The Bromsgrove Clinic

Updated 19 July 2022

The Bromsgrove Clinic is run by The Droitwich Knee Clinic. The service has one registered location, and it has been registered since 2015 for treatment of disease, disorder or injury and diagnostic and screening procedures. The registered manager is a consultant surgeon and has been in post since 16 August 2019. They took on the role of the nominated individual on 24 June 2019.

The service is a small private clinic that provides specialist consultations for knee and shoulder complaints. It involves a one-stop service for patients with x-ray, ultrasound and magnetic resonance imagery (MRI) at the premises for further investigations. It also provides a physiotherapy service. There is no inpatient facility at this premises.

The clinic premises included a large reception and waiting area, two outpatient consultation rooms with an examination room to each, a physiotherapy room, an MRI room and an X-ray room. The ultrasound was portable and able to be used in the outpatient consultation areas. There were other rooms within the premises, but these were not leased by The Bromsgrove Clinic.

The registered manager occasionally rented their second consultation room to two other consultants working on practicing privileges. One of these consultants was a spinal consultant and the other was a foot and ankle consultant.

The Bromsgrove Clinic is consultant led and is open on reduced hours to work around the consultant’s NHS commitments. The clinic is open on Monday evenings, all day Wednesdays and on Friday evenings.

The main service provided by The Bromsgrove Clinic was outpatient services. Where our findings on outpatients also apply to other services, for example, management arrangements we do not repeat the information but cross-refer to the outpatients’ service.

From May 2021 to April 2022, The Bromsgrove Clinic had 1,491 outpatient attendances of which 903 were for outpatient consultations and 588 were for physiotherapy appointments. For the same period there were 683 diagnostic and screening attendances of which 374 were for MRI, 281 were for X-ray and 28 were for ultrasound.

Most patients at the clinic were adults. However, the service did see a small number of children between May 2021 and April 2022. Children accounted for 3.5% (52) of all outpatient attendances of which 28 were for outpatient consultations and 24 were for physiotherapy, and 1.5% (10) of all diagnostic attendances of which all were for MRI.

We have not inspected The Bromsgrove Clinic before.

Updated 19 July 2022

• 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 risks and managed medicines and safety incidents well, learning lessons from them. Staff assessed risks to patients, acted on them and kept good care records.
• Staff provided good care and treatment. Staff assessed patients’ pain levels and developed appropriate treatment plans to relieve pain. 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 respected and valued patients as individuals. They treated patients with compassion and kindness, respected their privacy and dignity, and helped them understand their conditions. Staff empowered patients, families, and carers as partners in care, practically and emotionally, offering an exceptional and distinctive service.
• The service planned care to meet the needs of local people, 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 understood the service’s vision and values, and how to apply them in their work. 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 engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

Updated 19 July 2022

The Bromsgrove Clinic provided outpatient services and diagnostic services to patients between the age of nine and 18 years of age. Children and young people’s services was a very small part of the overall activity at the clinic with most patients being 18 years of age and above.

During our inspection visit, we did not see any children or young people being treated, review any patient records of children or young people, and we did not speak to any children or young people, or their parents about their care and treatment. Therefore, we inspected services for children and young people but did not have enough evidence to give a rating.

The main service was outpatient services. Where arrangements were the same, we have reported findings in the outpatient service section.

Updated 19 July 2022

We rated diagnostic imaging as good because it was safe, caring, responsive and well-led. We currently do not have enough evidence to rate effectiveness of diagnostic imaging services. See the overall summary above for details.

Diagnostic imaging is a small proportion of the clinic activity. The main service was outpatient services. Where arrangements were the same, we have reported findings in the outpatient service section.

Please refer to the overall summary above.

Updated 19 July 2022

We rated outpatients as good because it was safe, caring, responsive and well-led. We currently do not have enough evidence to rate effectiveness of outpatient services. See the overall summary above for details.