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Regulators demand new team to help 'turn around' Morecambe Bay Hospital Trust

REGULATORS have announced they will formally intervene in the running of University Hospitals of Morecambe Bay Trust (UHMBT).

Watchdog Monitor has used its formal powers of intervention to ensure management work more effectively on behalf of patients.

After a review found continued failings, Monitor’s Board has decided to intervene to strengthen trust management.

It has stepped in to appoint an external interim chairman, Sir David Henshaw to drive the recovery of the trust.

It has also demanded the trust appoints a turnaround director, to be agreed with Monitor, to develop and deliver an effective recovery plan and creates a programme management office.

Monitor has also demanded the Trust appoints an interim chief operating officer, to be agreed with Monitor, to run the day to day activities of the trust across all its hospital sites.

Comments(19)

Skeptical says...
6:28pm Mon 6 Feb 12

The evidence published today is too damning for words to describe – I feel devastated. Referring to the December 2011 Diagnostic review of maternity services, the evidence states:

"the Review identified that there is significant risk to mothers and babies which the Trust has not identified and therefore had not managed"

"the Review identified 119 risks relating to maternity and its interface with pediatrics, or which 66 are red, indicating they are considered high risk"

“there is a continued lack of incident reporting in obstetrics, which had been an area of intense scrutiny for some time”

“as a result of the reports received relating to maternity services and outpatients, it is clear that the extent of risk that the Trust has failed to identify is greater that that originally identified in October 2011”

“Action recommended in respect of pediatric services remain outstanding two years after being made to the trust”

“the Diagnostic Review of maternity services found that senior nurses and managers had failed to provide adequate contingency for known staffing issues in the FGH neonatal unit”

It goes on and on and on………. “in an email to Monitor dated 1 December 2011, the Trust Board states that it had implemented in full the 12 actions required by Monitor in its letter of 17 November 2011 to address immediate patient safety concerns in maternity and pediatric. A subsequent independent inspection by the Diagnostic Team on 7 December 2011 of actions taken in relation to Monitors letter found that actions had not been implemented in full and that Monitor had not been provided with appropriate and justifiable assurance by the Trust”

Skeptical says...
7:00pm Mon 6 Feb 12

http://www.telegraph
.co.uk/news/uknews/2
689263/Council-finan
ce-chief-Phil-Halsal
l-to-leave-with-5000
00-golden-handshake.
html

I am not suggesting anything, but merely interested to know if Phil Halsall is related to Tony Halsall? I assume not would like this confirming.

Ricky T Legg says...
12:01pm Tue 7 Feb 12

A good question Skeptical. One would hope there is no connection...especia
lly as both Sir David and Phil Halsall share some history at Liverpool City Council. Phil H being part of a team put together by Sir David.
David Henshaw seems to have a good track record despite falling out with elected members of the council.
Will he sort this problem out?? Who knows? Will Tony H keep his job and how much will he get if he goes??
This is like a festering sore with appalling gunge continuing to be produced.

GuidoFawkes says...
12:15pm Tue 7 Feb 12

As far as I can tell, Halsall is paid between £375,000 and £400,000 to preside over a trust with, amongst other things, the highest mortality rate in England, inadequate ambulance provision in S.Lakes due to waiting outside A&E at Lancaster, a chaotic records keeping system ...... I could go on. Unfortunately, so does Halsall.

Skeptical says...
12:27pm Tue 7 Feb 12

For the record, I have had confirmation that there is no link between Phil and Tony Halsall but the question was worth asking!

Utter says...
1:01pm Tue 7 Feb 12

Is the Guido Fawkes above of Order.Order.com 'fame'?

gadgetgadget says...
1:30pm Tue 7 Feb 12

One of the interesting things about the Monitor report (besides the damning and rather worrying exposure of lies/bad practice) is the appointment of a Chief Operating Officer to take over the day to day running of the three hospitals - what does that leave Halsall doing I wonder ?

gadgetgadget says...
1:31pm Tue 7 Feb 12

Oh and still no report on this site about the potential closure of RLI's A&E which would have disastrous consequences for the local community - come on WG get your finger out that story was out last Thursday and was one of the main stories on the BBC local news - yet locals who use this website are effectively being kept in the dark.

