The Care Quality Commission (CQC) has told North Cumbria Integrated Care NHS Foundation Trust (NCIC) that it must make immediate improvements to keep people safe following inspections in August and September.
CQC carried out these responsive, focused inspections, due to monitoring work revealing emerging concerns about risks to patient and staff safety.
CQC inspected to assess the safety and responsiveness of emergency and urgent care, medicine, end of life care and community adults’ services.
NCIC was newly formed in October 2019 as a result of the acquisition of North Cumbria University Hospitals Trust by Cumbria Partnership Foundation Trust. As this was a focused inspection, we didn’t inspect enough areas to change any ratings, therefore the previous overall trust rating of Requires Improvement from when they were a different legal entity remains.
Professor Ted Baker, Chief Inspector of Hospitals said:
“People using the services at North Cumbria Integrated Care NHS Foundation Trust are entitled to safe and responsive care.
“We inspected as there were escalating numbers of concerns and some evidence of harm that required intervention in order to keep both patients and staff safe.
“We have issued the trust with a warning notice, for Cumberland Infirmary and West Cumberland Hospital because we need to see rapid improvements to protect people from the risk of harm.
“The trust has been very responsive to our improvement requirements and I feel assured that they are taking steps to address these issues, working closely with NHS England and NHS Improvement.
“However, it is also clear that there are several factors within the local health and social care system that are impacting on this trust from improving as quickly as we want them to.
“There are blockages within the system in North Cumbria, especially when it comes to discharging people who no longer need acute care. The wider system in North Cumbria has a responsibility to work with the trust in this area, as they cannot solve this problem alone.
“We hope that our report is used a springboard for this purpose.”
Following these inspections, the trust was served with a warning notice for two of the trust’s locations, Cumberland Infirmary, Carlisle and West Cumberland Hospital, Whitehaven.
The warning notice requires the trust to take action to minimise the risk of patients being exposed to harm as:
- Patients in the emergency department and in ward areas at Cumberland Infirmary were not always receiving timely and appropriate care and treatment.
- Delayed transfers of care regarding patients admitted from the emergency department has resulted in significant delays in admitting patients onto wards.
- There was evidence of insufficient numbers of suitably qualified, skilled, competent and experienced clinical staff to meet the needs of patients.
- There wasn’t an effective system to mitigate risks, including infection and prevention control in the emergency department escalation areas and on some medical wards.
A full report detailing the findings from CQC’s focused inspection can be found on the CQC website here.
Ends
For further information please contact CQC Regional Engagement Manager, David Fryer; david.fryer@cqc.org.uk, 07835 373965 or Kerri James, Regional Engagement Lead; kerri.james@cqc.org.uk or 07464 92 9966. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here (Please note: the duty press officer is unable to advise members of the public on health or social care matters).
For general enquiries, please call 03000 61 61 61.