System response to quality concerns in providers

Joint response to a learning review looking into how the system responded to concerns about poor quality of care and poor trainee experience at North Middlesex University Hospital NHS Trust (NMUH).

NHS Improvement, NHS England and Health Education England (HEE) have published a joint response to a Deloitte learning review looking into how the system responded to concerns about poor quality of care and poor trainee experience at NMUH between 2014 and 2016.

The response sets out how national bodies have been working together since the review period — centrally and regionally — to identify quality risks in providers, share concerns and develop coordinated support interventions. 

National bodies will continue to work together to ensure issues in providers are identified and addressed in a timely and coordinated way, and NHS England and NHS Improvement continue to develop new joint ways of working to ensure alignment in their interactions with and support to providers.

“The events at North Middlesex have important lessons for how oversight organisations work together to ensure that challenged trusts receive support to provide high quality care. 

Since the events at North Middlesex we have created the Joint Strategic Oversight Group where oversight organisations meet to share concerns, to ensure an aligned and consistent approach to supporting trusts and to intervening where necessary. 

Members include senior representatives from NHS Improvement, NHS England, the Care Quality Commission, Health Education England and the General Medical Council.

We are continually improving the way we work with other oversight organisations so that challenged trusts receive support quicker. We are creating seven integrated regional teams in the coming year which will take a more holistic view of the challenges faced by trusts and will proactively offer support to those that need it. The regional directors of these teams will play a major leadership role in the areas that they manage and will have full responsibility for quality, finance and operational performance of trusts in the region.”

Dr Kathy McLean, Executive Medical Director and Chief Operating Officer at NHS Improvement

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