Buckinghamshire Healthcare NHS Trust placed in special measures after Keogh review

Bucks NHS Trust in special measures

Bucks NHS Trust in special measures

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BUCKINGHAMSHIRE Healthcare NHS Trust is one of 11 hospital trusts which has been placed in special measures because of major failings, the health secretary announced this afternoon.

Speaking in the House of Commons ahead of the publication of Professor Sir Bruce Keogh's review, Jeremy Hunt said that tough action was needed at these hospitals.

Among the shortcomings noted for Bucks – which covers Wycombe and Stoke Mandeville Hospitals – were nursing staff failures in dealing with patients nutritional and medication needs and criticism over the care of patients with dementia.

Mr Hunt said Sir Bruce judged that "none of the 14 hospitals are providing consistently high quality care to patients, with some very concerning examples of poor practice".

Special measures will mean that:

• Each hospital will be required to implement the recommendations of the Keogh review, with external teams sent in to help them do this. Their progress will be tracked and made public;

• The NHS Trust Development Agency or Monitor will assess the quality of leadership at each hospital, requiring the removal of any senior managers unable to lead the improvements required.

• Each hospital will be partnered with high-performing NHS organisations to provide mentorship and guidance in improving the quality and safety of care.

These 11 hospital trusts will be reinspected within 12 months.

The three trusts which escaped special measures were also told to make improvements after the review.

Mr Hunt told the Commons: "Those 14 failing hospital Trusts are not the end of the story. Where there are other examples of unacceptable care we will find them and we will root them out.

"Under the new rigorous inspection regime led by the Chief Inspector of Hospitals, if a hospital is not performing as it should, the public will be told. If a hospital is failing, it will be put into special measures with a limited time period to sort out its problems."

Sir Bruce Keogh was asked personally by the Prime Minister to lead the review into 14 Hospital Trusts whose mortality ratios have shown higher-than-expected rates for the past two years.

It follows the publication of the Francis Report into catastrophic failures at Mid-Staffordshire Hospitals.

Click here for more on the findings at Buckinghamshire Healthcare NHS Trust.

Click here for Buckinghamshire Healthcare NHS Trust's response to the review.

 

Comments (25)

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2:28pm Tue 16 Jul 13

Flashheart says...

Anyone surprised?

Anyone?

Anyone?

No, thought not... It's a disgrace what has happened in Bucks, so let's see what these "Special Measures" will do to improve things.

A&E back to Wycombe would be a start as Stoke Mandeville must be creaking at the seams.

I grew up with an A&E in Amersham as well, and the population in a 15 mile radius of Wycombe must have increased by a huge percentage in 40 years.

Madness...
Anyone surprised? Anyone? Anyone? No, thought not... It's a disgrace what has happened in Bucks, so let's see what these "Special Measures" will do to improve things. A&E back to Wycombe would be a start as Stoke Mandeville must be creaking at the seams. I grew up with an A&E in Amersham as well, and the population in a 15 mile radius of Wycombe must have increased by a huge percentage in 40 years. Madness... Flashheart
  • Score: 11

2:39pm Tue 16 Jul 13

Mr Silent Majority says...

The fruits of Labour's legacy for all to see. Stripping Bucks of money and assets for a decade was always going to cause problems further down the line - this is one example.
The fruits of Labour's legacy for all to see. Stripping Bucks of money and assets for a decade was always going to cause problems further down the line - this is one example. Mr Silent Majority
  • Score: -1

2:47pm Tue 16 Jul 13

Welwyn Dowd says...

And just how many more nurses have been taken on in the past 3 years? What's that you day Mr Hunt? We've got rid of a few hundred? All Labour's fault. And the Tory/Lib Health Scrutiny Cttee sat back for the last 10 years and said what? Nothing.
And just how many more nurses have been taken on in the past 3 years? What's that you day Mr Hunt? We've got rid of a few hundred? All Labour's fault. And the Tory/Lib Health Scrutiny Cttee sat back for the last 10 years and said what? Nothing. Welwyn Dowd
  • Score: -1

3:14pm Tue 16 Jul 13

loopylou09 says...

When did Wexham Park come under the Bucks Trust ?? Me thinks someone in the BFP got there hospitals confused it should be Stoke Mandeville, Wycombe and Amersham.

Lets be honest we all know what needs to happen in regards to an Emergency dept at Wycombe but will it ever happen
When did Wexham Park come under the Bucks Trust ?? Me thinks someone in the BFP got there hospitals confused it should be Stoke Mandeville, Wycombe and Amersham. Lets be honest we all know what needs to happen in regards to an Emergency dept at Wycombe but will it ever happen loopylou09
  • Score: 6

3:15pm Tue 16 Jul 13

holly4 says...

