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Worcestershire Acute Hospitals NHS Trust response to the CQC inspection reports

The Care Quality Commission (CQC) has today published its reports on Worcestershire Acute Hospitals NHS Trust following their inspection in November and December 2016. Based on its findings the CQC has given the Trust an overall rating of ‘inadequate’ and has recommended that the Trust should remain in ‘special measures’ until further review. The Trust has been in ‘special measures’ since November 2015.

The Trust’s new Chief Executive, Michelle McKay, accepted the report’s findings and stated that she and the Trust’s new leadership team are determined to put things right as quickly as possible.

She said: “We are disappointed with the CQC’s findings, but we fully accept them. I am sorry our patients, their families and carers have been let down. We want all our patients to get the best care possible and regret that this isn’t currently always happening, but we’re determined to put things right. Whilst we have made improvements since the last inspection - our children’s and maternity services have improved - we recognise we still have some way to go.”

“I am pleased that the reports acknowledge that we are a caring organisation, rating care across our hospitals as ‘good’, and our end of life care as ‘good’. Our staff continue to deliver compassionate care to the thousands of patients who use our services every day.”

One of the key problems that the CQC identified was with leadership; the Trust has had an interim leadership team for many years. A new Chairman has now been in post since September 2016 and since this inspection the Trust has made permanent appointments in four key executive roles - Chief Executive, Chief Nursing Officer, Chief Medical Officer and Director of Finance. The new Board and leadership team is determined to move forward and make the necessary changes.


The Trust has already made improvements in some of the areas highlighted by the CQC. For example, we have:

  • Updated our plans for dealing with significant peaks in the number of patients we see, particularly so patients have a better experience at busier times
  • Updated our policy and the way we ensure male and female patients are treated in separate areas when clinically appropriate to do so, making sure we focus on their privacy and dignity
  • Improved our systems and processes to make sure medicines are stored correctly and all staff receive full training around administering medicines safely
  • Ensured we learn from mistakes when they do occur; with robust systems in place for reporting incidents, and improved induction and training for staff – as per best practice in other hospitals
  • Ensured staff have received appropriate levels of training to care for the specific needs of children
  • Ensured patients with fractured hips quickly receive the appropriate surgical treatment for their condition in our theatres which improves their experience and their outcomes from surgery
  • Introduced a system for senior nurses when they lead audits and reviews on professional standards, to make sure these are consistent across the Trust
  • Launched a Trust wide dementia strategy to support staff to better care for the needs of patients with dementia
  • Ensured patients with urgent gynecological problems are fast tracked so they are seen quickly and offered the appropriate treatment as soon as possible for their condition
  • Implemented new processes to our electronic systems, working with the Regional Safeguarding Board to ensure appropriate levels of safeguarding is in place for children in our care.

 

Michelle added:

“We are working hard to make the necessary improvements to make our services consistently better and safer and ensure that quality improvement is part of our daily business. Patients should continue to attend our hospitals for appointments, operations and treatment as planned. Whilst we have improvements to make in some services we are working with focus and pace to address them. Everyone across the organisation is focused on making the changes we need so we can consistently deliver high quality standards for patients across all our services.”

 

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4ward is our Trustwide culture change programme which is helping us build a more positive, supportive workplace for the benefit of our patients and colleagues. At its heart are our four 4ward Behaviours.