STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

GP care plans to prevent hospital admissions not effective, warns CQC

The avoiding unplanned admissions enhanced service has not been effective, according to a report from the CQC.

GP care plans for older patients have ‘varied levels of detail’ and are not seen as an ‘effective document in the wider health and social care system’, a new report into health and care integration for elderly patients said. ‘The Building bridges, breaking barriers’ report looked at existing integration across health and social care and the impact this has on older people, and also noted that there was ‘very little evidence that GPs were sharing care plans with other providers’.

GPs interviewed as part of the research said the ‘resources they had available to respond to their patients’ health issues were insufficient and felt that they did not have enough time to implement tools and undertake care planning in a way that would be meaningful for all of their patients’, the report said. The report also gathered information from GPs about their views on standardised assessment tools and how they used them

‘Many GPs reported using the most commonly used standardised assessment tools. However, even among GPs who used these, some had reservations about doing so because they did not know whether they had been formally validated or accredited,’ said the report.

Click on the link to read more

http://goo.gl/zNPAGq

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State of Care 2014/15 – Report from the CQC

England’s health and social care system is under pressure. Changing care needs and tough financial demands have contributed to an environment where higher quality is hard won. But our inspections show that improvement is possible, and we must look to the best to understand what works and why.

Click on the link to read the report

http://www.cqc.org.uk/content/state-care-201415

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Filed under: NHS, ,

Three-quarters of NHS hospitals inspected need to do more on safety, says CQC

Three-quarters of NHS hospitals in England are not safe enough, inspectors have found.

Some 13% of hospitals are “inadequate” for safety while 61% “require improvement”, according to a study from the Care Quality Commission (CQC). The report offers the fullest picture yet of the state of care across England under a new “tougher” inspection regime headed by chief inspector of hospitals Professor Sir Mike Richards.

It includes inspections of half of hospitals in the country but the study also found problems with safety at GP practices and nursing homes. A quarter of GP practices or GP out-of-hours services required improvement relating to safety, alongside a third of adult social care services. One in 10 social care facilities visited were ranked the lowest possible rating of “inadequate” for safety.

In hospitals, inspectors found examples of “disregard for patient safety”, including inadequate record-keeping, staff not being trained properly, incomplete safety checks and medicines not being kept properly. There was also “poor management of patients at risk of health complications” and examples of “disregard” for infection control.

The report said: “A major reason for failings in safety is insufficient numbers of staff and use of temporary staff. “This is particularly prevalent in medical care departments, where key safety risks are not always recognised, patient assessments can be poorly carried out and deteriorating patients are not always recognised.” Inspectors also reported “intense concern” about all places of care that were regarded as inadequate.

Click on the link to read more

http://www.dailymail.co.uk/wires/pa/article-3273507/Three-quarters-NHS-hospitals-inspected-need-safety-says-CQC.html

Some 13% of hospitals are 'inadequate' for safety, according to a study from the Care Quality Commission

Some 13% of hospitals are ‘inadequate’ for safety, according to a study from the Care Quality Commission

Filed under: Hospital, NHS, ,

CQC report into Addenbrooke’s reflects ‘perfect storm’ facing NHS trusts, says Unison

Union officials have said they are “shocked” that Addenbrooke’s and The Rosie hospitals have been rated ‘inadequate’ by the Care Quality Commission and said increasing demand and shrinking government budgets meant trusts were “set up to fail”.

Unison Cambridge Acute Hospitals Branch said in a statement the financial pressures facing the trust and the “insistence of the Government to implement efficiency savings within the NHS severely impedes the trust’s ability to cope with the increased demand. “The Government is expecting the trust to cope with budgets that are decreasing proportional to demand. Meanwhile, the CQC is expecting the trust to cope with this significantly increased demand on services.

“This has created a perfect storm and sets the trust up to fail. CUH is not the only trust to find themselves in this position. Monitor has already written to 40 trusts earlier this year to instruct them to amend their financial plans.”

