Mental Health

09.01.19

Planned trust merger ‘hampered day-to-day services’ as provider’s rating drops to ‘requires improvement’

A West Midlands mental health trust that recently aborted merger plans has been urged to improve after inspectors found that the trust lacked sufficient governance systems, staff failed to manage medicines consistently, and some properties were unclean and unfit for purpose.

The Black Country Partnership NHS FT (BCP) has been rated as ‘requires improvement’ following a CQC inspection, dropping from ‘good’ rating, and was told it must re-establish control of performance following the merger plans.

Inspectors found that staff were not receiving regular managerial and clinical supervision or managing medicines consistently well.

In parts of the trust, employees were forced to use paper notes alongside three different electronic recording systems, and governance systems from ward to board were judged not to be strong enough to identify and rectify a number of risks.

The CQC concluded that the board’s day-to-day running of services “has been hampered because of uncertainty created by a proposed merger with other NHS trusts.”

The inspectorate’s deputy chief inspector and lead for mental health, Paul Lelliott, added: “We concluded that this had adversely affected the quality of some of the trust’s services.”

In 2017, three trusts in West Midlands were planning to merge to create one of the biggest mental health and community trusts in the country – with Birmingham Community Healthcare Trust, Dudley and Walsall Mental Health Trust, and BCP set to merge by October that year.

But the triple merger collapsed in March 2018 following concerns from NHS Improvement that the new trust working across multiples STPs would create clinical and financial troubles, although BCP and the Dudley and Walsall trust are still reportedly planning to merge in 2020.

Lelliott continued: “During our inspection, we saw evidence that the leadership team were picking up the reins once again.

“It is vital that they follow through and we expect to see the trust perform better all-round the next time we visit the trust.”

Image credit - MartinPrescott

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

CQC finds ‘significant improvements’ at specialist London NHS trust

25/03/2019CQC finds ‘significant improvements’ at specialist London NHS trust

Significant improvements have been found by inspectors at the Royal National Orthopaedic NHS Trust (RNOH) in a “major step forward” f... more >
Heart surgeries cancelled and patients warned of fatal infection risk due to deaths at Edinburgh hospital

25/03/2019Heart surgeries cancelled and patients warned of fatal infection risk due to deaths at Edinburgh hospital

NHS Lothian has written to nearly 200 patients who have undergone heart surgery in the last six months warning them of a potentially fatal infect... more >
Medical director promoted to chief executive at under-investigation trust

25/03/2019Medical director promoted to chief executive at under-investigation trust

The Countess of Chester Hospital Trust (COCH) has announced that its medical director has been appointed as its new chief executive. Susan G... 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 exemplars who were revealed at the same show 12 months earlier.  Jeremy Hunt also stated th... 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

What progress are we making to transform our population’s mental health?

25/03/2019What progress are we making to transform our population’s mental health?

Professor Gillian Leng, Deputy Chief Executive and Director of Health and Social Care at the National Institute for Health and Care Excellence - NICE - provides her view of the newly published NICE impact report on mental health. Mental health conditions are the largest single cause of disability in the UK, with one in 4 adults experienci... more >
read more blog posts from 'the scalpel' >

comment

What progress are we making to transform our population’s mental health?

25/03/2019What progress are we making to transform our population’s mental health?

Professor Gillian Leng, Deputy Chief Executive and Director of Health and Social Care at the National Institute for Health and Care Excellence - ... more >
Staying curious with the Shadow Board Programme

20/03/2019Staying curious with the Shadow Board Programme

Kirstie Stott, director of The Inspiring Leaders Network, discusses organisational and system curiosity alongside the work of the Shadow Board Pr... more >
Fiction as Therapy

20/03/2019Fiction as Therapy

Elaine Bousfield of ZunTold Publishing – a press specialising in fiction for children and young people – discusses ‘Fiction as ... more >
Capturing funds for the NHS estate

20/03/2019Capturing funds for the NHS estate

Aahsan Rahman, department head of town planning at NHS Property Services (NHSPS), looks at an alternative and perhaps underutilised funding sourc... more >

interviews

How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >
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 >

health service focus

View all News