Rampton: CQC special review into Nottinghamshire’s mental health services published

A special review of Nottinghamshire Healthcare NHS Foundation Trust by the Care Quality Commission (CQC) will be published today.

The review was ordered by Victoria’s Health and Social Care Secretary at the end of January.

The investigation is aimed at providing further answers to the families affected by the horrific and tragic murders of Barnaby Webber, Grace O’Malley-Kumar and Ian Coates in Nottingham in June 2008. Implemented by the CQC under section 48 of the Health and Social Security Act 2023. ” The review also highlighted wider issues in the provision of mental health care in Nottinghamshire, including at Highbury Hospital and Rampton Hospital.

The full review can be found on the CQC website. The following areas are reported:

aAssessing the improvements made at Rampton Hospital:

• Communication between staff and patients remained inadequate, especially for patients in long-term isolation. The CQC has improved access to staff trained in British Sign Language and has seen improvements for hearing impaired patients.
• Although patient safety had improved, people were not always kept safe due to problems with prescribing drugs and monitoring people’s health.
• Although staffing levels improved, they did not always meet the needs of patients on the wards. Although confinement decreased, it was still part of the culture of the hospital’s small staff.
• Although leaders recognized the need to address many of the issues identified in previous inspections and to examine ongoing concerns about culture, small pockets of poor culture remained.

Patient safety and quality of care assessment:

• People are struggling to access the care they need when they need it, putting themselves, and potentially the public, at risk of harm.
• The quality of care and treatment across the trust varied and the care provided did not always meet individual needs.

• Due to high demand for services and staffing shortages, patient safety was not always ensured.

• Leaders were aware of the risks and issues facing trusts, but action to address safety concerns was often reactive and leaders did not necessarily engage with people using their services. It wasn’t a priority.

• At a system level, the CQC found that there were problems with communication between services, impacting on people’s continuity of care. Although the Integrated Care Commission was taking steps to oversee and improve quality, change was not happening fast enough.

The CQC will report on its review of the care and treatment of Bardo Caloocan at a later date.

The trust said:

“We will continue to work with the trust to ensure quality and safety concerns are fully resolved as quickly as possible.”

“The quality monitoring and improvement arrangements detailed in the report have been strengthened, with a tailored and intensive support program focusing on the issues that need to be addressed to achieve rapid and sustainable improvement. was introduced along with the trust.”

“This also confirms NHS England placing trusts in segment 4 of the National Oversight Framework and the support this will unlock through the Recovery Support Programme.”

“We have established an Improvement Oversight and Assurance Group (IOAG) in collaboration with NHS England’s Midlands regional team to monitor Nottinghamshire Healthcare NHS Foundation Trust’s response to current quality and governance concerns. did.

“IOAG will oversee the actions taken by the trust to address and mitigate risks to ensure the continued provision of secure services.” The group will also scrutinize operational and quality risks. and provide a single forum for stakeholders to support and challenge improvements set out in the Trust’s Quality Improvement Plan.

“We will continue to provide support to the trust to achieve its improvement targets, including its financial position, and will also assist in coordinating and supporting any other requests from the trust as required.”