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'We will clear hospital appointments backlog' say health chiefs

HEALTH chiefs say they will clear 19,000 excess appointments at their hospitals with extended surgeries.

Bosses from the University Hospitals of Morecambe Bay Trust said they were ‘confident’ their overflowing outpatient appointments list could be sorted out by the end of March.

To do this, some patients will be asked to attend Royal Lancaster Infirmary and Furness General Hospital, in Barrow, as late as 7.30pm.

Extra clinical surgeries during the day have also been organised to help tackle the extra workload, which equates to 19 days of hospital time.

It was one of the strategies discussed at Cumbria County Council’s Health and Well Being scrutiny meeting, where councillors questioned health bosses over their improvement plans.

Committee chairman Coun Bill Wearing voiced concern over extended hours, saying many people would struggle to get to later appointments.

However, the trust said it would consult patients over appointment times by telephone or letter to ensure they were suitable.

Trust chief executive Tony Halsall said they had analysed their patient booking methods to ensure they avoided future appointment delays. The trust is expected to publish their findings in a report later this month.

Trust members and medical directors from across the region also discussed maternity services at Furness General Hospital, which was raised as an area of concern by health watchdog the Care Quality Commission last year.

Mr Halsall announced that more than 11 midwives had been added to teams across its hospitals and they had trained 150 staff to manage risk, using expertise from Manchester medical consultants.

Theresa Chapman, a consultant midwife from London Imperial NHS Trust, said there had been a ‘significant change in culture’ in the last three months. “Staff are now more confident in clinical decision making and being able to articulate their decisions,” she said.

Mr Halsall said: “We don’t want to paint the picture that everything is fixed but having a single risk log and action plan and retraining people to manage risks will help us keep focused on sustainable changes.”

Two further reports, expected this month, will raise concern over two different elements of management at the trust. A CQC report, based on an unannounced inspection of emergency care pathways, is expected to be released soon.

Mr Halsall said it would raise concerns over nurse staffing levels at busy times.

Additionally, a report from watchdog Monitor is expected to demand changes to the way the organisation is governed.

Comments(26)

gadgetgadget says...
5:20pm Wed 1 Feb 12

More toothless management speak from Halsall - too many examples still of the appointments system being wrong.

19k appointments now in backlog thought it was less than that before Christmas ?

This was promised to be cleared by March 2012. Another broken promise Halsall ??

cumbrian1 says...
7:15pm Wed 1 Feb 12

Does nobody do any proof reading before headlines are put on ? "Appoinments"

Skeptical says...
8:17pm Wed 1 Feb 12

WG reporting on issues at UHMB has gone down hill recently. At the meeting yesterday, Halsall admitted to an 'error of judgement' for not disclosing the Fielding report to the PCT (or anyone else). This is the understatement of the year... lives have been lost because the recommendations in the report were not implimented quickly enough.

WilliamT says...
8:26pm Wed 1 Feb 12

Yes, it's odd that WG (which was doing well back in November, heading the campaign for resignations) has been rather back-pedalling on this story lately. Maybe they have seen that people are getting bored with it, and are saving themselves for several real pastings that UHMB are about to get, even though it is clear the reports have been sanitised to 'prevent people losing confidence in the hospitals'.

Skeptical says...
9:16pm Wed 1 Feb 12

WilliamT, something has changed regarding editorial policy at WG and this is a great shame. The NW Evening mail tonight gives an insight into what is to come regarding the governance review, which apparently Halsall says is 'disappointing' and 'less than complimentary'. It's ok though, because Halsall and the rest of the Board are going to do some 'sole searching'. The situation would be farcical were it not so incredibly serious.

http://www.nwemail.c
o.uk/news/health-wat
chdog-highlights-tru
st-problems-1.920632
?referrerPath=news

gadgetgadget says...
9:48am Thu 2 Feb 12

story relegated to page 9 in today's edition - rather backs up the theories above about editorial policy change at the WG. Worrying.

Skeptical says...
10:05am Thu 2 Feb 12

Gadget, I agree, the situation at the trust is critical at the moment and WG have not reported on the situation properly for some time.

