Archived: Lawrence House Surgery

Updated 27 August 2019

The Haringey and Islington Community Gynaecology Service is a community service managed by Islington GP Federation. The gynaecology service is provided across three sites from Monday to Friday with a total of three clinical sessions available, by referral, for women over the age of 16 registered with a Haringey or Islington GP. This inspection took place at the gynaecology service at Lawrence House Surgery located at 107 Phillip Lane, London, N15 4JR. Lawrence House Surgery is situated within the Haringey Clinical Commissioning Group. The community gynaecology service operates Tuesdays from 9am to 1pm and Fridays from 1pm to 5pm. The gynaecology service based at Lawrence House Surgery runs alternate Fridays from 1pm to 5pm.

The gynaecology service at Lawrence House Surgery is a consultant led one-stop assessment with rapid triage for patients in a setting closer to home. The service has a pathway in place with Whittington Hospital which allows patients direct access to the surgical day list when approved by the consultant. The provider, Islington GP Federation, also runs an extended hours GP and nursing service and a specialist ear nose and throat service. The provider is registered with CQC to deliver the regulated activities of: Maternity and midwifery services; Surgical procedures; Diagnostic and screening procedures; Treatment of disease, disorder or injury.

The clinical team for the service is made up of four gynaecology GPs including the clinical lead for the service, a consultant from Whittington Hospital one healthcare assistant and the medical director. The non-clinical team is made up of members of staff including the operational manager.

Our inspection team was led by a Care Quality Commission (CQC) lead inspector. The team included a GP specialist advisor and a practice manager specialist advisor.

Updated 27 August 2019

This service is rated as Good overall.

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 comprehensive inspection of the Haringey and Islington Community Gynaecology Service at Lawrence House Surgery on 14 June 2019 and 18 June 2019 as part of our inspection programme.

At this inspection we found:

• The service had comprehensive systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, we saw evidence the service learned from them and improved their processes.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence-based guidelines.
• We found that staff treated patients with compassion, kindness, dignity and respect. Patient feedback we received confirmed our findings.
• Patients found the appointment system easy to use and reported they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care