Click on the link to read more

http://www.cambridge-news.co.uk/CQC-report-Addenbrooke-s-reflects-perfect-storm/story-27840278-detail/story.html?#1

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Filed under: Hospital, NHS, , ,

National health review into care for newborns after death of baby in 2001

Fourteen years on from the tragic death of her newborn daughter Elizabeth, grieving Anne Dixon is still seeking answers

A national healthcare regulator is undertaking a review into the care of newborn babies who need extra support after a Fleet woman tragically lost her baby.

Anne Dixon’s daughter Elizabeth was born at Frimley Park Hospital in 2000 and was brain damaged after her high blood pressure was not treated for 15 days. She was left disabled and needed a tracheostomy, or tube, to breathe, but suffocated and died at home in Church Crookham days before her first birthday, when her tube was not maintained during a home visit by an agency nurse who transpired to be newly-qualified.

Now, the Care Quality Commission (CQC) is undertaking a national review into care for infants who need more support and how they are cared for both in hospital and by community services. It is the first time the body has used its powers to investigate a particular aspect of care across the NHS.Announcing the review, the CQC said it would examine 20 services across England, exploring how well fetal medicine, obstetrics, neonatal and community services work together to care for newborn babies with declining health problems, particularly those with high blood pressure and tracheostomies. The regulator said it did not expect the review, which will begin in September, to give a national picture of the quality of care, but hopes it will lead to development of clinical guidelines where needed.

But Mrs Dixon said she felt it did not stretch far enough and that an inquest into Elizabeth’s death, held in 2008/9, failed to get to the truth. She also said her concerns were ignored constantly and she felt she had been dubbed an “over-anxious mother”.

Click on the link to read more

http://www.gethampshire.co.uk/news/local-news/national-health-review-care-newborns-9937075

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Lizzie Dixon

Filed under: Hospital, NHS, NHS Blunders, , ,

Revealed: High level fears over patient consent abuse. By Shaun Lintern for HSJ

The Care Quality Commission and NHS England have raised concerns that the current system for securing patient consent for treatment is open to abuse. It comes amid allegations that some doctors have retrospectively altered consent forms, HSJ can reveal.

Revealed: High level fears over patient consent abuse.  In a letter seen by HSJ, the two bodies wrote to General Medical Council chief executive Niall Dickson to warn that patients were not always being given copies of their completed consent forms.  The concern is that this leaves scope for rogue clinicians to amend forms after the treatment to hide mistakes or procedures undertaken without informed consent.

Click on the link to read more

Revealed High level fears over patient consent abuse By Shaun Lintern for HSJ

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Filed under: NHS, , , , ,

Nurses criticised at GP practices placed into ‘special measures’ By Nicola Merrifield, Nursing Times

A group of GP practices have been placed into special measures after inspectors raised concerns, including a lack of staff learning following safety incidents, failure by nurses to understand mental capacity legislation and outdated training on vaccinations.

As part of its inspections of general practice, the Care Quality Commission released reports on a further 61 GP services in England last week. The reports reveal that four – Constable Country Rural Medical Practice in Ipswich, New Inn Surgery in Guildford, Dr Alan Samuel Muir Grasse in north London and Polkyth Surgery in Cornwall – have been rated as “inadequate” and put into special measures, which means they must improve or risk losing their registration.

Click on the link below to read more

Nurses criticised at GP practices placed into ‘special measures’

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Filed under: GP's, NHS, , , ,

No prosecution over death of nine-day-old baby Joshua at maternity unit where midwives failure’ to spot infection sparked inquiry into 18 other baby deaths

Police have confirmed that a prosecution will not take place over the death of a nine-day-old baby which sparked an inquiry into care at a maternity unit where 18 other infants died.

Joshua Titcombe, from Dalton-in-Furness, Cumbria, was born at Furness General Hospital in2008, but died days later after midwives repeatedly missed chances to spot and treat a serious infection.  His father James had argued for the inquest in 2011 after refusing to accept the initial explanations given for Joshua’s death and filing an official complaint about his treatment. It was uncovered that the infant’s observation chart had gone missing and was never found, while a coroner accused midwives of ‘colluding’ over mistakes made.

