6, 7, 8 and 9 December 2022
During a routine inspection
This practice is rated as Good overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection of Queen Elizabeth Hospital Urgent Care Centre on 6, 7, 8 and 9 December 2022. The service had previously been inspected in January 2017 where it had been rated as good overall, and in all five key questions.
The registered manager is the Head of Quality and Governance at the location. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Our key findings were:
- The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The service was not meeting targets for the time in which patients were clinically assessed as required by its commissioners, and standards set by NHS England. The targets were not being met at any of the four sites, and were particularly outlying at Princess Royal University Hospital Urgent Treatment Centre (UTC) and Kings College Hospital UTC.
- The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the service easy to access and reported that they were able to access care when they needed it. However, the service was not ensuring a throughput of patients in line with its four-hour target.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements as they are in breach of regulations are:
- Ensure that care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Improve throughput times such that it meets targets for discharging patients in four hours.
- Review systems for monitoring prescription stationery.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services