CQC reports significant improvements at Barts Health
Every day, we treat over 6,000 patients across our hospitals, and we’re committed to ensuring that they all receive safe and compassionate care.
In 2015, we published an ambitious improvement plan to tackle issues identified by the Care Quality Commission.
After re-inspecting our hospitals, the Care Quality Commission has published reports on the quality of care. The reports show that we have made real improvements; the quality of the care we provide to our patients is getting better all the time.
Barts Health NHS Trust 2019 CQC report
Four years after the Care Quality Commission (CQC) put Barts Health into special measures, the care regulator has formally lifted the Trust out of special measures for quality, and rates the organisation as “Requires Improvement” overall.
The CQC noted improvements across the board at The Royal London, Whipps Cross and Newham hospitals, together with improvements in the leadership, governance and culture of the Trust as a whole. This is in addition to St Bartholomew’s “good” rating achieved in 2017.
- more than 35 examples of outstanding practice, including the specialist dental and children’s hospitals at The Royal London
- staff speaking of visible and engaging leaders at all levels, and an improved organisational culture
- better oversight of care quality across core services, significant investment in IT systems, improved data quality, and better engagement with patients
The findings means that two-thirds of all the core service areas ratings at Barts Health are now officially rated as good or outstanding.
Whipps Cross University Hospital
Our 2019 inspection
This inspection, carried out in September and October 2018, covered urgent and emergency services, medical care (including older people’s care), surgery, critical care, outpatients and diagnostic services.
Inspectors found improvements across our services and we now have over half of our individual ratings scored as ‘good’. Our overall hospital rating remains ‘requires improvement’.
During the inspection the CQC highlighted areas of outstanding practice:
- Critical care commended for positive and inclusive leadership skills
- Our frailty pathway reflected best practice in older people’s services and had significantly improved the care and experience of patients.
- Our frail elderly unit had gone over a year without a pressure ulcer.
- Significantly improved information standards and accessibility for patients, including a specialist website that enables patients with physical disabilities to plan their visit in advance based on step-free access needs and our own website which can be translated instantly into 100 different languages.
- Staff within the pre-assessment unit researched the needs of patients living with a learning disability to provide more tailored support when undergoing surgery.
- We introduced a ground-breaking walk-in clinic for survivors of female genital mutilation (FGM).
- Allied health professionals were working with a gender identity clinic to deliver transgender support work
Our 2018 inspection
Following an unannounced inspection of surgical care at Whipps Cross in April 2018, the CQC has improved its rating from ‘Inadequate’ to ‘Requires Improvement’.
The improvement means that no services are any longer rated ‘Inadequate’ overall across the whole of Whipps Cross Hospital.
During the April inspection the CQC recognised:
- All patients said that they were treated with dignity and respect
- Staff treated patients with compassion and demonstrated a genuinely kind and caring attitude, even when busy and under pressure
- Significant improvement in infection control and cleanliness in theatres - with 15 of 16 staff groups achieving 100% compliance in training to prevent and control infection
- 90 per cent of patients were either extremely satisfied or satisfied with their pain management.
Our 2017 inspection
Two years after first raising concerns about standards at Whipps Cross, the Care Quality Commission has recognised that staff have made substantial improvements to the quality of patient care.
Following a series of inspections, the CQC has raised the official rating for Whipps Cross to “requires improvement”.
The inspection in May 2017 looked at outpatients and diagnostics, surgery and end of life care services, and all three were rated “good” for caring.
The inspectors reported that most patients were positive about their experience of care, and described staff as kind and compassionate. Staff interviewed described their team as ‘one big extended family'.
Our 2016 inspection
- One-third of the individual CQC ratings are now good and more than half have improved their rating.
- Services for children and young people improved from Inadequate to Good
- Urgent and emergency services improved from Inadequate to Requires Improvement
- Medical care improved from Inadequate to Requires Improvement
- Maternity and gynaecology improved from Requires Improvement to Good
- End of life care improved from Inadequate to Requires Improvement
The CQC maintained the overall rating of Whipps Cross Hospital as inadequate, but inspectors recognised the significant improvement since their last visit with one-third of the individual ratings classified as “good”. More than half of the individual CQC ratings have improved since the last visit in 2014.
The Royal London Hospital
Our 2019 inspection
The Royal London Hospital saw improvements across the services inspected. The CQC highlighted 17 areas of ‘outstanding’ practice identified from their inspections. The CQC rated the hospital ‘good’ in the effective and caring domains, and ‘requires improvement’ in the safe, responsive and well-led domains.
The hospital’s emergency care, surgery, children’s services and dental hospital received an overall rating of ‘good’. Outpatients and medical (including older people’s care) received an overall rating of ‘requires improvement’.
There’s a lot to be proud of:
- Patients and their relatives described staff as kind and friendly, that they staff included them in their care, and explained things clearly.
