Stroud Green Medical Clinic

Updated 11 January 2019

Stroud Green Medical Clinic is a GP practice located in the London Borough of Islington. The practice is part of the NHS Islington Clinical Commissioning Group (CCG). The practice is provided by a single-handed GP and has been registered with the Care Quality Commission since October 2017.

Stroud Green Medical Clinic provides care to approximately 6500 patients. The practice is located on a main road which is accessible by local train stations and buses. The practice does not have step-free access. There is a buzzer at the entrance allowing patients with mobility problems to request assistance from staff. A temporary ramp was available which staff fixed in place when needed.

The practice area population has a deprivation score of three out 10 (10 being the least deprived). The practice serves a diverse population with approximately 25% of its patients from black and ethnic minority backgrounds.

The practice holds a GMS (General Medical Services) contract with NHS England. This a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract.

The practice is registered with the Care Quality Commission to provide the regulated activities: Diagnostic and screening procedures; Maternity and midwifery services; and Treatment of disease, disorder or injury.

The practice team consists of one male principal GP who also acted as the interim practice manager, three long-term male locum GPs, one long-term female GP, a practice nurse, a healthcare assistant in training, an assistant practice manager and an administrative and reception team.

The practice’s opening hours are 8:30am-6.30pm on Monday- Friday. With extended hours operating on Monday, Wednesday, Thursday and Friday between 6.30am-8.30am.

Standard appointments are 10-15 minutes long, with double appointments available to patients who request them, or for those who have been identified with complex needs.

The practice has opted out of providing an out-of-hours service. When the practice is closed, patients are redirected to a contracted out-of-hours service. The local Clinical Commissioning Group has commissioned an extended hours service, which operates between 6.30pm and 8pm on weeknights and from 8am to 8pm at weekends at three “Hub” locations across the borough. Patients may book appointments with the service by contacting the practice or the hubs themselves.

Updated 11 January 2019

This practice is rated as Good overall. (Not previously rated under current registration)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Stroud Green Medical Clinic on 08 November 2018 as part of our inspection programme.

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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• The practice had responded to their large cohort of working age patients by opening the surgery at 6.30am four days of the week.
• There was a strong focus on continuous learning, improvement and IT innovation at all levels of the organisation.

The areas where the provider should make improvements are:

• Continue with efforts to improve the up-take of child immunisations for children aged two and cervical screening.
• Continue with efforts to improve the GP patient survey results for questions relating to care, concern and listening.
• Continue with efforts of establishing a Patient Participation Group.
• Review the need to provide all reception staff with sepsis awareness training.
• Review the need for checking the non-collected prescriptions box on a more frequent basis.
• Review the need for a documented business plan and strategy.
• Consider updating the business continuity plan to include buddy arrangements with a local practice.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 11 January 2019

Updated 11 January 2019

Updated 11 January 2019

Updated 11 January 2019

Updated 11 January 2019

Updated 11 January 2019