During an assessment under our new approach
Date of Assessment: 24 March 2026 to 10 April 2026. Bethnal Green Health Centre is a GP practice and delivers services to 9,884 patients under a contract held with NHS England. The service is part of PCN1 (One Alliance Network) primary care network (PCN) made up of four GP practices in Tower Hamlets. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the second decile (2 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report. This is the first assessment for this provider under our new ways of reporting.
The service was in breach of the legal regulation relating to safe care and treatment. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
SAFE: Safety risks to people using the service had not always been identified and/or mitigated. Managers had not always made sure staff had received training or annual appraisals to support high-quality care. Some staff had not completed safeguarding training relevant to their role. Consistency in the monitoring of people’s medicines was needed to make sure blood tests and physical checks were carried out prior to a prescription being issued. People could raise concerns and there were processes to ensure that learning happened when things went wrong. Managers investigated incidents thoroughly.
EFFECTIVE: Staff had not always followed prescribing protocols and guidance to ensure assessments were up-to-date and people’s care needs were routinely reviewed. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving between services. Staff made sure people understood their care and treatment to enable them to give informed consent. However, systems for ‘Do Not Attempt Cardiopulmonary Resuscitation’ (DNACPR) decisions, were in place but were applied inconsistently.
CARING: People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service leaders had taken steps to recognise and meet the wellbeing needs of staff.
RESPONSIVE: People were encouraged to give feedback, which was acted on and used to deliver improvements. However, the 2025 GP Patient Survey results for people’s experience of accessing the service scored lower than local and national averages. To improve people’s experience of accessing the service the practice had implemented a new GP-led total triage model delivered through an innovative clinical hub. The service provided information people could understand. Leaders and staff worked to eliminate discrimination. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
WELL-LED: Processes and systems to support good governance were not effective and not followed consistently. The approach to measuring outcomes and impact was inconsistent. The leaders had not ensured that staff always followed prescribing policies and evidence-based guidelines. Systems were not effective in identifying, mitigating and monitoring risk related to patients and staff including health and safety. Managers had not met with staff regularly to complete appraisals. New systems had recently been implemented; however, further work was needed to embed some systems.