BMI Thornbury Hospital

Updated 12 July 2019

Sheffield Orthopaedics Limited are an independent healthcare provider specialising in the provision of orthopaedic surgery. They provide surgical services for both NHS and non-NHS patients with services and facilities provided by BMI Thornbury Sheffield.

Sheffield Orthopaedics have 25 specialist consultants with experience in all aspects of musculo-skeletal surgery, are all UK and internationally fellowship trained and hold substantive NHS consultant appointments throughout the Teaching Hospital Network of South Yorkshire. All 25 consultants have practising privileges with the host hospital through their employment with Sheffield Orthopaedics.

There are contractual agreements in place that BMI Thornbury hospital provides theatre, nursing staff and allied health professionals. It also maintains responsibility for all environment and equipment.

Surgery is the main service provided with additional facilities for children and young people. There are outpatient services for initial consultation, pre-assessment and post-operative follow up.

Sheffield Orthopaedics Limited opened in 2004. It is a private company in Sheffield, South Yorkshire. The service primarily serves the communities of South Yorkshire, but it also accepts patient referrals from outside this area.

The current registered manager has been in post since July 2016.

The service is registered to provide the following regulated activities:

• Diagnostic and screening procedures

• Surgical procedures

• Treatment of disease, disorder or injury

  Core Services provided were

• Surgery (excluding cosmetic surgery)

• Children and Young People

• Outpatients

Updated 12 July 2019

Sheffield Orthopaedics Limited is an independent healthcare provider specialising in the provision of orthopaedic surgery. They provide surgical services for both NHS and non-NHS patients with services and facilities provided by BMI Thornbury Private Hospital Sheffield. The relationship between Sheffield Orthopaedics and the host hospital is governed by contractual agreements.

The service provides consultant care and surgery for primarily adult patients but a small number of young people between the age of 15 and 18 years are also able to access the service.

We inspected this service using our comprehensive inspection methodology. We carried out the unannounced visit to the hospital on 18 February 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

The main service provided by this service was surgery. Where our findings on surgery – for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the surgery service.

Services we rate

This was the first time we had inspected this service. We rated it as Good overall.

• Incidents were reported and dealt with effectively. There were no serious patient safety incidents reported in relation to the service between August 2017 and July 2018.

• Policies and procedures were in place. The host hospital provided policies relating to medicines management, infection control and the maintenance of the environment and equipment. There was effective sharing of information between the two organisations

• Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse, and they knew how to apply it.

• Care was planned and delivered in line with national evidence based guidance. Patient outcomes were measured.

• Suitably trained and competent staff delivered care and treatment and there was clear evidence of effective multidisciplinary team working.

• The service provided mandatory training in key skills to all staff and made sure everyone completed it.

• Patients gave positive feedback about the care and treatment that they had received.

• Patients had timely access to treatment and most were seen within 18 weeks.

• The service had clearly defined vision and values. Key risks to the service were recorded and managed.

• The service had a contract with the host hospital that was regularly reviewed. Staff had built effective relationships with the host trust and there was evidence of effective communication and information sharing.

  Ellen Armistead

  Deputy Chief Inspector of Hospitals (North)

Updated 12 July 2019

Children and young people’s services were a small proportion of service activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We did not rate this core service due to the low numbers of young people using this service.

Updated 12 July 2019

We rated this service as good because it was safe, responsive and well led.

We do not rate effective in this core service.

We inspected but did not rate caring due to the limited examples we were able to observe due to low activity levels at the time of inspection.

Updated 12 July 2019

Surgery was the main activity of the hospital. Where our findings on surgery also apply to other services, we do not repeat the information but cross-refer to the surgery section.

We rated this service as good because it was safe, effective, responsive and well-led.

We inspected but did not rate caring due to the limited examples we were able to observe due to low activity levels at the time of inspection.