Trust Board papers November 2012 - Barking Havering and ...

1.0 PURPOSE
1.1 Background
This report has been produced predominantly for information regarding progress against
agreed actions originally identified by the CQC following their formal investigation report in
October and November 2011.
The initial CQC assessment indicated that Barking, Havering and Redbridge University
Hospitals NHS Trust had a history of poor performance under the previous regulatory
framework. At the time of CQC registration, the Trust had a high number of ‘conditions’
placed on it to require improvements in care. A series of unannounced inspections in 2010/11
resulted in some of these being lifted, but also resulted in warning notices being issued to the
trust (in March, June and July 2011) on staffing levels and maternity care.
The CQC saw some evidence of improvements being made in response to these notices, but
the Trust’s overall capacity to respond to the extent and level of CQC’s concerns was in
question. Throughout this period, the CQC continued to receive information about poor quality
care from patients and the public.
This report will confirm the ‘journey’ the Trust has taken; the progress made; the current
status of the report and its associated action plans and the recommendations requiring further
work. It will also seek to outline the key ‘milestones’ which have been reached, which will
demonstrate the continuous improvement of the organisation in addressing the CQC
recommendations.
1.2 Project Closure Status
The CQC have advised the Trust that having reviewed the formal Action Plan, its evidence
and supporting documentation, and given that the formal investigation has been completed,
future monitoring of compliance would be undertaken as part of the normal routine service
reviews. Hence the formal update report published by the CQC in June 2012, the monitoring
phase has developed into continued improvement being ‘Business as Usual’.
This report is a project review and closure report. The original recommendations have either
been met, or embedded into normal business, or have been superseded by other projects
and initiatives which will deliver compliance against the CQC’s essential standards.
1.3 Summary of Actions required by the Trust Board
The Board is asked:
• To agree the formal closure of the Trust-wide CQC Action Plan,
• To recognise the progress made since November 2011.
• To recognise the progress made since June 2012.
• To formally recognise the need for monitoring and implementation of the plan and its
recommendations, whilst in transition to ‘Business as Usual’
2.0 CONTEXT AND BACKGROUND
Following the imposition of registration conditions on the Trust in 2010, the CQC’s judgement
was that continuing to tackle poor performance at the trust on a case-by-case basis was not
going to address deep-seated issues around the quality of care at the Trust. As a result, the
CQC took the decision to launch a full investigation into the quality of care provided by the
trust at Queen’s Hospital and King George Hospital.
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