'High risk' care flagged up at 1 in 4 NHS Trusts

CQC regulator found 44 with the most serious level of concern, including higher than expected death rates

One in four hospital trusts in England are at heightened risk of providing poor care, a comprehensive review by the health service regulator has found.

NHS Trusts put in risk categories - full list  

The Care Quality Commission has placed each trust into six bands, ranked according to performance in 150 key areas.

Forty-four out of 161 trusts have been placed in the two highest risk bands. These trusts will now be prioritised for early inspection. The watchdog intends to inspect every hospital in England by 2015, as part of a total overhaul of the regulation system, which was condemned earlier this year as “not fit for purpose”.

The bandings are based on previously existing NHS data and are not the CQC’s final judgement on hospitals. However, they do represent red flags for which hospitals may be performing poorly.

Sir Mike Richards, the new chief inspector of hospitals who is spearheading the new regulatory regime, compared the process to “screening”, ahead of inspections that will provide “diagnosis”.

“Our intelligent monitoring helps to give us a good picture of risk within trusts, showing us where we need to focus our inspections,” he said. “We aim to publish the results at regular intervals.  They will provide the basis for constant contact with NHS hospitals and other NHS organisations, and may lead to inspections in response to particular issues.”

Trusts in the highest risk band include the 11 trusts already placed into special measures following the NHS medical director Sir Bruce Keogh’s review of hospitals with higher-than-normal death rates.

Among the other 24 trusts in band one is Barking, Havering and Redbridge, which recorded risk in 13 areas, including A&E waiting times while also scoring poorly in patient response surveys.

South London Healthcare Trust is also in band one, with 17 risks identified, including poor response to whistleblowing alerts and a high proportion of safety incidents that proved harmful to the patient.

The 150 criteria trusts are rated on are grouped into in five key areas: safety, caring, effectiveness, responsiveness and leadership.

Dr Mark Porter, chair of British Medical Association Council said that the negative findings should be seen in the context of the “extreme financial pressure” the NHS was under. The Government has reduced NHS spending dramatically. In the last budget, health spending was set to rise by just 0.1 per cent in 2015-16, despite ever-growing demand on NHS services.

“The NHS is having to make £20bn of savings, leading to increasing pressure on staff and resources and, most worryingly, affecting patient care and outcomes,” Dr Porter said.

"Many hospitals are stretched to breaking point. If we are to deliver the improvements patients and doctors want to see, the Government needs to address the significant funding gap in the NHS.”

Among the 37 trusts in the best-performing band were the Royal Liverpool and Broadgreen, Sheffield Teaching Hospitals, and South Devon Healthcare Trust.

Matt Tee, the chief operating officer of the NHS Confederation, which represents all health service organisations, welcomed the new inspection criteria.

"The CQC has taken into account more than 150 indicators to develop a robust process for identifying which organisations should be prioritised for external inspection,” he said. “It's still good to see that they are keen to refine this ‘Intelligent Monitoring' tool in the light of first experiences and feedback - it's a culture that bodes well for a collaborative approach to inspection and improvement.”

Labour’s shadow health secretary Andy Burnham said the NHS was facing a “very, very dangerous winter” and called on the Government to come forward with a plan to make hospitals safe.

The health secretary Jeremy Hunt praised the CQC for being “tough and transparent” and repeated accusations that Labour had not been open about poor care, “sometimes with tragic consequences for patients”.

Life and Style
ebookNow available in paperback
ebooks
ebookPart of The Independent’s new eBook series The Great Composers
News
Details of the self-cleaning coating were published last night in the journal Science
science
News
Approved Food sell products past their sell-by dates at discounted prices
i100
News
Life-changing: Simone de Beauvoir in 1947, two years before she wrote 'The Second Sex', credited as the starting point of second wave feminism
peopleHer seminal feminist polemic, The Second Sex, has been published in short-form to mark International Women's Day
News
i100
Arts and Entertainment
The beat is on: Alfred Doda, Gjevat Kelmendi and Orli Shuka in ‘Hyena’
filmReview: Hyena takes corruption and sleaziness to a truly epic level
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Recruitment Genius: Finance Assistant / Credit Controller

    £16000 - £18000 per annum: Recruitment Genius: They are an award-winning digit...

