A Strong Voice for Croydon Central - Gavin Barwell MP
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Care Quality Commission in-patient survey underlines the need for improvement at Croydon University Hospital
17/04/2013 09:19:00

 
 

Yesterday, the Care Quality Commission - the independent regulator of health care and adult social care in England - published the results of its 2012 adult in-patient survey for every NHS Trust in the country.

In the case of Croydon University Hospital, the CQC sent a questionnaire to 850 people who were treated as inpatients during the summer (if you can call it a summer) of 2012, 405 of whom responded. You can view the results here, but in essence on seven of the ten measures our local hospital performs worse than most other hospitals and on the other three it is about average. This clearly isn't good enough.

Croydon Health Services Trust points out that since the survey was carried out they have made a number of significant changes, including:

- recruiting 60 healthcare assistants, more than 40 registered nurses, more than 20 midwives and 10 health visitors;

- opening a new Acute Medical Unit; a Rapid Assessment, Triage & Treatment system and a Surgical Assessment Unit; and

- increasing the number of observation beds in Accident & Emergency.

They are making further changes in the current financial year, including the recruitment of more nurses, midwives and health visitors and eleven additional consultants.

They also point out that the Trust performed much better in a number of other assessments:

- The National Cancer Patient Survey 2012 rated the Trust as 'good or excellent' as benchmarked against all 160 acute trusts, with 89 per cent of patients giving it this rating, one of the highest overall ratings in London.

- The Learning Disability Team achieved the highest rating in London in the Big Health Check for 2012/13. The rating event included people with a learning disability and local partners including the local authority.

- The Stroke Unit performed very well in the Stroke Unit Annual Assessment for 2012/13. It received an 80.9% rating for providing occupational therapy assessment within seven days of admission.

- The Children’s Hospital at Home service received a very positive result in the last survey of patients' families. The service was overwhelmingly rated as ‘valuable’ by families.

- The Teenage Pregnancy and Sexual Health Outreach Service won the “Pamela Sheridan Young People’s Sexual Health Service of the Year” award in the UK Sexual Health Awards 2013.

As a local MP, this contrast doesn’t surprise me. There are parts of our local hospital that provide very good care. There are a lot of dedicated staff working there. Nevertheless, the results of the in-patient survey are clear evidence that care is not consistently good enough.

We have a new Chairman and permanent Chief Executive in place and I will be meeting with them regularly to assure myself that the improvements they are planning happen and that they ensure that services in all parts of the hospital are consistently up to the standard my constituents have a right to expect.

Comment on this blog

 

Readers' Comments

On 18/04/2013 17:39:00 Jim wrote:
It "underlines the need" to abolish the NHS - the "service" that brought you Harold Shipman and the Staffordshire Hospital. Maydie almost killed me as a kid and no end of re-branding and new logos will fix this place. Market economics is the answer. If it were Tescos, people would have stopped shopping there years ago. As it is, we have NO choice as the money is taken from our incomes (usually before we see it) and spent by the bureaucracy.

Pity Margaret Thatcher isn't still PM. By now this relic of history would have been sold off and we'd all be getting a better service. Without the need for dodgy sounding assessments too.

 
On 22/04/2013 11:13:00 Bev wrote:
With reference to "Jim's" comments - scrapping the NHS isn't going to help those who cannot afford private healthcare. I feel it is the quality of SOME of the personnel involved with patient care which needs to be looked at too.

Decent patient care at CUH will only come about when you have health professionals who have not only been trained in the correct/appropriate ways in which to give care to their patients, but who also have been given the time to put this "good practice" into use. May I suggest that staff who are rushed off their feet don't always (for want of a better expression) have time to "care"?

Although there is a large body of really caring nursing staff for whom nursing is a vocation (and this really shows in their daily dealings with patients), there is still a significant number in some areas of the hospital for whom it seems to be merely a job. These members of staff may need extra training (including reminders about basic hygiene when dealing with patients?) so that patients end up feeling cared for and respected. It is often the case that patients who comment negatively in surveys have had a poor experience with the care they received at grass roots level.

 
On 23/04/2013 14:41:00 Charlie wrote:
I concur with Bev on Jim's comments... they are essentially waste of pixels. Thatcher came and went, she made changes as any PM for better or for worse and got in the history books. If you have not had enough of Maggie, go ahead and join her.

In general I could not put my message better than Bev so I can just add that my experience of CUH has been in various departments, as outpatient and inpatient. I am not surprised by the contrasting results of the levels of care although I was shocked to experience the bad end of it.

From maternity, urology, phlebotomy, psysio, oncology, the best treatment was in urology where my urgent tumour case was referred to and double checked by a few doctors and the specialist nurse was there to inform me of the whole process and whenever I needed to ask her question. After the surgery I stayed in three days and experienced a very mixed care from nursing staff to whom, as Bev wrote, more training should be given and closer monitoring so that those who stay are the ones who like to care for people and see them recover and the ones who can at least pretend to do so. In either case I, the Patient, want to feel respected and my opinion to be taken into account.

Psysio good, but 6 months wait?...

Maternity, mostly bad, but again you can see when a department in understaffed. Mother from C-section has to wait 15-20' before someone can take the newborn from her arms to the cot. When they came, they did reluctantly with grumpy faces. I do not care how many times they have heard the same moaning, grunting and other pain complaints from mums every day. Each one is genuine and should be treated as one.

I have also experienced Royal Marsden (Sutton). Care and respect from top to bottom and bottom to top. Everyone I met in RM was respectful to the patient.

All of the above, good and sour, is courtesy of the NHS. At the time of a bad experience, blame goes to the face you happened to speak with, not that person's manager and the manager above them who have failed as much as the front line person, if not worse. I am neither Conservative nor Labour but Gavin Barwell has gained some points with me over the last two years. I would really like to see a pay structure in place for any Manager with two Managers under them or more that part of their pay is withheld until patient surveys come out overwhelmingly positive. Of course the method of survey and opinion collection should also be cross-checked from different bodies for neutrality and transparency.

I hope Gavin Barwell does make use of those meetings with the CUH leaders although I am not sure I would give credit to him if CUH care improves. What I would like to see from Gavin to earn my vote is a very difficult thing for any politician: to use statistics in context and admit if their party did something wrong.

On 22/04/2013 11:13:00 Bev wrote:

With reference to "Jim's" comments - scrapping the NHS isn't going to help those who cannot afford private healthcare. I feel it is the quality of SOME of the personnel involved with patient care which needs to be looked at too.

Decent patient care at CUH will only come about when you have health professionals who have not only been trained in the correct/appropriate ways in which to give care to their patients, but who also have been given the time to put this "good practice" into use. May I suggest that staff who are rushed off their feet don't always (for want of a better expression) have time to "care"?

Although there is a large body of really caring nursing staff for whom nursing is a vocation (and this really shows in their daily dealings with patients), there is still a significant number in some areas of the hospital for whom it seems to be merely a job. These members of staff may need extra training (including reminders about basic hygiene when dealing with patients?) so that patients end up feeling cared for and respected. It is often the case that patients who comment negatively in surveys have had a poor experience with the care they received at grass roots level.

 
 

 

 

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Gavin Barwell, 133 Wickham Road, CR0 8TE, Tel  020 8663 8741      © Gavin Barwell  2017       Promoted by Ian Parker on behalf of Gavin Barwell, both at 36 Brighton Road, Purley, CR8 2LG