Category Archives: Health centres
Press statement from Heart of England NHS Foundation Trust on Intervention of Monitor – 23 October 2014
Please find a press statement below from Heart of England NHS Foundation Trust:
PRESS STATEMENT – INTERVENTION OF MONITOR
The Trust has been working with Monitor, our regulator, over several months highlighting the plans we have in place to address the increasing demand for our services. It has been well publicised that the local health system has experienced a significant upsurge in demand in recent months. At our Trust alone we have seen a year on year increase of 13% in emergency admissions and a 10% increase in emergency ambulances arriving at our front door. The unprecedented demand and consequent overcrowding, particularly in our emergency departments, means that we are not meeting a number of national targets.
Our teams and staff are working relentlessly to ensure that we deliver the best care possible. Our focus and commitment has and will always remain on safe and quality care for our patients. We have invested in additional nurses and doctors, equipment and facilities and over the next few years will be investing an additional £85 million in buildings to meet the growing demand for our services.
We have recently made some new key appointments to strengthen our leadership team; their expertise, both clinical and managerial, will add breadth and depth to our existing, experienced team. We are also working with our partners in the local health economy to address the challenges of increasing demand, ensuring that people are cared for in the most appropriate setting, including their own home and we work together to improve the health of our local population.
***Embargoed until 09:30 23 October 2014***
Byrne warns local NHS hitting breaking point as social care cuts bite
Please find below a press release from Liam Byrne MP including House of Commons statistics on severe increases in waiting times in A&E at Birmingham’s Heart of England NHS Foundation Trust and a statement on Monitor’s report into the Trust this due for release this morning.
23 October 2014 – News from Liam Byrne MP
Embargoed until 09:30 on 23 October 2014
Byrne warns local NHS hitting breaking point as social care cuts bite
A&E waiting times at HEFT increase by 240% since this Tory-led coalition took over
This morning Monitor is releasing its report into Birmingham’s Heart of England NHS Foundation Trust. The report is deeply concerning – highlighting a severe increase in waiting times for A&E, routine operations and cancer care patients, as well as mortality rates.
In response to the report Liam Byrne MP said:
‘Residents all over Hodge Hill are telling me pressure on our NHS is hitting breaking point. And this reports shows why. The government’s huge cuts to Birmingham’s social care means it’s harder than ever to get older residents home from hospital. That means it’s getting harder to get people in the front door through A&E.’
Notes to editors:
1) Figures released by the House of Commons Library (below) show an increase in those waiting over 4 hours in A&E at Heart of England NHS Foundation Trust. Between Q3 of 2009/10 and Q3 of 2014/15 the number has gone from 1,619 to 5,518; an increase of over 240%.
|Patients waiting over 4 hours in A&E at Heart of England NHS Foundation Trust|
|As at Quarter 3:||
Number waiting over 4 hours
% waiting over 4 hours
|Sources: 2011/12 -2014/15 NHS England Weekly Sit Rep reports, pre 2011/12 DH Total Time Spent in A&E quarterly data series|
2) Monitor is the sector regulator of NHS-funded health care services. Under the Health and Social Care Act 2012 its main duty is to protect and promote the interests of people who use them.
3) Monitor’s press release attached.
Monitor Press Release:
Under strict embargo until: 09.30am Thursday 23rd October 2014
New action taken at Heart of England to improve services and strengthen leadership
Monitor is taking action to improve services and strengthen the leadership of Heart of England NHS Foundation Trust (HEFT), so that patients receive better care.
The health sector regulator has imposed a further condition on HEFT’s licence enabling it to take further action if the trust’s leadership does not perform better.
Monitor is acting after HEFT failed to reduce long waiting times for A&E, routine operations and cancer care patients, together with additional concerns regarding mortality rates. The regulator has decided that the range and seriousness of these issues demonstrate a clear failure in leadership and the trust’s organisational systems.
The trust and Monitor have also agreed new legally binding enforcement undertakings aimed at improving these care services on a sustainable basis.
HEFT provides services across the West Midlands at Birmingham Heartlands Hospital, Good Hope Hospital, Solihull Hospital and Community Services at the Birmingham Chest Clinic.
Monitor first found HEFT in suspected breach of its licence to provide healthcare in December 2013, after it failed to meet national targets at two of its hospitals, for treating patients in A&E within four hours.
