Dr E Kosciesza's Practice, also known as Cedars Medical Centre, provides GP led primary care services through a General Medical Services (GMS) contract to around 4,800 patients living in the surrounding areas of Eastcote and Ruislip. GMS is one of the three contracting routes that have been available to enable commissioning of primary medical services). The practice is part of NHS Hillingdon Clinical Commissioning Group (CCG).

The practice staff comprise of two GP partners (female); two practice nurses; a health care assistant (HCA); a practice manager; and a team of reception/administrative staff. The practice is a training practice and currently has a male GP registrar working there. There was also a locum GP working at the time of our visit. The GPs collectively provide 20 sessions per week. The nurses work 50 hours between them, and the HCA eight hours.

The practice is located on the ground floor of a purpose built property with eight consulting/treatment rooms and a large seminar room used for practice and locality meetings. The ground floor of the premises is accessible by wheelchair.

The doors to the practice are open from 08:30 to 18:30 Monday to Friday, with the exception of Wednesday when they closed at 13:30. The telephone lines are open from 08:30 to 13:00, and 16:00 to 18:30. If patients telephone the practice from 08:00 to 08:30 and 13:00 to 16:00 they are directed to an out-of-hours provider, who would contact the GPs in emergency cases. Appointments are available from 09:00 to 13:00 and 16:00 to 18:00. Extended evening hours are available on Thursday from 18:30 to 19:30.

Appointments can be booked in advance over the telephone, online or in person. The practice opted out of providing out-of-hours services to their patients. Outside of normal opening hours patients are directed to an out-of-hours GP, or the NHS 111 service.

The number of patients aged zero to four (7.5%), aged five to 14 (13.3%) and under 18 (16.5%) is similar to the national averages (6.0%, 11.4% and 14.8% respectively). Patients aged 65+ represent 13.1% of the practice population, patients aged 75+ represent 6.2%, and patients aged 85+ represent 1.6% (national averages are 16.7%, 7.6% and 2.2% respectively).

The percentage of people with a long standing health condition (50.1%), and people with health related problems in daily life (39.9%) are below the national averages (54% and 48.8% respectively). The average life expectancy for the CCG area is 80 years for males and 84 for females (national averages 79 and 83 respectively).

The service is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures; treatment of disease, disorder and injury; family planning services; maternity and midwifery services; and surgical procedures.