Central London

It is the first time we rate this core service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment gave patients pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
• The service took account of patients’ individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff felt respected, supported, and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.
• The service contributed to innovation and improvement in sexual reproductive health. Doctors proactively shared their findings with external organisations and public bodies as well as with their colleagues to inform national sexual health policy and potential new treatments.

However:

• The risk register lacked detail concerning the risk owner and timescale for completion of any mitigating actions.
• The service did provide evidence that early warning scoring was routinely used to identify individual risks when ermination of pregancy procedures were undertaken. They did not demonstrate that they completed the World Health Organisation (WHO) checklist for surgical procedures.