Posted on Wednesday, March 14th, 2018 in News.
Following its inspection of the University Hospitals of Leicester NHS Trust in November and December 2017 and January 2018, the Care Quality Commission (CQC) has published its findings.
Between the 28 – 30 November and 4 – 7 December 2017, the CQC inspected a total of five core services across four locations. They inspected urgent and emergency care at the Royal Infirmary, medical care at the Glenfield and Royal Infirmary, diagnostic imaging, maternity and outpatients at the Royal Infirmary and the General Hospital, and maternity services at St Marys Birthing Centre.
Through their inspections, the CQC have found a strong link between the quality of overall management of a Trust and the quality of its services. For that reason, all Trust inspections now include inspection of the ‘well-led’ key question at the trust level and this was the area that the CQC inspected between 10 and 12 January 2018.
Inspectors have rated the Trust as Requires Improvement overall; rating Good for being effective and caring and Requires Improvement for being safe, responsive and well-led.
Chief Executive John Adler said: “I am really pleased to see that we have improved in a number of areas since our 2016 ratings. Inspectors have improved our ratings for the ‘effectiveness’ of services overall and our maternity service, both of which are now rated as good*. None of our services are now rated as inadequate. I am particularly pleased to see the very significant improvement in our urgent and emergency services despite continued pressure.”
“I would like to take the opportunity to thank all of our staff for their hard work and commitment to improving our services.”
Karamjit Singh CBE, Chairman at Leicester’s Hospitals said: “I am delighted to see that CQC inspectors found many examples of outstanding practice whilst they were with us.”
“They commended our dedicated sepsis team in our Emergency Department; the first of its kind in the UK. There was praise for our Red 2 Green process (which reduces wasted time within a patient journey) and our Meaningful Activity Co-ordinators, both of which benefit our older patients. They mentioned the electronic system used in outpatients that links to GPs to identify the correct pathway for patients or to recommend other care and treatment.”
“They also paid tribute to our maternity services, particularly our new dedicated Home Birth Team, prenatal and antenatal clinics, both locally and across borders, and the TED (Time, Escalation, Decision making) movie created to improve the outcomes for babies.”
“The CQC have highlighted the importance of diversity, something I and the Trust Board are passionate about improving and we know is important to our staff and local people.”
Chief Executive John Adler added: “It is regrettable that following their inspection the CQC served us with a warning notice because the care we give diabetic patients in relation to the management of their insulin requires significant improvement.”
“We recognise this too and since the inspection we have accelerated our programme of work to ensure immediate improvements and safety of our patients. The actions focus on face to face education and training for our doctors and nurses, improved decision tools to aid prompt management and intervention overseen by enhanced support from the diabetic specialist team. We are pleased that the early evidence supports these actions have delivered improvements in knowledge and care of patients with diabetes.”
Chief Nurse Julie Smith added “As with our previous inspection you can read examples throughout the report where inspectors observed good and outstanding practice and compassionate care being carried out by our staff. They heard feedback from patients that staff treated them with kindness and provided emotional support to minimise their distress.”
“Overall, we think that the CQC’s assessment is accurate, balanced and fair and reflects an improving picture in the services that were reinspected. We have already started to develop an action plan which maps out the improvements we will continue to make based on their findings.
* the ‘effectiveness’ of services overall and maternity services, rated good in 2018, were both given a ‘requires improvement’ rating in 2016
Some examples of outstanding practice highlighted in the CQC report:
Urgent and Emergency Care Leicester Royal Infirmary:
Medical Care (including older persons care) at the Royal Infirmary and Glenfield:
Maternity services at the Royal Infirmary, General Hospital ad St Marys Birthing Centre:
Outpatients at the Royal Infirmary and General Hospital:
Diagnostic Imaging at the Royal Infirmary and General Hospital