Inspection and Regulation

27.01.17

Advances made at Leicester trust but it still ‘requires improvement’

University Hospitals of Leicester NHS FT has been told by the CQC that it still ‘requires improvement’ after not changing rating in its most recent inspection.

The CQC revisited the trust for a focused inspection during June and July 2016 following a previous inspection in January 2014 when the trust was first rated as requires improvement.

On this occasion the trust, which runs three hospitals in Leicester, was found to be ‘good’ at caring and ‘requires improvement’ in being safe, effective, responsive and well-led, with all three hospitals receiving the same rating.

“Although the overall rating we gave the trust in this inspection was the same as they were awarded in their 2014 comprehensive inspection, we did find improvements had been made,” said the CQC’s chief inspector of hospitals Professor Sir Mike Richards.

“These were particularly evident in staff engagement and confidence in the leadership team.”

Overall, inspectors found that the trust and its hospitals “were in better position now than a few years ago”, citing a positive culture change under the trust’s new leadership with a well-established governance progress.

However, the CQC said that the trust’s A&E department was causing “significant problems” for the entirety of the trust with it struggling to provide a consistent standard of care due to a “constant increase in A&E attendances”.

The trust’s A&E department appears to still be an issue for the trust, as the hospital was recently forced to make patients wait in ambulances before they could enter A&E during a difficult winter for the NHS.

Inspectors also found problems with outpatient capacity not meeting demand, with appointments not starting on time or being cancelled, and with the trust’s IT infrastructure.

Despite these issues, inspectors found several elements out of outstanding care such as a 24-hour phone service for the trust’s oncology and chemotherapy departments.

John Adler, University Hospitals of Leicester’s chief executive, said that the trust had told the CQC that staff were its biggest strength and this has been “echoed” in the CQC’s feedback, although the trust still has work to do.

“We were … honest with the CQC about the challenges that we face,” Adler said. “We told them that we are steadily improving quality whilst dealing with large increases in demand.  That we were working better with our partners to tackle longstanding strategic issues such as emergency care, and that along the way we were building a more empowered culture.”

The trust must now outline its improvement plans to the CQC by 16 February and will be subject to further CQC inspections in order to ensure that the necessary improvements are made.

Have you got a story to tell? Would you like to become an NHE columnist? If so, click here 

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Cancer Drugs Fund delivered ‘no meaningful value’ to patients

28/04/2017Cancer Drugs Fund delivered ‘no meaningful value’ to patients

The Cancer Drugs Fund (CDF) set up by David Cameron to pay for medicine for over 100,000 people was not good value for money, despite costing the... more >
Health committee urges DH to draw up plan for post-Brexit uncertainty

28/04/2017Health committee urges DH to draw up plan for post-Brexit uncertainty

The Department of Health (DH) have been told to put contingency plans in place to prepare for the effect that Brexit could have on the health and... more >
STPs will not succeed where BCF has failed, warn MPs

28/04/2017STPs will not succeed where BCF has failed, warn MPs

MPs have slammed the government for the failure of the Better Care Fund (BCF) to achieve any of its objectives, arguing that they are unconvinced... more >

editor's comment

22/03/2017New additions and unexpected announcements

As NHE went to press, many of us were still recovering from the chancellor’s unexpected health announcements in his last Spring Budget.   While the sector welcomed Philip Hammond’s revelations, centered on capital funding for advanced sustainability and transformation plans (STPs) and A&E triage schemes (page 24)... read more >

last word

Foreign patient charges are a distraction from the real issues

Foreign patient charges are a distraction from the real issues

Vivek Kotecha, research officer at the Centre for Health and the Public Interest (CHPI), explains why the charging of foreign patients distracts from our home-grown NHS issues.  The Dep... more > more last word articles >
681 149x260 NHE Subscribe button

the scalpel's daily blog

Labour’s pledge to raise wages for ‘underpaid and overworked’ NHS staff

26/04/2017Labour’s pledge to raise wages for ‘underpaid and overworked’ NHS staff

Shadow health secretary Jonathan Ashworth will today outline a major campaign pledge to axe the NHS pay cap, saying that staff are “underpaid and overworked”. The change is predicted to cost the NHS around £1bn, however Labour say that this is the price the government should pay to show hardworking NHS staff that they ar... more >
read more blog posts from 'the scalpel' >

comment

A single approach for purchasing HCTEDs

11/04/2017A single approach for purchasing HCTEDs

Andy Leary, finance director of specialised commissioning (National) at NHS England, discusses the new system for buying and supplying high-cost ... more >
Filling the void and standardising security

07/04/2017Filling the void and standardising security

Jayne King, chair of the National Association for Healthcare Security (NAHS) and head of security, portering and reception services at Guy’... more >
Fear barriers to help-seeking in the UK

07/04/2017Fear barriers to help-seeking in the UK

Jon Paxman, 2020health senior researcher, explains why reducing fear barriers may be essential to promoting timely help-seeking, improving health... more >
Considerable scope for improving how local areas tackle smoking

07/04/2017Considerable scope for improving how local areas tackle smoking

Amanda Sandford, information manager at Action on Smoking and Health (ASH), discusses the need to strengthen local relationships in tackling smok... more >

interviews

Tight timetable for nursing associate  regulation

28/03/2017Tight timetable for nursing associate regulation

Jackie Smith, chief executive at the Nursing and Midwifery Council (NMC), talks to NHE’s David Stevenson about the challenges her organisat... more >
Improving the flow

13/02/2017Improving the flow

Glen Burley, chief executive of South Warwickshire NHS FT, explains how his organisation has been able to improve patient flow through its emerge... more >
Leadership development should be for all in health and care

07/12/2016Leadership development should be for all in health and care

Back in August, Stephen Hart joined Health Education England (HEE) as the organisation’s new director of leadership development, which incl... more >
The powerful link between staff and patient satisfaction

03/10/2016The powerful link between staff and patient satisfaction

David Behan CBE, chief executive of the Care Quality Commission (CQC), talks to NHE about the correlation between high rates of staff satisfactio... more >

health service focus

View all News