WilliamT says...
11:21am Thu 2 Feb 12

It could be that someone has been on the phone saying that it would be best if the story went away for a while, but from the WG point of view it seems that only 3 people are interested in the hospitals story and maybe only 2 of them buy the paper!
It is only a little surprising that the local police seem to be choosing not the outsider Batman to sort out the chaos in Gotham City, but someone who has been there all along controlling the cover-ups and who has now assumed the new guise of public benefactor handing out free money- The Joker! The worrying part is that the regulators seem to be falling for it.

Skeptical says...
1:33pm Thu 2 Feb 12

FACT:- In the governors meeting today, Halsall announced that the CQC have issued the trust with their second legal warning notice – this time on A&E. When will the management of the trust accept responsibility for these failings?

WilliamT says...
1:57pm Thu 2 Feb 12

Thanks for the news, Skep. Halsall has accepted responsibility, but only in the smarmy Tony Blair way which means that he's just being noble and it's really the fault of Kane, Smith and Vaughan or anyone else that's either not there any more, or can't defend himself. Unfortunately, the governors are just the stooges preparing the audience for the Board.
Where was it that buck stopped, again?

Skeptical says...
2:11pm Thu 2 Feb 12

The rumor mill is circulating regarding the Monitor announcement too....Monitor to appointment new chair and a 'director of turnaround'.....that is only conjecture though, unlike the CQC announcement which is now confirmed.

gadgetgadget says...
11:05am Fri 3 Feb 12

CQC released a press statement confirming the warning yesterday for RLI A&E - can't believe the WG are not reporting it at all yet !!

Very serious matter indeed.

Guanajuato says...
12:58pm Fri 3 Feb 12

BBC news last night was reporting that it could lead to closure of Lancaster A&E. Now, what a great way to fix insufficient staffing by removing the whole thing. When will it be recognised that a mainly rural area has completely different health care provision needs than a big city?

WilliamT says...
2:01pm Fri 3 Feb 12

Curiouser and curiouser. The CQC issues a call for patients to describe their experiences of UHMB A&E, except it's more of a whisper under the bedclothes. Not mentioned on the CQC site and only reported in the Evening Mail. There's no surprise that the appeal is not mentioned in the Lancaster Guardian- this must have a deal to keep these stories quiet and it hasn't even reported the A&E investigation at all until today, which is over 2 weeks after it began. Unfortunately, WG has joined this quiet tendency, and hasn't mentioned the patient appeal either. Who has been speaking to who?

gadgetgadget says...
2:31pm Fri 3 Feb 12

CQC ultimate power is to remove the service - however what would help now is a return of A&E services to WGH. Would take some of the pressure off RLI - yet UHMBT seem totally blind to this relatively simple option.

The requirements to fix the problems at RLI are clearly not just staffing related if the CQC press release is read - it's clear that there are fundamental problems with resources not just staff that are not going to be readily fixed by 16th March 2012.

If RLI's A&E is ultimately closed (which I don't think will actually happen) then it would be an absolute travesty if services are not first restored to WGH.

TF's statement on the CQC warning is here ...

http://timfarron.co.
uk/en/article/2012/5
57221/mp-calls-on-ho
spital-trust-to-apol
ogise-to-local-peopl
e-as-cqc-confirm-nee
d-to-make-urgent-imp
rovements-to-staffin
g-numbers

gadgetgadget says...
2:32pm Fri 3 Feb 12

CQC warning notice also includes the following ...

An examination of shift reports completed by nursing staff for December revealed a number of concerns including:
• On 6 December, three of the registered nurses on shift were occupied in resuscitation bays, leaving only one nurse in the main department for medication administration
• On 9 December, by 23.00 hours, the department was ‘blocked’ and only one resuscitation bay was available
• On 15 December, the corridor was full with people awaiting attention and assistance. The shift report showed 11 four-hour waiting time breaches and five six-hour breaches.
• On 17 December, no cover was provided for a registered nurse who was off sick
• On 20 December, patients were waiting in the corridor and the staff shift reports stated that staff were unable to complete all the paperwork required clinically – staff were drafted in from wards to help.
• Staff told us “often staffing is at crisis level”

gadgetgadget says...
2:37pm Fri 3 Feb 12

The CQC press release also included a mention that the full report would be available on their website "shortly" still waiting though ! ;)

Skeptical says...
3:10pm Fri 3 Feb 12

I agree with Tim Farrons statement, why has it taken action from the CQC for the trust to admit that there was a problem when the evidence has been very clear for some time. This is the same situation as maternity services, the trust themselves would not admit to a problem (even after critical Inquests) and it took action from CQC and Monitor to bring about much needed improvements. How can it possibly be that the man with overall responsibility for these appalling failures is still in post?

