Progress on the recommendations for an equal experience of CQC regulation for ethnic minority-led GP practices

Kunal Chandarana
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Abstract

The Care Quality Commission is the UK's regulator for health and social care providers. It faced criticisms regarding the fairness of its processes from minority-ethnic-led primary care providers in 2020. There were concerns that the regulatory outcomes for minority ethnic-led primary care services were more frequently subject to inspection, were more likely to receive an adverse outcome, suffer a negative impact on their own health/ wellbeing, and inspectors did not give due consideration to the multiple deprivation indices in the population and areas they operated in, as well as the availability of manpower or resources.   A survey conducted by the BAPIO GP forum[1] reported that the inspections were not considered practical or constructive and took the general practice team away from patient care. [2] Of particular concern was the perception that the system was unfair and discriminatory for Black and Asian GPs' small practices and those in the inner city or rural locations with multiple deprivations. The authors urge the CQC to ensure that the profession is supported and that any inspection process is fair and non-discriminatory and improves patient care.  CQC commissioned research to explore the nature of its relationship, or the existence of any causal link, between ethnic minority-led GP practices and regulatory outcomes such as ratings and frequency of inspection. However, in this survey, ethnic minority-led practices were more likely to report that the quality of care improved following a CQC inspection. In this article, the National Primary Care Advisor to CQC explores the findings of this research and outlines the actions in progress to address these concerns.
在少数民族主导的全科医生实践的CQC监管的平等经验的建议进展
护理质量委员会是英国健康和社会护理提供者的监管机构。2020年,少数族裔主导的初级保健提供者对其流程的公平性提出了批评。令人关切的是,少数族裔主导的初级保健服务的监管结果更经常受到检查,更有可能产生不利结果,对其自身的健康/福祉产生负面影响,检查员没有适当考虑到他们开展业务的人口和地区的多重剥夺指数,以及人力或资源的可用性。BAPIO GP论坛进行的一项调查[1]报告称,这些检查被认为不实用或没有建设性,并使全科医生团队远离患者护理。[2]特别令人担忧的是,人们认为该制度对黑人和亚裔家庭医生的小型诊所以及市中心或农村地区的家庭医生不公平,存在歧视。作者敦促CQC确保该行业得到支持,任何检查过程都是公平和非歧视的,并改善患者护理。CQC委托进行了一项研究,以探索少数民族主导的全科医生实践与监管结果(如评级和检查频率)之间关系的本质,或是否存在任何因果关系。然而,在这项调查中,少数民族主导的实践更有可能报告说,在CQC检查后,护理质量得到了改善。在这篇文章中,CQC的国家初级保健顾问探讨了这项研究的发现,并概述了正在进行的解决这些问题的行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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