• Doctor
  • Independent doctor

Harpal Clinic St. Paul's

Overall: Good read more about inspection ratings

Harpal Clinic, 4 Burgon Street, City of London, London, EC4V 5DR (020) 7096 5475

Provided and run by:
Harpal Clinic Ltd

Assessment report published 11 September 2025

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Effective

Good

6 August 2025

The service actively involved patients in decisions about their care and treatment, and provided them with advice, support, and effective treatment. Staff made sure patients understood their care and treatment to enable them to give informed consent.

Clinical staff followed best practice guidance when carrying out their work and undertook clinical audits to support continuous improvement.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Assessing needs

Score: 3

The service ensured that people received effective care and treatment by actively involving them in the assessment and review of their health, care, and wellbeing. Feedback from those using the service was positive, with individuals reporting that they felt included in discussions about their needs. Clinical staff used structured templates during health reviews to support a comprehensive evaluation of each person’s overall health and wellbeing.

Delivering evidence-based care and treatment

Score: 3

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them.

The clinic offered alternative and cosmetic treatments that fell outside conventional guidelines established by the National Institute for Health and Care Excellence (NICE). While adhering to NICE standards for menopause management, testosterone therapy, thyroid disorders, and polycystic ovary syndrome, the service followed American research protocols for other treatments, such as bioidentical hormone replacement therapy used for conditions like acne, immune support, and anti-aging.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation.

How staff, teams and services work together

Score: 3

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

Supporting people to live healthier lives

Score: 3

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

Monitoring and improving outcomes

Score: 3

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff demonstrated a clear understanding of legislation relating to consent and applied it appropriately in practice. The service informed individuals of their rights regarding consent and upheld these principles when delivering person-centred care and treatment. During our clinical searches, we identified two cases where consent had not been properly documented in the patient records. In response, the provider conducted a consent audit, which showed a very high level of compliance overall.