‘Hospi­tals need to im­prove’ – watchdog

CQC in­spec­tion is­sued its find­ings in lat­est re­port

Harefield Gazette - - NEWS - By Goolis­tan Cooper goolis­tan.cooper@trin­i­tymir­ror.com

HEALTH watch­dogs have told an NHS trust it re­quires im­prove­ment fol­low­ing an in­spec­tion.

The Care Qual­ity Com­mis­sion (CQC) is­sued its find­ings last month af­ter the in­spec­tion of Royal Bromp­ton and Hare­field NHS Foun­da­tion Trust in June last year.

The re­port said the hospi­tal re­quires im­prove­ment for be­ing safe and re­spon­sive, par­tic­u­larly in its com­ple­tion and mon­i­tor­ing of data, in de­liv­er­ing its over­all ‘re­quires im­prove­ment’ rating.

The trust re­sponded by say­ing im­prove­ments were al­ready be­ing made and that sig­nif­i­cant progress would be seen in a ‘short time­frame’.

The trust de­liv­ers care across two sites in Royal Bromp­ton, in Syd­ney Street, Chelsea, and Hare­field Hospi­tal, in Hill End Road, Hare­field, and over­sees the largest spe­cial­ist heart and lung unit in the UK and also Europe’s largest cen­tre for the treat­ment and man­age­ment of cys­tic fi­bro­sis.

There were many pos­i­tives to take from the re­port, with the CQC prais­ing the trust for be­ing ef­fec­tive, car­ing and well-led, as well as of­fer­ing some of the best out­comes for heart and lung treat­ment in the coun­try.

The chief in­spec­tor of hospi­tals, Sir Mike Richards, said: “We found pa­tients re­ceived com­pas­sion­ate care by staff who spoke about their trust with pas­sion and pride.

“There are many peo­ple who owe their lives to the ded­i­ca­tion and ex­per­tise of their staff.

“How­ever, there are ar­eas for im­prove­ment. I note that crit­i­cal care ser­vices have not in the past sub­mit­ted data for na­tional au­dit – which means that it has been dif­fi­cult to com­pare the trust’s qual­ity of care with other hospi­tals.

“I am con­cerned that there was poor com­ple­tion of the World Health Or­gan­i­sa­tion Safer Surgery check­list at both hospi­tals, de­spite dis­cus­sions among the staff about pa­tient safety risks.

“The trust must also take greater care to en­sure that clin­i­cal staff are mon­i­tor­ing pa­tients whose con­di­tion may de­te­ri­o­rate, us­ing the stan­dard Na­tional Early Warn­ing Score ( NEWS) charts.”

Dur­ing the in­spec­tion of the two hospi­tals, CQC in­spec­tors found that teams of all clin­i­cal dis­ci­pline worked well to­gether with wards hav­ing ac­cess to a range of health pro­fes­sion­als such as speech and lan­guage ther­a­pists, di­eti­tians, phys­io­ther­a­pists and var­i­ous types of nurses.

In­spec­tors par­tic­u­larly praised the trust’s ven­tric­u­lar as­sist de­vice team which cares for pa­tients un­der­go­ing surgery for an ar­ti­fi­cial heart – the only ser­vice in the UK able to of­fer this treat­ment in­de­pen­dently – and its con­tin­u­ous re­search com­pas­sion­ate pro­grammes.

Bob Bell, chief ex­ec­u­tive of the trust, told the Gazette that there was much to cel­e­brate, with eight out of 11 ser­vices achiev­ing an over­all rating of ‘good’.

He added: “We ap­pre­ci­ate that there are and care ar­eas where we need to im­prove.

“We know what they are, have al­ready made progress with some of them and are de­vel­op­ing ro­bust ac­tion plans for oth­ers.

“We are con­fi­dent that within a short time­frame sig­nif­i­cant im­prove­ments are pos­si­ble and we will be re­port­ing our progress to our board on a reg­u­lar ba­sis.”

Last year, NHS Eng­land an­nounced plans to trans­fer the trust’s child heart dis­ease units to neigh­bour­ing hospi­tals. The spe­cial­ist heart and lung hospi­tal is one of three across the coun­try ear­marked to lose their con­gen­i­tal heart surgery.

RE­QUIRES IM­PROVE­MENT: Hare­field Hospi­tal

Newspapers in English

Newspapers from UK

© PressReader. All rights reserved.