Forty Willows Surgery

Updated 2 July 2018

• Forty Willows Surgery is a GP practice located in Wembley in North West London and is part of the Brent Clinical Commissioning Group (CCG). The practice is located in converted premises with car parking for patients and staff.
• The practice is a part of K&W Healthcare network (a GP-led organisation made up of 28 GP practices in the Brent CCG) working together to improve the care provided to patients, reducing health inequalities and raising the quality and standards of GP practices.
• Services are provided from: 46 Forty Lane, Wembley, London, HA9 9HA.
• Online services can be accessed from the practice website: .
• Out of hours (OOH) service is provided by Care UK.
• There are three GP partners, a salaried GP and three trainee GPs at the practice. Two GPs are male and five female, who work a total of 25 sessions per week. The practice employs a practice nurse, a health care assistant and a clinical pharmacist. The practice have not had a permanent practice manager in post since April 2018. The practice has advertised to recruit a permanent practice manager and a senior receptionist. The practice has implemented control measures to mitigate the loss of the staff and one of the project managers from K&W Healthcare network is performing duties of an interim practice manager. The interim practice manager is supported by a team of administrative and reception staff.
• This is a training practice, where a doctor who is training to be qualified as a GP has access to a senior GP throughout the day for support. We received positive feedback from the trainee GP and two medical students we spoke with.
• The practice provides primary medical services through a General Medical Services (GMS) contract to approximately 6,660 patients in the local area (GMS is one of the three contracting routes that have been made available to enable commissioning of primary medical services).
• The practice population of patients aged between 5 to 14 and 25 to 54 years old is higher than the national average and there is lower number of patients aged above 60 years old compared to national average.
• Ethnicity based on demographics collected in the 2011 census shows the patient population is ethnically diverse and 68% of the population is composed of patients with an Asian, Black, mixed or other non-white background.
• The service is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder and injury, surgical procedures, family planning and maternity and midwifery services.

Updated 2 July 2018

This practice 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 a previous focused inspection on 14 February 2018 to follow-up on a warning notice the Care Quality Commission served following an announced comprehensive inspection on 28 September 2017, when the provider was rated as inadequate for providing safe services.

The previous reports from the September 2017 and February 2018 inspections can be found by selecting the ‘all reports’ link for Forty Willows Surgery on our website at .

We carried out an announced comprehensive inspection at Forty Willows Surgery on 24 May 2018, to follow up on breaches of regulations. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

At this inspection we found:

• The practice had made significant improvements since our previous inspection in September 2017.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice was aware of and complied with the requirements of the Duty of Candour.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The practice demonstrated improvement in governance arrangements.

The areas where the provider should make improvements are:

• Ensure all staff have received formal sepsis awareness training.
• Review the system in place to promote the benefits of breast cancer national screening in order to increase patient uptake.
• Consider staff feedback regarding non-clinical staffing levels.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 2 July 2018

Updated 2 July 2018

Updated 2 July 2018

Updated 2 July 2018

Updated 2 July 2018

Updated 2 July 2018