Biggest ever inspection of Isle of Wight health services

By Sara Bryce

Friday, June 13, 2014


Biggest ever inspection of Isle of Wight health services

Isle of Wight NHS chief executive Karen Baker (second from right), pictured in 2012 with Lord Howe, Dr Dominic Lamb and Marcia Meaning.Picture by Robin Crossley.

THE LARGEST ever inspection of healthcare services was carried out by the Care Quality Commission (CQC) on the Isle of Wight last week.

A team of 77 CQC inspectors examined all aspects of the Island's healthcare services, including St Mary's Hospital, mental health services, community healthcare and the ambulance service, between Tuesday, June 3, and Friday, June 6.

It was revealed that inspectors will return for an unannounced inspection within two weeks, to ensure the trust addressed any issues that were raised. A CQC spokesman said this was not unusual.

Trust chief executive Karen Baker thanked staff, volunteers and patients for their involvement in the inspection, which will result in the trust being given an overall rating of 'outstanding', 'good', 'requires improvement' or 'inadequate' around the end of September.

She said: "Whilst we are used to smaller scale inspections this was like no other inspection but was very important. In the wake of care issues elsewhere it is important that we have the reassurance that an external body has thoroughly reviewed us.

"No organisation is perfect and it would be unusual for the CQC to not find any areas for improvement."

Ms Baker said the trust valued feedback from Islanders and called for everyone to complete a Friends and Family Test after each visit to the hospital.

She added: "It is not possible to speculate on what the overall rating might be. The inspection is not over and it will be around ten weeks before we receive the report. The CQC have not finished their work and they need to triangulate all the evidence they have collected."

• £150-a-night hotel fully booked for four-days by inspection team — full story in the Isle of Wight County Press, Friday, June 13.


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by Karen Newton

15th June 2014, at 10:33:40

Peter, I would wholeheartedly agree if those professionals could be trusted. It's a shame, but too many have proven themselves inept and until those incompetents are willing to acknowledge their incompetency we need an external regulator. I hope the changes CQC have made mean they will not be influenced by words anymore (as they were at Mid Staffs) but clear evidence, and take issue with any Trust putting patient at risk, even one patient is too many.
I think locally 'we' are now in charge of our health budget, so locals have decided to fund managers instead of clinicians. Be good to know how each manager contributes to patient care and wellbeing...
Valerie, I take your point - elsewhere Trusts are not so big and complex, I wonder if this was down to our Trust making a case for being special because it's an Island. I think it's a risk having one Trust provide so much, fingers crossed we don't end up with a Mid Staffs situation.

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by Valerie Ching

14th June 2014, at 15:05:09

Probably shouldn't waste any more money tying you up defending ideology but would just say our MP quoted average isle of Wight annual income at 18k and many are on less. At that level it becomes academic to make comparisons with what happens in the rest of country but very relevant where NHS tax funded income is spent. I understand my GP where access is still free at point of need (unlike dentist, glasses, chiropody etc) gets less than £100 a year per patient. So to spend such big bucks on bringing 77 inspectors to the island (travel costs alone per person must be nearly £100 per person maybe, does seem to me by comparison to be a bit out of kilter - but that's only my view of course.

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by Communications Team

14th June 2014, at 11:09:36

The point we make is that the funding of the inspection did not come from money allocated to the Island for healthcare, although of course it all comes from tax of one sort or another. Sadly a service that doesn't know what beans it's got ends up wasting them and costing the taxpayer more than it should but the quality of the service is of more importance. Whilst we aim to provide everyone with a quality service, independent inspections are important to ensure that our standards remain high. We publish a Quality Account each year which enables Islanders to compare services with the rest of the health service in England.

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by Peter Jeffery

13th June 2014, at 18:56:40

Mr or Mrs Communications team

Call me picky, but when you say that it's not the Island or the NHS who pay for the inspections, but the Government who fund the CQC..........

Guess where the Government get those funds -

That's right, from our taxes, and by cutting the frontline NHS and cutting Council funding like to the IOW Council, which in turn depletes our local services and increases our local taxes.

In order to maintain high standard public services, here's a wacky idea....

Leave professionals to get on with their jobs and stop forcing them to count beans and waste valuable time with endless form filling of pointless time and motion studies.

Only my opinion of course !

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by Karen Newton

13th June 2014, at 18:38:54

Would that mean Ms Baker would deem it unfair to rate the service 'poor' if only one or two pieces of evidence were uncovered, like giving three chances? That would be concerning if the evidence put patients at risk.
Interesting how Ms Baker talks of care issues elsewhere, they exist here too - a 5yr old boy died last year because of inadequate observation charts, call bell removed because someone kept using it etc (reported recently). The benefit of an independent regulator is they will not spin facts positively or negatively, concerned only with the patient.

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by Communications Team

13th June 2014, at 16:51:26

Sorry Ms Gibson - you're right. By triangulation - awful word - we mean that the CQC will review all the evidence and where they have at least three pieces of evidence which point to the same thing - a good or poor outcome - they will take account of that in their report. I hope that clarifies this. We'll try not to use 'corporate jargon' again.

With regards to the issue of costs (Ms Ching and Mr Russell) we should be clear that it's not the Island or the NHS that has paid for the inspection - it's the Government who fund the CQC. Compared to mainland NHS organisations Isle of Wight NHS Trust is a complex provider of services and all NHS Trusts are being subjected to this type of inspection - it's what it takes to ensure that the high standards we all expect are applied across the country following the problems at mainland hospitals and care providers. Of course the CQC did not pay £150 per room - they got a bulk deal.

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by Valerie Ching

13th June 2014, at 15:58:22

Whatever it means, it clearly doesn't come cheap. 10 weeks triangulating evidence from 77 inspectors plus actual inspection costs must rack up a colossal bill, both in money and professional clinical staff time of inspectors and inspected.

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by Anne Gibson

13th June 2014, at 15:30:18

Could Ms Baker please explain - clearly- precisely what she means in her statement that "they (the CQC) need to triangulate all the evidence …."
This is corporate jargon taken to a ridiculous degree where it is unintelligible.

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by Colin Russell

13th June 2014, at 11:22:54

77 Inspectors, four night's hotel @ £150 ,,,, each if this is going on up and down the country, no wonder the NHS is in trouble,
Its the front line staff who want looking after, ie, nurse's xray / mri /eye ect ect, not the suits with there big cars and wage's,
When i come round after an op i rather see a nurse there not a clip board merchant wanting to know how long i will be taking a bed up.

Any views or opinions presented in the comments above are solely those of the author and do not represent those of the Isle of Wight County Press.

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