Previous reference: Minute 80 (2017/2018)

Following an inspection of nine, out of fourteen, core services, in February 2018 the CQC published an updated report on Bradford District Care NHS Foundation Trust.  The Trust was rated as ‘Requires Improvement’ overall which was a deterioration from the previous rating of ‘Good’.  Community services were rated as ‘Good’ with some aspects of care rated ‘Outstanding’.  Mental health services were rated as ‘Requires Improvement’.  An action plan was developed, in response to the CQC’s findings, and the Committee requested that a progress update be provided.

The Trust will submit Document “Y” whichoutlines that the Trust Board has overseen delivery of the action plan and has recently approved the introduction of a formal Quality Improvement System, throughout the Trust, which will deliver long term, sustainable, staff-led improvements to the quality of its services.

The next CQC inspection is expected in early 2019.

Recommended –

That the Committee notes the progress made, during 2018, by Bradford District Care NHS Foundation Trust, in response to its February 2018 CQC report and the Trust Board’s commitment to long-term, sustainable improvement via the implementation of a formal Quality Improvement System. 

(Dr Andy McElligott - 01274 228293)

Following an inspection of nine out of fourteen core services, in February 2018, the CQC published an updated report on Bradford District Care NHS Foundation Trust.  The Trust was rated as ‘Requires Improvement’ overall which was a deterioration from the previous rating of ‘Good’.  Community services were rated as ‘Good’ with some aspects of care rated ‘Outstanding’.  Mental health services were rated as ‘Requires Improvement’.  An action plan was developed, in response to the CQC’s findings, and the Committee requested that a progress update be provided.

The Trust submitted Document “Y” whichoutlined that the Trust Board had overseen delivery of the action plan and had recently approved the introduction of a formal Quality Improvement System, throughout the Trust, which would deliver long term, sustainable, staff-led improvements to the quality of its services.  The next CQC inspection was expected in early 2019.

The Medical Director, Bradford District Care NHS Foundation Trust, provided a brief summary of the progress against the action plan as outlined in his report. 

A Member commented that she was pleased to see that personalised care plans were being developed following the recent move to SystmOne.  The Medical Director stated that this had been a big improvement on the previous care plans and that they were easier to read and use.  As the information was shared during a hospital admission it meant that patients did not have to repeat information and the handover of the patient was more seamless.

A discussion took place about work being undertaken with the Yorkshire Ambulance Service to ensure that patients with a mental health crisis were accessing better places for help than undergoing an Accident and Emergency admission at a hospital, as this was rarely the best option for them. 

In response to Members questions, the Medical Director reported that:

·         The Trust did not know what areas of its organisation would be inspected by the CQC.

·         Whilst the CQC rating was disappointing, it was important to learn from it to put things right and ensure there was a continuous cycle of improvement.

·         Two of the biggest causes of staff sickness were stress and musculoskeletal conditions.

·         A range of health and wellbeing support services were offered to staff and there were early signs of success, as sickness rates had decreased.

A Member asked a question in relation to barriers for staff to undertake mandatory training.  In response the Medical Director explained that there was a range of mandatory training for staff to undertake and it was often difficult to find time to do it.  He also stated that there was a capacity issue as some trainers could not meet the demand for the training as well as practical difficulties such as obtaining suitable training venues and glitches in the statistics due to attendance at training sessions not being recorded correctly.  Members were assured that mandatory training performance was increasing and the 95% target was considered achievable.

A discussion took place about the Committee’s next steps.  It was noted that the Trust was expecting to be inspected again in 2019.  It was agreed that following publication of the subsequent inspection report, the Committee would decide any further action it wished to take.

Resolved –

That the progress made since the previous report be noted.

NO ACTION