The Care Quality Commission
  • Doctor
  • Independent doctor

PAM Group London Wall Clinic

Overall: Good read more about inspection ratings

4 London Wall Buildings, London, EC2M 5NT (020) 3829 555

Provided and run by:
ToHealth Ltd

Important: This service was previously registered at a different address - 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 PAM Group London Wall Clinic 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 PAM Group London Wall Clinic, you can give feedback on this service.

22 March 2022

During an inspection looking at part of the service

This service is rated as Good overall. (Previous inspection 09/2021– Requires improvement)

The key questions are rated as:

Are services Safe? – Good

Are services effective? – Good

Are services well-led? – Good

We previously carried out an announced inspection of PAM Group London Wall Clinic on 8 September 2021 where the service was rated requires improvement overall and for the key questions of effective and well-led. The key questions safe, caring and responsive were rated good. During the last inspection on 8 September 2021, we identified a breach of Regulation 17 (Good Governance) of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The full report of the previous inspection can be found by selecting all reports linked for PAM Group London Wall Clinic on our website: www.cqc.org.uk.

We carried out a focused inspection of PAM Group London Wall Clinic on 22 March 2022, to review whether the service had made improvements in response to the breach of regulation we identified in September 2021.

PAM Group London Wall Clinic is an independent health service which provides health screening.

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 general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At PAM Group London Wall Clinic services were provided to patients under arrangements made by their employer or a government department or an insurance provider with whom the servicer user holds an insurance policy, other than a standard health insurance policy. These types of arrangements are exempt by law from CQC regulation.

The clinical nurse director 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.

The provider submitted a report for January 2022 which stated 98% of patients would recommend the service.

Our key findings were:

At the previous inspection, we found improvements were required in regard to clinical staff supervision, standards of record keeping and the systems to ensure patients were followed up appropriately. At this inspection, we found the provider had responded to our findings and made the required improvements.

  • The provider had an induction programme for all newly appointed staff. Staff had completed the necessary training for their roles.
  • Patients received a detailed report about the findings of their health checks and were asked if any abnormal results could be shared with their NHS GP provider.
  • Clinical staff had monthly clinical notes audits to ensure the quality of their work.
  • The service learned and made improvements when things went wrong.
  • Staff told us team leaders were available and supportive.
  • The practice demonstrated that there was a focus on continuous improvement.

The areas where the provider should make improvements are:

  • Review the arrangements for checking all required equipment was ready for use in an emergency available.
  • Review and risk assess the decision to carryout standard Disclosure and Barring Service Checks on clinical staff.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

8 September 2021

During a routine inspection

This service is rated as Requires improvement overall. (Previous inspection April 2019 – Inadequate)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

CQC inspected the service on 25 April 2019, rated the service as inadequate overall and required the provider to make improvements when providing a safe, effective and well-led service and placed the service into special measures.

We carried out an announced comprehensive inspection at PAM Group London Wall Clinic on the 8 September 2021. We carried out this inspection to follow up on breaches of regulations.

PAM Group London Wall Clinic is registered to provide the regulated activities of treatment of disease, disorder and injury, and diagnostics and screening.

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 general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At PAM Group London Wall Clinic services were provided to patients under arrangements made by their employer or a government department or an insurance provider with whom the servicer user holds an insurance policy, other than a standard health insurance policy. These types of arrangements are exempt by law from CQC regulation.

Therefore, the services registered under the regulated activities of treatment of disease, disorder and injury, and diagnostics and screening, was the self-referral by patients for health screening, a travel vaccination clinic and the private general practitioner service. However, at the time of the inspection on the 8 September, the service was not operating the vaccination and GP service. This meant the finding of this report were based on our findings of the self-referral screening service.

The clinical nurse director 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:

At this inspection we found the service had made improvements, but some systems required further review and embedding to ensure they were effective.

  • At this inspection we found the provider had responded and made improvements against all of the previous inspections finding. The service had a new leadership team who had put systems in place for the management of safe staff recruitment, significant events, safety alerts, training and quality improvement audits.
  • However, further improvements were required in regard to clinical staff supervision, good standards of record keeping and the lack of a fully effective system in place to ensure patients were followed up when they had an abnormal test result.
  • The team leadership responded promptly to resolve any issues found at the inspection.
  • The service learned and made improvements when things went wrong.
  • Staff told us team leaders were available and supportive.
  • The practice demonstrated that there was a focus on continuous improvement which was developing services
  • Patient feedback was positive about the service they had received.

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

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Implement a system to identify staff who may have COVID 19 but be asymptomatic.
  • Improve the safegaurding intercollegiate guidance to check staff are trained to the appropriate level.
  • Improve the system to share appropriate information with the patients GP.

I am removing this service from special measures due to the improvements it has made.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care