• Doctor
  • Independent doctor

Medicus Select Care NCL- SAS Location 1

Overall: Good read more about inspection ratings

Bingfield Primary Care Centre, 8 Bingfield Street, London, N1 0AL (020) 3813 0611

Provided and run by:
Medicus Health Partners Ltd

Latest inspection summary

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Background to this inspection

Updated 15 December 2021

The North Central London Special Allocation Scheme is a service provided by Medicus Health Partners Ltd (the provider), which is registered by the CQC in respect of the regulated activities Diagnostic and screening procedures and Treatment of disease, disorder or injury.

The service is provided under an Alternative Provider Medical Services contract, commissioned by NHS England and covers five London boroughs: Barnet, Camden, Enfield, Haringey and Islington. It provides patients who have been otherwise excluded from mainstream primary care with access to GP services. Patients are assigned to the service by Primary Care Support England. There are currently 201 patients allocated. The service, which operates for adults over the age of 18-years, provides:

  • GP appointments
  • Nurse appointments
  • Health checks and Long-term condition management
  • Diagnostics and onward referrals are via local pathways agreed with the service commissioners

Similar services covering Luton, Bedford and Milton Keynes and Buckinghamshire are provided under a separate registration.

The service operates at Bingfield Primary Care Centre, 8 Bingfield Street, Islington, London N1 0AL, offering face to face appointments and telephone consultations on Tuesday afternoons and Wednesday and Thursday mornings. Telephone consultations are available on Fridays.

Patients can book appointments with GPs or nurses by telephoning the service between 8:00 am and 6:30 pm Monday to Friday, excluding bank holidays. Face to face, telephone and online appointments are available. However, due to the Covid-19 Pandemic, phone appointments are usually offered initially, and the clinician will assess the need for a face to face consultation and offer one is thought appropriate and necessary.

The clinical team is made up of three male GPs and an advanced nurse prescriber. The provider also has a team of pharmacists who assist in the patient care. Emergency cover for unplanned absences is available from within the provider’s wider clinical team. No locums are used.

The support team comprises an interim service manager, a social prescriber / administrator and an administrator / receptionist. Calls to the service, for appointments booking, etc., are handled at the provider’s principal place of business, away from the service location.

Further information on the service and the conditions relating to allocated patients can be found on the following website –

www.medicus-selectcare.co.uk

How we carried out the inspection

Throughout the COVID pandemic CQC has continued to regulate and respond to risk. However, having taken account of the circumstances arising from the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Completing clinical searches on the practice’s patient records system, which we later discussed with the provider’s staff
  • A site visit
  • Conducting staff interviews using video conferencing
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the practice

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services, and
  • information from the provider, patients and other organisations

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.

Overall inspection

Good

Updated 15 December 2021

This service is provided by Medicus Health Partners Ltd (the provider). It is commissioned by NHS England and covers five London Boroughs: Barnet, Camden, Enfield, Haringey and Islington. It provides patients who have been otherwise excluded from mainstream primary care with access to GP services.

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? – Outstanding

Why we carried out this inspection

We carried out an announced comprehensive inspection of the service, including a site visit on 16 November 2021 and remote online interviews with staff on 18 November 2021, as part of our inspection programme.

Our key findings were:

  • The way the service was led and managed promoted the delivery of innovative, high-quality, person-centre care.
  • The service provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care. Staff engaged well with patients and provided additional support with a range of issues unrelated to healthcare.
  • Patients could access care and treatment in a timely way.
  • The provider adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic.

The areas where the provider should make improvements are:

  • Continue working with commissioners to identify additional locations to improve patients’ convenient access to face to face consultations.
  • Continue working with commissioners to remedy problems with the shared patient records system and its compatibility with other services’ systems.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care