A police investigation into Joshua’s death was launched in March 2011 and later widened to include the deaths of 18 other babies and two mothers at the hospital.  But in 2012 detectives said no action would be taken in relation to the deaths, apart from Joshua’s case, which had been passed to the Health and Safety Executive (HSE) for its consideration. They also investigated 14 births which involved complications, but also recommended no action be taken in relation to them.

Today, (24th April 2015) Cumbria Constabulary announced the HSE had notified them that it would not be carrying out any further investigations and its four-year-long investigation into the cases of 35 people who suffered within the hospital maternity unit between 2004 and 2013 has now been closed. 

Click on the link to read more

http://www.dailymail.co.uk/news/article-3053590/No-prosecution-death-nine-day-old-baby-Joshua-maternity-unit-midwives-failure-spot-infection-sparked-inquiry-18-baby-deaths.html

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Tragic: Joshua Titcombe was born at Furness General Hospital in November 2008 but died nine days later

Filed under: NHS, NHS Blunders, , , ,

BREAKING NEWS: East Sussex Healthcare NHS Trust is branded ‘inadequate’ by CQC inspectors in report

A report published today (Friday, March 27) by the Care Quality Commission (CQC) said the hospital’s maternity, surgery and outpatients services were ‘inadequate’.

Inspectors made an unannounced inspection of the hospital on The Ridge, together with its sister site, Eastbourne DGH, yesterday (Thursday) and on Wednesday.  The health watchdog branded East Sussex Healthcare NHS Trust, which runs both hospitals, as ‘inadequate’. An inspection took place in September last year before the CQC returned this week to assess the progress the trust had made addressing concerns raised. The CQC said in most cases, a rating of ‘inadequate’ would lead to the Chief Inspector of Hospitals recommending that the trust be put in special measures.

 

Click on the link to read more

http://www.sussexexpress.co.uk/news/county-news/breaking-news-east-sussex-healthcare-nhs-trust-is-branded-inadequate-by-cqc-inspectors-in-report-1-6658553

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Filed under: Hospital, NHS, ,

Unfilled posts threaten patient care

A shortage of junior doctors and consultants at an ‘inadequate’ mental health trust must be tackled urgently, says the BMA.  Unsafe staffing levels were first revealed at NSFT (Norfolk and Suffolk NHS Foundation Trust) in a damning report by the health regulator, the CQC (Care Quality Commission), published last month. At that time, the trust said vacancy rates in clinical services were below 10 per cent.

However, a BMA freedom of information request to the trust has revealed the medical vacancy rate, as of February, stands at 14.4 per cent — equating to a shortage of more than 31 doctors. BMA Eastern regional consultant committee chair Rob Harwood said the findings highlighted the need for proper investment in health services and needed to be addressed ‘urgently’. Dr Harwood said: ‘We perhaps ought not to be surprised that a trust recently placed in special measures by the CQC needs more doctors, based on its own figures. ‘Mental health services need appropriate resources to allow them to care properly for their patients.’

Click on the link to read more

http://bma.org.uk/news-views-analysis/news/2015/march/unfilled-posts-threaten-patient-care?

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Filed under: Hospital, NHS, Uncategorized, , ,

Health regulator has failed and is not fit for purpose, says CQC chairman

The regulator, which is responsible for ensuring high standards of care are upheld across the country’s hospitals, GP surgeries and care homes, has been accused of not acting quickly enough or thoroughly investigating scandals relating to Mid Stafford Hospital and Winterbourne View care home. The British Medical Association added that it had “no confidence” in the regulator last June after allegations of a cover-up over inspections at a children’s hospital in Cumbria.

Click on the link to read more

http://www.edp24.co.uk/news/health_regulator_has_failed_and_is_not_fit_for_purpose_says_cqc_chairman_1_3339205

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David Prio, former chairman at the Norfolk and Norwich University Hospital.