WilliamT says...
2:04pm Tue 7 Feb 12

The closure threat was just 'paper tiger' stuff- they wouldn't even close RLI A&E if they were machine-gunning the patients, because it's such a long way between Carlisle and Preston or Blackburn. It would be like having no A&E between Newcastle and Leeds, and they certainly can't face the headline: 'my ageing wife/ husband died in the ambulance just beyond Lancaster'.
Just having the 'turnaround director' on the books will give them 6 months even if nothing really improves.

gadgetgadget says...
3:16pm Tue 7 Feb 12

Sorry WilliamT I know the closure stuff was basically scaremongering but the total lack of any mention of the CQC investigation here does beg questions. Closure would be counter-productive anyway.

Monitor have published their reports today....

http://www.monitor-n
hsft.gov.uk/home/abo
ut-nhs-foundation-tr
usts/regulatory-acti
on/formal-interventi
ons-0

Have a look under the pull down for UHMBT and the three main PDF reports are available.

gadgetgadget says...
3:27pm Tue 7 Feb 12

Just skim read two of the reports ... the overall one and the out-patients one.

Both are very damning of a management structure that fails to take responsibility etc etc.

Well worth a read imo.

Utter says...
5:54pm Tue 7 Feb 12

I just want to pay tribute to James Titcombe, Tim Farron and county councils health committee for keeping this on the agenda!

WilliamT says...
8:45pm Tue 7 Feb 12

You should probably add WG to the list of people to thank. There has been some criticism of the paper recently, but they can't keep going on and on about this problem without annoying the majority of readers. Contrast with the Lancaster Guardian- the UHMB stories either don't get reported there at all, or not until weeks after they happen. As an experiment, I put a comment onto today's story about the Monitor intervention, pointing out that all these external reports and new managers and advisers are costing a fortune, yet the original managers are still there. It appeared, but was then deleted. You can't get reasoned criticism of UHMB into the Guardian, so we should be grateful for WG.

hemyfan says...
9:44pm Tue 7 Feb 12

I hope this week's Gazette is going to have a several page feature on this. The detail in the reports is appallingly vivid and a contradiction of all the reassurances given over the years. This needs to be got into the public arena and that means journalists making long dry reports readable in the local press. There's nothing on today's Gazette website indicating the massive amount of evidence released in the reports today (as opposed to the announcements yesterday).I know local press operate on a shoestring, but if ever there was a time to do a story justice, this is it and it's all on a plate for them. Please step up to it Gazette

hemyfan says...
1:35am Wed 8 Feb 12

and at least do a report on this.
http://www.guardian.
co.uk/society/2012/f
eb/07/doctor-suspend
ed-cumbria-hospital

It's on the front page of The Guardian website. Nowhere on yours.

gadgetgadget says...
1:47pm Wed 8 Feb 12

All three reports from Monitor are damning in their judgements on the management inabilities/policies at UHMBT.

Particularly it has to be said the governance one - that highlights some basic but very serious deficiencies in especially in management failing to take responsibilities or to even want to listen to concerns both from staff and patients.

These reports when taken as a whole reflect a management structure that is unfit for purpose.

It reflects a Chief Executive who has resided over a catalogue of disasters, blatently lied on promises that services were corrected, failed to ensure that they were actually corrected, failed to lead by example and who has little real medical experience.

I can only hope that the calls for him to resign now increase - he must imo go and stop clinging on by his fingertips.

hemyfan says...
2:07pm Wed 8 Feb 12

If the Gazette thinks the Barrow maternity unit is not of local concern, this is why it is;
"It was notable that despite the recent number of serious untoward incidents there was no senior presence on the FGH site above midwifery matron level (Band 8a), with the Executive Team and Divisional Management Team being based at Westmorland General Hospital. The review team considered this a significant gap in the provision of visible leadership in an area of high risk."

hemyfan says...
2:11pm Wed 8 Feb 12

and these are just some of the consequences;
""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 in the monitor report that there is no sign of yet in the Gazette.

Skeptical says...
11:16am Fri 10 Feb 12

http://epetitions.di
rect.gov.uk/petition
s/29317

An opportunity to protest....

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