Improved CQC rating for Broomfield Hospital

17th December 2016

Trust receives a ‘good’ rating from the Care Quality Commission (CQC)

We have received a ‘good’ rating following the Care Quality Commission (CQC) inspection in June.

Congratulations to all staff for working consistently and collaboratively to make the changes in response to the ‘requires improvement’ overall rating which was in place after inspection in November and December 2014.

The CQC rated our Trust as ‘good’ for being effective, caring, responsive and well-led, and ‘requires improvement’ for being safe following re-inspection of Broomfield Hospital from June 14-16 this year and an unannounced inspection on June 30.

CQC’s Chief Inspector of Hospitals, Professor Sir Mike Richards, said: “Our inspectors found a number of improvements had been made at Mid Essex Hospital Services NHS Trust since our last inspection.

“The leadership of the interim chief executive has driven significant improvements at the Trust and this was evident during our inspection. She was well known, approachable and visible to all staff.

“The Trust has moved from a culture of blame, with staff not feeling supported or listened to, to one of openness and transparency. The previous culture of fear had been dispelled and staff now felt empowered to perform well across all services.

“Our inspectors observed that staff consistently acted in a friendly and caring manner with people who used the service and those close to them.

“We were particularly impressed with the Trust’s burns service where we witnessed extremely good care. The service had innovative developments and plans and outcomes for patients with serious burns were comparably amongst the best in the world and were consistently exceptional.

“The Trust should be proud of the progress made and it knows what it needs to ensure the necessary improvements are made which we will check on when we next inspect.”

The inspectors noted a number of areas of outstanding service practice across the Trust, including:

  • They described the ‘trigger and response team’ as an exceptional team supporting acutely unwell patients throughout the hospital and saw that they were recognised throughout the hospital as being very responsive.
  • They highlighted that the Trust’s upper gastro-intestinal (UGI) surgery department is internationally recognised and has recently introduced leading edge robotic technology.
  • They detailed that the burns and plastics services are extremely good and ensure that service users are involved and central to the innovation in services. They noted that the directorate have recently introduced an electronic live trauma database which means that staff have up-to-date information about the trauma service. They outlined in the report that the outcomes for patients with serious burns are comparable among the best in the world and are consistently exceptional.
  • They commented on the dedicated ‘birth reflections’ clinic, which helps women who feel that they have not experienced the birth that they had planned for, or felt levels of anxiety or stress which related to the birth experience.
  • They described the mortuary team as innovative and passionate about providing a good patient experience at the end of life.

There were some areas where the CQC requires us to undertake improvements, including:

  • Patient records in the orthopaedic clinic must be stored securely.
  • The Trust must ensure that rapid discharge of patients at the end of their life is monitored, targeted and managed appropriately.
  • Medication, specifically paracetamol, must be prescribed clearly including the route of administration. The provider must also ensure that patient’s weight is recorded for patient’s prescribed VTE prophylaxis and follow the National Institute of Health and Clinical Excellence (NICE) guidelines.
  • Staff must be provided with appraisals that are valuable and benefit development.

Clare Panniker, Chief Executive said: “Moving the Trust from ‘requires improvement’ to ‘good’ required enormous commitment, focus and excellent leadership and I would like to thank Cathy Geddes and her team for  providing the right environment in which all staff could make this happen.”

Cathy Geddes, Chief Nurse, said: “I am delighted to announce that the hard work of all staff across the Trust over the last two years has resulted in this excellent achievement.

“I would like to personally thank all of you for your dedication to improve the service we provide to our patients. There is still work to do in some areas, we know that and work has already started to bring about the necessary improvements in these areas, but let’s take a little time to reflect on the brilliant achievement of moving the Trust from ‘requires improvement’ to ‘good’. ”

The full report has been published on the CQC’s website, which you can access via the following link:

Kind regards,

Lauren Nash

Communications Officer

Communications Department
Mid Essex Hospital Services NHS Trust