• No analysis of significant events
  • Safeguarding protocols not robust and staff not appropriately trained
  • Not screening staff properly when recruiting


  • No clinical audits or evaluation of the service
  • Not caring for patients using up-to-date best practice


  • Little concern for patient's privacy and dignity in reception and waiting areas
  • No lists of people at the end of life or sharing this information with out-of-hours services


  • Poor availability of appointments at times which suit patients
  • Difficult to contact the practice by telephone
  • No same-sex clinicians


  • Absence of vision for the organisation
  • Lack of clarity in roles and responsibilities to run the practice day-to-day
  • Poor visibility of leaders and no whole-practice meetings

Primary Care Networks (PCNs)

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