The Care Quality Commission
  • Doctor
  • GP practice

Primrose Hill Surgery

Overall: Good read more about inspection ratings

99 Regents Park Road, London, NW1 8UR (020) 7722 0038

Provided and run by:
Dr Abanti Paul

Important: The provider of this service changed - see old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Primrose Hill Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Primrose Hill Surgery, you can give feedback on this service.

During an assessment under our new approach

We carried out an announced assessment of one quality statement, equity of access, under the key question Responsive at Primrose Hill Surgery on the 26 January 2024. Overall, the practice is rated as good overall and the key question responsive continues to be rated as providing a good service. We carried out the assessment as part of our work to understand how practices are working to try to meet peoples demands for access and to better understand the experiences of people who use services and providers. We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know staff are carrying this out whilst the demand for general practice remains exceptionally high, with more appointments being provided than ever. However, in this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. The assessment of the quality statement equity of access includes looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement. At this assessment we found: People can access services when they need to, without physical or digital barriers, including out of normal hours and in an emergency. Physical premises and equipment are accessible. People are given support to overcome barriers to ensure equal access. The leaders understood the challenges to patient access and responded positively to patient needs.

2 March 2022

During a routine inspection

We carried out an announced inspection at Primrose Hill Surgery on 2 March 2022. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

How we carried out the inspection/review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

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

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider should make improvements are:

  • Continue to look at ways to improve patient outcomes from the childhood immunisation and cervical screening programmes.
  • Carry out a practice patient feedback exercise.

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

31 Oct 2018

During a routine inspection

This practice is rated as Good overall. (First inspection since re-registration)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Primrose Hill Surgery on 31 October 2018, as part of our inspection programme.

The previously registered and inspected service at this location, Primrose Hill Surgery, was a partnership that de-registered from the Care Quality Commission (CQC) on 6 April 2018. The full comprehensive reports on inspections of the practice under the previous registration in April 2014, June 2016 and January 2018 can be found on our website at .

The current service, also named Primrose Hill Surgery, was registered with CQC with a sole principal GP on 4 April 2018. The principal GP is one of the former partners in the previous service, the other having left the practice.

At this inspection we found:

  • Reception staff were unable to describe the symptoms of sepsis nor was the practice displaying a poster in the reception area to assist with identifying the symptoms. Following our inspection, the practice took action to rectify these issues.
  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Leaders at all levels were visible and approachable. They worked closely with staff and others to make sure they prioritised compassionate and inclusive leadership.
  • Staff communicated with people in a way that they could understand, for example, communication aids and easy read materials were available.
  • Telephone consultations were available which supported patients who were unable to attend the practice during normal working hours.

The areas where the provider should make improvements are:

  • Ensure that non-clinical staff receive appropriate training and updates to enable them to identify the possible symptoms of sepsis.
  • Continue to work to improve uptake, by eligible patients, of its cervical, breast and bowel cancer screening programmes.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.