Adam Cayley, Regional Director at Monitor, said:
“We want all patients of this trust to receive quality and timely care, which means all parts of the organisation must operate effectively.
“This action should ensure that the trust’s leadership takes appropriate and swift action to address our concerns around how it is led and run.
“We will continue to monitor the trust rigorously and take further regulatory action if we consider it necessary.”
Notes to editors
- For further information please contact, Nick Burke Media Relations Manager, on Nicholas.firstname.lastname@example.org or 020 3747 0800.
- Heart of England NHS Foundation Trust (HEFT) was authorised as an foundation trust on 1 April 2005.
- Details on Monitor’s previous regulatory action at HEFT can be found here.
- Monitor is the sector regulator of NHS-funded health care services. Under the Health and Social Care Act 2012 its main duty is to protect and promote the interests of people who use them.
- Information about Monitor’s role can be found here.
- Follow Monitor on twitter @MonitorUpdate
Today, I attended a high-level meeting with Cllr John Cotton, the Chair of the Health and Wellbeing Board for the city of Birmingham to discuss the complete lack of progress in operationalising health centres. Not a single NHS official turned out.
This is the letter I sent to Jeremy Hunt following the meeting:
Health Centres in Hodge Hill
Can I express my deep frustration with NHS officials who simply failed to attend a high-level meeting with both myself and Cllr John Cotton, the Chair of the Health and Wellbeing Board for the city of Birmingham to discuss the complete lack of progress in operationalising health centres – on Clodeshall Road and on the Firs estate – in my constituency.
As you know two health centres were built at the cost of over £20 million – and despite my work to consistently convene your officials at 3-6 month intervals over the last FOUR YEARS, almost no progress has been made maximising their use. Four years on, I am told they are running at around 30% utilisation. In a constituency with some of the worst health outcomes in Britain, and with the second busiest A+E department in Britain at Heartlands, this is simply not acceptable.
A summit convened by me and BCC earlier this year agreed an action plan, on which NHS officials have made no progress – and at today’s agreed meeting, they simply failed to turn up to discuss next steps, despite representation at the meeting from Heart of Birmingham Trust, BCC’s Social Care Director and the head of BCC’s health and well-being division.
This cannot go on.
Can I ask therefore;
1. For your urgent review of this matter and an apology from NHS England
2. A plan for maximising the utilisation of these centres
3. A timetable for securing maximum utilisation.
Given NHS England’s complete failure to deliver services at these centres, can I propose that they are either handed over the Heart of Birmingham Trust, or a community organisation, to maximise their use.
I look forward to hearing from you.
Rt Hon Liam Byrne MP
This week I have received a copy of the CQC’s report on the Heart of England NHS Foundation Trust. You can access a pdf copy of the report on the link below and the CQC’s press release is detailed further below:
EMBAROGED UNTIL: 00.01 Tuesday 14 January 2014
Chief Inspector of Hospitals publishes his findings on the Heart of England NHS Foundation Trust
England’s Chief Inspector of Hospitals has published his first report on the quality of care provided by the Heart of England NHS Foundation Trust in the West Midlands.
The trust was inspected under radical changes introduced by the Care Quality Commission, which provide a much more detailed picture of care in hospitals than ever before.
As well as good care, during its inspection CQC uncovered a number of concerns and areas for improvement at the trust’s Good Hope Hospital in relation to how its services are assessed and monitored. These have prompted the regulator to issue a warning notice to the trust demanding that improvements in this area are made by 21 February 2014.
What inspectors found:
Overall, the report concludes that the Heart of England NHS Foundation Trust is generally providing patients with safe and effective care. For example, patients and their relatives said that staff were caring and kind and this was observed by the inspection team.
The inspection team found areas of good practice, which included:
- The system to highlight patients who are medically fit for discharge promotes multidisciplinary working to discharge patients effectively.
- The work carried out by the end of life care team in ensuring relatives were involved and continued to feel cared for after the death of their loved one.
- The support of the critical care outreach team to other hospital staff while patients were waiting for a critical care bed.
However, there were a number of areas for improvement that CQC found, including a shortage of midwives and concerns regarding staffing in surgical care and wards caring for older people.
Also, there were concerns with how patients were treated once they had been triaged (the process of assessing and prioritising people’s injuries and illnesses) at reception in the A&E department. Once the initial triage was undertaken on arrival, patients were not being assessed by a healthcare professional within the recommended 15 minute timeframe.