- The innovative approach of our teams, including robotic surgery, trauma and specialist burns.
- The Ambrose King unit clinic for survivors of childhood abuse.
- The innovative treatment at the dental hospital, especially in relation to work on Behcet’s disease.
- The CQC observed nursing, medical, healthcare assistant and allied health staff provide compassionate and considerate care.
- The CQC highlighted the effective governance procedures and leadership structure in place to support the delivery of services.
- Improvements to our work culture, including staff describing their environment as a culture where staff feel recognised and are encouraged to report incidents and learn from them.
- Children’s services were highlighted by the CQC as having an improved, values-based culture and taking account of the individual needs of children and young people.
- Outpatients has managed to maintain their position despite significant changes. Staff confirmed that the leadership support within the non-clinical teams and clinical teams had improved and the structure was clear.
Our 2017 inspection
Following an unannounced inspection in June 2017, the CQC raised the overall rating for maternity from 'inadequate' to 'requires improvement', while highlighting two areas of outstanding practice.
Our 2016 inspection
After re-inspecting The Royal London in July 2016, the Care Quality Commission published separate reports on the quality of care.
The report shows that we have made real improvements; the quality of the care we provide to our patients is getting better all the time.
- Overall our hospital improved from Inadequate to Requires Improvement
- Critical care scored Outstanding for the ‘caring’ domain and retained its Good rating overall
- Surgery improved from Inadequate to Requires Improvement
- Services for children and young people moved from Inadequate to Requires Improvement
- End of life care moved from Inadequate to Requires Improvement
St Bartholomew's Hospital
Our 2017 inspection
Following a visit in May 2017, CQC inspectors have given a 'good' rating in all hospital areas; medical care; surgery; critical care; outpatients and diagnostic imaging.
The hospital also achieved an ‘outstanding’ rating in the Well Led domain, with inspectors praising nursing and clinical leadership and reporting a positive and collaborative culture.
The CQC also saw evidence of outstanding practice, including providing early access to cancer medications through 'practice-changing' research trials.
Newham University Hospital
Our 2019 report
Newham University Hospital has made some significant improvements since the last report of 2016.
Following the Care Quality Commission’s inspection of our urgent and emergency services, medical care (including older people’s care), maternity, critical care, services for children and young people, end of life care, outpatients and diagnostic services in September 2018, the hospital’s overall rating remains at ‘requires improvement.’
The safe, effective, responsive and well-led domains are also at ‘requires improvement.’ The caring domain is rated as ‘good’ overall.
Our urgent and emergency, surgery and children and young people’s services achieved an overall rating of ‘good,’ while medical care (including older people’s services), critical care, end of life care, outpatients and diagnostic imaging were rated as ‘requires improvement.’
Our maternity service was rated ‘inadequate’ in September 2018 and was issued a warning notice in October 2018. We responded immediately by putting in place a five week improvement plan and bringing in significant leadership alterations. The CQC acknowledged in this report that since carrying out a further inspection it was confident that we had made the necessary changes to ensure that the service we are offering to our women and babies is safe.
The CQC recognised a number of improvements:
- 11 areas of outstanding practice were noted.
- Our Diabetes team has won awards for increasing patient attendance rates and preventing inpatient admissions.
- Our emergency department performs better than the England average for the four hour target and is the best performing emergency department in the Trust.
- The proportion of women who have their baby under midwifery-led care is 25 per cent, which is above the national average and ensures that our women have a less invasive birth and recover quicker.
- We’re taking sepsis seriously by establishing a local multidisciplinary sepsis team
- Our children’s and young people’s service has developed a training package called ‘We Can Talk’ to equip clinicians with the skills to support our young patients in mental health crisis when they are receiving urgent medical treatment.
Our 2017 inspection of maternity services
After re-inspection Newham in July 2017 to speak to women and staff about the quality of care provided in maternity and gynaecology, the CQC has now upgraded its rating from ‘Inadequate’ to ‘Requires Improvement’.
The CQC reported that processes are now in place to manage risk and that staff told them improvements have been made.
Inspectors also praised leadership as being more visible with regular visits made to the maternity and gynaecology units, where more than 6,500 babies are delivered each year.
Our 2016 inspection
After re-inspecting Newham in November 2016, the Care Quality Commission published a report on the quality of care.
The report presents the findings of the re-inspections, and represent an important milestone on our improvement journey to deliver safe and compassionate care.
The report shows that we have made real improvements at Newham; the quality of the care we provide to our patients is getting better all the time.
- The overall rating for the hospital has improved from Inadequate to Requires Improvement
- More than a third of the individual CQC ratings for Newham Hospital are now Good
- Medical care – including older people’s care – has improved from Inadequate to Good
- Surgery has improved from Requires Improvement to Good
- End of life care has improved from Inadequate to Requires Improvement