News : Report Finds Isle of Wight NHS Trust “Requires Improvement
Sept 9, 2014 -- England's Chief Inspector of Hospitals, Professor Sir Mike Richards, has published his first report on the quality of services provided by Isle of Wight NHS Trust.
Overall, the Care Quality Commission has rated the trust as Requires Improvement. Acute services provided at St Mary's Hospital, and Community Health services, were both rated as Requires Improvement. Mental Health services were rated as Good.
The trust was inspected in June under its new inspection regime. The inspection team of 79 people which included doctors, nurses, midwives, hospital managers, trained members of the public, a variety of specialists, CQC inspectors spent three days at the trust. Inspectors also returned unannounced two weeks later.
Inspectors found that staff were caring and compassionate, and treated people with dignity and respect. On the whole, patients received the right care at the right time. The ambulance services achieved national response times, patients were seen and treated in the A&E within four hours, people had surgery, diagnostic tests and outpatient appointments within national waiting times.
But at St Mary's Hospital, the pressure on beds meant that patients were being moved between wards too often, and weekend discharges were delayed. Staffing levels were too low in some areas, with difficulties recruiting staff to work on the island. There were not enough nurses for children's care in the A&E, the acute services, community rehabilitation wards, district nursing and older adult mental health wards. The trust faced a similar challenge recruiting doctors, with some services run by locums and this had not provided consistency of leadership or treatment.
Following the inspection CQC has issued a warning notice requiring the trust to take action to improve the ways it assesses and monitors the quality of its services.
Inspectors also identified a number of areas of outstanding practice, including: The Integrated Care Hub was an excellent example of teams from different disciplines working closely together to ensure that patients had timely access to appropriate services. The call centre provides access to the 999 calls service, NHS 111 service, the GP out-of-hours service, district nursing, adult social care, tele-care services, non-emergency patient transport services, and mental health services. The pharmacy service was operational seven days a week and electronic prescribing had reduced medication errors.
CQC's Chief Inspector of Hospitals, Professor Sir Mike Richards, said:
"We have found some examples of outstanding care. The staff were caring, highly motivated, and treated people as individuals. However people told us how at times low staffing numbers affected their care and treatment and there were also areas of poor practice where the trust needs to make improvements. I recognise the challenge that the island faces in attracting and retaining experienced staff. But, the trust must ensure that the clinical leadership of services improve.
Posted by Veronica Silva Cusi, news correspondent
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Published: Wednesday, September 10, 2014