1. ITV Report

Hospitals in Hampshire told that they must improve

England's Chief Inspector of Hospitals has called for improvements at Hampshire Hospitals NHS Foundation Trust following an inspection by the Care Quality Commission.

A team of CQC inspectors visited Basingstoke and North Hampshire Hospital in Basingstoke, the Royal Hampshire County Hospital in Winchester, and Andover War Memorial Hospital in June and July 2018 to check the quality of three core services: urgent and emergency care, medical care and surgery. CQC also looked specifically at management and leadership to answer the key question: Is the trust well led?

As a result of this inspection the trust has now been rated 'Requires Improvement' overall. For caring the trust was rated as 'Good'. For safety, effectiveness, responsiveness and well led it was rated as 'Requires Improvement'.

Following the inspection, CQC used its urgent enforcement powers to impose six conditions on the trust's registration:

  • There must be an effective system in place to assess and monitor the ongoing care and treatment to patients while in the emergency department.
  • The trust must ensure that there are enough suitably qualified staff on duty in the emergency department at all times to care for children.
  • The provider must ensure that children and young people are cared for in an environment which is tailored to meet and protect their needs.
  • The trust must ensure at least one member of staff is available each shift who is trained in advanced paediatric life support.
  • The trust must ensure that there are enough qualified, skilled and experienced staff deployed throughout the emergency department. The staffing levels and deployment of staff must be reviewed and adapted as required at regular intervals throughout the day.
  • The trust must submit a report to CQC which demonstrates the actions taken to ensure that the conditions listed above are complied.

Watch this report by Mary Stanley

I am glad that the inspectors recognised the dedication and compassion of our staff. I see this around our hospitals every day. However, it is disappointing that there are a number of areas where our services are not consistently at the standard we would want for our patients. We take the safety of our patients and their care very seriously and we have already made changes responding to the conditions highlighted by the inspectors and have further improvements planned. We will continue to work tirelessly to put patient care and safety at the heart of everything we do.

We have already changed the emergency department layout so that patients waiting are more visible to clinical teams, and can be more easily observed. We have also increased the frequency of checks on patients so that we can pick up more quickly when they are becoming poorly. In Andover, we have moved to separate surgical lists for men and women so they are not in the same space at the same time, to ensure that we are doing all we can to protect patient dignity.

We recognise we have problems with our ageing buildings and this has been thrown most sharply into focus in our emergency departments where we have seen a 25% increase in attendances in recent years. We are delighted to have secured £4 million in capital funding from the government to help further improve the layout of our emergency departments and acute assessment units and increase their capacity. We know we are looking after more elderly frail people who are sicker and hence need to be admitted and this has had an impact across the whole Trust.

We absolutely strive to do our best for each and every one of our patients, but we know that we need to do even better. Our focus has always been on providing outstanding care, and that is true now more than ever.

– Alex Whitfield, Chief Executive, Hampshire Hospitals NHS Foundation Trust