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CQC Report into Lewisham and Greenwich NHS Trust

The Care Quality Commission (CQC) has today (17 August) CQC Report into Lewisham and Greenwich NHS Trust published its report into Lewisham and Greenwich NHS Trust following the Trust-wide inspection carried out in March 2017. The Trust's overall rating from the inspection is "Requires Improvement"*. This was also the Trust's overall rating in each of the CQC's five domains*.

T
he report highlights a number of areas where Lewisham and Greenwich NHS Trust has improved since the last Trust-wide inspection in 2014, and the CQC acknowledges several areas of good and outstanding practice. The Trust's community services for children, young people and families were rated as "Outstanding", and community services for adults rated as good. A wide range of hospital services at both Queen Elizabeth Hospital and University Hospital Lewisham (UHL) were rated as "Good".

However, the CQC report shows that the Trust was not getting it right for every patient every time when the inspection was carried out. The Trust has issued a statement
https://www.lewishamandgreenwich.nhs.uk/latest-news/care-quality-commission-cqc-report-released-today-1693/ sincerely apologising to the individual patients and their families where the report shows that the organisation was not providing the best care.

Lewisham, Greenwich and Bexley Clinical Commissioning Groups have been working hard with Lewisham and Greenwich NHS Trust to address the issues raised by the CQC in March. After the inspection, we held a quality summit with all health and social care partners in Lewisham, Greenwich and Bexley – and the CQC – to agree an action plan. Since March, Lewisham and Greenwich NHS Trust has made a range of improvements to safety and quality, including: 

  • Implementing a range of measures to ensure that patients coming through the Trust's emergency departments are treated more quickly – in the right place at the right time. Significant progress has been made here and the focus is on making sure that the improvements are sustainable
  • Improving staff safeguarding and mandatory training rates, and running a major recruitment campaign locally, nationally and internationally in areas where there are staff shortages. Lewisham and Greenwich NHS Trust has recently recruited over 90 additional nursing staff who will join the organisation later this year. It is important to note that the Trust does make sure that they are providing safe staffing levels by bringing in temporary staff where there are shortages.
  • Enhancing systems for monitoring and improving quality and safety of care including use of National Early Warning System (NEWS) with regular reviews of patients
  • Ensuring that staff get the basics right consistently – i.e. around medicines management and infection control
  • Ensuring patients do not have to wait for diagnostic tests, including carrying out tests for patients with kidney stones 24/7
  • Developing specialist services for older people that promote recovery and wellbeing

We are also making a range of improvements across the health and care system to improve the patient experience and reduce the demand for hospital services.