This practice is rated as Good overall.

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 Tottenham Hale Medical Practice on 10 September 2018. This was as part of our inspection programme. The practice was registered by the Lawrence House Group with the CQC on 17 October 2017.

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 their processes.
• Opening hours were limited due to the type of NHS contract (APMS) and the size of the patient list.
• When the practice opened there was a delay in the electronic transfer of patient records, therefore data could not be submitted for the QOF year 2017/2018. The practice provided year to date figures (1 April 2018 to the date of the inspection visit on 10 September 2018). The practice was working hard towards meeting the end of year targets in all areas.
• 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 could access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

There were areas where the provider could make improvements and should

• Continue to assess opening times in line with patient demand and contractual obligations.
• Look at ways to improve performance scores for childhood immunisations and cancer screening.
• Look at ways to improve patient survey scores in relation to access to the practice.

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.