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CQC raises Isle of Wight NHS Trust's rating

St Mary's Hospital in Newport on the Isle of Wight Photo:

The health regulator has raised the overall rating for the Isle of Wight NHS Health Trust from 'Inadequate' to 'Requires Improvement' following an inspection during May and June 2019.

The trust is a 'combined trust' meaning it runs a number of health services including acute care, community services, mental health services and ambulance services.

Inspectors from the Care Quality Commission (CQC) visited the trust between 14th May and 20th June. They examined the trust's mental health. community, ambulance and primary care services (NHS 111 and urgent care services). They also looked at five of the trust's acute core services - urgent and emergency care, surgery, gynaecology, medicine and end of life care. The CQC inspectors had an additional task - to monitor whether the trust was well led.

The trust's ambulance services were rated as Requires improvement overall.

The previous inspection in early 2018 found the trust inadequate and called for improvements. The inspections this year found many of the changes had been made, but there were still areas which needed to become better.

The Isle of Wight NHS Trust was rated as Requires Improvement for whether its services are safe, effective and responsive and well led. It is rated as Good for whether services are caring.

The other types of service were rated as below:

  • Acute services were rated as Requires Improvement overall. This was an improvement since the last inspection. They were also rated as Good for being caring.
  • Community services were rated as Good overall, this was an improvement from the last inspection.
  • Mental Health services remained as Inadequate.
  • Ambulance services were rated as Requires improvement overall.
  • The NHS 111 and Out of Hours services were both rated as Good
The CQC ratings range from inadequate to outstanding Credit: Care Quality Commission website

The CQC had this to say about the recent inspection of the Isle of Wight NHS Health Trust:

“At this return visit to the Isle of Wight NHS Trust we found a number of improvements had been made. However, there are areas where further work is needed and the trust must ensure it continues to make changes that will lead to sustainable improvements, so that people receive the care they should be able to expect.

“Although there has been progress in addressing some of the immediate issues, we felt that it is still too early to judge their effectiveness and for that reason I believe the trust should remain in special measures for now.

“In particular, the trust needed to ensure there were sufficient and suitably qualified staff available and that systems to guard against risks were fully embedded to ensure patients were protected from avoidable harm.

“Since our last inspection in January 2018 the trust had formed an experienced leadership team with the skills, abilities, and commitment for the potential to provide high-quality services. The culture at the trust had been improved.

“We have given our feedback to the trust and we will return to carry out further inspections to check on its progress with improvement.”

– Dr Nigel Acheson, CQC’s Deputy Chief Inspector of Hospitals

The Isle of Wight NHS Trust has welcomed the improvement in its rating.

Alice Webster, Director of nursing, midwifery, allied health professionals and community services spoke to ITV Meridian and said that the trust will continue to make changes. She acknowledged that there was more to do and said that the trust will carry on working on issues such as its structures, staff training, recruitment and retention.

The trust covers a population of about 140,000 people