Furthermore, CQC’s inspectors observed that all A&E cubicles at Good Hope Hospital were occupied and some patients had to wait on trolleys in the corridor. On reviewing the care records of two patients, it was clear that they had not been assessed or received any physiological checks while they were waiting.
Also, inspectors witnessed two patients calling out for help in a distressed manner who were ignored by nearby staff as they were busy with other tasks.
The national guidance for clinical practice states that staff should check the emergency equipment daily to ensure it is ready in the event of an emergency. However, CQC found that these checks were not taking place, both in the A&E department and on a nearby ward.
In response, CQC has told the Heart of England NHS Foundation Trust that it must take action to improve in the following areas:
- The care provided in the A&E departments, particularly around the timing and type of initial assessment.
- Clarification with regard to services provided by the A&E department at Solihull.
- Ensuring patients are cared for on appropriate wards and clinical areas.
- In the reduction of the use of agency and bank staff through continued recruitment of permanent staff.
- Documentation relating to patient care.
- Clarification with regard to services provided in the Critical Care Unit at Solihull and whether staff are appropriately trained to look after those patients who could be admitted to the unit.
CQC’s Chief Inspector of Hospitals, Professor Sir Mike Richards said: “Whenever we inspect we will always ask the following five questions of every service: Is it safe? Is it effective? Is it caring? Is it responsive to people’s needs? Is it well-led?
“While most services were delivered safely at the trust, the safety of patients in all the A&E sites, the acute medical unit at Good Hope Hospital and the Critical Care Unit at Solihull must be improved. We were concerned about staffing levels in some parts of the trust. However, the trust had an active recruitment programme and could demonstrate that significant numbers of staff were due to start work in early 2014.
“The trust appeared to have well trained staff but there were concerns surrounding the services at Good Hope Hospital and Solihull A&E and Critical Care Unit. Most people described their care as good, telling inspectors that staff were caring, despite being busy.”
CQC’s Head of Hospital Inspection, Fiona Allinson said: “The concerns CQC found were unacceptable and we have warned the trust it must improve. CQC will continue to monitor the service closely and our inspectors will be returning unannounced to check on whether improvements have been made and standards are being met.”
CQC spent four days at the Heart of England NHS Foundation Trust, including Good Hope Hospital in Sutton Coldfield, Heartlands Hospital, and Solihull Hospital in November. The inspection team included doctors, nurses, hospital managers, trained members of the public, CQC inspectors and analysts. They examined the care provided in accident and emergency, medical care (including older people’s care), surgery, intensive/critical care, maternity, children’s care, end of life care and outpatients.
The reports, which CQC has published today (Tuesday 14 January), are based on a combination of their findings, information from CQC’s Intelligent Monitoring system, and information provided by patients, the public and other organisations.
The full reports are available at: http://www.cqc.org.uk/directory/rr1
CQC will return to the trust at a later date to follow up the findings of this inspection and to report on the trust’s progress in making the required improvements.
For media enquiries, call Louise Grifferty, regional communications manager, on 07717 422917, or Helen Gildersleeve, regional communications officer, on 0191 233 3379.
The CQC press office can also be reached on 020 7448 9401 during office hours or out of hours on 07917 232 143.
For general enquiries, call 03000 61 61 61.
Notes to editors
- CQC has presented its findings to a local Quality Summit, including NHS commissioners, providers, regulators and other public bodies. The purpose of the Quality Summit was to develop a plan of action and recommendations based on the inspection team’s findings.
- The Chief Inspector of Hospitals, Professor Sir Mike Richards, is leading significantly larger inspection teams than before, headed up by clinical and other experts including trained members of the public. Sir Mike is implementing his new approach to hospital inspection with 18 NHS trusts across England, which represent variation of care. By the end of 2015, CQC will have inspected all acute NHS Trusts in the country with its new inspection model.
About the Care Quality Commission
The Care Quality Commission (CQC) is the independent regulator of health and social care in England. We make sure health and social care services provide people with safe, effective, caring, well-led and responsive care, and we encourage care services to improve. We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.
Here are details of Birmingham Council’s planning consultation on Birmingham & Solihull Mental Health NHS Foundation Trust.
