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82-456: Southern Health NHS Foundation Trust is an NHS foundation trust which provides community health, mental health and learning disability services across Hampshire . It is one of the largest providers of such services in England. The trust was formed on 1 April 2011 following the merger of Hampshire Community Healthcare NHS Trust and Hampshire Partnership NHS Foundation Trust . On 1 October 2024,

164-402: A cap on the proportion of their income that can come from non-NHS treatments. It did not only apply to income derived from individual patients, it covered income from all non-NHS sources. This could include joint ventures to develop medical technologies, employers paying for counselling services or income from treating UK military personnel overseas. The Health and Social Care Act 2012 abolished

246-474: A draft version of the report leaked to the BBC, 1,454 of these deaths were unexpected, and only 195 were treated as a serious incident requiring investigation. The reports were criticised for being late and of poor quality. Very few deaths of people with learning disability or dementia were investigated and there was little family involvement. Southern Health accepts that its investigations needed to improve, but disputes

328-487: A good or outstanding CQC rating was associated with a better quality of life for residents. High staff wages were linked with better CQC ratings, and short-staffed homes were linked with worse CQC ratings. Michelle Fenwick, the director of Heritage Healthcare Franchising, complained in December 2019 that the fees charged to home care providers, which are proposed to be based on the number of clients supported, were unfair and

410-487: A link between the community and the board of directors. The size of the council of governors and its exact composition are determined by the constitution of the particular trust. Each trust adopts its own constitution subject to certain restrictions in legislation. These restrictions include that a majority of the council of governors must be elected governors and governors must be unpaid volunteers. Some trusts are more committed to co-operative principles and have even written

492-634: A male carer and mistreated by four others. The standard of care at the nursing home had been rated "excellent." The victim was an 81-year-old woman with Alzheimer's disease and severe arthritis . Although the commission's primary function is to enforce national standards including safeguarding the vulnerable and "enabling them to live free from harm, abuse and neglect" the CQC responded by stating that they "should not be criticised for failing to protect people from harm" and could not be expected to spot abuse "which often takes place behind closed doors." Whorlton Hall

574-486: A meeting where deletion of a critical report was allegedly discussed. Bower and Jefferson immediately denied being involved in a cover-up. The Guardian newspaper reported on 19 June 2013 that Tim Farron MP had written to the Metropolitan Police asking them to investigate the alleged cover-up. Following an investigation, CQC found that Jefferson had not been party to any alleged 'delete' instruction. Jefferson

656-819: A new organisation – the NHS Trust Development Authority – was established by the Health and Social Care Act 2012 to supervise trusts which have not reached foundation status, of which there were 99 in April 2013, 47 of which were never expected to reach foundation status. The Health and Social Care Bill 2011 , overseen by Lansley, proposed that all NHS trusts become foundation trusts or part of an existing foundation trust by April 2014. The early foundation trusts were generally financially buoyant, but during 2013 and 2014 more faced financial difficulties. A foundation trust finance facility, managed by an advisory committee to

738-527: A place for treatment and 53% recommended it as a place to work. Oxfordshire County Council ’s adult social care director and local Clinical commissioning groups decided that the trust’s contract to run specialist inpatient services and community teams in Oxfordshire should not be renewed when it expired on 31 December 2015 after regulators and commissioners had raised "quality and performance concerns" about inpatient services. The Care Quality Commission rated

820-627: A plan to reduce the area served and the disparate services provided. It took over five General practices in Gosport in 2016. The practices merged to form The Willow Group, which holds a general medical services contract jointly with the Trust. The Trust's Going Viral programme won the Leadership Innovation category at the first Guardian Healthcare Innovation Awards in November 2013. In November 2013

902-501: A result of an improved risk management and a stronger learning culture." They also said the research was based on a limited sample of inspections which took place over five years ago. In August 2019 the Avon and Wiltshire Mental Health Partnership NHS Trust was fined £80,000 as a result of a prosecution brought to court by the CQC. This followed the fall of a patient from a hospital roof which led to serious injury. The service had been warned of

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984-570: A shared services solution". By the end of 2013–14, foundation trusts collectively had built up cash reserves of £4.3 billion and it was suggested in the NHS Five Year Forward View that the government would "support" foundation trusts to spend this money "to help local service transformation". In response, the chief executive of the Foundation Trust Network, Chris Hopson, said: "The responsibility for these surpluses lies with