    Ashdown Group: Senior VMware Platform Engineer - VMware / SAN / Tier3 DC

    £45000 - £55000 per annum + benefits: Ashdown Group: Senior VMware Platform En...

    Recruitment Genius: Purchasing Assistant

    £10000 - £16000 per annum: Recruitment Genius: A distributor of specialist ele...

    Recruitment Genius: Sales Ledger Assistant

    £17000 - £19000 per annum: Recruitment Genius: A distributor of specialist ele...

    Day In a Page

    Homeless Veterans campaign: Donations hit record-breaking £1m target after £300,000 gift from Lloyds Bank

    Homeless Veterans campaign

    Donations hit record-breaking £1m target after huge gift from Lloyds Bank
    Flight MH370 a year on: Lost without a trace – but the search goes on

    Lost without a trace

    But, a year on, the search continues for Flight MH370
    Germany's spymasters left red-faced after thieves break into brand new secret service HQ and steal taps

    Germany's spy HQ springs a leak

    Thieves break into new €1.5bn complex... to steal taps
    International Women's Day 2015: Celebrating the whirlwind wit of Simone de Beauvoir

    Whirlwind wit of Simone de Beauvoir

    Simone de Beauvoir's seminal feminist polemic, 'The Second Sex', has been published in short-form for International Women's Day
    Mark Zuckerberg’s hiring policy might suit him – but it wouldn’t work for me

    Mark Zuckerberg’s hiring policy might suit him – but it wouldn’t work for me

    Why would I want to employ someone I’d be happy to have as my boss, asks Simon Kelner
    Confessions of a planespotter: With three Britons under arrest in the UAE, the perils have never been more apparent

    Confessions of a planespotter

    With three Britons under arrest in the UAE, the perils have never been more apparent. Sam Masters explains the appeal
    Russia's gulag museum 'makes no mention' of Stalin's atrocities

    Russia's gulag museum

    Ministry of Culture-run site 'makes no mention' of Stalin's atrocities
    The big fresh food con: Alarming truth behind the chocolate muffin that won't decay

    The big fresh food con

    Joanna Blythman reveals the alarming truth behind the chocolate muffin that won't decay
    Virginia Ironside was my landlady: What is it like to live with an agony aunt on call 24/7?

    Virginia Ironside was my landlady

    Tim Willis reveals what it's like to live with an agony aunt on call 24/7
    Paris Fashion Week 2015: The wit and wisdom of Manish Arora's exercise in high camp

    Paris Fashion Week 2015

    The wit and wisdom of Manish Arora's exercise in high camp
    8 best workout DVDs

    8 best workout DVDs

    If your 'New Year new you' regime hasn’t lasted beyond February, why not try working out from home?
    Paul Scholes column: I don't believe Jonny Evans was spitting at Papiss Cissé. It was a reflex. But what the Newcastle striker did next was horrible

    Paul Scholes column

    I don't believe Evans was spitting at Cissé. It was a reflex. But what the Newcastle striker did next was horrible
    Miguel Layun interview: From the Azteca to Vicarage Road with a million followers

    From the Azteca to Vicarage Road with a million followers

    Miguel Layun is a star in Mexico where he was criticised for leaving to join Watford. But he says he sees the bigger picture
    Frank Warren column: Amir Khan ready to meet winner of Floyd Mayweather v Manny Pacquiao

    Khan ready to meet winner of Mayweather v Pacquiao

    The Bolton fighter is unlikely to take on Kell Brook with two superstar opponents on the horizon, says Frank Warren
    War with Isis: Iraq's government fights to win back Tikrit from militants - but then what?

    Baghdad fights to win back Tikrit from Isis – but then what?

    Patrick Cockburn reports from Kirkuk on a conflict which sectarianism has made intractable