Medway NHS Foundation Trust maintains its rating following CQC inspection

Date: 30 April 2020

CQC news

The Care Quality Commission (CQC) has today published a report based on its inspection of Medway Maritime Hospital in December 2019 and January 2020.

The report rates the Trust as ‘requires improvement’ – the same as at the last, but with Critical Care raised to Outstanding, and the rating for End of Life Care lifted to Good. However the report sets out where improvements are required in some services, particularly medical care, and the Trust will address these through a comprehensive action plan. The Trust has also taken steps to improve aspects of leadership in response to feedback following the inspection.

The Trust has welcomed recognition for the highly individualised care provided to support treatment in Critical Care. Inspectors also commented that the hospital’s End of Life service truly respects and values patients as individuals. The report also singles out the hospital’s Prehabilitation programme for praise.

The Trust is also recognised for the progress it has made in its ‘use of resources’, with the report noting improved productivity in clinical services, a significant reduction in its reliance on agency staff, and a reduction in the underlying financial deficit. The rating for ‘use of resources’ is raised from ‘inadequate’ to ‘requires improvement’.

However, where ratings were lowered for medical care, and for the ‘well-led’ domain, the Trust has already begun to address the concerns raised.

James Devine, Chief Executive of Medway NHS Foundation Trust, said: “I am delighted that many of our improvements have been recognised; this is a tribute to our staff who have worked hard to raise standards of care, for example in Critical Care where we have seen a significant change, and in End of Life care.

“There was positive feedback from patients and their families about the care they received, and the report said staff provided care which promoted patients’ dignity.

“Our recent staff survey demonstrates that the culture within the hospital has improved over the past year. However, there is much more to do to provide the high quality care we strive to deliver for all patients, every single day. While we would have liked to have seen improvements across all areas, we realise that there are many challenges for this hospital, many of which are taking longer to address.

“We have developed an action plan and are already working to quickly to deliver the improvements needed. It was disappointing that the rating for our medical services went down, but we accept that in some areas we needed to do better – as soon as concerns were raised with us following the visit we made immediate changes, such as speeding up improvements to prevent infections with a hospital-wide campaign to enhance hand hygiene, included installing hand gel dispensers all over the hospital accompanied by a high profile campaign. We are now seeing a marked improvement in relation to the occurrence of infections such as C. Difficile. We have also enhanced vigilance to make sure staff always lock away substances hazardous to health. In January we took action to ensure patients are cared for in the most appropriate care setting, rather than in an escalation ward, bringing forward the closure of Dickens Ward.

“Our improvement plan covers all points raised in the report and will be closely monitored to ensure we are addressing areas where improvements are needed. We are also working with regulators to address their comments in the ‘Well-led’ report’ and this programme is well-advanced. We accept that historic challenges and changes in leadership over the past few years have impacted in some areas, but are confident that we now have a strong, talented Executive team working with high calibre Non-Executive Directors to provide the leadership the Trust needs.”

Read further information about this, including the full report, on the Care Quality Commission website here. 


  • Summary:

    The Care Quality Commission (CQC) has today published a report based on its inspection of Medway Maritime Hospital in December 2019 and January 2020. The report rates the Trust as ‘requires improvement’ – the same as at the last.