Private health service in Kingston that offers circumcisions did NOT always gain adequate consent

Transcend Consulting Room, which is situated in a converted residential house in Warren Drive North, Surbiton, was rated ‘Inadequate’ overall, with particular concerns around safety.

Inspectors said the practice, which offers faith and non-faith based cultural circumcision services for all age groups, did not have a “robust system” for checking the identity of patients.

This meant they “could not be assured that consent had been obtained in line with General Medical Council guidance.”

Despite having a protocol that required both parents to sign consent, inspectors say in several cases consent was not sought from both parents, or where relevant, the patient.

They also did not record the batch number or dosage of local anesthetics used during procedures. 

Inspectors were also concerned about their “significant events system” which did not flag an issue with a patient who came to the practice after a previous circumcision attempt and had to be referred to hospital. 

Staff did not record contemporaneous notes, and the service did not hold training records for all of its staff or minute its meetings.

This was in breach of regulations 12(1) and 17(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The practice was inspected in August this year after recently opening in London. The service currently operates in Scotland and Wales.

In the future, it hopes to provide consulting rooms to other surgeons who may be covered by the provider’s registration.

As a newly opened service the inspector said there  was insufficient information to rate the caring and responsive key questions in threport.

Mr Anwar Moin Khan, who runs the service, said he had “rectified all of the problems.”

It will be inspected again within six months to check if improvements have been made.