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News


INADEQUATE GP SURGERY BEING INVESTIGATED FOR FRAUD HAS NHS CONTRACT TERMINATED

NHS bosses are looking for a caretaker to take over services at Spectrum Health
in Oadby


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By
Shannen HeadleyReporter
 * 04:00, 18 SEP 2022
   

News
Enter your postcode for local news and infoSee news near you


Spectrum Health, in Oadby, has been placed in special measures.

A Leicestershire GP surgery has had its contract to treat NHS patients
terminated amid concerns about the way it was being run. The ruling Leicester,
Leicestershire and Rutland Integrated Care Board (ICB) says it served notice on
Spectrum Health because its surgery in Oadby had been falling short of the
standards required and had failed to address its previous concerns.

The ICB has declined to disclose details on exactly how the surgery had fallen
short of the standards required. However, police and NHS counter fraud officers
are also investigating allegations the surgery received public money for
services it never provided.

LeicestershireLive also published messages in May that one of the partners in
the practice, Shaun Chadwick, sent a former colleague a message saying 'karma is
a bitch' after she was diagnosed with Multiple Sclerosis. Another colleague also
received messages from Mr Chadwick of regularly 'fat shaming' her. He denied the
claims, with a spokesman calling them "grossly inaccurate and insulting".

READ MORE: Woman, 28, dies after village hit-and-run sparking murder
investigation

Patients have been assured the surgery will continue to run under its current
management until a 'caretaker' is found to take over. Surgery staff will have
the chance to transfer to the caretaker, but the partners in the practice will
not.

A spokesman for Spectrum Health said it feels the decision of the ICB is
heavy-handed and has vowed to mount a legal challenge.



Caroline Trevithick, chief nursing officer and deputy chief executive for the
LLR ICB, said: "We have taken this action because the practice has not addressed
prior concerns relating to the way operates, and non-adherence to standards all
practices are expected to comply with. Our number one priority now is to ensure
patients can continue to receive the care that they need.

"We fully acknowledge that patients will have some concerns and we will be
contacting them to fully explain the position and keep them updated. We have
started the process of putting in place caretaker arrangements and in the
meantime, patients should continue to use the practice as normal."


The Spectrum Health surgery in Oadby re-opened in September 2020 following an
extensive refurbishment

In regards to the fraud investigation, a spokesperson for Leicestershire Police
said: "In October last year, a report was received from Action Fraud concerning
fraudulent activity at a medical practice in Oadby. It was reported that
payments had been received for services which had not been provided.

"Following enquiries led by the force’s Economic Crime Unit (ECU), a 34-year-old
man from Great Glen was arrested on suspicion of fraud by abuse of position on
Tuesday 10 May. He has since been released under investigation."

A spokesman for the ICB added: "Any investigation relating to alleged fraud
allegations is a matter for NHS Counter Fraud and the Police."

Mr Chadwick, acting as spokesperson for Spectrum, confirmed the practice has
been assisting Leicestershire Police with a possible fraud enquiry. He claimed
he was the one who originally raised fraud concerns on February 15 and sought
permission from the ICB to invite the police into his practice and help
investigate matters.

He further alleges that "at the time, he was surprised to received an email from
the CCG advising him to keep his ‘concerns and suspicions’ to himself."

The surgery has also been rated inadequate in a report by the Care Quality
Commission (CQC) after it received the lowest possible marks for leadership,
safety and effectiveness of its services during the inspections in June.
However, it was rated 'good' for how caring its services were and being
responsive to patients' needs.

Inspectors found the surgery deleted more than 1,200 patient letters - which the
surgery says was down to human error - and not actioned a further 120 letters.
The CQC also said staff, including fire marshals were not trained properly and
that the surgery didn't have appropriate measures in place to manage medicines
safely.

The report adds: "Staff feedback also showed they were unable to speak openly
without the fear of retribution. The provider informed us they had policies and
processes in place to support staff to raise concerns.

