Two years ago, certain hospital trusts in the UK fell under suspicion of poor quality of care. Professor Sir Bruce Keogh, the Medical Director of NHS in England, picked out fourteen particular hospitals as outliers in terms of mortality rate.
Although mortality was the defining factor for inquiry, the actual review was based upon the quality of care and treatment in each hospital. This was evaluated in six key areas; patient experience, workforce, safety, leadership and governance, clinical and operational effectiveness, and of course mortality.
NHS blunders and medical negligence are more common that most people think and it’s important to know whether you may have been a victim of poor care at one of these hospitals – these are the eleven which were put under special measures.
UK Hospitals currently under the NHS ‘special measures scheme’ as at Feb 2015.
Tameside Hospital NHS Foundation Trust
Under the investigation, it was discovered that some patients had complained negligence at Tameside Hospital, particularly being left on trolleys, completely un-monitored for a significant period of time. It was also considered that there was a culture of overlooking sub-optimal care.
There was an insufficient amount of senior clinical cover, especially out of normal hours. The bed management was inadequate, and deteriorating patients were poorly managed.
In November of 2013 it was found that patient satisfaction had improved on the wards, although the casualty department had declined in standards.
North Cumbria University Hospitals NHS Trust
North Cumbria’s negligence was in the form of poor maintenance in two of its operating theatres; these were closed immediately. There were also shortfalls when it came to learning from serious incidents, poor levels of staffing and a worrying weakness in the control of infections, and in prevention practices.
Burton Hospitals NHS Foundation Trust
The issues at this hospital were particularly urgent. Staff had been found to be working twelve days concurrently and the medical equipment hadn’t been consistently safety checked. What was also concerning was that death certificates didn’t appear to be in line with the procedures set out by the Trust.
On top of this, the report found that the Burton Hospital negligence included a poor level of communication between the patients and staff. Additionally the trust’s quality objectives were not being carried out, and there were signs of escalation, delegation and other issues within the clinical practice.
Northern Lincolnshire and Goole Hospitals NHS Foundation Trust
The report was very concerned with the negligence at the Diana, Princess of Wales Hospital, especially in terms of its stroke services.
Additionally, one patient had been exposed in an inappropriate way in front of both female and male patients. It seemed as though the emphasis was not on quality of care, but on meeting financial and superficial targets.
United Lincolnshire Hospitals NHS Trust
The Keogh review discovered that at this hospital there was a lack of awareness around the issues of caring for patients with mental health needs, patient experience wasn’t a focus and the escalation procedure wasn’t regularly followed.
As in other hospitals there were issues of out of hours negligence at the United Lincolnshire Hospitals, including poor planning of the workforce and inadequate staff levels. Perhaps more worrying, concerns were raised about how “do not attempt resuscitation” forms had been completed.
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