Updated 1 June 2018
Nuffield Health Fitness and Wellbeing Centre is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening; and treatment of disease, disorder and injury. The location is part of Nuffield Health, a not for profit healthcare provider.
The service provides health assessments that include a variety of screening processes, including: 360 Health Assessment (a comprehensive health review for both male and female patients); and Lifestyle health Assessments. The purpose of the health assessments is to provide patients with a comprehensive review of their health, it covers key health concerns such as weight, diabetes, heart health, cancer risk and emotional wellbeing. Following the assessment and screening process patients have a consultation with a doctor to discuss the findings of the screening procedures and to consider and plan for any required treatment. Patients receive a comprehensive report detailing the findings of the assessment. The report includes advice and guidance on how the patient can improve their health together with information to support healthier lifestyles. Any patients requiring further investigations or any additional support are referred to other services, for instance, their own GP. The centre also provides GP services for private paying patients.
The service address is:
London Medical Centre, 25 Hosier Lane, London, EC1A 9PH
It is open Monday to Friday from 8.00am to 6.00pm.
The clinical staff team at the service consists of two part-time clinical lead doctors, (regional clinical lead and London clinical lead), together with a further nine doctors who work at the location part-time. This team includes female and male GPs. In addition, there is a regional clinical lead physiologist, a physiology team leader, and two senior physiologists who manage a team of seven other physiologists. A physiologist is a graduate in exercise, nutrition and health sciences. Physiologists are full professional members of the Royal Society for Public Health (RSPH), and are trained to carry out health assessments, give advice and motivate patients to make lifestyle changes affecting areas such as exercise, nutrition, sleep and stress management. The clinical team is completed by three physiotherapists, a Cognitive Behavioural Therapist, and two occupational therapists. The non-clinical team is led by a general manager, together with two administrative staff and a medical laboratory assistant. Physiologists, physiotherapists, cognitive behavioural therapists and occupational therapists are not included as clinicians in CQC’s Scope of Registration. This report only covers the regulated activities carried out by doctors.
We carried out an announced comprehensive inspection at Nuffield Health Fitness and Wellbeing Centre London City Medical Centre on 11 April 2018. Our inspection team was led by a CQC Lead Inspector who was accompanied by a GP Specialist Advisor, together with a Practice Manager and Practice Nurse Specialist Advisors. Before visiting, we reviewed a range of information we hold about the service and asked other organisations to share what they knew. We also reviewed the last inspection report published on 6 September 2013, any notifications received, and the information provided from the pre-inspection information request sent to the service prior to this inspection.
During our visit we:
- Spoke with a range of staff including the site manager, GPs, physiologists, a member of the non-clinical staff.
- Looked at the systems in place for the running of the service.
- Looked at rooms and equipment used in the delivery of the service.
- Viewed a sample of key policies and procedures.
- Explored how clinical decisions are made.
- Spoke with four patients and reviewed 18 CQC comment cards which included feedback from patients about their experience of the service.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five 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.