But how can that be!! Every 'powers that be' press announcement assures me that they have it all under control and things are so much better for us all now... surely they are mistaken??!!
But how can that be!! Every 'powers that be' press announcement assures me that they have it all under control and things are so much better for us all now... surely they are mistaken??!! holly4
  • Score: 2

3:19pm Tue 16 Jul 13

Darren Hayday says...

Shocking and I'm disgusted in the management. Time now for our A&E and Maternity unit to be returned back to Wycombe and for the people of Wycombe to be listened to rather than doing things for the good of the management!
Shocking and I'm disgusted in the management. Time now for our A&E and Maternity unit to be returned back to Wycombe and for the people of Wycombe to be listened to rather than doing things for the good of the management! Darren Hayday
  • Score: 10

3:31pm Tue 16 Jul 13

BucksComment says...

Next stage in the plan to close Wycombe entirely and build a new super hospital near J8/9 on the M4.

After 3 years you have to be able to stop blaming the 'last lot'
Next stage in the plan to close Wycombe entirely and build a new super hospital near J8/9 on the M4. After 3 years you have to be able to stop blaming the 'last lot' BucksComment
  • Score: 4

3:38pm Tue 16 Jul 13

legiopatrianostra says...

So who is accountable for this???? We can blame politicians but surely management have to be accountable too?
So who is accountable for this???? We can blame politicians but surely management have to be accountable too? legiopatrianostra
  • Score: 9

3:47pm Tue 16 Jul 13

Marginalised Chairboy says...

These hospitals need to get the basics right. They boast about specialist centres and how they cure more people than they did ten years ago, but that's all wasted if just as many people are now dying because basic services are being neglected. Bringing A&E back to Wycombe would be a start, as would hiring Matrons to run the wards and employing enough well-trained nurses to cope with the workload.
These hospitals need to get the basics right. They boast about specialist centres and how they cure more people than they did ten years ago, but that's all wasted if just as many people are now dying because basic services are being neglected. Bringing A&E back to Wycombe would be a start, as would hiring Matrons to run the wards and employing enough well-trained nurses to cope with the workload. Marginalised Chairboy
  • Score: 7

3:48pm Tue 16 Jul 13

legiopatrianostra says...

BucksComment wrote:
Next stage in the plan to close Wycombe entirely and build a new super hospital near J8/9 on the M4. After 3 years you have to be able to stop blaming the 'last lot'
You're kidding aren't you? Many of the failings have occured over many yeasr. This lot and the last lot knew the were failings but brushed it off to the regulator, the regulator (who is full to the brim of common-purpose apparachiks) were no better and neglected to perform their role independently. In short, there's a lot of very highly paid people whose neglect has contributed to a good number of suffering and deaths. SHAME ON THEM!!
[quote][p][bold]BucksComment[/bold] wrote: Next stage in the plan to close Wycombe entirely and build a new super hospital near J8/9 on the M4. After 3 years you have to be able to stop blaming the 'last lot'[/p][/quote]You're kidding aren't you? Many of the failings have occured over many yeasr. This lot and the last lot knew the were failings but brushed it off to the regulator, the regulator (who is full to the brim of common-purpose apparachiks) were no better and neglected to perform their role independently. In short, there's a lot of very highly paid people whose neglect has contributed to a good number of suffering and deaths. SHAME ON THEM!! legiopatrianostra
  • Score: 4

4:09pm Tue 16 Jul 13

Scarletto says...

It might be a good idea if just about every household in Wycombe area writes in to the health trust asking for A&E facilities to be properly restored to Wycombe Hospital.
Someone I spoke to the other day said their elderly relative waited six hours in Stoke Mandeville's A&E dept. after collapsing and then was found to have a broken hip. Painful, longish and bumpy journey to SM first and then the long wait started. Elderly relatives then had to make this journey again for visits to the ward. The A&E waiting room was very crowded.
It might be a good idea if just about every household in Wycombe area writes in to the health trust asking for A&E facilities to be properly restored to Wycombe Hospital. Someone I spoke to the other day said their elderly relative waited six hours in Stoke Mandeville's A&E dept. after collapsing and then was found to have a broken hip. Painful, longish and bumpy journey to SM first and then the long wait started. Elderly relatives then had to make this journey again for visits to the ward. The A&E waiting room was very crowded. Scarletto
  • Score: 3

4:24pm Tue 16 Jul 13

sueplomas@yahoo.co.uk says...

