"I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider?s registration. Special measures will give people who use the service the reassurance that the care they get should improve. Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice" Surely the Practice should have made public and told its patients that it had been put into special measures.