at least one day of the week.
But a subsequent investigation by the Mail revealed how practices across England were shutting in the middle of the week and telling patients to dial the 111 helpline or local out-of-hours firm.
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