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"However, some staff we spoke with raised concerns they felt unable to speak up
freely without the fear of retribution". A staff satisfaction survey from June
highlighted staff were happy and felt supported - which inspectors noted "was
not reflected" in their conversations with employees.

Spectrum Health also promising to correct the issues highlighted in the CQC
report, but challenging the ICB's decision to terminate its contract.

It says: "We wish to thank our critical friends at the Care Quality Commission
(CQC) for highlighting areas of improvement. As a learning organisation we
continuously strive to improve, and the expert guidance from CQC has helped
prioritise our attention.

"Our practice has experienced more than 10,000 new registrations and we
subsequently inherited a high number of new service users who did not have
up-to-date medication reviews or high-risk drug monitoring at their previous
practice, partly due to the COVID-19 pandemic. The strategic and successful
appointment of a full time Clinical Pharmacist and the decision to apply for the
closure of our list, was made some months back.

"We have also appointed a third-party organisation to help clear the inherited
backlog because we understand the importance of such checks. Practices and
Hospitals across the nation are working extremely hard to clear a backlog of
reviews and operations resulting from the COVID-19 pandemic.

"We are also working with NHS stakeholders and reached the very difficult, but
joint decision, to reduce our opening hours to 7am – 7pm, Monday to Friday. This
will enable us to focus on the required improvements, but it won’t be forever!

"In relation an incident that resulted in deleted letters, we can confirm this
was human error and these mistakes will always happen within a human industry.
However, we can confirm this hasn’t resulted in any harm and a robust audit has
taken place where lessons have been learned.

"We can also confirm since our new commissioning body, Leicester Leicestershire
& Rutland Integrated Commissioning Board, (LLR ICB) which came into existence 3
months ago; has served the practice with a termination notice. We saddened by
the ICBs heavy handed approach, which is both punitive and counterintuitive and
extremely surprising, considering their primary remit is to support constituent
practices and commission services.

"We are legally challenging the ICBs decision because they served the notice of
termination due to the surgery missing a ‘paper-based’ deadline which was missed
due to a technicality outside of our control and shortages of staff. It is
unfortunate the ICB does not acknowledge the shortage of GPs and the increasing
workload in primary care that led to the unfortunate suicide of a fellow GP in
Surrey just a few months ago. One could suggest our governing body has not
learnt from the real issues facing General Practice.

"The ICB has failed to support us during our period of need and simply advised
the practice to produce action plan after action plan when all we needed were
real ‘boots on the ground’ and practical support whilst we go through the
process of recruiting new staff. Paper-based exercises inevitably diverts
frontline workers from patient care, and we would expect the ICB to understand
this is the case and provide the real support required.

"However, we can now confirm we have recruited one new GP and another GP has
returned after being on long-term leave, alongside a cohort of new
administrative staff.

"We have already received over 4,000 signatories of support from our service
users because they know our priority is to deliver safe and effective care. We
were first practice to open 7am - 11pm / 7 days a week without additional
remuneration and kept our doors open throughout the COVID-19 pandemic which has
seen an overwhelming level of support for the services we provide.

"We hope the ICB will reconsider their decision and support us to make the
required improvements because we know our service users value the service we
provide and it would be inappropriate use of resources should we need to take
this matter to court."

Regarding the bullying accusations against Mr Chadwick, a Spectrum Health
spokesperson previously said: "Mr Chadwick denies allegations made and legal
proceedings via our solicitor and Leicestershire Police have commenced. Mr
Chadwick takes such allegations extremely seriously and therefore ordered an
external facilitator to investigate working culture at Spectrum Health.

“We can confirm that such allegations are grossly inaccurate and insulting."

A joint statement from NHS England and LLR CCGs said: “We cannot comment on
ongoing individual cases, but we are aware of concerns which have been raised
and we are working to investigate following the appropriate NHS complaint
processes.”



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