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Eleven trusts put in 'special measures' following Keogh review

Eleven of the 14 hospital providers investigated because of high mortality ratios have been placed in “special measures”, the health secretary has announced.

Jeremy Hunt made the announcement in the Commons this afternoon, as the final reports of the review, led by NHS England medical director Sir Bruce Keogh, were published.

The 11 placed in special measures are:

  • North Cumbria University Hospitals Trust
  • Northern Lincolnshire and Goole Hospitals Foundation Trust
  • Tameside Hospital Foundation Trust
  • United Lincolnshire Hospitals Trust
  • Basildon and Thurrock University Hospitals Foundation Trust
  • Burton Hospitals Foundation Trust
  • East Lancashire Hospitals Trust
  • George Eliot Hospital Trust
  • Sherwood Forest Hospitals Foundation Trust
  • Buckinghamshire Healthcare Trust
  • Medway Foundation Trust

The three which are not subject to special measures are:

  • Colchester Hospital University Foundation Trust
  • The Dudley Group Foundation Trust
  • Blackpool Teaching Hospitals Foundation Trust

The government has created “special measures” for provider trusts in recent months as part of a new inspection and regulatory regime.

Mr Hunt said putting the 11 trusts into special measures would see them reviewed again within the next year, given additional support by either the NHS Trust Development Authority or Monitor, and have their governance reviewed.

Their progress against action plans drawn up by the Keogh review teams will be monitored. Mr Hunt said they would be monitored by the new chief inspector of hospitals, Sir Mike Richards, whose role is based within the Care Quality Commission. Ultimately, if trusts continue to fail, the “special measures” process can lead to action to remove their board members, or being placed in special administration and broken up.

Mr Hunt said: “This government is deeply proud of our NHS. Staff are the ones who are most betrayed when we ignore poor care.”

He said the CQC had previously “failed to spot any real cause for concern” at half of the 14 trusts, “rating them as compliant with basic standards”. He said this was “worrying”.

Mr Hunt said some had seen management change and improvement recently but said: “Failure or mediocrity is so deeply entrenched at some that further change is necessary.”

Themes identified across the trusts included “professional or geographical isolation”, “absence of a culture of openness”, “lack of ambition”, and problems with governance and assurance.

Mr Hunt said all 14 trusts had been placed “on notice” by Monitor – for foundation trusts – or the NHS Trust Development Authority, for non-foundation trusts.

The review was ordered by the prime minister following the publication of the Francis report into Mid Staffordshire Foundation Trust.

More on the Keogh review

Readers' comments (41)

  • Now we have evidence of at least 11 failing "Directors of Nursing"

    These people are a total disgrace to the profession.

    They have permitted staffing levels to fall below anything which could be regarded as safe and have encouraged the employment of excessive numbers of "care assistants" thus diluting skill mix.

    The profession, I hope will take note.

    The eleven should all be immediately referred to the NMC for investigation. They are no longer fit to be called "nurses".

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  • Jenny - what about medical directors ? Your constant slander of your own profession is a disgrace - yes hold people to account but look at the detail before jumping at the opportunity to keep repeating your poor view of dons no matter what the article

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  • Anonymous | 16-Jul-2013 10:39 pm

    Unlike some I actually do care for my profession.

    I hold those responsible for the professions demise in total contempt.

    But as you seem to want to avoid criticising Directors of Nursing who is responsible ?

    The band 5 staff nurse that so often is blamed for situation caused by others

    I do not think so !

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  • What about the business managers
    What about ward nurses telling those above them of the problems and it not going further
    Yes we must acknowledge that short comings in care have taken place
    We must also remember that there are a lot more hospitals out there that are doing a good job we should be looking at the good examples as well as the bad or we are in danger of spiraling dowing into a negative self loathing culture

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  • I think the 11 failing boards are at fault here, all the professions they relate to. It's normally the persons at the top who dictate to all and sundry, power trips, control, back handers...... These people should be sacked immediately. Replaced with members from the local CCGs, patients, and the organisations who pay for care to be given, token staff members can then be added to ensure the hospital is represented and to provide balance.

    As things stand, you think, how much worse can it get?!

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  • michael stone

    Hunt was on Radio 4 yesterday - he is learning (I know some will find that hard to believe).

