During an assessment under our new approach
Date of Assessment: 29 June 2026. The Old Surgery is a general practice in Haringey operated by the registered partnership of S H Vaghela Dr V N Patel. It delivers services to approximately 1,600 people under a contract held with NHS England. It is part of the Haringey East Central Primary Care Network, working closely with 3 other local GP services. Haringey is one of 5 boroughs covered by the North Central London Integrated Care System.
According to the latest available data, the ethnic make-up of the practice area is approximately 58% White, 14% Black, 10% Asian, 7% Mixed, and 10% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the practice population group is in the 3rd decile (3 of 10). The lower the decile, the more deprived the local population is relative to others.
We last inspected and rated the practice under a previous methodology in January 2017. The overall rating for the practice was Good, as were the ratings for the five key questions, Safe, Effective, Caring, Responsive and Well-led.
We carried out this assessment using our new methodology as part of our Return to Good and Outstanding inspection programme, due to the length of time since our last assessment. The assessment focused on 10 of 34 quality statements across all 5 key questions. This assessment considered the demographics of the people using the service, the context the practice was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report. We have again rated the overall service and the 5 key questions as Good.
SAFE Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience.
EFFECTIVE Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.
CARING Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.
RESPONSIVE People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.
WELL-LED The practice had a clear vision and strategy, which considered the needs of the people who used its service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.