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Inspectors lift warning notice following significant improvements made at Sherwood Forest Hospitals


September 9, 2016

Sherwood Forest Hospitals is very pleased to report that, to reflect the excellent progress made over the past year, healthcare inspectors have this week lifted the last of three warning notices applied to the Trust in 2015.

The Care Quality Commission, which regulates health and social care providers, concluded that improvements made at the Trust’s three sites – King’s Mill, Newark and Mansfield Community Hospitals – mean it can now lift its Section 29A notice in relation to the Trust’s regulated activities (see notes for editors for more information).

The Trust was rated as “inadequate” following a CQC inspection in 2015, and the Section 29A notice and two others were issued at the same time in accordance with the Health and Social Care Act.

An unannounced inspection by regulators in July this year found that the Trust had made the necessary improvements required to put in place systems and the appropriate resources to both monitor the safety and quality of care effectively, and to identify lessons to be learned and implement changes to practice where needed.

The CQC is expected to publish the findings of its recent re-inspection and confirm the Trust’s performance rating later this year.

Trust managing director Peter Herring said: “We put in place a comprehensive quality improvement programme to address the concerns identified by the CQC and to embed the necessary changes into the organisation.

“Although there is still more to do, we have made very good progress over the past year, and this is reflected in our strong performance against national standards and the improved feedback we are getting from patients and staff.

“The lifting of the formal notice is yet another marker of the significant progress we have made, and I would like to thank staff for their continuing focus and dedication to improve patient care so notably over the past year.”        


About the Section 29A notice:

Section 29A requires that the Trust has in place effective arrangements in relation to the following:

1. Systems to assess, monitor, and mitigate risks to people receiving the care as inpatients and outpatients operate effectively.

2. Systems to assess, monitor, and improve the quality and safety of the services provided to people attending hospitals as inpatients and outpatients operate effectively.

3. Proper processes in place to enable the Trust to make the robust assessments required by the Fit and Proper Persons Requirement.

Other notices applied by the CQC in 2015 (now lifted):

The Section 29A notice was one of three issued by the CQC in 2015. The others were a Section 31 notice and a Section 10 notice, which were both lifted earlier in 2016.

Section 31

The Section 31 relates to the way the Trust handles potentially fatal cases of sepsis, which occur when the body over-reacts to an infection.

Awareness among clinical staff and screening are vital and once identified the condition should be treated as a medical emergency.

Sherwood Forest Hospitals is now among the best-performing trusts in England in relation to sepsis, with more than 90 percent of emergency patients being screened on admission and more than 90 percent of patients identified as having sepsis receiving antibiotics within the recommended 60 minutes.

Dedicated sepsis leads are also working closely with partners at Nottingham University Hospitals to share developments and create joint strategies to ensure improvements continue.

Section 10

The Section 10 notice relates to registration for the assessment of medical treatment for people detained under the Mental Health Act. We have subsequently received our certificate of registration.