No massive surprise, but its very sad
No massive surprise, but its very sad sueplomas@yahoo.co.uk
  • Score: 2

5:06pm Tue 16 Jul 13

sparky49 says...

Mr Silent Majority wrote:
The fruits of Labour's legacy for all to see. Stripping Bucks of money and assets for a decade was always going to cause problems further down the line - this is one example.
I don't think you can lay all the blame at Labour's doorstep. previous and the current administration are to blame as well.
The trouble is the NHS will always be a political football between the Left and the Right.
[quote][p][bold]Mr Silent Majority[/bold] wrote: The fruits of Labour's legacy for all to see. Stripping Bucks of money and assets for a decade was always going to cause problems further down the line - this is one example.[/p][/quote]I don't think you can lay all the blame at Labour's doorstep. previous and the current administration are to blame as well. The trouble is the NHS will always be a political football between the Left and the Right. sparky49
  • Score: 5

5:15pm Tue 16 Jul 13

s6blr says...

If you really REALLY want to get SERIOUSLY CONCERNED what a disaster NHS Buckinghamshire has become, read http://www.nhs.uk/NH
SEngland/bruce-keogh
-review/Documents/ou
tcomes/Buckinghamshi
re%20Healthcare%20NH
S%20Trust%20RRR%20re
port.pdf

Findings like "There is a lack of organisation-wide monitoring of clinical effectiveness and operational performance data, in that quality scorecards are not in place on all wards and it is unclear how the Board gains insight about the current and most significant quality and safety risks across its sites. The Trust needs more robust, organisation-wide monitoring of clinical effectiveness and operational performance data. "

OR
"The Trust has an overall HSMR of 117 for the period January 2012 to December 2012, meaning that the number of actual deaths is higher than the expected level. This is statistically above the expected range.

Currently, Buckinghamshire has a SHMI of 114, which is statistically above the expected range. The non-elective admissions are seen to be contributing primarily to the overall Trust’s SHMI with a figure of 114, which is above the expected range.

The Trust was selected on the basis of its HSMR, but its SHMI has been higher than expected over the last 12 months. Its HSMR has been higher than expected for 3-4"
If you really REALLY want to get SERIOUSLY CONCERNED what a disaster NHS Buckinghamshire has become, read http://www.nhs.uk/NH SEngland/bruce-keogh -review/Documents/ou tcomes/Buckinghamshi re%20Healthcare%20NH S%20Trust%20RRR%20re port.pdf Findings like "There is a lack of organisation-wide monitoring of clinical effectiveness and operational performance data, in that quality scorecards are not in place on all wards and it is unclear how the Board gains insight about the current and most significant quality and safety risks across its sites. The Trust needs more robust, organisation-wide monitoring of clinical effectiveness and operational performance data. " OR "The Trust has an overall HSMR of 117 for the period January 2012 to December 2012, meaning that the number of actual deaths is higher than the expected level. This is statistically above the expected range. Currently, Buckinghamshire has a SHMI of 114, which is statistically above the expected range. The non-elective admissions are seen to be contributing primarily to the overall Trust’s SHMI with a figure of 114, which is above the expected range. The Trust was selected on the basis of its HSMR, but its SHMI has been higher than expected over the last 12 months. Its HSMR has been higher than expected for 3-4" s6blr
  • Score: 2

6:50pm Tue 16 Jul 13

A third source close to Clyde and Lawrence says...

'Special measures' for large parts of the education service in Bucks and now for the health service as well!

Thank god that the people who count in our society can opt out into the private sector ... talking of 'private' - why don't they privatise more of the health service?

Possibly G4S would help out - there's a lot of money to be made in handing over public services to profit making organisations you know!
'Special measures' for large parts of the education service in Bucks and now for the health service as well! Thank god that the people who count in our society can opt out into the private sector ... talking of 'private' - why don't they privatise more of the health service? Possibly G4S would help out - there's a lot of money to be made in handing over public services to profit making organisations you know! A third source close to Clyde and Lawrence
  • Score: -1

6:56pm Tue 16 Jul 13

J B Blackett says...