Filed under: Care Homes, GP's, Hospital, NHS, Uncategorized, , ,

NHS bosses to be criticised in Morecambe Bay mother and baby deaths report

Health watchdogs set up to protect NHS patients when things go wrong face damning criticism in a report into the scandal of dozens of mothers and babies who died at a hospital following a catalogue of poor care. As many as 30 mothers and babies died at University Hospitals of Morecambe Bay NHS Foundation Trust as a result of substandard care made worse by professional rivalries, the independent inquiry is expected to conclude this week. Six midwives face disciplinary hearings in front of the Nursing and Midwifery Council later this year, but to date no nurses, midwives or doctors have been permanently struck off. The investigation has heard how midwives neglected to alert doctors about patient complications in time because of a ‘turf war’ between the two professions. Midwives appeared not to have been on speaking terms with doctors, and claimed they were made to feel irrelevant when doctors were called in to help with difficult cases.

But the report, commissioned by Jeremy Hunt, the health secretary, is also expected to criticise the Care Quality Commission, along with the Parliamentary and Health Service Ombudsman.

Click on link to read more

http://www.telegraph.co.uk/news/health/news/11442029/NHS-bosses-to-be-criticised-in-Morecambe-Bay-mother-and-baby-deaths-report.html

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Joshua Titcombe was one of the babies who died at Furness general Hospital 

A baby died an avoidable death’: one family’s fight for justice. 

http://blogs.channel4.com/victoria-macdonald-on-health-and-social-c‘A baby died an avoidable death’: one family’s fight for justiceare/a-baby-died-avoidable-death-familys-fight-justice-daughters-death/2847?

Filed under: Hospital, NHS, NHS Blunders, Whistleblowing, , , ,

CQC could become enforcer of ‘zero harm’ rules – BY SHAUN LINTERN – HSJ

Please support this bill by using the ‪#‎ZeroHarm‬ on twitter

A proposed new law on patient safety would open the door to tougher regulation of health and care providers by the Care Quality Commission, legal experts have told HSJ.
The Health and Social Care (Safety and Quality) Bill is a private members bill put forward by Stafford Conservative MP Jeremy Lefroy in response to the poor care at Mid Staffordshire Foundation Trust. It has moved closer to becoming law after being passed in the Commons last month.

The bill, sometimes referred to as the “zero harm bill”, imposes a duty on the health secretary to introduce regulations “to secure that services provided in the carrying on of regulated activities cause no avoidable harm”. This harm could be caused directly or indirectly, but excludes harm that cannot be “reasonably avoided”.

Providers would need to take steps to ensure they did not cause avoidable harm to patients.

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CQC could become enforcer of ‘zero harm’ rules

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Families given official green light to use CCTV in care homes to check if staff are abusing their elderly relatives

Families worried that their elderly relatives are being abuse by care home staff are to be given official advice on how to secretly install CCTV cameras. Care home watchdog, the Care Quality Commission, will issue guidance in the New Year explaining how to best monitor staff. A spokeswoman told MailOnline the CQC ‘understood that there are circumstances where some people will feel that is the right thing for them’.  The decision to publish official guidance helping concerned families install cameras was signed off by the CQC’s board today.  It is hoped that the vigilance of family members will help to maintain high standards of care for elderly and vulnerable people.  The advice will also be aimed at managers who suspect malpractice among their staff.

Click on the link to read more

http://www.dailymail.co.uk/news/article-2841115/Families-given-official-green-light-use-CCTV-care-homes-check-staff-abusing-elderly-relatives.html

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Filed under: Care Homes, Uncategorized, , ,

Watchdog ranks GP surgeries by risk – Check to see how your GP practice is performing

CLICK ON THE LINK AND ENTER YOUR POSTCODE To find out how your GP practice is performing.

