• Doctor
  • GP practice

Greenfield Medical Centre

Overall: Good read more about inspection ratings

143-145 Cricklewood Lane, London, NW2 1HS (020) 8450 5454

Provided and run by:
Greenfield Medical Centre

Latest inspection summary

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Background to this inspection

Updated 25 September 2018

Greenfield Medical Centre is located in a residential area in North West London, based in two adjoining houses that underwent remodelling in 2000. The practice provides care to approximately 6900 patients and provides care to a local care home which has 34 residents. The practice has step free access to the premises. There is good local transport including regular buses and a nearby rail station.

The practice area population has a deprivation score of 4 out 10 (10 being the least deprived). It serves a mixed population, with 42% of patients were from Black and ethnic minority backgrounds and 68% of the patient population were between the ages of 17 and 64.

The practice holds a PMS (Personal Medical Services) contract with NHS England.

The practice is registered with the Care Quality Commission to provide the regulated activities: diagnostic and screening procedures, surgical procedures, maternity and midwifery services, family planning, and treatment of disease, disorder or injury.

The practice team consists of three female GP partners, two female salaried doctors, one female nurse practitioner, one female practice nurse, a practice manager and an administrative and reception team.

The practice’s opening hours are 8.30am and 6:30pm on weekdays. Clinical appointments are available Monday to Friday between 9:00am and 12.00pm, and from 2:30pm to 6:00pm, with the exception of Thursday afternoons where there are no clinical appointments available.

Standard appointments are 10-15 minutes long, with double appointments available to patients who request them, or for those who have been identified with complex needs.

The practice has opted out of providing an out-of-hours service. The local Clinical Commissioning Group has commissioned an extended hours service, which operates between 6.30 pm and 9.00 pm on weeknights and from 8.00 am to 8.00 pm at weekends at four “Hub” locations across the borough. One of those Hub locations operates from this practice on Monday and Wednesday evenings and Saturday mornings. Patients may book appointments with the service by contacting the practice or the Hubs themselves. When the practice is closed, patients are redirected to a contracted out-of-hours service.

At our previous inspection in September 2015, we rated the practice as good in respect of the five key questions and the six populations groups.

Overall inspection

Good

Updated 25 September 2018

This practice is rated as Good overall. (Previous rating September 2015 – Good)

The key questions at this inspection 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 Greenfield Medical Centre on 26 July 2018, as part of our inspection programme.

At this inspection we found:

  • 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 its 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.
  • Feedback from patient interviews and CQC comment cards was positive about the way staff treated them.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the practice.

The areas where the provider should make improvements are:

  • Continue with efforts to improve the up-take of childhood immunisations.
  • Continue with efforts to improve the up-take of cervical screening.
  • To continue to review the gender mix of clinical staff so as to ensure that the needs of patients requesting a male clinician can be met.

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

Please refer to the detailed report and the evidence tables for further information.