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

On 29 June 2011, a team of CQC inspectors and external expert advisors, including experts
in maternity, accident and emergency, and nursing care, began the investigation on 4 July
2011.
The investigation assessed the systems and procedures the Trust had in place to ensure that
people are protected against the risk of inappropriate care and treatment. The team focused
on three care pathways – maternity, elective vascular surgery, and emergency care, and
examined the trust’s governance and management systems.
http://www.cqc.org.uk/sites/default/files/media/reports/RF4_Barking_Havering_and_Redbridge_Universit
y_Hospitals_NHS_Trust_RF4QH_Queens_Hospital_20110729.pdf
At the end of October 2011, the CQC published its Investigation Report, containing a total of
75 recommendations, with which BHRUT were required to comply; a further 6
recommendations were added in late November 2011. These 81 recommendations are
spread across a number of general categories; strategy, capacity, leadership, and some more
specific outcomes, including those in relation to maternity services.
14 themes were identified against which the 81 actions were identified:
1) Respecting and involving people
2) Care and welfare of people
3) Cooperating with other providers
4) Safeguarding people from abuse
5) Cleanliness and infection control
6) Management of Medicines
7) Safety and suitability of premises
8) Safety, availability and suitability of equipment
9) Staffing and supporting workers
10) Assessing and monitoring the quality of service provision
11) Complaints
12) Records
13) Leadership
14) Capacity
Upon receipt of the full Investigation Report, the Trust developed a Trust-wide Action Plan,
detailing all 81 recommendations, and began implementing the necessary actions required to
achieve compliance with the CQC essential standards; along with an identification of officers
and clinicians responsible for delivery, and the target dates for delivery.
http://aglovale/assets/pdfs/comms/cqcactionplan11.xls
As previously reported to the Board, significant progress has been made to the point where in
June 2012, the CQC revisited the Trust and further assessed progress made against the
original action plan. Report available at http://aglovale/assets/pdfs/comms/cqcupdatereportjun12.pdf
The Trust was encouraged that the CQC had confirmed that of the original 81
recommendations identified:
27 were assessed as MET
48 were assessed as PART MET
6 were assessed as NOT MET
In August 2012, the newly appointed Medical Director commissioned the Service
Transformation Team to review, re-engage and re-evaluate progress against implementation
of the required actions allowing the Trust to update the current status of each of the ‘PART
MET’ and ‘NOT MET’ recommendations from the CQC Update of July 2012.
http://aglovale/assets/pdfs/comms/cqcstakeholderupdate250612.pdf
In addition to the review of completeness the Team was asked to:
Page 4 |
26-Oct-12