WilliamT says...
3:30pm Fri 3 Feb 12

Well, at least there are four of us now! Halsall must have some very powerful friends at Monitor and CQC-Skeptical knows better than I do that CQC approved MB clinical services for Foundation authorisation in 2009, and then approved them again in 2010. Monitor then authorised against all the indicators that things were seriously wrong, and they just kept on getting wronger for the next year until Monitor was forced to act.
If anyone else had ploughed the hospitals so deep into the dirt so quickly, he would have been gone long ago, but Halsall is still there 'showing leadership'. This is true, but it's the relentless downward direction he's leading that's the problem, with CQC and Monitor determinedly 'looking the other way' whenever they get the chance.

gadgetgadget says...
3:50pm Fri 3 Feb 12

Report on the BBC news website ...

http://www.bbc.co.uk
/news/uk-england-lan
cashire-16869192

gadgetgadget says...
3:51pm Fri 3 Feb 12

Anyone else spot the common denominator between John Terry and Tony Halsall ?????


Arrogance in the face of insurmountable opinion.

chrismc says...
10:13pm Fri 3 Feb 12

"Curiouser and curiouser. The CQC issues a call for patients to describe their experiences of UHMB A&E, except it's more of a whisper under the bedclothes. Not mentioned on the CQC site and only reported in the Evening Mail. There's no surprise that the appeal is not mentioned in the Lancaster Guardian- this must have a deal to keep these stories quiet and it hasn't even reported the A&E investigation at all until today, which is over 2 weeks after it began. Unfortunately, WG has joined this quiet tendency, and hasn't mentioned the patient appeal either. Who has been speaking to who?" I find this shocking, if the CQC are thoroughly investigating, their call for feedback should be widely pubilicised. Are all formal complaintants being given the opportunity to input their experiences, Surely the CQC will have access to the files during the time of investigation, if not, the Trust should be informing the people if they are being as open as they say they are.

Skeptical says...
9:11pm Mon 6 Feb 12

It is much worse than I thought... see
http://www.thewestmo
rlandgazette.co.uk/n
ews/9514966.Regulato
rs_demand_new_team_t
o_help__turn_around_
_Morecambe_Bay_Hospi
tal_Trust/

hemyfan says...
10:39pm Tue 7 Feb 12

Come on Gazette. Where is any hint that you are taking this as seriously as you should. There are a lot more patients than nhs employees in your readership. It's all on the Monitor website. I'm an outpatient so have time to search the internet and read the documents; most people don't and rely on your paper.I have a personal interest in this as I'm currently an outpatient at RLI (despite living in Kendal).

GuidoFawkes says...
12:24pm Wed 8 Feb 12

See this extract......
"
Tony Halsall, the trust's chief executive, who has resisted calls to resign, said the trust had been working hard to address the issues and "considerable progress" had been made. He apologised "once again" to anyone who had suffered as a result of the trust's failings, and thanked staff for their hard work and commitment.
He described Monitor's report as disappointing and "less than complimentary". "The additional resources and expertise at the top of the organisation will help us resolve the shortcomings and weaknesses as quickly and effectively as possible, whilst also making longer term improvements to our services," he said. "
This master of the understatement is planning to cling on to the bitter end!!!

hemyfan says...
1:55pm Wed 8 Feb 12

"An immediate action is to ensure there is equipment to monitor the fetal heart electronically permanently available in the obstetric theatre."
"There was concern that some medical staff did not follow infection prevention and control best practice being seen in theatre scrubs wearing jewellery, wrist watches and corduroy clogs."
"no local induction e.g. junior and middle grade medical staff who, for instance demonstrated a complete lack of knowledge of the location of the adult resuscitation equipment. When this was reported to a member of the senior management team they explained the resuscitation trolleys are kept in clearly marked bays. This was not the case at FGH."
All from the latest monitor report

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