Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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On 29 June 2011, a team of CQC inspectors <strong>and</strong> external expert advisors, including experts<br />
in maternity, accident <strong>and</strong> emergency, <strong>and</strong> nursing care, began the investigation on 4 July<br />
2011.<br />
The investigation assessed the systems <strong>and</strong> procedures the <strong>Trust</strong> had in place to ensure that<br />
people are protected against the risk of inappropriate care <strong>and</strong> treatment. The team focused<br />
on three care pathways – maternity, elective vascular surgery, <strong>and</strong> emergency care, <strong>and</strong><br />
examined the trust’s governance <strong>and</strong> management systems.<br />
http://www.cqc.org.uk/sites/default/files/media/reports/RF4_<strong>Barking</strong>_<strong>Havering</strong>_<strong>and</strong>_Redbridge_Universit<br />
y_Hospitals_NHS_<strong>Trust</strong>_RF4QH_Queens_Hospital_20110729.pdf<br />
At the end of October 2011, the CQC published its Investigation Report, containing a total of<br />
75 recommendations, with which BHRUT were required to comply; a further 6<br />
recommendations were added in late <strong>November</strong> 2011. These 81 recommendations are<br />
spread across a number of general categories; strategy, capacity, leadership, <strong>and</strong> some more<br />
specific outcomes, including those in relation to maternity services.<br />
14 themes were identified against which the 81 actions were identified:<br />
1) Respecting <strong>and</strong> involving people<br />
2) Care <strong>and</strong> welfare of people<br />
3) Cooperating with other providers<br />
4) Safeguarding people from abuse<br />
5) Cleanliness <strong>and</strong> infection control<br />
6) Management of Medicines<br />
7) Safety <strong>and</strong> suitability of premises<br />
8) Safety, availability <strong>and</strong> suitability of equipment<br />
9) Staffing <strong>and</strong> supporting workers<br />
10) Assessing <strong>and</strong> monitoring the quality of service provision<br />
11) Complaints<br />
12) Records<br />
13) Leadership<br />
14) Capacity<br />
Upon receipt of the full Investigation Report, the <strong>Trust</strong> developed a <strong>Trust</strong>-wide Action Plan,<br />
detailing all 81 recommendations, <strong>and</strong> began implementing the necessary actions required to<br />
achieve compliance with the CQC essential st<strong>and</strong>ards; along with an identification of officers<br />
<strong>and</strong> clinicians responsible for delivery, <strong>and</strong> the target dates for delivery.<br />
http://aglovale/assets/pdfs/comms/cqcactionplan11.xls<br />
As previously reported to the <strong>Board</strong>, significant progress has been made to the point where in<br />
June <strong>2012</strong>, the CQC revisited the <strong>Trust</strong> <strong>and</strong> further assessed progress made against the<br />
original action plan. Report available at http://aglovale/assets/pdfs/comms/cqcupdatereportjun12.pdf<br />
The <strong>Trust</strong> was encouraged that the CQC had confirmed that of the original 81<br />
recommendations identified:<br />
27 were assessed as MET<br />
48 were assessed as PART MET<br />
6 were assessed as NOT MET<br />
In August <strong>2012</strong>, the newly appointed Medical Director commissioned the Service<br />
Transformation Team to review, re-engage <strong>and</strong> re-evaluate progress against implementation<br />
of the required actions allowing the <strong>Trust</strong> to update the current status of each of the ‘PART<br />
MET’ <strong>and</strong> ‘NOT MET’ recommendations from the CQC Update of July <strong>2012</strong>.<br />
http://aglovale/assets/pdfs/comms/cqcstakeholderupdate250612.pdf<br />
In addition to the review of completeness the Team was asked to:<br />
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