3.30pm More findings from the CQC inpatient survey.
Overall experience
Significantly worse than average.
- Bradford Teaching Hospitals NHS Foundation Trust
- The Hillingdon Hospitals NHS Foundation Trust
- Heatherwood and Wexham Park Hospitals NHS Foundation Trust
- Barking, Havering and Redbridge University Hospitals NHS Trust
- Croydon Health Services NHS Trust
- Tameside Hospital NHS Foundation Trust
- Medway NHS Foundation Trust
- South London Healthcare NHS Trust
Significantly better than average.
- Liverpool Heart and Chest NHS Foundation Trust
- The Christie NHS Foundation Trust
- The Clatterbridge Cancer Centre NHS Foundation Trust
- The Walton Centre NHS Foundation Trust
- Papworth Hospital NHS Foundation Trust
- Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
- Birmingham Women’s NHS Foundation Trust
- Queen Victoria Hospital NHS Foundation Trust
- The Royal Marsden NHS Foundation Trust
- The Royal Orthopaedic Hospital NHS Foundation Trust
- Royal Brompton and Harefield NHS Foundation Trust
- The Newcastle-upon-Tyne Hospitals NHS Foundation Trust
3.14pm The Care Quality Commission has put out the results of its inpatient survey. HSJ’s acute sector reporter Ben Clover tweets: “Still going through the latest CQC inpatient survey: Broadly, London and the south come off badly, north and specialist trusts rated highly”.
Ben says the defining part of the survey, in terms of outliers, is the following passage:
Overall, did you feel you were treated with respect and dignity while you were in the hospital?
Significantly worse than average
- Heatherwood and Wexham Park Hospitals NHS Foundation Trust
- Barking, Havering and Redbridge University Hospitals NHS Trust
- Croydon Health Services NHS Trust
- Tameside Hospital NHS Foundation Trust
- Medway NHS Foundation Trust
- South London Healthcare NHS Trust
Significantly better than average.
- Royal National Hospital for Rheumatic Diseases NHS Foundation Trust
- Liverpool Heart and Chest NHS Foundation Trust
- The Christie NHS Foundation Trust
- The Clatterbridge Cancer Centre NHS Foundation Trust
- The Walton Centre NHS Foundation Trust
- Papworth Hospital NHS Foundation Trust
- Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
- Queen Victoria Hospital NHS Foundation Trust
- The Royal Marsden NHS Foundation Trust
- Royal Brompton and Harefield NHS Foundation Trust
- The Newcastle-upon-Tyne Hospitals NHS Foundation Trust
See the document attached on the right hand side of this story for more findings.
2.39pm Fifty three cancer treatments, previously funded through the cancer drugs fund, are to be funded through routine commissioning, NHS England has said.
Mike Birtwistle of MHP Health Mandate tweets that NHS England have published a “clarification” on the subject in the form of a letter to local area teams.
1.00pm Early HSJ reader comments on today’s story about NHS England leading reconfiguration have been quite positive.
Bill McCarthy’s plan is a “very welcome development and indeed”, according to one commenter. “It’s been glaringly obvious for years that this is the only sensible way to go”, added another.
Medeanalytics comments: Coordinating plans makes sense… but like many NHS England intiatives it seems the legislation is ignored in favour of central power retention to control all.”
12.48pm HSJ has just uploaded a new podcast, featuring two of the biggest names in health policy.
12.36pm HSJ’s Twitter chat on trust mergers is now underway. Join in at #hsjmerger
12.10pm If you’re on Twitter, HSJ will be hosting a discussion at 12.30pm today on the subject of NHS trust mergers.
It follows Sarah Calkin’s last HSJ Local Briefing about the Bournemouth and Poole merger. Swot up here.
To talk mergers on Twitter, use the hashtag #hsjmerger.
12.05pm The House of Commons health select committee has announced today it is to conduct an inquiry into emergency services.
A release put out by the committee says:
“NHS emergency services are under growing pressure as demand rises and resource pressure grows. These trends, coupled with claims about the improved outcomes which can be achieved by specialist trauma centres, raise important questions about the future shape of community and primary care services, ambulance services and hospital A&E departments, and on the relationships between them. As a result the NHS Commissioning Board (NHS England) is reviewing the future configuration of urgent and emergency services in England.
