Dr Hammad Mehbub Malik

Updated 16 October 2019

Dr Hammad Mehbub Malik provides a private GP service at 10 Harley Street in London where he carries out consultations and offers a range of non-emergency GP services including blood testing, sexual health screening, immunisations and travel vaccinations. He also provides a circumcision service to children under the age of 8 years as a home visiting service. Further details about the services provided can be found on the location’s website: .

Dr Hammad Mehbub Malik shares the premises at 10 Harley Street with a range of other health care providers. He rents a consulting room which is based on the basement floor where there is lift access. The private GP practice is open 8am to 6pm on a Monday, Tuesday, Thursday and Friday. Patients can access appointments by telephone, email or in person.

There are currently approximately1600 patients registered with the service some of which use the service regularly while others do so on an ad-hoc or one-off basis. The registered population covers a wide age range with most patients falling within the working age group. Approximately, two thirds of the patients registered are male.

Dr Hammad Mehbub Malik does not employ any additional staff however, the landlord provides reception staff and other staff involved in the management of the premises.

How we inspected this service

Before visiting, we reviewed a range of information we hold about the service and asked the practice to send us some information about the service which we also reviewed.

During our visit we:

• Spoke with the doctor and the building administration staff.
• Reviewed documentary evidence relating to the service and inspected the facilities, equipment and security arrangements
• We reviewed a number of patient records alongside the doctor. We needed to do this to understand how the service assessed and documented patients’ needs, consent and any treatment required.

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 16 October 2019

This service is rated as Inadequate overall. (The service was previously inspected 7 February 2018 but was not rated.)

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Requires improvement

Are services caring? – Requires improvement

Are services responsive? – Requires improvement

Are services well-led? – Inadequate

We carried out an announced comprehensive inspection at Dr Hammad Mehbub Malik as part of our inspection programme.

The provider HM Medical Services Limited has one location registered as Dr Hammad Mehbub Malik at 10 Harley Street, London. The service provides private GP services including consultations, health screening, sexual health services, immunisations, travel vaccinations and circumcisions.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of services it provides.

Our key findings were:

• Governance systems were not well established within the service. There was a lack of effective systems for monitoring service provision to ensure it was safe. We identified issues relating to the management of infection control, medicines and record keeping.
• Risks were not always clearly identified and mitigated against.
• Clear procedures and protocols were not consistently in place.
• Systems for learning from incidents and safety alerts were in place but none identified.
• There was limited evidence of quality improvement activity with the exception of the circumcision service.
• The provider demonstrated how they maintained skills and knowledge but had not considered training or updates in all roles undertaken.
• There were appropriate systems in place for obtaining patient and parental consent for procedures undertaken.
• Patient feedback relating to the service was positive from our CQC comment cards. Patients described the GP as caring and approachable and said they felt listened to. However, the provider was not proactive in seeking patient feedback to support service improvement.
• Patient had timely access to services that were flexible in meeting their needs.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Make the complaints process easily accessible to patients.
• Identify opportunities for learning from internal and external incidents and alerts.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care