Birmingham Council is interested in your comments on the application, preferably before 22 December 2013.
Follow the link for more information and to find out how make comments:
The huge new health centres on Clodeshall Road in Washwood Heath and on the Bromford and Firs were amongst our biggest achievements in Hodge Hill.
But now the new government is in power, and their new “Clinical Commissioning Groups” started work in the city on 1st April . Now we’ve learned there are SIX different parts of the NHS responsible for our health centres. What a mess!
Cllr Tim Evans and I sat down with the new NHS team a couple of weeks ago to plot a way forward. The NHS has agreed we’ve got to simplify things – and come up with a real vision for the future. So I’ll be helping to lead a delegation to Bromley by Bow in London to look around the greatest health hub in Britain to steal a few ideas!
Progress at last!
Last week I met the new Chief Executive, Dr Mark Newbold, of the Heartlands hospital, to hear about how the government’s misguided shake-up of the NHS is going to hit local residents. It’s clear, we just don’t know how bad it’s going to get. Much depends on whether we can get local care in place to reduce the pressure on what’s clearly an already very, very busy hospital. Thank heavens we’ve two new mega-centres funded by Labour, about to open in Washwood Heath and the Bromford.
The good news is that Dr Newbold is determined to put basic standards of compassionate care at the top of his list – and is actively looking at new ways for the hospital which employs 10,000 people, to boost local employment and training prospects in Hodge Hill. More on this to follow.
But, what’s already clear is that since the new Tory-led government took over, the number of people getting treatment within 18 weeks is falling – its back to 2008 levels already. I’ll be keeping a very close eye on this. The public will not forgive this government failing the NHS.
Friday found me on Clodeshall Road inspecting progress on our new £12 million health centre. It is incredible!
It’s basically the size of a small hospital, with a three storey glass fronted atrium stretching down the centre of the building, consulting rooms, x-ray facilities, community spaces, and a community cafe. Upto 50 people are working through-out the week to get the building finished to the very highest environmental standards.
Some of you might have seen a story in The Times today, which suggested that hospitals would close as a result of the savings and efficiencies in spending in the Department of Health, part of a wider programme of savings across government which I am driving as Chief Secretary to the Treasury.
This is wrong. The Times accepted that they’d made a mistake and overnight they changed the way the story was written to more accurately reflect what I said in the interview.
In the interview, I specifically said that hospitals would NOT have to close as a result of these savings. What I DID say is that hospitals will do more of their work in community health centres and the like. These centres – we’re going to get three in Hodge Hill – are more convenient, efficient and cheaper. And patients like them.
The Health Secretary Andy Burnham has said many times that he wants more care provided in the community, rather than in hospitals. Of course, if you start providing more care in the community, you might be able to stop using certain buildings on hospital sites – but ‘closing buildings’ is a world away from “hospital closures”!
For the record, here’s the relevant part of the interview transcript:
EXCERPT FROM INTERVIEW WITH LIAM BYRNE
INTERVIEWERS ARE RACHEL SYLVESTER AND ALICE THOMSON OF THE TIMES
FRIDAY 26 FEBRUARY 2010
Is it going to mean hospitals are going to close?
No, I don’t think it is, but I do think that some hospitals will have to start doing more of their care in the community rather than in, you know, big expensive buildings, so we’re getting three health centres, big new health centres, in Hodge Hill, thanks to the fantastic constituency MP [sound of laughter from journalists] and a lot of hospitals will be able to do more of their work in centres like that which are in many ways more convenient
So you might be able to close some of the hospital buildings?
Yes, well, a lot of hospitals I think are thinking about moving some of their business out into the community because it’s better care, it’s better quality, it’s more convenient, it’s round the corner, you know. It’s also cheaper.
Liam Byrne MP today met with the head of Birmingham City Council Highways and Transport Department, David Bull at the site of the new health centre on Firs Farm Drive.
The Member of Parliament for Hodge Hill has fought hard for three new local health centres, but is determined that they should be designed by the community to meet community needs.
Local residents are delighted to see £10million being spent on the new health centre which is set to open its doors in 2011, but are frustrated about access plans. Many are worried that the access road is not wide enough and that it will impede residential parking.
This will be a world class health centre for local families, but it is vital the planners get it right. Residents are worried that the access road isn’t wide enough for extra traffic so I’ve bought the Head of Highways to see for himself.