The committee seeks comments on the following:
- The role of community and primary care services in the delivery of emergency healthcare, and the appropriate structure for service delivery to meet the demands of different geographic areas particularly sparsely populated rural areas
- Progress towards moving some minor injury and urgent care services out of A&E and into more accessible community settings
- The range, severity and incidence of conditions that can be treated within an accident and emergency unit but not managed at an urgent care centre
- The prospects for better integration of ambulance services with primary care under the new commissioning regime established in April 2013
- The ability of ambulance services to continue to meet increased emergency demand whilst contributing to the Nicholson challenge
- Experience to date of the transition from NHS Direct to the NHS 111 service
- The implications of the shift away from determining the success of ambulance services via indicators based on response time to the new measures designed to assess clinical effectiveness
- The causes of delays in handover from ambulances services to A&E or transfer between different levels of urgent care, and actions required to eliminate them
- Clinical evidence about outcomes achieved by specialist regional centres, taking account of associated travel times, compared with more generalist hospital based services
- Aspects of care which are likely to improve by being located in regional specialist units and the risks associated with removing services from existing A&E provision
- The effectiveness of the existing consultation process for incorporating the views of local communities in to A&E service design
- The ability of local authorities to challenge local proposals for reconfiguration under the revised oversight and scrutiny powers included in the Health and Social Care Act 2012
The deadline for submitting written evidence is noon on Monday 20 May 2013.
11.55am There’s a new piece from HSJ contributor Noel Plumridge on the “blame culture” in the NHS. And, he promises to tell you just whose fault it is…
11.39am There’s some coverage today of a patient survey conducted by the Care Quality Commission.
The regulator asked 60,000 patients about their experience of NHS care. It found that a quarter of patients reported doctors talking in front of them “as if they weren’t there.”
A fifth felt they were not given enough information about their condition and treatment, and a quarter said there was no one they could talk to about their worries and fears.
Here’s the Telegraph’s version, and the Daily Mail’s.
Meanwhile the Independent went with a different top line, about dissatisfaction with the levels of emotional support available.
11.26am The Guardian is reporting on the CQC’s new inspection regime, as revealed by HSJ last month in an exclusive interview with chair David Prior. The paper reports the CQC’s special policy lead, Alan Rosenbach, told a care sector conference on Tuesday that inspections would be carried out against five core standards: were they safe, were they effective, were they caring, were they well-led and were they responsive to what people told them.
11.21am More from HSJ on reconfiguration - editor Alastair McLellan’s leader asks “can the NHS still deliver major service change?”
“The recognition of the need for system leadership appears to burn bright in the approach being adopted by NHS England,” he argues, after quoting Ruth Carnall, who said that running a health service bottom up is “an absurdity.”
11.11am And, the Guardian has this profile piece on Mr Berwick.
We’ll have more on him from our quality and performance specialist Sarah Calkin soon.
11.08am The nationals have picked up on Don Berwick’s speech yesterday, too.
The Telegraph reports him saying that the Mid Staffordshire scandal was caused by the “normalisation of deviance”.
10.45am Don Berwick, who has been brought in by Prime Minister David Cameron to review patient safety in the NHS, has issued a thought provoking warning to NHS staff, Sarah Calkin reports.
Mr Berwick told an audience of NHS managers yesterday: “Do not distance yourself from the staff at Mid Staffordshire, you would have committed similar errors in an unsafe environment.”
Stay tuned for more news from Sarah on Mr Berwick’s review.
10.24am Another major reconfiguration story new on HSJ this morning: former NHS London chief executive Ruth Carnall has published a report on her programme to redesign services in the capital.
Our London reporter Ben Clover has the exclusive, in which Ms Carnall describes Andrew Lansley damaged patient care, holding up measurable improvements to services when he halted the Healthcare for London programme in 2010.
It was a “bitter blow” to her organisation, Ms Carnall said.
You can read the whole report here.
10.10am HSJ reporter David Williams has a story about the future of the NHS efficiency programme and reconfiguration this morning.
An interview with NHS England policy director Bill McCarthy has revealed that the quality, innovation, productivity and prevention savings drive will continue beyond 2015, recast as an “ambitious and radical” service change programme. Mr McCarthy said “year after year whittling away of unit cost” does not seem to be the answer to the problems the NHS faces.
Click here to read the whole thing.
The story also reveals that NHS England has adopted a lighter touch system for monitoring QIPP.
8.20am: Good morning, listening to patients is the key to better care says Peter Homa, chief executive at Nottingham University Hospitals Trust. A blizzard of action plans will not help achieve what is required. The approaches and methods that created the need for the Francis inquiry cannot be relied on to solve the underlying problems.
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