Archived: The London Circumcision Clinic

Updated 23 July 2019

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 service provides child and adult circumcisions to approximately 1000 patients per year, 50 of which are adults.

The service opens on a Sunday and provides appointments from 9:30am when it opens with no end time. When demand for appointments are high the service carry out additional week day appointments. The service has a mobile telephone, which is manned seven days a week from 10am to 8pm for appointment booking, queries and concerns.

Patient records are all hand written and the service refers patients when necessary back to their GP.

How we inspected this service

Prior to the inspection, we reviewed information requested from the provider about the service they were providing. The inspection was undertaken on 12 June 2019 and the inspection team was led by a CQC inspector who was supported by a GP specialist advisor. During the inspection we spoke with the surgeon. We viewed a sample of patient records, made observations of the environment and infection and prevention control measures and reviewed completed CQC patient comment cards.

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 23 July 2019

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.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. 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:

• Systems and processes kept patients safe and safeguarded from abuse.
• There was evidence the service carried out care and treatment in line with relevant guidance.
• There was a system for the doctor to keep up-to-date with new guidance and patient safety alerts.
• The service had systems to update external bodies such as GPs and consultants of care and treatment being provided to their patients.
• Systems were in place to protect personal information about patients.
• The doctor understood the relevant consent and decision making requirements of legislation and guidance, including the Mental Capacity Act 2005.
• Annual risk assessments were carried out including in relation to health and safety.
• There were appropriate systems to obtain parental responsibility and seek consent for procedures carried out on children.

The areas where the provider should make improvements are:

• Continue to work on their quality improvement programme.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care