We carried out a review of the data available to us about St Bartholomews Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about St Bartholomews Surgery, you can give feedback on this service.
We carried out an unannounced focused inspection at St Bartholomew’s Surgery on 24 October 2022. Overall, the practice is rated as good carried forward from the previous inspection.
Safe – Not rated, rating of good carried forward from previous inspection.
Effective – Not inspected, rating of good carried forward from previous inspection.
Caring – Not inspected, rating of good carried forward from previous inspection.
Responsive – Not inspected, rating of good carried forward from previous inspection.
Well-led -Not inspected, rating of good carried forward from previous inspection.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Bartholomew’s Surgery on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this focused inspection to follow up concerns reported to us. The focused inspection looked at parts of the key question safe. The areas we looked at were the prevention and management of infectious diseases, and the management and maintenance of the premises.
How we carried out the inspection
This included:
Our findings
We based our judgement of the quality of care at this service on a combination of:
We found that:
Although we did not find a breach of regulation, we recommend that the provider should:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services
We carried out an announced review of the “are services effective” key question, at St Bartholomew’s Surgery on 1 July 2021. Overall, the practice is rated as Good.
Set out the ratings for each key question
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led – Good
Following our previous inspection on 24 February 2020, the practice was rated Good overall and for the key questions safe, caring, responsive and well-led. The practice was rated requires improvement for providing effective services and issued a requirement notice for Regulation 17(1) Good governance.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Bartholomew’s Surgery on our website at www.cqc.org.uk
Why we carried out this review
This review was a focused review of information without undertaking a site visit to follow up on breaches of Regulation 17 Good governance. At the previous inspection we found:
How we carried out the review
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.
This review was carried out without visiting the location by requesting documentary evidence from the provider.
Our findings
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as Good overall and for all population groups.
The practice had made the necessary improvements to improve clinical effectiveness and consistency:
The areas where the provider should make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out a focused inspection at St Bartholomews Surgery on 24 January 2020. The announced inspection was part of our inspection programme. Following a Care Quality Commission annual regulatory review to check for changes in quality we inspected the key questions effective and well-led. We used information from our previous inspection findings for the key questions safe, caring and responsive. The practice was previously inspected on 9 November 2017 and was rated good overall.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all population groups.
We found that:
We rated the practice as Requires improvement for providing effective services and requires improvement for the population groups because:
We rated the practice as good for providing a well led service because:
The areas where the provider must make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
This practice 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
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We previously inspected the practice on 20 June 2016 and rated it then as Requires improvement overall. This was because it was not meeting legal requirements in relation to some aspects of patient safety, improving patient outcomes and governance arrangements. The June 2016 inspection report can be found at www.cqc.org.uk/location/1-539009738.
We carried out an announced comprehensive inspection at St Bartholomews Surgery on 09 November 2017 to follow up on breaches of regulations.
At this inspection we found:
The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
National GP survey results showed patients did not always feel staff involved and treated them with care and concern. The practice took action and carried out a practice based survey which showed improvement.
National GP survey results showed patients found the appointment system easy to use and that they could access care when they needed it. Some feedback we received on the day of the inspection was less positive however. The patient participation group highlighted the need for more patient education on appointment booking.
There was a strong focus on continuous learning and improvement at all levels of the organisation.
The practice had remedied the shortfalls identified at our previous inspection.
The provider had acted on recommendations we made at our previous inspection to improve the business continuity plan; the uptake of cervical screening; identifying and supporting carers; provisions for patients with hearing impairment and for patients for whom English is an additional language; and documenting meetings and following up agreed actions.
The areas where the provider should make improvements are:
Consider ways of improving patients’ understanding of the appointment booking system.
Include information about the role of the Health Services Ombudsman in its responses to complaints.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at St Bartholomew’s Surgery on 20 June 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
In addition the provider should:
Chief Inspector of General Practice
St Bartholomew’s Surgery is located in East Ham in the London borough of Newham, East London and has a patient list of approximately 9,600. Newham’s health profile shows that it is worse than the England average and at or below the regional average on a range of indicators including substance misuse, recorded diabetes and incidence of tuberculosis (TB). The national index of multiple deprivation lists Newham as the second most deprived out of 326 local authorities in England.
The practice operates from one site. The staff team consists of five GP partners (one female, four male), one salaried GP (male), two practice nurses, one part time health care assistant, one practice manager and a team of reception and administration staff. During our inspection, we spoke with three GPs, two practice nurses, practice manager and reception staff.
All of the patients that we spoke with and those who completed comment cards were positive about the service they received at St Bartholomew’s Surgery. During our inspection we observed that patients were cared for in a respectful and compassionate manner.
We noted that clinical staff met weekly to review patient progress. Meetings also routinely took place with other clinicians and the practice hosted or delivered a range of clinics which were relevant to the local health profile. These included ante natal and sexual health clinics.
The practice participated fully in Quality and Outcomes Framework (QOF) - a voluntary incentive scheme rewarding practices for how well they care for patients. The framework was used to improve services and benchmark (or compare) the practice with other practices in the borough.
The practice has an above average number of patients aged over sixty five relative to Newham and is slightly below average regarding patients aged under eighteen. Poor mental health, recorded sexual health infections and diabetes are overly represented in the borough; and this is also the case at the practice level. During our inspection, we noted that the practice was responsive to the needs of its population group. Examples included screening programmes for patients at risk of developing diabetes and weekly ante natal clinics. We also noted that the practice hosted an outpatient clinic delivered by the local community mental health team and provided a weekly sexual health clinic.
The provider was in breach of regulations related to:
Requirements relating to workers
Infection control and cleanliness
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.