Pure Sports Medicine Limited (Threadneedle)

Updated 16 May 2022

Pure Sports Medicine (Threadneedle) has been operating since 2007 from its registered premises at 41-47 Threadneedle Street, London EC2R 8AR. It is registered by the Care Quality Commission to provide the regulated activities Diagnostic and screening procedures and Treatment of disease, disorder or injury. The clinic occupies the ground and is accessible at street level. The clinic has a patient waiting area, a gym, consultation rooms, treatment rooms, changing facilities and staffing areas. There are good transport links with regular buses and local tube stations.

The clinic provides pre-bookable and walk-in private appointments for adults and children (over the age of 8) for musculoskeletal and sports related concerns, injuries and advice and for rheumatologic conditions. Initial consultation appointments with the Sport and Exercise Medicine Consultant and the Rheumatology Consultant are 40 minutes, follow up appointments are 25 minutes. Patients can either have a face to face appointment or a video consultation.

Following an initial consultation involving a detailed history and physical examination with a Sports and Exercise Medicine Consultant or a Rheumatology Consultant, patients may be referred for other investigations such as X-rays, MRI scan and / or blood tests, depending on the nature of their condition. A review consultation is then usually undertaken with the patient to discuss the findings of their results, establish a management plan and consider any recommended lifestyle changes or preventative strategies.

Patients seen at the service are either private patients or employees of organisations who are provided with health and wellbeing services as part of their employee benefit package. The services are provided privately and are not commissioned by the National Health Service.

The service is available 7am -8pm (Monday -Thursday), 7am to 7pm on Friday. The clinic is closed on weekends and patients who need to contact the clinic outside of the core business hours are given out of hours contact details.

How we inspected this service

During our inspection we:

• Spoke with two consultants in sport and exercise medicine, a practice manager and a senior clinical administrator remotely through video conferencing.

During our site visit we:

• Spoke with staff (the operations manager, chief clinical officer, the practice manager and the senior clinical administrator).
• Reviewed personnel files, practice policies and procedures and other records concerned with running the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 16 May 2022

This service is rated as Good overall.

The key questions 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 Pure Sports Medicine (Threadneedle) on 5 May 2022 as part of our inspection programme.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in and of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Pure Sports Medicine (Threadneedle) is part of a group of medical clinics situated within London providing treatment for people with musculoskeletal conditions and sports injuries, including rheumatological problems.

The clinic provides a range of services (mainly for adults) centred around a multi-disciplinary approach to patient care, including appointments with consultants in Sport and Exercise Medicine (SEM consultants) and Rheumatology and a doctor led COVID-19 rehabilitation service and concussion clinic. Other services include physiotherapy, chiropractic, osteopathy, podiatry, massage therapy, Pilates, occupational therapy, diet and nutrition and physiological and lifestyle assessments. Services such as physiotherapy, chiropractic, osteopathy, podiatry, massage therapy, Pilates and occupational therapy are not within CQC’s scope of registration. Therefore, we did not inspect or report on these services. This inspection focused on the services provided by the SEM Consultants, Rheumatology Consultants, a doctor led COVID-19 rehabilitation service for patients with prolonged fatigue and reduced exercise tolerance and a doctor led concussion clinic for management of concussion and its associated conditions.

The Practice Manager 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.

Our key findings were:

• Staff had been trained with the skills and knowledge to deliver safe care and treatment. Clinical staff were aware of current evidence-based guidance.
• Information about the range of services and fees were available.
• Complaints information was displayed in the clinics.
• The service conducted quality improvement activity to improve patient outcomes.
• The service gave patients the ability to view their treatment plan online via secure access.
• There was a system in place to receive safety alerts issued by government departments such as the Medicines and Healthcare products Regulatory Agency (MHRA).
• Patient feedback was used to improve services provided.
• Clinical information with other relevant healthcare providers was shared in a timely manner (subject to patient consent).
• Staff told us that they were happy to work for the service.
• The service had an administrative governance structure in place, which was adhered to through a range of policies and procedures which were regularly reviewed.
• There was a clear vision and strategy, along with a strong governance framework in place which includes all key policies and guidance.

The areas where the provider should make improvements are:

• Action all the recommendations following the infection prevention and control audit and Disability Access Risk Assessment.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care