Central London

Updated 10 January 2024

Central London is part of the provider Mulchand (UK) Limited also known as Clarewell Clinics. The service is in Marylebone, Central London. The service accepts self-referrals and offers services to private adult patients. Most of the clinical care is being provided on a face-to-face basis followed by telephone and video support.

The service provided treatment in areas of gynaecology, urology, sexual health, and general genitourinary medicine. They offer non-venereal genital infections treatment and supported men with sexual health issues such as erectile dysfunction, Peyronie’s disease, chronic genital pain, and contraception. They provide rapid on-site testing for sexually transmitted infections, with a use of a PCR machine, offered electrosurgery and shockwave therapy (extracorporeal shockwave therapy; ESWT).

Central London also provides termination of pregnancy service. The service carries surgical and early medical terminations to adult woman during the first 10 weeks of pregnancy. The service performed less than 10 terminations of pregnancy in the twelve months prior the inspection.

The service registered with the Care Quality Commission (CQC) on 9 December 2021.

The provider is registered for the regulated activities: termination of pregnancies, surgical procedures, Diagnostic and screening procedures, family planning, and treatment of disease, disorder, or injury.

The service had a registered manager in the post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. They have legal responsibilities for meeting the requirements set out in the Health and Social Care Act 2008.

The service had not been inspected or rated before this inspection.

Termination of pregnancy is a small proportion of the provider’s activity. The main service provided by this service was outpatients. Where our findings on outpatients – for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the outpatients service.

Updated 10 January 2024

It is the first time we rate this core service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment gave patients pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
• The service took account of patients’ individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff felt respected, supported, and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.
• The service contributed to innovation and improvement in sexual reproductive health. Doctors proactively shared their findings with external organisations and public bodies as well as with their colleagues to inform national sexual health policy and potential new treatments.

However:

• The risk register lacked detail concerning the risk owner and timescale for completion of any mitigating actions.
• The service did provide evidence that early warning scoring was routinely used to identify individual risks when ermination of pregancy procedures were undertaken. They did not demonstrate that they completed the World Health Organisation (WHO) checklist for surgical procedures.

Updated 10 January 2024

It is the first time we rate this core service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment gave patients pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
• The service took account of patients’ individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff felt respected, supported, and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. All staff were committed to improving services continually.
• The service provided patients with online resources to keep them informed and make positive choices about their lives.
• The service contributed to innovation and improvement in sexual reproductive health. They service organised online webinars accessed by other clinicians where they shared gained knowledge, discussed unusual and complex cases, and campaigned to increase availability of STI testing.

However:

• The risk register lacked detail concerning the risk owner and timescale for completion of any mitigating actions.

We rated this service as good because it was safe, effective, caring, responsive, and well led.

Updated 10 January 2024

Central London provides termination of pregnancy service. The service carries surgical and early medical terminations to adult woman during the first 10 weeks of pregnancy. The service performed less than 10 terminations of pregnancies in the twelve months prior the inspection.

It is the first time we rate this service. We rated it as good because:

• The service had enough staff to care for women and keep them safe. Staff had training in key skills, understood how to protect women from abuse, and managed safety well. The service-controlled infection risk well. Staff assessed risks to women, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment. Staff worked well together for the benefit of women, advised them on how to lead healthier lives, and supported them to make decisions about their care.
• Staff treated women with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff felt respected, supported, and valued. They were focused on the needs of women receiving care. Staff were clear about their roles and accountabilities.

However:

• The service did provide evidence that early warning scoring was routinely used to identify individual risks when ToP procedures were undertaken. They did not demonstrate that they completed the World Health Organisation (WHO) checklist for surgical procedures.

We rated this service as good because it was safe, effective, caring, responsive, and well led.