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CQC Chief Inspector of Hospitals tells Bradford Trust it must improve

08/07/2016

The Care Quality Commission's report on Bradford Teaching Hospitals has been published, with an overall rating of 'Requires Improvement'.

England's Chief Inspector of Hospitals has told Bradford Teaching Hospitals NHS Foundation Trust that it must continue to make improvements to services following an inspection by the Care Quality Commission.

Full reports including ratings for all the trust's core services are available at: http://www.cqc.org.uk/provider/RAE

Bradford Royal Infirmary and St Luke's Hospital, Bradford were individually rated as Requires Improvement, with the in-patient community services rated as Good. A team of inspectors including specialist advisors visited the trust from January 11 to 13 and a subsequent unannounced visit took place on 26 January 2016. The main findings included:
  • There had been improvements since the last comprehensive inspection in October 2014, when the trust had also been rated Requires Improvement overall. Particular improvements included work which had taken place to address issues within the outpatients' services, which was starting to have a positive effect.
  • Overall ratings for urgent and emergency services, medicine and surgery were un-changed.
  • Inspectors noted that changes had taken place in leadership across all levels, including the executive team and throughout various management posts.

The Chief Inspector of Hospitals, Professor Sir Mike Richards, said:

"Since our last inspection in 2014, we have found some real improvements in some of the core services - notably in critical care services and outpatients and diagnostic and imaging. Changes across outpatient services included a strengthening of governance arrangements and the introduction of improved training and development, which has been having a positive impact.

"However there remain areas where further work is needed. A lot of patients are waiting too long for treatment after their initial referral. While there have been some changes in staffing levels, there are some areas where staffing was overstretched.
 
"This report shows that the trust is heading in the right direction. There is a lot to look forward, to – the introduction of new models of care, the further integration of services and the opening of the new hospital wing in November, all of which I hope will bring real benefits to patients in the near future."
 

Andrew Jones, Manager of Healthwatch Bradford and District, said:

“Healthwatch has talked to lots of people about their experience at Bradford Teaching Hospitals during our outreach and engagement work in the hospital over the last year.  We shared our insight with the CQC inspection team prior to their visit and we are pleased to see this public voice reflected in parts of the report.  Healthwatch has heard many positive accounts of good quality treatment and caring staff at Bradford Teaching Hospitals NHS Foundation Trust, but we also raised concerns about areas such as waiting times, staffing levels, and communication. 

“Patients and carers often tell us they are unhappy with waiting times in both Outpatients departments and Accident & Emergency; the CQC requires reductions in the length of time between referral and treatment, and we urge the Trust to continue to take action to address this.  

“We are aware that the Trust has taken a range of actions to address issues around staffing but Healthwatch continues to hear from members of the public concerns about staffing levels in some areas.  We recently spent 36 hours in the Accident & Emergency Department at Bradford Royal Infirmary. We saw first-hand the pressure on staff and long waiting times for the public – the CQC also reports staff shortages in A&E, as well as other departments.  Healthwatch support the Trust’s efforts to address this issue as it has a direct impact on patient experience.

“We will continue to listen to people’s views on the Trust’s services, and to work constructively with senior managers and clinicians to push for continued improvements in services and quality.”
 

Download the full CQC report here.

Telegraph & Argus article: CQC chief tells Bradford Hospitals to improve

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