    Instead of claiming that there isn't evidence that inadequate staffing levels harms patients, he simply stuck to 'but some other hospitals, with similar resources, manage to do it better' as the line. Along with 'and now I'm not directly in control of how the cash gets spent'.

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  • i do not feel it is fair to tar the full hospitals with the same brush. I work for one of those hospitals put on special measures yet I know that the ward I am on does not fall under special measures. And why is the glass still only half full, with only the headlines being mentioned. It should state why patients died at weekends. Not all patients die at weekends due to poor care. Should nurses then keep patients alive at all costs so that we dont get mentioned in Keogh reports. I feel that Bruce and his people should work proper shifts for quite a while before pulling everyone down and tarring everyone with the same brush. Yet again we nurses are the target because we are at the bottom of the pool in hospitals, easy targets.

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  • Actually nurse are not targeted in the report.

    Attention is drawn by Keogh to inadequate nurse staffing levels and poor skill mix !

    Tell me if the so called Heads of Nursing in these Trusts are not responsible for nurse staffing who is ?

    Further if these BIG BOSS nurses don't oversee nurse staffing what do they do and why do we need them ?

    Maybe they are employed to orchestrate th bullying ?

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  • Jenny Jones | 17-Jul-2013 3:05 am



    "Unlike some I actually do care for my profession."

    your generalised destructive comments do not demonstrate this. reflective analytical critisism is more helpful.

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  • Jenny Jones | 17-Jul-2013 11:41 am

    "Maybe they are employed to orchestrate th bullying ?"

    Jenny, I have grown to believe that this is precisely the reason for the employment of nurse managers. They do not appear to be of use in any other capacity.

    I completely agree with the rest of your points.

    Prof Nick Black was interviewed early yesterday evening on BBC 24. He spoke of Keogh's anger at the misrepresentation of report information, by Hunt in particular, which was 'leaked' ahead of time. Now there’s something that needs to be investigated! Hunt took the gloves off in Parliament in a shameless (and hopefully damaging to him) overtly political rant NOT based on the Keogh Report. I suspect the nail upon which his ministerial coat is hung, is looking distinctly shoogly. No doubt there will be another chinless, clueless, NHS-hating tory lining up fill his vacant seat.

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  • Mags

    Thank you for your support !

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  • Organisations in special measures lets look at the whole of the Board. Like so many others I want to know when are we going to see parity across the NHS and hold Medical Directors to account. Until Consultants are subjected to the same level of scrutiny as Nurses leaders we will never change and this will become yet another report.

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  • Anonymous | 19-Jul-2013 12:42 pm

    'Until Consultants are subjected to the same level of scrutiny as Nurses leaders...'

    But nurse leaders are not being scrutinized either. There needs to be transparency in all 'leadership' roles regardless of discipline.

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  • tinkerbell

    Nurse Leaders, isn't that an oxymoron, Nurse Leaders 'talk' but don't 'walk'. Until we get some 'real' Nurse Leaders we are stuffed.

    Bring on the real Nurse Leaders who will LEAD their staff on the front line and rally for US not whatever a government dictates.

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  • tinkerbell | 20-Jul-2013 1:18 pm

    aren't you a nurse leader?

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  • tinkerbell

    Anonymous | 20-Jul-2013 1:50 pm

    I WAS a team leader, deputy ward manager, charge nurse, ward sister, unit manager, staff nurse, whatever the vogue was for the particular title they wanted to bestow on me at any particular time, working on the ward with my staff never stuck in an office contemplating my navel or stuck in boring meetings that seemed never ending. I left the ward last october due to back problems and am no longer on the wards and now I'm working in the community as a CPN with my new team leader, who yesterday thanked me for my support.

    Depends on your definition of Nurse Leader.

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  • tinkerbell | 20-Jul-2013 2:28 pm

    Anonymous | 20-Jul-2013 1:50 pm

    well yes. what is a nurse leader? you seem to be one or were one yet criticising them at the same time?

    tinkerbell | 20-Jul-2013 1:18 pm


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  • tinkerbell

    I thought our nurse leaders were Cummings et al.

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  • tinkerbell | 20-Jul-2013 3:33 pm

    I obviously misunderstood the term having assumed it to be any qualified nurse above a staff nurse and in a clinical nursing management role.

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  • Anonymous | 20-Jul-2013 7:30 pm

    You are just being thick.

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