North Middlesex Hospital's accident and emergency 'requires improvement' and has seen a boom in patient numbers

North Middlesex University Hospital 'requires improvement' reveals latest inspection

North Middlesex University Hospital 'requires improvement' reveals latest inspection

First published in News
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 A health watchdog rated a hospital’s accident and emergency unit as ‘requires improvement’ - just as it had a boom in patients.

North Middlesex University Hospital, in Sterling Way, Edmonton, was criticised by the Care Quality Commission in its latest inspection.

In a summary of its decisions, the CQC stated that the A&E unit, which recently underwent a makeover to cope with the strain of Chase Farm Hospital’s A&E closing, has an “over-reliance from the people living in the local community".

The report read: “This had an impact on the numbers of people attending and the pressure on the department. Patients at risk of deteriorating were not always identified early, which may lead to poorer outcomes.”

Other services branded as requiring improvement include the medical care, end of life care and outpatient services.

CQC’s chief inspector of hospitals, Professor Sir Mike Richards, said: “When we inspected North Middlesex University Hospital we saw that demand for services had increased, due largely to the closure of A&E at Chase Farm Hospital. Staff were working hard to meet this increased demand, but more needed to be done by the trust to make sure good quality care was maintained.

“Across the hospital, we saw staff delivering compassionate care. This is something of which the trust should be proud. But there is still more to do here to make sure that people receive the best possible care across the board.”

A total of 24 of the 38 categories inspected at the hospital were rated as ‘good’, including surgery, critical care, maternity and children’s care.

The trust was not judged unsafe when inspected, despite safety being included in the 'requires improvement' category.

The CQC has made a number of suggestions to improve services at the hospital:

• The outpatients department should be responsive to the needs of patients, ensuring that appointments are made in a timely manner, those with urgent care needs are seen within the target times, cancellations are minimised and complaints are responded to.

• Action is taken to improve training and the recording and administration of training records and requirements.

• Partnership working with local primary care providers to enable the most appropriate use of primary care services by the local population.

The hospital's chief executive Julie Lowe said: “We welcome the news that we are close to achieving the rating of ‘good’.

“We have been through a period of massive change, with 450 new members of staff, the building of a new maternity unit and the refurbishment of six acute medical wards, all within six months of the new style CQC inspection. Our caring staff have worked tirelessly to provide great care for local people and to manage the enormous changes.

“We continue to provide safe, high quality services for local people that meet all national and London NHS quality standards and we are pleased that the CQC acknowledges this.” 

Deborah Fowler, chairman of watchdog Healthwatch Enfield, said: “The report has a lot of strong positives in it, with 60 per cent of the aspects rated by the CQC scored as ‘good’. We understand from the CQC that scoring good in any area is quite an achievement and that having some areas for improvement is to be expected.

“However, Healthwatch Enfield will of course be looking to see the recommended improvements made in performance as soon as possible and welcomes the fact that NMUH is already working on the areas of relative weakness identified by the CQC.”

Comments (5)

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4:29pm Sat 23 Aug 14

dons24pelliparclose says...

Read the full CQC report on line at
www.cqc.org.uk/provi
der/RAP
Read the full CQC report on line at www.cqc.org.uk/provi der/RAP dons24pelliparclose
  • Score: 0

4:39pm Sat 23 Aug 14

dons24pelliparclose says...

The over reliance of local people on the Emergency Department of NMUH is surely the responsibility of NHS England who both allocates the budget to the local commissioners Enfield CCG and Haringey CCG AND appoints the General Practitioners, GP.

Edmonton residents will recall that as a cost saving measure Enfield PCT chose to close the weekday evening Walk In Clinic at the Evergreen Clinic at Smythe Close N9 OTW leaving only a weekend and Bank Holiday service
The over reliance of local people on the Emergency Department of NMUH is surely the responsibility of NHS England who both allocates the budget to the local commissioners Enfield CCG and Haringey CCG AND appoints the General Practitioners, GP. Edmonton residents will recall that as a cost saving measure Enfield PCT chose to close the weekday evening Walk In Clinic at the Evergreen Clinic at Smythe Close N9 OTW leaving only a weekend and Bank Holiday service dons24pelliparclose
  • Score: 0

4:58pm Sat 23 Aug 14

dons24pelliparclose says...

Please ask David Sloman Chief Executive at the Royal Free London Foundation trust why the NMUH has been often unable to access the 16 step down beds that were supposed to be made available to NMUH at the Chase Farm site and thus cause bed blocking and over 30 minute off load times for ambulances
Please ask David Sloman Chief Executive at the Royal Free London Foundation trust why the NMUH has been often unable to access the 16 step down beds that were supposed to be made available to NMUH at the Chase Farm site and thus cause bed blocking and over 30 minute off load times for ambulances dons24pelliparclose
  • Score: 0

1:58pm Tue 26 Aug 14

dons24pelliparclose says...

perhaps residents should read the page 21 story Mail on Sunday August 24th "MP:I spent 12 hours on a trolley in agony and could have died at overcrowded A & E"

see www.dailymail.co.uk/
news/article-2732816
perhaps residents should read the page 21 story Mail on Sunday August 24th "MP:I spent 12 hours on a trolley in agony and could have died at overcrowded A & E" see www.dailymail.co.uk/ news/article-2732816 dons24pelliparclose
  • Score: 0

2:10pm Tue 26 Aug 14

dons24pelliparclose says...

The heading to the picture on page 21 of the Mail on Sunday story reads: "MP and the PM tried to save this A & E ....but failed".

www.dailymail.co.uk/
news/article-2732816


is this the the same MP that stood outside the "Meeting in Common of Barnet CCG, Enfield CCG and Haringey CCG held at the Underhill Stadium on 28th November 2013 and briefed the local press that he was satisfied with the briefing he had been given that the NHS had provided adequate alternative tesources prior to the closure of the A & E on the chase Farm site?
The heading to the picture on page 21 of the Mail on Sunday story reads: "MP and the PM tried to save this A & E ....but failed". www.dailymail.co.uk/ news/article-2732816 is this the the same MP that stood outside the "Meeting in Common of Barnet CCG, Enfield CCG and Haringey CCG held at the Underhill Stadium on 28th November 2013 and briefed the local press that he was satisfied with the briefing he had been given that the NHS had provided adequate alternative tesources prior to the closure of the A & E on the chase Farm site? dons24pelliparclose
  • Score: 0

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