222 Healthcare Private GP

Updated 28 September 2023

222 Healthcare Private GP is private GP service located within an NHS GP practice in Stokenchurch, Buckinghamshire mid-way between High Wycombe and Oxford.

Services are provided from:

• 222 Healthcare Private GP, Oxford Road, Stokenchurch, Buckinghamshire HP14 3SX

The service website is: www.222healthcare.co.uk

222 Healthcare Private GP was founded in 2021 and provides a variety of private GP services, a travel health clinic and a weight loss clinic. People wishing to attend as patients are not required to register with the service. Services are available for individual consultations and is not provisioned to deliver ongoing support and care for patients with long term medical conditions.

All 222 Healthcare Private GP services are provided from the second floor of Stokenchurch Medical Centre, this is entirely separate from the NHS GP practice on the same premises. Regulated activities take place from a GP consultation room and a nurse treatment room. Patients enter via the GP practice and there is a separate waiting area with seating.

Regulated activities (treatments regulated by CQC) are provided by 2 GPs (the joint founders and directors), 2 nurses, a paramedic and a healthcare assistant (HCA). The GP directors are supported by the HCA and an administrative assistant (primarily in a bookkeeping role) to undertake the day-to-day management and running of the service.

The service is open every weekday between 9am and 4.30pm. Weekend appointments are available via video or telephone consultation. All appointments for 222 Healthcare Private GP service are required to be booked in advance. This service is not required to offer an out of hours service. Patients who need medical assistance out of corporate operating hours are requested to seek assistance from alternative services. This is detailed in patient literature supplied by the service.

How we inspected this service

We carried out this inspection on 21 September 2023. Before visiting the location, we looked at a range of information that we hold about the service. During our inspection, we visited the service, and we interviewed staff, reviewed documents and clinical records, and made observations relating to the service and the location it was delivered from. We were shown examples of patient feedback which the provider had collected prior to the inspection. We spoke to 1 patient on the day of the site visit. We also spoke to the co-located NHS GP practice where 222 Healthcare Private GP is located.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 28 September 2023

This service is rated as Good overall.

The key questions are rated as:

• Are services safe? – Good
• Are services effective? – Good
• Are services caring? – Good
• Are services responsive? – Good
• Are services well-led? – Good

We carried out an announced comprehensive inspection at 222 Healthcare Private GP in Stokenchurch, Buckinghamshire on 21 September 2023. The service was registered with the Care Quality Commission (CQC) in March 2022. We carried out this first rated inspection as part of our regulatory functions. The inspection was undertaken to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services, and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

222 Healthcare Private GP provides a wide range of services, including a private GP service, a travel health clinic and a weight loss clinic.

The service is registered with CQC to provide the following regulated activities:

• Treatment of disease, disorder or injury
• Diagnostic and screening procedures

The service was originally founded in 2021 by 2 GPs. The service expanded and registered with CQC in 2022 following the introduction of services within scope of CQC regulation. Both the original founders are now directors, they both continue to practice as GPs at the service and 1 is also the CQC registered manager. A registered manager is a person who is registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• The service demonstrated they provided services for patients in a manner that ensured patients’ and staff safety.

• Patients received effective care and treatment that met their needs. The way in which care was delivered was reviewed to ensure it was delivered according to best practice guidance. Staff were well supported to update their knowledge through a variety of training.

• Each patient who attended the service for travel health advice received an individualised travel health brief tailored to their specific needs and travel plans. The health brief outlined a risk assessment and all travel vaccinations that were either required or recommended. Specific health information including additional health risks related to their destinations with advice on how to manage common illnesses was also included.

• Patient feedback from a variety of sources was overwhelmingly positive and there were clear arrangements to protect patients’ dignity and privacy.

• The service was responsive to the needs of their patients, staff prioritised patients’ convenience and ensured appointments ran on time. This included the provision of urgent travel vaccinations via an accelerated schedule for urgent travel needs.

• The governance and quality assurance processes were effective and drove improvement in the service provision. There were systems to support improvement and innovation work, this included the use of digital solutions within healthcare.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Healthcare