1066-767: A variety of tests, which have changed over time. In 2003 only trusts with three stars from the Commission for Health Improvement were eligible for foundation status. In that year Aintree Hospitals, Essex Rivers Healthcare, Newcastle upon Tyne Hospitals and Walsall Hospitals were all downgraded to two stars and so did not make the first wave of foundation trusts. Formerly referred to as foundation trust equivalent (FTe) instead of Equivalent Foundation Trusts , this designation applies only to trusts providing high secure psychiatric services, of which there are three: Nottinghamshire Healthcare NHS Trust , West London Mental Health NHS Trust and Mersey Care NHS Trust . These trusts abide by

1148-405: Is contracted out to a private company, and exempt from many of the rules normally imposed on state-owned hospitals, and in particular, that hospital was allowed to negotiate its own contracts with workers. The governance of that hospital includes local government, trade unions, health workers and community groups. Foundation trusts were announced by Health Secretary Alan Milburn in 2002, and

1230-636: Is a private hospital in County Durham which had previously been owned by the same company as Winterbourne View. An undercover investigation by the BBC Panorama programme found evidence that vulnerable clients with autism or learning difficulties were physically and verbally abused by staff. Patients were also physically restrained. The current owners of the service, Cygnet have stated that all patients have now been transferred to other hospitals. The service had been visited at least 100 times by official agencies in

1312-432: Is a staff constituency, a patient constituency, and a "public member" constituency, consisting of members who are neither patients nor staff but live in a defined geographical area. In addition, there are governors appointed by bodies with whom the trust works in partnership. So, for example, appointments may be made by local councils, local medical schools, and local voluntary organisations. Governors are intended to act as

1394-569: Is described in Schedule 7 of the National Health Service Act 2006 , with the formal corporate form being called a "public benefit corporation". Each foundation trust has a council of governors. This is made up of elected governors and appointed governors. Elected governors are chosen by a secret postal ballot of the membership, which is open to the general public. The elections are usually held in separate constituencies. Typically there

1476-459: Is one of eight in a partnership of NHS mental health trusts to provide acute mental health inpatient services for military personnel. The Trust retained the contract to provide mental health beds for military personnel in the South of England. In July 2016 it was announced that the trust would transfer community learning disability services in Oxfordshire to Oxford Health NHS Foundation Trust as part of

1558-627: The Care Quality Commission issued an enforcement notice to the trust after inspection of the Headington site found it to be in breach of six essential standards. Slade House was found to be unsafe for patients. The trust was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 6662 full time equivalent staff and a sickness absence rate of 4.95%. 64% of staff recommend it as

1640-608: The Department of Health and Social Care of the United Kingdom . It was established in 2009 to regulate and inspect health and social care providers in England. It was formed from three predecessor organisations: The CQC's stated role is to make sure that hospitals, care homes, dental and general practices and other care services in England provide people with safe, effective and high-quality care, and to encourage those providers to improve. It carries out this role through checks during

1722-528: The Healthcare Commission and the Commission for Social Care Inspection . The Mental Health Act Commission had monitoring functions with regard to the operation of the Mental Health Act 1983 . The commission was established as a single, integrated regulator for England's health and adult social care services by the Health and Social Care Act 2008 to replace these three bodies. The commission

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1804-664: The Rochdale Principles into their constitution; they aspire to work closely and in partnership with other mutual and local organisations. At first, foundation trusts were authorised and regulated by Monitor , a non-executive body under the Department of Health. Monitor was merged into NHS Improvement in 2016. The trade body for foundation trusts is NHS Providers , formerly known as the Foundation Trust Network, which has 95% of all acute, ambulance, community and mental health foundation trusts in its membership. A 2014 report by

1886-541: The Socialist Health Association said that on the whole after 10 years, "Foundation Trusts [had]... not deepened in terms of democratic practice and participation". The independence of Foundation Trust governors was challenged in 2021 when the governors of Queen Victoria Hospital , a small specialist trust, called for a pause to plans for it to merge with University Hospitals Sussex NHS Foundation Trust . NHS Improvement were said to have effectively ordered

1968-478: The 1200 homes inspected were rated as outstanding. In September 2016 the CQC said that 40% of nursing homes in the country were rated as "requiring improvement" or "inadequate". It is a legal requirement for homes to clearly display their CQC ratings on their websites, but a July 2017 survey carried out by Which? found that 27% of care homes surveyed either completely failed to display them or placed them where they were very difficult to find. As of September 2018,

2050-476: The 34 homes closed during Cynthia Bower 's tenure after failing their inspection later reopened with a new name or under new ownership, but with similar problems. The campaigning charity Compassion in Care told the magazine that if a home changed name or ownership it was then listed by the CQC as "new services" and "uninspected", and there was no link to reports on the same establishment under different ownership, even if