It may be all the politicians of all parties who've in power for the last 20-30 years to blame for the mess they are making - it's not just the NHS , y'know.
.
We have been constantly and continually told that the NHS is 'the best in the world'bar none. Well - sad though it be - it had to end some time , but the lazy ignorant incompetent politicos sat back and let it happen at the behest of the inept lying bureaucrats and 'experts'.
.
But the ordinary folk have to live with the resultant consequences - as most of the politicians and the bureaucrats have easier access to health services than ordinary folk.
.
And even more galling is that the ordinary folk are 'obliged' to pay for the politicos and bureaucrats easy access too. We are so tolerant (and gullible - slow to complain) are we not ?
It may be all the politicians of all parties who've in power for the last 20-30 years to blame for the mess they are making - it's not just the NHS , y'know. . We have been constantly and continually told that the NHS is 'the best in the world'bar none. Well - sad though it be - it had to end some time , but the lazy ignorant incompetent politicos sat back and let it happen at the behest of the inept lying bureaucrats and 'experts'. . But the ordinary folk have to live with the resultant consequences - as most of the politicians and the bureaucrats have easier access to health services than ordinary folk. . And even more galling is that the ordinary folk are 'obliged' to pay for the politicos and bureaucrats easy access too. We are so tolerant (and gullible - slow to complain) are we not ? J B Blackett
  • Score: 5

7:03pm Tue 16 Jul 13

A third source close to Clyde and Lawrence says...

Mr Silent Majority wrote:
The fruits of Labour's legacy for all to see. Stripping Bucks of money and assets for a decade was always going to cause problems further down the line - this is one example.
But I thought Bucks was an island of Conservative reason and calm sense standing above the madness of the socialist firebrands Blair and Brown.
[quote][p][bold]Mr Silent Majority[/bold] wrote: The fruits of Labour's legacy for all to see. Stripping Bucks of money and assets for a decade was always going to cause problems further down the line - this is one example.[/p][/quote]But I thought Bucks was an island of Conservative reason and calm sense standing above the madness of the socialist firebrands Blair and Brown. A third source close to Clyde and Lawrence
  • Score: 4

7:10pm Tue 16 Jul 13

Milo The Dog of JBB says...

Can we look forward to the BFP 'celebrating' the brave efforts of the hospital to overcome its difficulties and leave 'special measures', the way it does with failing secondary modern schools?
Can we look forward to the BFP 'celebrating' the brave efforts of the hospital to overcome its difficulties and leave 'special measures', the way it does with failing secondary modern schools? Milo The Dog of JBB
  • Score: 4

8:26pm Tue 16 Jul 13

geoffW says...

The board should resign. NO BIG PAYOFFS. They have FAILED. DO NOT REWARD FAILURE.
The board should resign. NO BIG PAYOFFS. They have FAILED. DO NOT REWARD FAILURE. geoffW
  • Score: 4

9:25pm Tue 16 Jul 13

J B Blackett says...

geoffW wrote:
The board should resign. NO BIG PAYOFFS. They have FAILED. DO NOT REWARD FAILURE.
Useless short-sighted politicians and inept lick-spittle bureaucrats will NOT resign. They support each other and constantly act against the wishes of the people out of sheer self-interest or blatant pig-ignorance..
.
And the people are apparently powerless to remove either ensconced group , as real democracy is not permitted to exist in this country. Just a pretense or facade of one.
.
Other countries have revolutions or a violent clear-out of the corrupt classes . but not here. No - not here. Apparently
[quote][p][bold]geoffW[/bold] wrote: The board should resign. NO BIG PAYOFFS. They have FAILED. DO NOT REWARD FAILURE.[/p][/quote]Useless short-sighted politicians and inept lick-spittle bureaucrats will NOT resign. They support each other and constantly act against the wishes of the people out of sheer self-interest or blatant pig-ignorance.. . And the people are apparently powerless to remove either ensconced group , as real democracy is not permitted to exist in this country. Just a pretense or facade of one. . Other countries have revolutions or a violent clear-out of the corrupt classes . but not here. No - not here. Apparently J B Blackett
  • Score: 3

12:33am Wed 17 Jul 13

Mukenew1 says...

I don't know why everyone is blaming politicians. They Are in Westminster not on the wards. From what I've seen and experienced the nurses and doctors are lazy incompetent, fat, rude, ignorant and with an over inflated ego because their nursing union has constantly banged it into them that they are great, they actually start to believe it. Most nurses are too busy gossiping or doing their nails and filing in risk assessment forms than actually noticing someone has been lying in a bed in their own excrement for hours, days. Some patients are too drugged to understand how to feed themselves so the nurses just take it away from the dehydrated and malnourished patient thinking they don't want it. It's disgusting!!! Most nurses are absolute rubbish and too many foreign witch doctors from dodgy places get passports thrown at them to come and for big big money. We are only told the tip of the iceberg. Wycombe, stoke mandeville you are risking your life going into these disgusting places
I don't know why everyone is blaming politicians. They Are in Westminster not on the wards. From what I've seen and experienced the nurses and doctors are lazy incompetent, fat, rude, ignorant and with an over inflated ego because their nursing union has constantly banged it into them that they are great, they actually start to believe it. Most nurses are too busy gossiping or doing their nails and filing in risk assessment forms than actually noticing someone has been lying in a bed in their own excrement for hours, days. Some patients are too drugged to understand how to feed themselves so the nurses just take it away from the dehydrated and malnourished patient thinking they don't want it. It's disgusting!!! Most nurses are absolute rubbish and too many foreign witch doctors from dodgy places get passports thrown at them to come and for big big money. We are only told the tip of the iceberg. Wycombe, stoke mandeville you are risking your life going into these disgusting places Mukenew1
  • Score: 0

4:57pm Wed 17 Jul 13

Yin Yang says...

