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Wye Valley NHS Trust has received a report by the Care Quality Commission (CQC) following an inspection it carried out in September last year.
The report acknowledges the commitment shown by staff to provide high quality services to ensure patients receive safe care and treatment - a value commented on by many of the patients interviewed as part of the inspection.
The majority of services areas are rated “good” for the compassionate care delivered, with adult community services rated “outstanding” in this domain.
The detail of the report paints a picture of an organisation on a journey of improvement and highlights areas where significant improvements have been made.
- Reporting of incidents when things go wrong
- The improved safety of patients in the Emergency Department
- Better engagement and communication with staff
“The report is a high quality piece of work which largely reflects where we’re at - an improving organisation,” said Richard Beeken, the Trust’s chief executive.
“But while the detail of the report highlights the many improvements we have made, the ratings given to some of our core services do not always reflect this.”
The overall rating given to the Trust is “inadequate”.
“This is disappointing, particularly for the many members of staff who have gone the extra mile regularly during the last year to improve our services to ensure they are of the quality we’d want for our relatives and friends.
“Nevertheless, the report gives a clear indication of areas where we still have work to do, and we have already begun a programme focusing on improvements in several key areas:
- Improving staff training in relation to children and adult safeguarding
- Becoming better at evidencing where we have learnt from mistakes
- Improving our processes for managing patients on our waiting lists
- Increasing the number of medical staff in our Emergency Department
“Notwithstanding the challenges ahead, I’m pleased to say that the many improvements made since our original CQC inspection in June 2014 have resulted in real and tangibly better services for our patients.”
- The opening of the new 16-bed Frailty Assessment Unit last month (the first increase in bed capacity at the hospital since it was opened in 2002)
- The successful recruitment of new consultants and acute physicians
- The introduction of a 2nd CT scanner in December
- Reduction in the number of falls and pressure ulcers suffered by patients (making the Trust one of the best in the West Midlands)
- One of the top five Trusts in England for keeping MRSA out of the hospital (more than 1,000 days free)
- Improvements in the number of staff undergoing mandatory training
- Significant increase in the number of incidents being reported (without an increase in actual harm) - evidence of an organisation with a culture of reporting incidents
- Intensive safeguarding training and awareness for staff introduced
- Redoubled efforts to recruit new staff - more than half of the Trust’s band 5 vacancies will be filled by the end of this financial year
- Improved induction process for agency nurses
- Improved processes for handling patients referred by GPs
- External review commissioned to explore how we learn from incidents and complaints to improve our ability to learn from such incidents
- Targeted recruitment of physicians and A&E consultants
- Major programme of service improvements between community services and local GPs
- Expansion of our virtual wards to cover the whole of the county
“These are the activities of an ambitious organisation seeking to improve the quality of its services. We’ve tackled many of the issues at the heart of the 2014 report head on. This new report articulates clearly that there have been improvements.
“We now need to build on these improvements. Importantly, we’re after sustainable improvements that are embedded into the culture of the organisation and our processes. We’re not after quick fixes that won’t last.
“It’s important to note that we provide safe care. The report is a snapshot from four months ago and significant improvements have been made since then, particularly in urgent and emergency care.
“We have a great team in place and a plan to make the changes we need to improve patient care.
“We’ve had good support from University Hospitals Birmingham NHS Foundation Trust during the last year. We’d like to thank them for the time and expertise they have shared with the Trust. This has helped bring focus to our activities.
“Our new ‘buddy’ organisation is South Warwickshire NHS Foundation Trust and we look forward to establishing new links as we move forward.”
Note to editor:
- Wye Valley NHS Trust is the provider health services across Herefordshire and beyond. The Trust exists to improve the wellbeing, independence and health of the people we serve. We are the leading provider of health care in Herefordshire.
- By working closely with our partners, we can make good our promise to deliver a quality of care we would want for ourselves, our families and our friends.
- With an estimated annual turnover of around £160 million, we employ around 2,700 plus staff. We aim to build new relationships between our staff, patients, service users and their carers with the wider community.
For further information please contact:
John Burnett, Communication and Engagement Manager, Wye Valley NHS Trust: 01432 372928 or Fiona Gurney, Communications Assistant 01432 355444 ext. 5105.