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Trusts must support staff or lose registration, says CQC

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Mid Staffordshire NHS Foundation Trust and Milton Keynes Hospital NHS Foundation Trust have been told their registration with the Care Quality Commission is conditional on them improving the support they give to staff.

In the first batch of registrations, announced today, 64 trusts have been registered as fit to provide services with no conditions.

But Mid Staffordshire has been told it must:

  • Improve the care and welfare of service users
  • Improve assessment and monitoring of the quality of service provision
  • Improve the safety, availability and suitability of equipment
  • Improve its support for staff
  • Increase the number of staff
  • Improve complaints handling

We are moving to a system where we will be looking at whether trusts are meeting the standards today and tomorrow, rather than in the past.

Cynthia Bower

Milton Keynes has been found to be non-compliant with four of the 16 essential standards of safety and quality.

CQC regional director Roxy Boyce said: “There are long-standing problems at this trust in relation to its maternity services. The trust has not always responded fast enough to address concerns raised by patients or those raised by the regulator.”

The commission had said it intended to impose registration conditions on Milton Keynes when Monitor ordered the trust to hire external clinical experts to speed up improvements to its maternity care earlier this month.

The trust must:

  • Increase midwifery staffing levels
  • Improve the care and welfare of people using maternity and midwifery services
  • Improve assessment and monitoring of the quality of maternity and midwifery service provision
  • Improve its support for staff across the trust as a whole

The regulator has stressed that no trust, even those registered without conditions, can afford to be complacent and all must ensure that high standards are maintained.

CQC chief executive Cynthia Bower said: “It is absolutely the responsibility of trust boards to ensure that standards are in place. These are the standards that every patient should be able to expect when they receive NHS care and they are now legally enforceable. This is a tough new system and we have stronger enforcement powers than ever before to make sure services improve.”

From 1 April, 381 trusts in England will have to be registered with the CQC. This first batch will be followed by two others next week and the week after. After this date the CQC will begin continuously monitoring standards.

Ms Bower said: “We are moving to a system where we will be looking at whether trusts are meeting the standards today and tomorrow, rather than in the past.”

The regulator will carry out more inspections – up to 2,000 compliance reviews per year - and take greater account of patients’ views, using a variety of sources of intelligence to create quality and risk profiles for every trust.

The full list of trusts registered without conditions in the first batch:

5 Boroughs Partnership NHS Foundation Trust

Aintree University Hospitals NHS Foundation Trust

Airedale NHS Trust

Ashton, Leigh and Wigan Primary Care Trust

Barnet and Chase Farm Hospitals NHS Trust

Barnet Primary Care Trust

Barnet, Enfield and Haringey Mental Health NHS Trust

Barnsley Hospital NHS Foundation Trust

Barnsley Primary Care Trust

Basingstoke and North Hampshire NHS Foundation Trust

Berkshire Healthcare NHS Foundation Trust

Berkshire West Primary Care Trust

Blackburn with Darwen Primary Care Trust

Blackpool Primary Care Trust

Blackpool, Fylde and Wyre Hospitals NHS Foundation Trust

Bolton Primary Care Trust

Bradford and Airedale Teaching Primary Care Trust

Bradford District Care Trust

Bradford Teaching Hospitals NHS Foundation Trust

Brighton and Sussex University Hospitals NHS Trust

Buckinghamshire Hospitals NHS Trust

Buckinghamshire Primary Care Trust

Burton Hospitals NHS Foundation Trust

Bury Primary Care Trust                               

Calderstones Partnership NHS Foundation Trust

Camden and Islington NHS Foundation Trust

Camden Primary Care Trust

Central Lancashire Primary Care Trust

Cheshire and Wirral Partnership NHS Foundation Trust

City and Hackney Teaching Primary Care Trust

Clatterbridge Centre for Oncology NHS Foundation Trust

Countess of Chester Hospital NHS Foundation Trust

Croydon Primary Care Trust

Cumbria Teaching Primary Care Trust

Dartford and Gravesham NHS Trust

Derbyshire County Primary Care Trust

Ealing Hospital NHS Trust

East Kent Hospitals University NHS Foundation Trust

Eastern and Coastal Kent Primary Care Trust

Haringey Teaching Primary Care Trust

Hounslow Primary Care Trust

Isle of Wight NHS Primary Care Trust

Kingston Primary Care Trust

Knowsley Primary Care Trust

Leeds Primary Care Trust

Maidstone and Tunbridge Wells NHS Trust

Mid Yorkshire Hospitals NHS Trust

North Cumbria University Hospitals NHS Trust

Nuffield Orthopaedic Centre NHS Trust

Portsmouth City Teaching Primary Care Trust

Portsmouth Hospitals NHS Trust

Royal Bolton Hospital NHS Foundation Trust

Royal Cornwall Hospitals NHS Trust

Royal Liverpool and Broadgreen University Hospitals NHS Trust

Sheffield Primary Care Trust

Sheffield Teaching Hospitals NHS Foundation Trust

Southampton City Primary Care Trust

Southampton University Hospitals NHS Trust

Southport and Ormskirk Hospital NHS Trust

The Dudley Group of Hospitals NHS Foundation Trust

The Royal Marsden NHS Foundation Trust

The Walton Centre NHS Foundation Trust

West Sussex Primary Care Trust

Western Cheshire Primary Care Trust


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