Care Quality Commission | July 2018 | Radiology review
A new report from the Care Quality Commission (CQC) sets out what the CQC found in their review of NHS radiology services in England. It calls for action to address reporting delays and keep people safe from harm.
What the CQC did:
To explore the extent of the problem we:
asked all NHS acute and community trusts to send us information about their reporting between August 2017 and October 2017
chose 30 trusts and looked in detail at their number of unreported images.
What they found:
The timescales for reporting on radiology examinations, and arrangements for monitoring and managing backlogs, vary widely between trusts.
There are few national standards that trusts can benchmark themselves against. This means they are not always clear what good looks like.
Even trusts that were monitoring their performance did not always report on time.
We found issues with staffing, including an average vacancy rate of 14% across trusts that responded. This supports existing evidence about the national difficulties in recruiting and retaining radiologists.
These issues call for local and national action, and public bodies will have to work together to address them.
NHS trust boards should make sure:
they have effective oversight of radiology backlogs
they assess and manage risks to patients
they make good use of staffing and other resources to ensure timely reporting.
The National Imaging Optimisation Delivery Board should set out national standards for report turnaround times.
The Royal College of Radiologists and the Society and College of Radiographers should develop clear frameworks to help trusts manage turnaround times safely (Full details from CQC).
The full review, Radiology review: a national review of radiology reporting within the NHS in England, can be read at CQC
Public Health England | July 2018 | Learning disabilities and CQC inspection reports
People with learning disabilities are at risk of poor health and premature death. Consistent with their legal duties under the Equality Act (2010), NHS trusts are required to make reasonable adjustments to their care, such as longer appointment times, to tackle the health inequalities experienced by people with learning disabilities. Public sector organisations have a legal duty to ‘anticipate’ difficulties prior to their occurrence and not wait until they emerge.
A new report from Public Health England-Learning disabilities and CQC inspection reports- investigates the extent to which health care for people with learning disabilities is mentioned within CQC inspection reports of 30 general acute hospitals trusts conducted using the specific learning disability questions. Specific questions addressed in this report are:
do CQC inspection reports mention people with learning disabilities?
where issues concerning people with learning disabilities are reported in CQC hospital inspection reports, what issues and reasonable adjustments are reported?
are there any relationships between comments made in the inspection reports and CQC ratings of the Trusts? (Source: PHE)
Care Quality Commission | June 2018 | 2017 Adult Inpatient Survey
The Care Quality Commission (CQC) has recently published the 2017 Adult Inpatient Survey. Their results from the 2017 inpatient survey, compared with results from surveys dating back to 2009, show gradual improvements in a number of areas. This includes patients’ perceptions of:
the quality of communication between themselves and medical professionals (doctors and nurses)
the quality of information about operations or procedures
privacy when discussing their condition
quality of food
cleanliness of their room or ward
However, the results also indicate that responses to some questions are less positive or have not improved over time. This includes patients’ perceptions of:
noise at night from other patients
emotional support from staff during their hospital stay
information on new medications prescribed while in hospital
the quality of preparation and information for leaving hospital
Certain groups of patients consistently reported poorer experiences of their time in hospital, including:
Care Quality Commission | July 2018 | Learning from Never Events
Never Events are serious, largely preventable safety incidents that should not occur if the available preventative measures are implemented. They include things like wrong site surgery or foreign objects left in a person’s body after an operation. Whilst they are rare – 469 cases have been provisionally reported between April 2017 and March 2018 – incidents can have devastating consequences for the patient, their family and the NHS.
The Care Quality Commission were asked to carry out a review of the issues that contribute to the occurrence of ‘Never Events’ in NHS trusts in England.
A full report is due to be published later in the year, but this publication provides an update on CQC’s progress into how into how organisations can reduce the risk of Never Events (Source: CQC).
Learning from Never Events : July 2018 update) is here
Care Quality Commission | July 2018 | Beyond barriers: How older people move between health and social care in England
Care Quality Commission (CQC) latest report brings together key findings and recommendations for change following the completion of 20 local authority area reviews exploring how older people move between health and adult social care services in England.
‘Beyond Barriers’ highlights some examples of health and care organisations working well together – and of individuals working across organisations to provide high quality care. But the reviews also found too much ineffective co-ordination of health and care services, leading to fragmented care. This was reinforced by funding, commissioning, performance management and regulation that encouraged organisations to focus on individual performance rather than on positive outcomes for people (Source: CQC).
This report presents findings from the Care Quality Commission’s programme of comprehensive inspections of urgent care centres, NHS 111 services and GP out-of-hours services.
Urgent primary care services play a vital role in England’s healthcare system. They are the first step to ensure that people are seen by the professional best suited to deliver the right care and in the most appropriate setting. A quick, safe and effective response from these services provides a good outcome for patients and takes pressure off other parts of the urgent care system.
This report presents some common themes and characteristics that the Care Quality Commission (CQC) have found from their inspections.
The report found:
Urgent care services are an essential part of the healthcare system, particularly in taking pressure off other parts of the NHS at times of peak demand.
Urgent primary care services have been able to improve. Overall, the quality is good – although one in 10 services still require some improvement, particularly in initial assessment of people and timeliness of response to urgent needs.
Urgent care providers face pressures with staffing and workforce planning. This is compounded by the reality of unsocial working hours and high reliance on self-employed clinicians
Many providers experience difficulties in accessing people’s medical records.
NHS 111 in particular has the potential to take pressure off the NHS – and provide a better experience for people by giving advice and treatment in one place. However, to achieve this it must be adequately resourced. Commissioners need to support providers, take action if they are not meeting their contracts and integrate services more closely.
Many people are not aware of the range of urgent care services available. There is a need for more public information – and consistency of service provision.
Young people and those with mental health problems experience a poorer than average inpatient experience, new data shows | Adult inpatient survey 2017 | Care Quality Commission | via OnMedica
The majority of people who stayed as an inpatient in hospital were happy with the care they received, had confidence in the doctors and nurses treating them and had a better overall experience, according to a national survey from the Care Quality Commission (CQC).
However, for a second year running, responses were less positive across most areas for patients with a mental health condition. Those with mental health conditions said they had less confidence and trust in hospital staff, thought they were treated with less respect and dignity and felt less informed about their care. These patients gave lower than average scores in relation to whether their needs, values and preferences were fully considered, and for the quality of the coordination and integration of their care.
The survey asked people to give their opinions on the care they received, including quality of information and communication with staff, whether they were given enough privacy, the amount of support given to help them eat and drink and assist with personal hygiene, and on their discharge arrangements.