2132-452: The CQC continued to respond to concerns raised by staff. In October 2020 the Department of Health asked the CQC to investigate the use of Do Not Resuscitate (DNACPR) decisions early in the COVID-19 pandemic, when blanket DNACPR decisions were applied to all care home residents without considering individual circumstances. In March 2024, it was announced that psychotherapist Sue Evans, who

2214-567: The CQC inspectors but also the NHS staff who are diverted from other activities." They suggested a less resource-intensive approach should be adopted. A spokesman from the CQC responded: "To use rates of reported falls and pressure ulcers in isolation to determine CQC's impact is a crude measure and presents an overly simplistic view that is not borne out in the quality and safety improvements we have seen through our hospital inspections. It also fails to recognise that increased reporting of such incidents may be

2296-495: The CQC rated almost 3,000 out of 14,975 care homes in England as inadequate or needing improvement. The care home Horncastle House was closed by CQC in September 2018 as an urgent enforcement action to protect residents. In November 2018 the CQC had rated 1% of adult social care providers as inadequate, 17% as requiring improvement, 79% as good and 3% as outstanding in that year. A 2021 review of 20 care homes in England found that

2378-450: The CQC said that an urgent review was carried out when the issue was discovered and it was found that "none of these referrals contained information about immediate risk of severe harm to people". Sutcliffe apologised for the error and said an independent investigation "will assist us in ensuring we improve our systems to avoid something like this happening again". In October 2018 CQC's Chief Executive Ian Trenholm stated that he wanted to make

2460-492: The Department of Health definition of a foundation trust, but the Secretary of State for Health maintains a direct line of communication and accountability with them because he or she has the responsibility to provide healthcare to patients who have been detained under the Mental Health Act , and have been judged to pose a grave and immediate danger to the public. Unlike full foundation trusts, governors have no statutory role, and

2542-410: The Department of Health was promoting "A new type of NHS hospital". In 2011, the 116 trusts then in the pipeline to make applications were required to sign a formal agreement, with a deadline for the application to be made. Board members at a number of trusts which missed the deadline were sacked. It was accepted by Andrew Lansley that a number of trusts would never reach foundation trust status, and

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2624-479: The Department of Health, was established to process loans for capital developments, but during 2014 applications were made by trusts which had trouble paying utility bills or replacing medical equipment. Guidance issued under the tenure of Jeremy Hunt in October 2014 said that conditions could be set which could include: reductions in the use of temporary staff, "use of collaborative procurement routes" or "the adoption of

2706-458: The FTs; any attempt by the statutory bodies to make a grab for them will be furiously resisted". By 2016, the distinction between foundation trusts and other NHS trusts was widely regarded as eroded, and in that year the two regulators were combined into a new body, NHS Improvement . The notion that every trust should become a foundation trust was abandoned, and the widespread financial crisis undermined

2788-489: The Foundation Trust Network it was raised to 1.5%. These caps disappeared on 1 October 2012. Collective earnings from private patients increased 14%, from £346.1 million in 2012–13 to £395.9 million for 2014–15. Private earning is concentrated on specialist hospitals in London who see many patients from other countries. Most trusts have negligible private income. In order to achieve foundation trust status, NHS trusts have to pass

2870-451: The Health and Social Care Act 2008 does not distinguish between types of health or social care service, in practice, the CQC has different regulatory approaches for: Cross-sector inspections In November 2009 Barbara Young , then the CQC chair, resigned from the commission when a report detailing poor standards at Basildon and Thurrock University Hospitals NHS Foundation Trust was leaked to

2952-477: The Journal of Health Services Research and Policy studied rates of falls which led to harm and pressure ulcers in more than 150 hospitals following CQC inspections. Rates of improvements in these criteria slowed after the inspections. Lead researcher Ana Cristina Castro stated that the inspection regime "creates a significant pressure on staff before and during the inspection period, and also significant costs, not just of

3034-527: The NHS to reconsider "whether the model of foundation trusts is sensible", arguing "If one-third of the hospital system is permanently not demonstrating good viability and good governance, is that telling you something about actually how the system should run as opposed to how we thought it should run?". In January 2022 Sajid Javid , writing in The Times said he was planning a “revolution” that would allow “well-run hospitals more freedom”. Foundation trusts had

3116-470: The Public Accounts Committee reported that although the regulator had "improved significantly" there was "no room for complacency" in the organisation which had "persistent weaknesses and looming challenges". Whilst there had been improvements in the timeliness of hospital inspection reports since 2015, only 25% of reports on hospitals where less than 3 services were inspected were published within

