The Care Quality Commission
  • Doctor
  • Independent doctor

Dr Hammad Mehbub Malik

Overall: Inadequate read more about inspection ratings

10 Harley Street, London, W1G 9PF 07951 726844

Provided and run by:
HM Medical Services Limited

All Inspections

1 May 2019

During a routine inspection

This service is rated as Inadequate overall. (The service was previously inspected 7 February 2018 but was not rated.)

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Requires improvement

Are services caring? – Requires improvement

Are services responsive? – Requires improvement

Are services well-led? – Inadequate

We carried out an announced comprehensive inspection at Dr Hammad Mehbub Malik as part of our inspection programme.

The provider HM Medical Services Limited has one location registered as Dr Hammad Mehbub Malik at 10 Harley Street, London. The service provides private GP services including consultations, health screening, sexual health services, immunisations, travel vaccinations and circumcisions.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of services it provides.

Our key findings were:

  • Governance systems were not well established within the service. There was a lack of effective systems for monitoring service provision to ensure it was safe. We identified issues relating to the management of infection control, medicines and record keeping.
  • Risks were not always clearly identified and mitigated against.
  • Clear procedures and protocols were not consistently in place.
  • Systems for learning from incidents and safety alerts were in place but none identified.
  • There was limited evidence of quality improvement activity with the exception of the circumcision service.
  • The provider demonstrated how they maintained skills and knowledge but had not considered training or updates in all roles undertaken.
  • There were appropriate systems in place for obtaining patient and parental consent for procedures undertaken.
  • Patient feedback relating to the service was positive from our CQC comment cards. Patients described the GP as caring and approachable and said they felt listened to. However, the provider was not proactive in seeking patient feedback to support service improvement.
  • Patient had timely access to services that were flexible in meeting their needs.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Make the complaints process easily accessible to patients.
  • Identify opportunities for learning from internal and external incidents and alerts.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

7 February 2018

During a routine inspection

We carried out an announced comprehensive inspection on 7 February 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The provider HM Medical Services Limited has one location registered as Dr Hammad Mehbub Malik located in Harley Street in London and provides an extensive suite of private health services such as sexual health, onsite cardiac testing, X rays, ultrasound, travel vaccinations, cancer screening, blood testing or a consultation about other medical issues. The provider also carries out circumcisions in patient’s homes.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.

The GP is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Twenty patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctors as caring, efficient and knowledgeable

Our key findings were:

  • The GP was aware of current evidence based guidance and had the skills and knowledge to deliver effective care and treatment.
  • The provider had some systems in place to protect people from avoidable harm and abuse. 
  • The provider did not have effective systems in place to analyse or share learning from significant events.
  • The service had arrangements in place to respond to medical emergencies.
  • There were some arrangements in place for the management of medicines. However, there was no evidence that regular checks of emergency medicines were carried out. We have been advised since the inspection that a weekly check system is now in place.
  • There was a clear vision to provide a personalised, high quality service.
  • The patient feedback we received in the course of the inspection indicated that patients were satisfied with the service they received.
  • Information about how to complain was available. The provider had not received any complaints about the service in the last year.

There were areas where the provider could make improvements and should:

  • Review the use of the medicine fridge to ensure it is used appropriately and to ensure the cold chain is protected at all times.
  • Ensure all staff carrying out chaperone duties are DBS checked.