The country is financially broke so there will be more centralisation of public sector services to come. Those of you relentlessly harping on about A&E at Wycombe are deluded and tiresome.
The country is financially broke so there will be more centralisation of public sector services to come. Those of you relentlessly harping on about A&E at Wycombe are deluded and tiresome. Yin Yang
  • Score: -2

11:31pm Wed 17 Jul 13

davekroll says...

Darren Hayday wrote:
Shocking and I'm disgusted in the management. Time now for our A&E and Maternity unit to be returned back to Wycombe and for the people of Wycombe to be listened to rather than doing things for the good of the management!
What does the UKIP friendly Hayday know about managing perhaps he should come clean? And what is his position on oversees recrutment?
[quote][p][bold]Darren Hayday[/bold] wrote: Shocking and I'm disgusted in the management. Time now for our A&E and Maternity unit to be returned back to Wycombe and for the people of Wycombe to be listened to rather than doing things for the good of the management![/p][/quote]What does the UKIP friendly Hayday know about managing perhaps he should come clean? And what is his position on oversees recrutment? davekroll
  • Score: 1

12:26pm Sun 21 Jul 13

rjpastaw says...

The entire Trust board and management should resign immediately - or be forcibly replaced.
Their failure is clear and absolute and the main responsibility is theirs alone.
No buck-passing or damage limitation/buck-pass
ing possible here .
(and all the weasel words in the world aren't going to hide their abysmal performance!!!!)
Let's hope they have some semblance of decency and resign NOW!!!!
(but dont sit on the edge of your seat...)
The entire Trust board and management should resign immediately - or be forcibly replaced. Their failure is clear and absolute and the main responsibility is theirs alone. No buck-passing or damage limitation/buck-pass ing possible here . (and all the weasel words in the world aren't going to hide their abysmal performance!!!!) Let's hope they have some semblance of decency and resign NOW!!!! (but dont sit on the edge of your seat...) rjpastaw
  • Score: 1

12:30pm Sun 21 Jul 13

rjpastaw says...

Mukenew1 wrote:
I don't know why everyone is blaming politicians. They Are in Westminster not on the wards. From what I've seen and experienced the nurses and doctors are lazy incompetent, fat, rude, ignorant and with an over inflated ego because their nursing union has constantly banged it into them that they are great, they actually start to believe it. Most nurses are too busy gossiping or doing their nails and filing in risk assessment forms than actually noticing someone has been lying in a bed in their own excrement for hours, days. Some patients are too drugged to understand how to feed themselves so the nurses just take it away from the dehydrated and malnourished patient thinking they don't want it. It's disgusting!!! Most nurses are absolute rubbish and too many foreign witch doctors from dodgy places get passports thrown at them to come and for big big money. We are only told the tip of the iceberg. Wycombe, stoke mandeville you are risking your life going into these disgusting places
What does their weight have to do with anything - or are you saying that thin medical staff are better performers? - evidence please....
[quote][p][bold]Mukenew1[/bold] wrote: I don't know why everyone is blaming politicians. They Are in Westminster not on the wards. From what I've seen and experienced the nurses and doctors are lazy incompetent, fat, rude, ignorant and with an over inflated ego because their nursing union has constantly banged it into them that they are great, they actually start to believe it. Most nurses are too busy gossiping or doing their nails and filing in risk assessment forms than actually noticing someone has been lying in a bed in their own excrement for hours, days. Some patients are too drugged to understand how to feed themselves so the nurses just take it away from the dehydrated and malnourished patient thinking they don't want it. It's disgusting!!! Most nurses are absolute rubbish and too many foreign witch doctors from dodgy places get passports thrown at them to come and for big big money. We are only told the tip of the iceberg. Wycombe, stoke mandeville you are risking your life going into these disgusting places[/p][/quote]What does their weight have to do with anything - or are you saying that thin medical staff are better performers? - evidence please.... rjpastaw
  • Score: 0

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