UK news Peterborough City Hospital 'requires improvement' over long wait times last minute news
PremierLeague-News.Com- A report, published by the Care Quality Commission, found patients were being held on ambulances due to capacity issues
PremierLeague-News.Com - Breaking Sport Transfer News ! The latest inspection of emergency care at Peterborough City Hospital has found that people could not always access the service when they needed it and waiting times were not in line with national standards. Carried out by the Care Quality Commission (CQC) on December 21, 2020, the latest inspection of the urgent and emergency service at the hospital checked how the service was responding to winter pressures. This targeted inspection focused on a variety of aspects, including patient safety, infection prevention and control, patient flow, workforce and leadership and culture. It did not result in a change from the service's previous rating of ‘Requires Improvement’, issued in July 2019, meaning that Peterborough City Hospital and North West Anglia NHS Foundation Trust remain rated ‘Requires Improvement’ overall. ‘Requires Improvement’ is the second lowest rating on the Care Quality Commission’s scale, above ‘Inadequate’ but below ‘Outstanding’ and ‘Good’. The major issues in the report related to access to the hospital. Read More Related Articles Peterborough prison hit by coronavirus outbreak Read More Related Articles Government Covid roadmap 2021: Key dates in the four-step roadmap out of lockdown The inspection found that people could not always access the urgent and emergency service at Peterborough City Hospital when they needed it. Additionally, waiting times from referral to treatment and arrangements to admit, treat and discharge patients were not in line with national standards, while patients were being held on ambulances due to capacity issues within the wider hospital at times of peak pressure. The capacity issues were highlighted in the report, which states: “during November and December 2020, hospital bed capacity was routinely above 90% often reaching 97% which impacted on the emergency department’s (ED) ability to transfer patients into the ward areas.” It adds: “Ward areas had been significantly reconfigured to provide care and treatment of patients with Covid-19. Staff told us delays in Covid-19 testing affected patient discharge to external care providers, reducing capacity further.” From November 1, 2020 to the date of the inspection (December 21), 486 Covid-19 patients were admitted to hospital across North West Anglia NHS Foundation Trust, which includes Peterborough City Hospital, highlighting the aforementioned demand on hospital bed capacity. Click below to sign up to our free newsletter CambridgeshireLive email updates: We bring the stories to you Signing up to the CambridgeshireLive newsletter means you'll receive our daily news email. It couldn't be simpler and it takes seconds - simply click here, enter your email address and follow the instructions. You can also enter your address at the top of this page in the box below the picture on most desktop and mobile platforms. Changed your mind? There's an 'unsubscribe' button at the bottom of every newsletter we send out. The levels of capacity also affected the speed of admittance, transfers and discharges in the department. In line with the Department of Health’s standard for emergency departments, 95% of patients should be admitted, transferred or discharged within four hours of arrival in the emergency department.
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. In September 2020, 68.6 percent of patients were admitted, transferred or discharged within four hours of arrival in the department. This was 68.2 percent in October with 68.2% but worsened to 59.4% in November 2020. Managers spoken to in the inspection explained that this was a consequence of the increased number of patients attending and being admitted with Covid-19. The issues with access at the department also meant that by November 2020, 8.5 percent of ambulances remained at hospital for more than 60 minutes. Enter your post code below to see Covid vaccinations in your local area
Staff stated that the significant delays in ambulance turnaround times as patients were being held on ambulances due to capacity issues within the department and the wider hospital. However, other aspects of the service fared better in the report. Managers told inspectors there had been a positive impact on leadership during the COVID-19 pandemic as the team pulled together throughout the first wave and embraced different ways of working. Staff also described an open culture where learning from incidents was encouraged and they were actively engaged in developments within the department. On a technical level, inspectors found that patients received timely clinical input and assessment, they observed improvements in the environment where patients were rapidly assessed and treated, and saw that there were systems in place for infection prevention and control. It also found that there was a stable leadership team in place and leaders had the skills and abilities to run the service, that there were enough staff with the right qualifications, skills, training, and experience and that staff completed risk assessments for each patient in a timely fashion. Inspectors have reported their findings from the department to the trust leadership, which knows what it must do to bring about further improvements and ensure it maintains any already made.