RT Journal Article
SR Electronic
T1 Review of literature for ethnic minority-led GP practices: impact and experience of CQC regulation
JF BMJ Leader
JO BMJ Leader
FD BMJ Publishing Group Ltd
SP leader-2022-000606
DO 10.1136/leader-2022-000606
A1 Annabelle Stigwood
A1 Ayisha Adeeba Ashmore
A1 Devina Maru
A1 Lakshya Soni
YR 2022
UL http://bmjleader.bmj.com/content/early/2022/07/21/leader-2022-000606.abstract
AB Background/aim The Care Quality Commissions’ (CQC) recent report into the impact and experience of CQC regulation for ethnic minority-led general practitioner (GP) practices found that ethnic minority-led practices are disproportionately situated in areas of deprivation, working single-handedly and without adequate systems of support. These challenges are not always accounted for in CQC’s processes or methodology (CQC, 2022).This study summarises a review of literature carried out as part of research by the CQC, which was published in January 2022.Methods Search terms included ‘GP’, ‘CQC’, ‘Black and Ethnic Minority GPs’ combined with Boolean operators. Grey literature was reviewed, and searches were undertaken of known authors in the field. Backwards and forwards reference harvesting was performed on identified literature. Limitations included the capacity and subjectivity of the reviewer, as well as the availability of studies with a focus on ethnic minority GPs as opposed to doctors whose place of primary medical qualification was outside of the UK.Results 20 evidence sources were identified and included. The literature review found that many ethnic minority-led GP practices are in complex cycle of inequality, which starts with recruitment and thereafter followed by deprivation, isolation, poor funding and low morale. The symptom of these factors is often poor regulatory outcomes and ratings. When these poor ratings are received, GP providers often struggle to recruit, which serves to perpetuate the cycle of inequality.Conclusion When CQC rates an ethnic minority-led practice as requires improvement or inadequate, this can perpetuate a cycle of inequality.Data sharing not applicable as no datasets generated and/or analysed for this study.