http://www.cqc.org.uk/content/our-intelligent-monitoring-gp-practices

Health watchdog the Care Quality Commission (CQC) has ranked almost every GP surgery in England in terms of risk of providing poor care.  The majority are of low concern, but 11% have been rated in the highest risk band by CQC. Many of the elevated-risk practices had possible issues with appointments, mental health plans, and cervical cancer screening. The CQC register will help target inspections. The watchdog said the register did not necessarily indicate poor GP surgery performance. “It is important to remember that the data is not a judgement, as it is only when we inspect we can determine if a practice provides safe, high-quality and compassionate care,” said CQC chief inspector of general practice Prof Steve Field. “The data is a further tool that will help us to decide where to inspect and when,” he said.  The health watchdog ranked 7,276 practices out of the total 7,661 in England, and placed 864 practices in the “highest concern” category. In about 3% of high-concern practices, patients stated they had difficulties in getting an appointment to see a GP or nurse.

Click on the link to read more

http://www.bbc.co.uk/news/uk-30094255

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CQC report: More than half of NHS hospitals ‘require improvement’ and at least five are ‘inadequate’

Patient safety is being put at risk by an “unacceptable” postcode lottery in the quality of NHS care, the hospital watchdog has warned in its annual report. The Care Quality Commission said that while its inspectors had found frontline staff to be caring almost across the board, too many hospitals were poorly led and failing to adequately keep patients safe. Their findings are based on a year of new-style inspections in which half of England’s NHS hospitals, as well as a number of GP surgeries and care homes, have been rated.

Click on the link to read more

http://www.independent.co.uk/life-style/health-and-families/health-news/cqc-report-more-than-half-of-nhs-hospitals-require-improvement-and-at-least-five-are-inadequate-9799393.html

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Care Quality Commission Board meeting: 17 September 2014

Agenda for the meeting of the Care Quality Commission Board on Wednesday 17 September 2014

Please click on the link to read

http://www.cqc.org.uk/content/care-quality-commission-board-meeting-17-september-2014

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One week to go for the NHS to comment on how it will be honest and accountable

NHS trusts have until next Friday (5 September) to have their say on how they could show they are meeting the government’s new regulations on being open and honest to patients when things go wrong and on making sure they employ directors who are suitable for the roles.
The Care Quality Commission (CQC) has drafted guidance on how the 162 NHS trusts across England can meet the government’s new ‘duty of candour’ and the ‘fit and proper persons’ regulations.
These will oblige providers to be open and honest when things go wrong and to hold directors to account when care fails people.
NHS trusts will have to make sure they are meeting these two regulations from November, with other providers of health and adult social care following next spring, subject to Parliamentary approval.
Also, NHS trusts have the chance to comment on the CQC’s proposals about how it will use its enforcement powers when the regulator believes that a regulation has been breached and on its wider guidance on how they can meet the new ‘fundamental standards’ of care.
CQC’s guidance will help both NHS trusts to determine whether they are meeting the regulations and, CQC to decide what action to take when they do not.

Please click on the link to read more
http://www.careindustrynews.co.uk/2014/08/one-week-to-go-for-the-nhs-to-comment-on-how-it-will-be-honest-and-accountable/

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NHS England withdraws involvement from baby death probe – Written by Shaun Lintern for HSJ 27th August 2014

NHS England appears to have ruled itself out of direct involvement in patient care investigations after refusing to join the Care Quality Commission in a probe into the death of a baby girl.
In a policy line direct from chief executive Simon Stevens, NHS England yesterday declared it is “not and has never been an investigatory body”. This comes despite the body possessing the power to investigate patient care in its role as a commissioner.
The commissioning body issued the line after it emerged the CQC had signalled its intention to launch an investigation into the death of a baby girl with the close involvement of NHS England.
NHS England’s national director of patient safety Mike Durkin had “worked closely” with the CQC as the watchdog developed an approach to the investigation, NHS England confirmed

Please click on the link to read full article
NHS England withdraws involvement from baby death probe

Copied from HSJ artical : http://www.hsj.co.uk/news/nhs-england-withdraws-involvement-in-baby-death-probe/5074100.article#.U_3iDLd0zIU

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