latest health care news

17.09.13

Monitor steps in again over failings at Dorset HCU FT

Monitor says Dorset HealthCare University NHS Foundation Trust is failing to act on legally binding undertakings to improve, and is altering the trust’s licence.

The regulator says the trust “has failed to make urgent improvements in the way it is run” following its earlier intervention in April.

It has also “failed to properly address quality of care issues raised by the Care Quality Commission”, Monitor said, including a specific failure by the trust’s board and management team to monitor quality of care and staffing levels.

The new licence condition “requires [the trust] to ensure its board and committees function effectively and to tackle the issues causing the trust to be in breach of its licence”, Monitor said. It also requires the trust to ensure its council of governors runs properly.

Paul Streat, regional director at Monitor, said: “We believe that the trust has failed to act quickly enough in addressing a number of serious problems.

“Patients deserve the best possible care so we’re adding a new condition to the trust’s licence to bring about the urgent improvements that are needed.”

Monitor’s notice of the additional licence condition also sets out what will happen if the board fails to comply, which would render it liable to further formal action. “This could include requiring the licensee to remove one or more of the directors or members of the council of governors and appoint interim directors or members; suspend one or more directors or members of the council of governors for a specified period; and/or disqualify one or more directors or members of the council of governors for a specified period. This could include also or instead action under sections 105 or 106 of the Act to impose discretionary requirements or accept undertakings. Monitor would also be able to take action under section 89 to revoke the licensee’s licence.”

Tell us what you think – have your say below or email [email protected]

(Image courtesy Alywn Ladell, used here under a Creative Commons licence)

Comments

Santa   17/09/2013 at 20:58

The Trust may do better if the senior management and directors focused more on the reasons for which they are employed, rather than their own internal battles for supremacy and mindless harassment of frontline clinical staff. It is unfortunate that senior management have absolutely no respect for clinicians or the work that they do and seem to believe these people are unnecessary to the care of patients.

Ex Governor   26/09/2013 at 19:04

There have been governance problems with this Trust for 'many' years. I resigned from the Governing body in 2010 for several reasons..... *One was the tragic death of a service user and the fact it could have been prevented as a patient had already alerted senior management about inadequate responses from the crisis team (in 2007) the patients concerns werent acted upon they were totally ignored. *Concerns about the attitude of some of the Trust's non executive directors- they were insufficiently challenging to the executive. *One of the Trust's non executive directors aggressively shouted me down at a Governors meeting when I raised the subject of performance managing staff using the CORE measurement tool. *The Trusts medical director and head of psychology had written discriminatory remarks about types of patients in a text book ('hateful patients' ,'dependent clingers','help rejecting complainers' etc) and when I showed the offensive and unfair references to a Non Exec Director he said.... "well they were writing for fellow professionals it wasnt meant to be seen by the patients" I regarded his attitude as unacceptable especially with regard to the fact the Trust was supposed to be leading 'Time For Change'. *The Board of Directors including the Non Executive Directors 'refused' to have a service user on their Board despite stating in their 'Guide to Services' that they had service user involvement at all levels in the Trust. Service user involvement at the Trust was virtually non existent. *The Council of Governors is an ineffective farce and nothing more than a talking shop. I was hopeful at first that there would be a cultural shift and the Trust would become increasingly 'patient led' however there was extremely strong resistance from both senior management and the non-executive directors- they were alarmingly complacent and dismissive. Most of the governors were non-committal and apathetic and not really sufficiently informed with regard to mental health and learning disability matters. Governor input wasnt regarded as serious or important- decisions had already been made and the governors were just there to rubberstamp them meetings were directed to pre-set conclusions.

Whistleblower   31/10/2013 at 16:06

I whistle blew to my detriment and the detriment of two other people after working for NHS Dorset. Someone was severely injured even though this person was known to be extremely dangerous and had murdered before. Now that person is in prison and the person he hurt has been severely harmed. I had my career destroyed by bullying, as there was a cover up over an inappropriate police check. It's a farce but I will keep fighting for remedy for the three of us so badly let down.

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