Cosmetic Surgery Partners

Updated 28 August 2019

Our inspection team was led by a CQC lead inspector and included a GP specialist adviser.

Cosmetic Surgery Partners Ltd (CSP) is run by two directors and offers pre-operative cosmetic consulting and post-operative care from premises located on the third floor of The London Welbeck Hospital. The premises consist of a patient reception area, a consulting room and a treatment room. It is within this area that pre-operative consulting and post-operative care take place. The surgical procedures take place elsewhere within The London Welbeck Hospital and were not part of this inspection.

CSPs’ patients share the communal ground floor reception and waiting room where they are met by hospital reception staff who notify CSP staff.

The CSP facilities are serviced by The London Welbeck Hospital. CSP ensures that all equipment is regularly maintained. CSP has a service level agreement that includes reception/meet and greet staff, general cleaning and clinical and general waste disposal. CSP also has a contract with the hospital pathology laboratory.

Patients are under the care of CSP consultant surgeons for pre-operative consultations and post-operative care. CSP has a contract with the hospital, for CSP consultant surgeons to transfer patients under their care into The London Welbeck Hospital, for surgical procedures to be carried out by the CSP consultants who have practising privileges at the hospital.

After surgery patients are discharged back to CSP for post-operative care. Post-operative procedures, such as removal of sutures, would be undertaken by the CSP nurse.

The surgical procedures performed by CSP consultants include breast surgery, labiaplasty, transgender surgery (f2m and m2f), Abdominoplasty, liposuction, blepharoplasty, face, neck and brow lift, lip lift, otoplasty and Madonna eyelift.

All consultant surgeons are appropriately qualified, experienced and trained and supported by an experienced nurse and practice manager.

The service is registered with the CQC to provide the regulated activities of:

• Treatment of disease, disorder or injury
• Surgical procedures

The service also provides aesthetic procedures such as Botox and dermal fillers which are not regulated by the CQC. Therefore, at CSP we were only able to inspect the services which were subject to regulation.

All the services provided are private and fee paying. No NHS services are provided at CSP.

CSP provides patients (and their carers/families as appropriate) with personal care plans and support in understanding the treatment options available to them so that they can make an informed choice about the care they may receive at CSP.

CSP offer all its surgical patients a buddy - a previous patient who can answer questions or support the patient during the treatment / surgical process.

The service is open at various times during the week with patients being seen by appointment only at times convenient to them.

Updated 28 August 2019

This service is rated as Good overall.

We carried out this comprehensive inspection at Cosmetic Surgery Partners (CSP) on 12 July 2019 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This announced inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to rate the service.

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

The Lead Consultant is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. For example, the service provides aesthetic procedures such as Botox and dermal fillers which are not regulated by the CQC.

Patients are under the care of CSP consultant surgeons for pre-operative consultations and post-operative after care. CSP has a contract with The London Welbeck Hospital for CSP consultant surgeons to transfer patients under their care into the hospital, where surgical procedures are carried out by the CSP consultants who have practising privileges at the hospital. These activities are not regulated activities which are carried out at the provider location and therefore, at Cosmetic Surgery Partners, we were only able to inspect the services which were subject to regulation and carried out at the provider location.

This service is rated as Good overall.

Our key findings were:

• The service had systems in place to manage significant events.
• The service had a clear vision to deliver high quality care for patients.
• The service had clearly defined systems, processes and practices to minimise risks to patient safety.
• Policies and procedures were in place to govern all relevant areas.
• The consultants had been trained in areas relevant to their role.
• The service had systems in place for monitoring and auditing the care that had been provided.
• The consultants assessed patients’ needs and delivered care in line with current evidence-based guidance.
• Information about services was available and easy to understand.
• The consultants had the skills and knowledge to deliver effective care and treatment.
• There was an effective system in place for obtaining patients’ consent.
• The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• The service was aware of and complied with the requirements of the Duty of Candour.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care