The 157 Medical Practice

Updated 16 November 2021

The 157 Medical Practice (the practice) operates at 157 Stroud Green Road, London, N4 3PZ. The services are provided by Federation4Health (the provider), and the Pan Haringey GP Federation.

The practice provides NHS services through a Primary Medical Services (PMS) contract to approximately 4,450 patients. It operates within the NHS North Central London Clinical Commissioning Group (CCG), and it is part of the South West Primary Care Network with two other local practices. The practice is registered within the CQC to carry out the following regulated activities – diagnostic and screening procedures; treatment of disease, disorder or injury; family planning; and maternity and midwifery services.

The practice area has a high overall deprivation level. The majority of patients are within the age range of 15-64 years; the practice list has slightly fewer children registered compared with the local average and slightly more patients aged over 65. A third of patients are of Black and Minority Ethnic (BAME) background.

The clinical team is made up of three of the provider’s GPs and four regular locum GPs, three advanced nurse practitioners, and two practice nurses. In addition, there are three Clinical Pharmacists and two of the administrative staff have recently qualified as healthcare assistants. There is a practice manager, a business manager, IT manager and six administration and reception staff. The practice recently attained accreditation to train student doctors.

The practice opening times are as follows:

Monday 6.30am to 8.00pm

Tuesday 8.00am to 6.30pm

Wednesday 8.00am to 6.30pm

Thursday 8.00am to 6.30pm

Friday 8.00am to 6.30pm

Appointments with GPs and other clinical staff are available throughout the day. Home visits and telephone appointments are available.

Extended hours service appointments are offered at the practice on Monday evenings in addition, further appointments are available via the Haringey CCGs extended hours service at four other locations in the borough. These operate from 6.30pm to 8.30pm, Monday to Friday and from 8.00am to 8.00pm on the weekends and public holidays.

Updated 16 November 2021

We previously carried out an announced comprehensive inspection at The 157 Medical Practice in March 2020 as part of our inspection programme. We rated the practice as Good overall. We rated the practice Good for providing safe, responsive and caring, Outstanding for providing well-led services and requires improvement for providing an effective service. You can read the full report by selecting the ‘all reports’ link for The 157 Medical Practice on our website (www.cqc.org.uk).

We were mindful of the impact of the Covid-19 Pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the Covid-19 Pandemic when considering what type of inspection was necessary and proportionate, this was therefore a desk-based inspection. On 27 October 2021, we carried out a desk-based review to confirm that the practice had carried out improvement plans to their service.

We found that the practice had put measures in place for ongoing improvement. The practice is now rated Good for providing effective services.

We based our judgement of the quality of care at this service on a combination of:

• What we found when we reviewed the information sent to us by the provider;
• Information from our ongoing monitoring of data about services.

We have rated effective as Good because:

• Systems have been put in place to monitor and improve the uptake for the childhood immunisation and cervical screening programmes.
• Systems had been put in place to censure positive outcomes for patients with long term conditions or on the mental health register.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care