Buckinghamshire Healthcare NHS Trust's response to Sir Bruce Keogh’s review into the quality of its care and treatment.
Dr Peter Green, Chief Clinical Officer, NHS Medway Clinical Commissioning Group, responds to today's publication of the Keogh report.
Thousands more patients may have died than would be expected at 14 trusts investigated over high death rates, the Health Secretary has said.
The Health Secretary has posted a tweet admitting things had "gone wrong" in the NHS, but he proclaimed that "transparency is disinfectant" after 11 hospitals were placed under "special measures" management:
Watershed day. Hard for Health Sec to admit things go wrong, but I'm determined to see poor care rooted out. Transparency is disinfectant.
- The Trust has an SHMI of 112 compared to a level of 92 for elective admissions.
- 92.3% of patients attended A&E within 4 hours in 2012- below the 95% target level.
- 66 out of 144 (46%) individual comments received on the patient voice helpline were negative.
- Frequent bed moves for inpatients.
- Inappropriate discharge arrangements
- Examples of a lack of compassion from some staff
- PALS appearing to serve the hospital rather than the patient.
- An absence of organisational stability and frequent external reviews have led to a lack of clear prioritisation on improvement plans.
- There is a lack of clarity of governance.
- A focus on quality is still being developed.
- There is a gap between ward level and Board level in terms of understanding of quality governance arrangements.
High mortality, poor infection control and concerns over clinical leadership have been attributed to Basildon and Thurrock Hospital Trust's "fundamental breach of care" today.
According to Sir Bruce Keogh's report:
The Trust has an overall SHMI of 112 for the last twelve months, meaning that the number of actual deaths is higher than the expected level.
The Trust was deemed to be in significant breach by Monitor in 2009 as a result of concerns raised by the Care Quality Commission (CQC).
These concerns included high mortality indicators, poor infection control and concerns regarding clinical leadership. Since this period the Trust continues to have a 'red' governance rating.
Shadow health secretary Andy Burnham told the House of Commons that Basildon Hospital Trust has cut 345 nursing posts, as Health Secretary Jeremy Hunt announced that the trust would be put under special measures for "fundamental breaches of care".
Health Secretary Jeremy Hunt said the review had found the NHS's reputation mattered more than individual patients and targets mattered more than people.
We owe it to the 3 million who use the NHS every week to tackle and confront abuse, incompetence and weak leadership head-on.
No statistics are perfect but mortality rates suggest since 2005 thousands more people may have died than would normally be expected at the 14 trusts reviewed by Sir Bruce.
Worryingly in half of those trusts the CQC (Care Quality Commission), the regulator specifically responsible for patient safety and care, failed to spot any real cause for concern rating them as compliant with basic standards.
Alarming death rates and grave medical errors have been highlighted in a damning report today into three hospital trusts in our region.
Buckinghamshire Healthcare NHS Trust - which includes Stoke Mandaville Hospital - recorded 309 more deaths than expected last year.
Medway and Basildon and Thurrock University Hospitals also had worryingly high death rates.
All three hospitals are now under special measures with Government teams to be brought in to oversee their management.
Medway had an excess of 232 with Basildon and Thurrock recording 188 more deaths than expected last year. There is also concern about staffing, nursing standards, care of dementia patients and infection control.
In the last hour the Health Secretary Jeremy Hunt has said all the Trusts will be re-inspected within the next year.
Health Secretary Jeremy Hunt has admitted that "honest mistakes" were made in NHS treatment and that the Government were "going to put (the mistakes) right".
Sir Bruce Keogh's report into higher than expected death rates at 14 hospital trusts found serious failings and examples of poor care, specific examples included:
- Patients being left on trolleys, unmonitored for excessive periods and then being talked down to by consultants
- Poor maintenance in operating theatres, potentially putting patients in danger
- Patients often being moved repeatedly between wards without being told why;
- Staff working for 12 days in a row without a break
- Blood being taken from patients in full view of the rest of the ward
- Low levels of clinical cover – especially out of hours.