The KB Clinic

Updated 26 October 2022

The KB Clinic is an independent health service which operates out of 75 Harley Street, London, W1G 7HY, on the ground floor of a building which also houses other consulting rooms and services. The service consists of Dr K B Bush, who is a consultant orthopaedic and sports physician, with extensive experience in providing care to patients suffering from spinal pain, primarily using injectional and manipulative techniques in order to avoid the need for more invasive surgery. The service provides minor surgery, including peripheral joint and soft tissue injections, epidural injections, prolotherapy (an injection-based treatment used in chronic musculoskeletal conditions) and release of tennis elbow. The service employs a practice manager and two secretaries. There is a reception at the entrance of the building and reception staff are employed by the owner of the building. The building is fully accessible to patients with mobility issues. The service is open on Monday, Wednesday and Friday from 8:15am to 5:30pm (with the last patient seen at 4:30pm) and on Tuesday and Thursday from 12:45pm to 5:30pm. Appointments can be made via the secretaries by calling between 8am and 5:30pm. The service treats patients over the age of 18 and sees between 200 and 500 patients on a monthly basis. The provider, Keith Bush, is registered with the CQC to provide the following regulated activities: treatment of disease, disorder or injury; and surgical procedures.

How we inspected this service

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 proception and information governance requirements.

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?

Updated 26 October 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 KB Clinic on 30 August 2022 as part of our inspection programme.

The KB Clinic provides diagnosis and management of musculoskeletal conditions including sporting injuries and spinal disorders. The service provides treatment for spinal pain, including the use of injection and manipulative techniques, to avoid the need for invasive surgery. The service is a specialist clinic, seeing secondary and tertiary referrals in orthopaedics, pain management and sports injuries.

Our key findings were:

• Care records were written and managed in a way that kept patients safe. Clinical records were completed thoroughly and there was a high standard of care provided to patients.
• Patients’ immediate and ongoing needs were fully assessed.
• The service used information about care and treatment to make improvements and was actively involved in quality improvement activity.
• Staff involved treated patients with compassion, kindness, dignity and respect.
• The service actively sought and acted on feedback from patients to improve services. We saw evidence of positive feedback from patients and medical colleagues. We spoke with a patient who told us that the service provided was excellent.
• The service understood the needs of patients and improved services in response to those needs.
• The service was accessible, and patients were able to access care and treatment within an appropriate timescale for their needs.
• There was a clear vision and set of values which supported person-centred care. Staff we spoke with understood the vision, values and strategy and their role in achieving them.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• There were clear and effective processes for managing risk, issues and performance.

We found no breaches in regulations. The provider should:

• Take steps so all non-clinical staff complete safeguarding training.
• Review policy folders and include the most recent version dates of policies and protocols.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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