Updated 26 June 2017
City and Hackney Urgent Healthcare Social Enterprise (CHUHSE) is a community benefit society regulated by the financial conduct authority and governed by a board of executive and non-executive directors. CHUHSE are commissioned by City and Hackney Clinical Commissioning Group (CCG) to provide out of hours (OOH) GP services for 303,000 patients registered with a GP in the City of London and London Borough of Hackney.
Both the City of London and the London Borough of Hackney are in the top ten local authority areas for year on year population increases in the country, with the City of London experiencing the greatest percentage increase in England at 5.6% and Hackney in seventh place with a 2.3% increase in population each year.
Population data for the London Borough of Hackney suggests the area is a relatively young borough with a quarter of its population under 20. The proportion of residents between 20-29 years is 21%. People aged over 55 years make up only 18% of the population.
Hackney is a culturally diverse area, with significant Other White, Black and Turkish communities. The Charedi Jewish community is concentrated in the North East of the borough and is growing.
The main languages spoken in the area include English (76%), Turkish (4%), Polish (2%), Spanish (1%), French (1%), Yiddish (1%), Bengali, Sylheti or Chatgaya (1%), Portuguese (1%), Italian (1%) and Gujarati (1%).
Hackney was the eleventh most deprived local authority overall in England in the 2015 Index of Multiple Deprivation.
Homerton Hospital is the registered location for the out of hours GP service provided by CHUHSE (the provider). The service is co-located within the Accident and Emergency (A&E) Department of Homerton University Hospital NHS Foundation Trust. The full location address is A&E Department, Homerton University Hospital, Homerton Row, London E9 6SR. The provider is registered to provide the following regulated activities; Diagnostic and screening procedures, Transport services, triage and medical advice provided remotely, Treatment of disease, disorder or injury.
The area of the hospital allocated to the provider consists of a shared patient waiting area with split height reception desk and accessible patient and staff facilities. Patients are directed to the receptionist for the out of hours provider. The waiting area and reception desk are accessed via the main A&E entrance. There are two GP Consultation and treatment rooms and a medicines store. Service management, administrative offices and telephone answering facilities are located on the Homerton University Hospital site in a separate building with secure swipe card entry and intercom system.
The service is provided by 42 part time GPs from local practices, 8 reception staff, 12 call handlers, 8 drivers and 11 administrative, management and board directors.
The service operates daily from 6.30pm until 8.00am and at all times on weekends and bank holidays. The service is open during operating hours to any patient presenting at A&E with a GP appropriate condition, any patient registered with a GP Practice in the City of London and the London Borough of Hackney area requesting an out of hours appointment directly and any patient referred through NHS 111. The service manages approximately 36,000 patient contacts per year including telephone assessments, home visits and face to face consultations.
The service has not previously been inspected by CQC.