England’s Chief Inspector of Hospitals has told Bradford Teaching Hospitals NHS Foundation Trust that it must make improvements following an inspection by the Care Quality Commission
The trust was last inspected in January 2016 when it was rated as Requires Improvement. At this inspection the trust’s overall rating remained the same. For safety, responsiveness and effectiveness the organisation was rated Requires Improvement and for caring and well-led, the rating was Good.
The acute services are provided in main two hospitals, Bradford Royal Infirmary and St Luke’s Hospital. The community health inpatient services in Bradford are provided in three community hospitals - Westwood Park, Eccleshill and Westbourne Green.
Between 9 and 11 January 2018, CQC inspected the urgent and emergency, medical, surgical and maternity services, as part of CQC’s continual check on the safety and quality of healthcare services.
At trust level the rating for effectiveness went down from Good to Requires Improvement. This was partly due to the sepsis audit indicator, in the emergency department. Only 16% of patients received antibiotics within one hour against a national average of 44%. However the inspection team could see that action was being taken to improve, with staff training and updated sepsis guidelines.
The trust rating for well-led improved from Requires Improvement to Good. Strong local leadership was clearly reinforced by the trust vision and values cascaded to staff who were motivated and focused on teamwork.
Within emergency services at Bradford Royal Infirmary performance improved from Requires Improvement to Good. At the previous 2016 inspection, CQC had raised concerns including infection prevention and control and waiting times for patients. There was now a new emergency department that had addressed CQC’s concerns about the limitations of the previous department’s facilities.
Professor Ted Baker, the Chief Inspector of Hospitals, said:
“Although the overall rating for Bradford Teaching Hospitals NHS Foundation Trust remains Requires Improvement, I am pleased to report that we found real improvement in a number of areas.
“I was encouraged to see that there was a positive culture across the trust, reflected by our improved rating for well led. I particularly note the work to ensure that strategic objectives and vision are shared with the staff, who told us they feel appreciated and valued as a result.
“Bradford Teaching Hospitals NHS Foundation Trust has been performing very well in respect of delayed transfers of care. They were consistently under 2% between October 2017 and March 2018. This was better than the national target of 3.5%.
“The trust must focus their efforts on those areas where we have identified the need for further improvement. In particular we found that compliance with mandatory training was variable, and infection prevention and control was not being consistently collected for audit.
“We will continue to monitor the service closely and return in the future to check on the trust’s progress.”
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I was encouraged to see that there was a positive culture across the trust
Professor Ted Baker, Chief Inspector of Hospitals