The London Circumcision Clinic

Updated 17 November 2022

The London Circumcision Clinic operates under the provider Dr Kamrul Hasan. The provider is registered with the Care Quality Commission to carry out the regulated activity of surgical procedures.

Dr Kamrul Hasan 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 service consists of one surgeon, two clinical assistants and one reception staff member.

The London Circumcision Clinic opens on Sundays when it provides appointments from 9:30am and closes in accordance with patients attending that day, sometimes into the early evening. When demand for appointments is high the service may carry out additional Saturday appointments. The service mobile telephone number 07947464530 is staffed 10am to 6pm every day for appointment booking, queries and concerns; outside these times patients can email surgery@circumcision-clinic.com for the service to reply.

How we inspected this service

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:

• Requesting evidence from the provider.
• Gathering information from staff through written feedback, interviews on site, and through video conferencing.
• Completing clinical records reviews and discussing findings with the provider.
• A site visit including observations of the environment and infection and prevention control measures.

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 17 November 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 The London Circumcision Clinic as part of our inspection programme.

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 London Circumcision Clinic is an independent health service based in East London, where circumcisions are provided.

Our key findings were:

• 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 organised and delivered services to meet patients’ needs.
• The way the service was managed promoted the delivery of high-quality, person-centred care.
• The provider had its own action and improvement plans in place that were implemented or in progress.

The areas where the provider should make improvements are:

• Review and embed systems for clinical quality monitoring.
• Review arrangements to formalise staff induction and professional development.
• Review and improve systems for storing and retaining patient information and to ensure the provider’s website remains up to date.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services