No resting on laurels here

The Care Quality Commission has rated Haringey’s West Green Surgery as ‘outstanding overall. It achieved ratings of ‘good’ for all aspects in its last inspection but it didn’t sit back and relax after such a positive outcome – it continued to strive to improve and has now earned the ultimate accolade.

Haringey’s West Green Surgery has been rated ‘outstanding’ overall by the Care Quality Commission.

The practice, in West Green Road, Tottenham, was rated ‘outstanding’ for being responsive and well-led. It was rated ‘good’ for being safe, effective and caring, following the inspection in March 2019. Previously it was rated ‘good’ overall.

The CQC found that Haringey’s services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care. The practice had identified areas where there were gaps in provision locally and had taken steps to address them.

The practice created and embedded a computer process which alerted prescribers to how many times antibiotics had been prescribed to a patient in the past year; the alert included a link to a patient’s care plan which meant the clinician had the chance to discuss treatment options with the patient. This had helped reduce inappropriate antibiotic prescribing by 30% between March 2015 and December 2017. This enhanced alert and care plan were supported by Haringey Clinical Commissioning Group’s Medicine Management Team and was rolled out to all practices within the borough.

The culture of the practice, and the way it was led, drove the delivery and improvement of high-quality, person-centred care; however, CQC found that the strand of working age people (including those recently retired and students) required improvement and identified some other areas which the practice should give attention to:

  • The practice should continue to review their diagnosis and prescribing for urinary tract infections and ensure they are in line with national guidance.
  • The practice should review and improve their processes for cancer screening and ensure they are in line with national guidance.
  • The practice should continue with efforts to identify, and provide support for, patients who identify themselves as carers.

There was praise for West Green from head of inspection for primary medical services in London, Antony Hall. “I am delighted that West Green Surgery has been rated as ‘outstanding’ overall. Its use of technology to treat patients is both innovative and impressive. It has now leapt from good to outstanding and I congratulate everybody that has worked hard to achieve this splendid rating.”


You can read the inspection report in full on CQC’s website at:

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