Gloucestershire Hospitals Response to CQC Report


The Care Quality Commission’s (CQC) report into Gloucestershire Hospitals NHS Foundation Trust (the Trust) has praised staff for their caring approach and commitment to patients.  

Inspectors also concluded that the Trust’s leadership was ‘good’ and highlighted critical care as ‘outstanding’ - the only hospital service in the South West to receive the highest rating. Overall nearly two thirds of services were rated as either ‘good’ or ‘outstanding’. No service or domain was rated by the CQC as ‘inadequate’.

The CQC inspected Gloucestershire Royal Hospital, Cheltenham General Hospital and Stroud Maternity Unit in March 2015. Of the 78 individual domains or services inspected the Trust received 51 good or outstanding ratings. Twenty seven were judged as ‘Requiring Improvement’, leaving the Trust with an overall rating of ‘Requires Improvement’, with the challenging winter period having an impact on the Trust’s performance.

Surgery and Maternity and Gynaecology services were judged to be ‘good’ across Gloucestershire Royal and Cheltenham General Hospitals. Children and Young People’s services at Gloucester also received a ‘good’ rating. Maternity services at Stroud also received a ‘good’ rating. Services highlighted as ‘requiring improvement’ across both sites include Urgent and Emergency services, Medical care and End of Life care.

Dr Frank Harsent, Chief Executive, said: “We welcome the CQC’s report, which is an important opportunity for us to reflect on feedback and improve our services. Throughout the report the inspection team makes reference to the caring, compassionate and committed approach of staff towards patients. This is something that I see in the staff here every day, and it is reassuring and affirming to see this care recognised by the CQC. 

“There were a number of areas highlighted as either ‘good’ or ‘outstanding’ within the report, and also areas of best practice and innovation, such as the care provided by the critical care team at Gloucester and Cheltenham. 

“The report also highlighted a number of areas for improvement, which we have already begun to address, and we know that we can always learn and improve our services further. Clearly the winter was a very challenging period for us and this has had an impact on our performance. In relation to the four hour waiting standard at A&E, while this is a wider issue than just our hospitals, we are determined to make this better for patients and we are working closely with our health and care partners to do this.”  

The CQC inspectors based their ratings of each service or team visited on key questions across eight service lines, the evidence for each then leads to the overall rating given. The questions are:

  • Is it safe?
  • Is it effective?
  • Is it responsive?
  • Is it caring?
  • Is it well-led? 

The Trust is now developing a detailed action plan in response to the areas identified for improvement. The CQC are an independent regulator of health and adult social care whose job is to make sure health and social care services provide people with safe, effective, compassionate, high-quality care by monitoring, inspecting and regulating services to make sure they meet fundamental standards of quality and safety.


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