7 July 2021
Medical Express Clinic provides consultations with independent doctors from a single clinic located at 117A Harley Street, London, W1G 6AT. The service provides consultations with independent doctors which are provided both by appointment and on a walk-in basis and is available to children and adults. The service offers consultations with GPs and several specialist doctors.
The service is in a converted property. The consultation rooms and office areas occupy the ground floor and the second floor which is accessible by stairs. The basement and first floors are leased to tenant companies not associated with the service. The staff team includes the lead doctor (GP); three GPs; a gynaecologist; a cardiologist; an immunologist, a psychiatrist and a paediatrician. There is one female GP. The other doctors are male. Apart from the lead doctor and one of the GPs, the other doctors work at the clinic on a part-time, sessional basis. The clinicians are supported by five health care assistants/receptionists, a medical secretary and a manager.
The service also offers sexual health services; travel health services and minor surgery under a local anaesthetic to remove ‘lumps and bumps’. It also offers a range of screening and health check packages. The clinic does not offer home visits.
The clinic is open from Monday to Friday from 9am to 9pm and on Saturday and Sunday from 10am until 2pm.
We carried out this inspection on 29 April 2021 and the inspection team comprised one CQC inspector. Before visiting, we reviewed a range of information we hold about the service and asked the provider to send us some additional information about the service which we also reviewed.
The practice website can be found at www.medicalexpressclinic.co.uk
7 July 2021
We carried out an announced comprehensive inspection at Medical Express Clinic on 4 October 2018. The service was not rated but we found that it was not providing safe care in accordance with the relevant regulations. The full comprehensive report on the 4 October 2018 inspection can be found by selecting the ‘all reports’ link for Medical Express Clinic on our website at www.cqc.org.uk
This inspection was a desk-based review carried out on 29 April 2021 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in Regulations that we identified in our previous inspection on 4 October 2018. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
CQC inspected the service on 4 October 2018 and asked the provider to make improvements regarding providing safe care and treatment. We checked these areas as part of this focused inspection and found some of this had been resolved; however, there were areas where the provider did not provide safe care and treatment.
Medical Express Clinic provides an independent doctors consultation service from a single clinic in the Harley Street area of West London. Patients can book appointments or attend on a walk-in basis. The service provides onward referral to diagnostic and specialist services as appropriate. The service treats both children and adults. It typically treats between 200 and 500 patients per month.
This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from Regulation by CQC which relate to types of service and these are set out in Schedule 2 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Medical Express Clinic, some services are provided to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation and we did not include these within the scope of our inspection.
One of the GPs at the service is the Registered Manager. A Registered Manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service is registered to provide the regulated activities of diagnostic and screening services; treatment for disease, disorder or injury and surgical procedures.
We did not receive any patient feedback as part of this inspection.
Our key findings were:
- The clinic now had a system in place to check parental authority.
- The clinic had improved security arrangements in relation to the single entrance shared with other providers.
- The system to communicate patients test results was now fully encrypted to ensure confidentiality.
- The clinic now had a digital translator which could detect spoken languages and effectively translate them into a variety of different languages.
- The clinic created feedback questionnaires at the clinic and invited patients to submit reviews on Trustpilot and Google, or via email when their services were complete.
- There was now written evidence provided on the arrangements of substance misuse prescribing in the clinic. However, further action was required to make this clear on the service website.
- We saw some evidence of clinical audit. However this was limited in scope and related to the prescribing of controlled drugs.
- Relevant patient safety alerts had not been identified or acted on by the service.
- The service was offering yellow fever vaccinations without being registered with the appropriate body.
The areas where the provider must make improvements as they are in breach of regulations are:
- Ensure care and treatment is provided in a safe way to patients.
(Please see the specific details on action required at the end of this report).
In addition the provider should:
- Review its quality improvement activity, in particular the scope to increase its use of clinical audit to drive improvement.
- Take action to ensure substance misuse arrangements at the service are recorded clearly on the service website.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care