Inspection and Regulation

06.06.18

Major trust remains ‘inadequate’ one year after entering special measures

The Isle of Wight NHS Trust remains ‘inadequate’ a year after it was first put into special measures, the health watchdog has announced.

The trust was given the rating by the CQC in April 2017 after its report found that managers did not act upon requirements to improve “unsafe” mental health services, understaffing and a subtle culture of bullying that exposed patients to an “unacceptable risk of harm.”

In its latest report after an inspection in January, the CQC rated seven of the trust’s 23 services as inadequate, and 11 as requires improvement. Ratings for mental health services, which was a key point of improvement in the CQC’s findings last year, remained as inadequate overall.

The findings, which focus on the whole of the healthcare system across the Isle of Wight of around 210,000 during holiday months, found instances such as some staff members not following hand hygiene guidelines when serving patients, and sometimes substantial staff shortages that meant the trust was relying on locum doctors and agency nurses who were “often poorly managed and disengaged.”

The trust’s safety was once again rated inadequate because medical staff were not sufficiently engaged in safety checks in surgery, there was a low rate of compliance with mandatory training, and medicines were not always managed and stored safely across services, amongst several other issues.

All services were rated good for caring. Two acute services, critical care and outpatients, were rated good overall.

The chief executive of the trust Karen Baker stood down ahead of the CQC report in April last year. New chief executive Maggie Oldham said the trust had the “foundations in place” to show recovery and improvement.

Oldham said: “We have always said that our improvement journey would not be an easy or a short one. As the CQC rightly concluded, we are in the early stages of our improvement journey and there is now potential for significant improvement at the trust. We must now build on these small but significant steps of progress in transforming care on the Island.

“However, the fact remains that we have not improved our overall rating from ‘inadequate’ and we are under no illusions that we still have a lot of hard work ahead of us to turn things around.”

Oldham added that it was pleasing to see the CQC finding “clear signs of recovery and improvement” and that there was growing momentum in the trust: particularly with the CQC’s acknowledgement of caring and compassionate staff members.

“It will take a lot of hard work from everyone who works at the trust, as well as from our health and social care partners, but we now have the foundations in place and I’m absolutely confident that we can and will deliver the services that our patients expect and deserve,” she concluded.

To see the CQC report in full, click here.

Enjoying NHE? Subscribe here to receive our weekly news updates or click here to receive a copy of the magazine!

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Councillors fear identity crisis following CCG merger

22/06/2018Councillors fear identity crisis following CCG merger

Members of one of Kent’s leading councils have voiced their concerns against an upcoming merger between CCGs in the area. Cllr Wendy P... more >
Top NHS England boss to leave the organisation

22/06/2018Top NHS England boss to leave the organisation

NHS England’s chief financial officer will leave the post after 11 years. Paul Baumann CBE, who joined NHS London in 2007, and took up... more >
Most urgent primary care services ‘good’ or ‘outstanding’

22/06/2018Most urgent primary care services ‘good’ or ‘outstanding’

Over eight in 10 primary care services are providing good care, despite mounting work force and commissioning pressures, the CQC has said. A... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now bey... more > more last word articles >

the scalpel's daily blog

The impact of NICE on cardiovascular disease prevention

06/06/2018The impact of NICE on cardiovascular disease prevention

Professor Gillian Leng, deputy chief executive and director Health and Social Care at NICE, looks into what can be done to decrease cardiovascular disease nationally and how to prevent missed opportunities in the future. Cardiovascular disease (CVD) accounts for just over a quarter of deaths and affects around 7 million people in the UK. ... more >
read more blog posts from 'the scalpel' >

comment

Getting more out of our medicines

20/06/2018Getting more out of our medicines

Paul Chrisp, programme director of medicines and technologies at NICE, describes how the organisation is re-purposing drugs in order to improve p... more >
Under attack

20/06/2018Under attack

One attack against an NHS worker is one too many. But unfortunately, the trend in recent years has been alarmingly upwards, with no part of the N... more >
Lessons from WannaCry

20/06/2018Lessons from WannaCry

Sir Geoffrey Clifton-Brown, a member of the Public Accounts Committee, warns that the UK Government must take seriously the threat of a more soph... more >
A hostile environment

20/06/2018A hostile environment

Dr Terry John, chair of the BMA’s international committee, gives his thoughts on the government’s visa and immigration policy and its... more >

interviews

Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >
Tackling infection prevention locally

04/10/2017Tackling infection prevention locally

Dr Emma Burnett, a lecturer and researcher in infection prevention at the University of Dundee’s School of Nursing and Midwifery and a boar... more >
Scan4Safety: benefits across the whole supply chain

02/10/2017Scan4Safety: benefits across the whole supply chain

NHE interviews Gillian Fox, head of eProcurement (Scan4Safety) programme at NHS Supply Chain. How has the Scan4Safety initiative evolved sin... more >

health service focus

View all News