Inspection and Regulation

11.01.17

Royal Brompton and Harefield specialist trust rated ‘requires improvement’

The CQC has rated the specialist trust Royal Brompton and Harefield NHS FT as ‘requires improvement’ overall following an inspection in June of last year.

Royal Brompton and Harefield NHS FT, which delivers care across two sites in the Royal Brompton Hospital and Harefield Hospital, oversees the largest specialist heart and lung unit in the UK and also Europe’s largest centre for the treatment and management of cystic fibrosis. 

The CQC found that while the trust was good for being effective, caring and well-led, offering some of the best outcomes for heart and lung treatment in the country, it requires improvement for being safe and responsive, particularly in its completion and monitoring of data.

The chief inspector of hospitals, Professor Sir Mike Richards, said: “We found patients received compassionate care by staff who spoke about their trust with passion and pride. There are many people who owe their lives to the dedication and expertise of their staff.

“However there are areas for improvement. I note that critical care services have not in the past submitted data for national audit – which means that it has been difficult to compare the trust’s quality of care with other hospitals.

“I am concerned that there was poor completion of the World Health Organisation Safer Surgery checklist at both hospitals, despite discussions among the staff about patient safety risks. The trust must also take greater care to ensure that clinical staff are monitoring patients whose condition may deteriorate, using the standard National Early Warning Score (NEWS) charts.”

During the inspection of the two hospitals CQC inspectors found that teams of all clinical discipline worked well together with wards having access to a range of health professionals such as speech and language therapists, dietitians, physiotherapists and various types of nurses.

Inspectors particularly praised the trust’s ventricular assist device team which cares for patients undergoing surgery for an artificial heart – the only service in the UK able to offer this treatment independently – and its continuous research and compassionate care programmes.

However, the CQC advised that the trust must make improvement in its data management such as completing NEWS charts and ensuring that patient medical records are locked away, along with observing rigorous hand hygiene practices and embedding the WHO Safer Surgery checklist.

Royal Brompton and Harefield currently delivers in the region of 38.619 inpatient admissions and 178,495 outpatient attendances, employing around 3,298 staff.

Last year, NHS England announced plans to transfer Royal Brompton & Harefield NHS FT’s child heart disease units to neighbouring hospitals. The specialist heart and lung hospital is one of three across the country earmarked to lose their congenital heart surgery.

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

NHS England’s chief nurse to take up role as London regional director

21/08/2017NHS England’s chief nurse to take up role as London regional director

England’s chief nurse Professor Jane Cummings will take charge of the London region until a permanent regional director is found, NHS Engla... more >
Risk assessments not carried out before teenager’s death at Southern Health

21/08/2017Risk assessments not carried out before teenager’s death at Southern Health

Regular risk assessments were not carried out by the psychiatrist responsible for Connor Sparrowhawk when the teenager died in 2013, a tribunal h... more >
Too many older patients ‘suffering in silence’ over complaint concerns

21/08/2017Too many older patients ‘suffering in silence’ over complaint concerns

Concern has been raised by the families of older patients this week who say that it is too difficult to complain about the hospital care or treat... more >

editor's comment

13/06/2017Tackling the major challenges facing the NHS

As you will have gathered from the front cover, a theme that runs throughout this edition of NHE is about empowering and involving the workforce in order to deliver innovative change across the system.  Professor Jane Dacre, president of the Royal College of Physicians, highlights on page 16 the importance of sustainability and trans... read more >

last word

Your personality, your leadership

Your personality, your leadership

Deirdre Wallace, clinical skills manager at UCL Medical School, discusses the importance of learning about leadership and self while at medical school. Approximately five years ago, I was ch... more > more last word articles >
681 149x260 NHE Subscribe button

the scalpel's daily blog

We need your Health Heroes!

21/08/2017We need your Health Heroes!

We are once again delighted to be the official media partner for the Our Health Heroes Awards, working alongside Skills for Health to celebrate those in our healthcare workforce who go above and beyond the call of duty. It’s important that the fantastic contributions healthcare workers are making across the UK every day don’t ... more >
read more blog posts from 'the scalpel' >

comment

Changing our digital culture and safeguarding patient data

08/08/2017Changing our digital culture and safeguarding patient data

Joanna Smith, chief information officer at Royal Brompton & Harefield NHS FT (RBHT), says that as the NHS becomes more digital it has to get ... more >
A centre for medicines optimisation research and education

04/08/2017A centre for medicines optimisation research and education

Dr Yogini Jani, a consultant pharmacist at University College London Hospitals NHS FT (UCLH), discusses a collaboration with UCL School of Pharma... more >
Unlocking the benefits of age-friendly cities

04/08/2017Unlocking the benefits of age-friendly cities

Stefanie Buckner, Calum Mattocks and Louise Lafortune from the Cambridge Institute of Public Health, alongside Melanie Rimmer from the School of ... more >
A community service

04/08/2017A community service

Louise Watson, NHS England director of the New Care Models programme, discusses the emerging success stories from the vanguard areas across the c... more >

interviews

Improving care at the touch of a screen

08/08/2017Improving care at the touch of a screen

When it comes to dementia, having a calm and safe environment can have a substantial impact on a patient’s quality of life. NHE’s Jos... more >
A new approach to talent management

25/07/2017A new approach to talent management

Martin Hancock, national lead for talent management at NHS Leadership Academy, and Gill Rooke, the organisation’s senior operations manager... more >
Enabling greater integration through ACSs

25/07/2017Enabling greater integration through ACSs

At this year’s NHS Confed, Simon Stevens revealed the first wave of accountable care systems (ACSs). NHE speaks to Ian Dodge, the director ... more >
How NHS organisations can protect themselves against cyber crime

25/07/2017How NHS organisations can protect themselves against cyber crime

On 12 May, a global cyber-attack occurred on an unprecedented scale. It affected organisations across the globe and, though it did not specifical... more >

health service focus

View all News