3198-589: The Trust, equally culpable. John Green another public governor resigned in July 2016 citing the board's "farcical" response to last year's Mazars report In 2016 the Trust was subject to a number of Enforcement Undertakings required by Monitor, the last being issued on 30 June 2016. The learning disability services in Oxfordshire were transferred to Oxford Health NHS Foundation Trust . Some specialist learning disability services are to be transferred to Hertfordshire Partnership University NHS Foundation Trust . Katrina Percy,

3280-498: The backlog. In October 2014 Field announced that the commission was going to begin inspecting health systems across whole geographical areas from 2015, including social care and NHS 111 . There are suggestions that it could inspect clinical commissioning groups . Behan admitted in March 2015 that the commission would not be able to inspect all acute trusts before the end of 2015 as it had intended. In February 2015, it reported that it

3362-426: The board of directors have no statutory duty towards the governors. The governors cannot, without the board of directors' permission, have any control over the direction of the trust, and cannot appoint or remove trust auditors. The chair and directors are not appointed by their board of governors. Care Quality Commission The Care Quality Commission ( CQC ) is an executive non-departmental public body of

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3444-514: The chief executive, resigned in 2016. In March 2017 all four non-executive directors resigned. After the deaths of Connor Sparrowhawk and Teresa Colvin the trust was fined £2 million for "serious systematic" management failings in proceedings under the Health and Safety at Work Act 1974 . 534 patients were injured in 2016-17 through use of restraints on psychiatric patients in Southern Health NHS Foundation Trust. This

3526-458: The commission issued an apology after admitting that up to 500 Disclosure and Barring Service (DBS) certificates submitted by applicants to become registered managers and providers had been lost during a planned office refurbishment; a locked filing cabinet had been incorrectly marked up to be taken away and destroyed. In the period of August 2016 to January 2017 the CQC sent questionnaires to inpatients of NHS hospitals who had been service users in

3608-537: The council of governors to work towards a merger. A study undertaken in 2005 by the King's Fund of Homerton University Hospital NHS Foundation Trust found some governors disappointed and disillusioned. Another report in 2005, funded by the Nuffield Foundation , found that it was too easy to invite members to sit on sub-committees, where they quickly became bogged down in the minutiae of operational planning, whilst

3690-487: The information held by the organisation more widely available to the public and that he also intended to make CQC an easier organisation to do business with and a better place to work. A chief digital officer was to be appointed as part of this process. In January 2019 it was announced that Mark Sutton would take on the role of chief digital officer from April 2019. In April 2019 a study by the University of York published in

3772-529: The legislative basis was the Health and Social Care (Community Health and Standards) Act 2003 . The first ten NHS hospitals to become foundation trusts were announced in 2004. Gordon Brown prevented plans by Alan Milburn that they should be financially autonomous in 2002. By 2012, the Monitor website listed 145 foundation trusts. Successive governments set target dates by which all NHS trusts were supposed to have reached foundation status. For example, by 2009

3854-509: The main decisions were taken at meetings that they only heard about after they took place. The public's perception of foundation trust status implying a high standard of clinical care was changed by the Mid Staffordshire NHS Foundation Trust scandal of the late 2000s ( Stafford Hospital Scandal ) and the ensuing Francis inquiry , published in 2013. At the outset, some critics claimed that foundation trusts went against

3936-539: The media. The report found that "hundreds of people had died needlessly due to appalling standards of care." One month earlier the commission had rated the quality of care at the hospital as "good." In August 2012, chief executive David Behan commissioned a report by management consultants Grant Thornton . The report examined the CQC's response to complaints about baby and maternal deaths and injuries at Furness General Hospital in Barrow-in-Furness, Cumbria and

4018-468: The month of July 2016. 77,850 surveys were sent out. In October 2016, a briefing paper issued by the organisation stated that no directorate was meeting objectives for producing reports on time. Of services which had been inspected over half had not improved their rating when re-inspected, with 45% staying at the same rating and 10% having a lower rating. Following the cyber attacks on NHS systems in May 2017 it

4100-564: The new owners were linked to the previous owners, and there was no follow-up inspection if problems had been identified. They had found 152 homes re-registered as new, when they had only changed owner or name. The commission had identified safety concerns in more than 40% of the homes it had inspected, and 10% were rated as inadequate. In April 2016, it was reported that 44% of care homes in the South East inspected over an 18-month period were rated as inadequate or requiring improvement. Only 0.9% of

