An private provider of NHS 111 and GP out of hours services has had a second critical report from the Care Quality Commission a week before it is due to hand back the contract.

Primecare, which runs the services in East Kent, was rated inadequate and put in special measures in August. It decided to curtail its contract with the four East Kent clinical commissioning groups, originally planning to leave in the middle of 2018 and then deciding to give three months’ notice. It is due to hand over to IC24 on 1 December.

A new report from the CQC, based on an inspection in September, showed there had been some improvement but Primecare was still not meeting national quality requirements. It was served with two warning notices over providing care and treatment in a safe way and having sufficient staff.

The September inspection found there were still issues with medicines management – including controlled drugs not being available when needed –patients who needed to be seen face to face were still not being seen quickly enough, and there was inadequate evidence issues in clinical governance meetings were not being addressed.

The inadequate rating was not changed.