Archived: Federated4Health - Lawrence House Surgery

Updated 20 June 2019

Federated4Health – Lawrence House Surgery operates from 107 Philip Lane, London N15 4JR. The practice has three floors, with consultation rooms on the ground floor and second floor. The service provides a GP led pre-booked extended access service and treatment of adults and children. The service is one of the four GP hubs in Haringey commissioned by the local Clinical Commissioning Group (CCG) and provided by Federated4Health Ltd. Federated4Health is a private Limited company co-owned by 37 Haringey GP Practices.

The pre-bookable extended hours service is available to Haringey residents or those who are registered with a Haringey GP. Patients can book appointments via a dedicated phone line or through their own GP practice.

The service is open on Mondays and Fridays with telephone consultations available between 12.30pm – 5.45pm and face to face consultations from 6pm to 9pm. The service is also open on Saturdays 8am-4pm. Patients who need an appointment on a different day of the week are re-directed to one of the other three hubs in the Haringey area.

The provider has centralised governance for its services which are co-ordinated by service managers and senior clinicians. The provider has a governing board which includes a Chief Executive Officer, Medical Director, 3 GP’s, 2 Practice Managers and an Advanced Nurse Practitioner.

The clinical team that work across all four hub sites is made up of thirty-three long-term locum GPs, six locum nurses and three healthcare assistants.

The non-clinical service team consists of a Chief Executive Officer, a Hub Management Lead, and administrative staff members. The non-clinical team operates from the Hub headquarters which is in a separate office to the Hub sites.

The provider is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures and treatment of disease, disorder or injury.

Updated 20 June 2019

This service is rated as Good overall.

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 Federated4Health – Lawrence House Surgery on 16 April 2019 as part of our inspection programme. This is the first inspection for the service.

At this inspection we found:

• The service had clear systems to manage risk so safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved their processes.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported they were able to access care when they needed it.
• There was a clear vision and strategy and effective governance arrangements were in place. There was a strong focus on continuous learning and improvement at all levels of the organisation.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care