4182-537: The organisation's previous management had been "totally dysfunctional" and admitted that the organisation was "not fit for purpose." On 20 June 2013, Behan and Prior agreed to release the names of previously redacted senior managers within the Grant Thornton report, who it is alleged had suppressed the internal CQC report. The people named were former CQC Chief Executive Cynthia Bower, deputy CEO Jill Finney and media manager Anna Jefferson. All were reportedly present at

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4264-456: The potential risk in 2011. A spokesman for the trust said they were working with NHS England to make improvements. In September 2019 the Barking, Havering and Redbridge University Hospitals Trust stated their inspection by the CQC had become drawn out "due to availability of inspectors". In response, the CQC's deputy chief inspector of hospitals Nigel Acheson said that the inspection "remains within

4346-523: The practice, which will be the joint owner, with the trust, of a company which will hold the General Medical Services Contract . It achieved an operating surplus of £0.2 million for 2017/18 but a deficit of £8.8 million after non-operating costs (financing costs and gain on asset sales) were taken in to account. A report by Mazars for NHS England looked at all 10,306 deaths at the trust between April 2011 and March 2015. According to

4428-427: The previous five years the 18-week waiting list for planned hospital treatment had increased from involving 3 million patients to 4.4 million. In March 2020 it was announced that most inspections would continue as planned following the outbreak of the coronavirus, and that this position would be kept under review. It was subsequently announced on 16 March that routine inspections were being temporarily paused, however

4510-533: The private patient income cap but FTs have to do the majority of their work for the NHS. This restriction was kept to reassure those concerned about future developments that FTs would continue to have NHS work as their central concern. Previously each FT had its own cap, set at the level of its private activity when the first FTs were established in 2003/4. About three-quarters of all FTs had a cap of 1.5% or less. Until 2010 all mental health trusts were completely barred from undertaking non-NHS work, but after lobbying from

4592-463: The public governors resigned in April 2016 shortly before the trust was condemned by the Care Quality Commission for "continuing to put patients at risk" and failing to put in place "robust governance" to investigate incidents, including deaths, and to respond to concerns raised by patients, their carers and staff. Aspinall said the Council of Governors ought to regard itself, as part of the leadership of

4674-412: The public sector and less autonomous than was originally expected. By March 2013 there were 145 foundation trusts, of which 41 were mental health trusts and three were ambulance trusts. They included acute trusts, mental health, community and ambulance trusts. By March 2019, the number of foundation trusts had shown a small increase to 151. The basic governance structure and form of foundation trusts

4756-687: The published CQC timeframes for inspection." The inspection began on 3 September and is expected to be completed in mid November. In October 2019 Professor Ted Baker, the Chief Inspector of Hospitals at the CQC stated that "little progress" has been made on improving patient safety in the NHS over the last 20 years. In the same month the CQC published their State of Care report. This stated that 44% of A&E departments were rated as requiring improvement and 8% were rated as being inadequate. 36% of NHS Hospitals were given ratings of requiring improvement on safety with 3% considered inadequate in that area. Over

4838-414: The registration process which all new care services must complete, as well as through inspections and monitoring of a range of data sources that can indicate problems with services. Part of the commission's remit is protecting the interests of people whose rights have been restricted under the Mental Health Act . Until 31 March 2009, regulation of health and adult social care in England was carried out by

4920-432: The report's interpretation of the data. The trust maintains that it is not an outlier in respect of any mortality indicators and that it investigated the deaths which were its responsibility. 143 deaths were suicide or suspected suicide - comparable with other similar trusts. The vast majority of deaths were of patients for whose care the trust was not primarily responsible. Trust chairman Mike Petter and Mark Aspinall one of

5002-444: The second quarter of 2015–16. 70% of adult social care inspections had been undertaken and 61% of primary medical services. An exception to this was inspections of hospital acute services where targets were slightly exceeded, an additional two inspections having been made in this sector. In December 2015 the Public Accounts Committee (PAC) was critical of the regulator, and said that it was "behind where it should be, six years after it

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5084-400: The service was poor. It could take more than four months for a new service to be registered. She complained that assessments were too subjective. The commission has also been accused of being a barrier to innovation and impeding a shift to digital services because they insisted on paper records, and there were claims that some inspectors did not understand electronic records. Winterbourne View

5166-607: The spirit of the principles laid out by Aneurin Bevan , the founder of the NHS. Others feared that it would lead to a two-tier system. Others doubted whether foundation trust members would succeed in having any effective influence over hospital management. In 2011, some argued in a report financed by the Nuffield Foundation that the success associated with foundation trusts had been due to other factors than governance. In June 2014, Bill Moyes, former Monitor executive chair, urged

5248-466: The supposed autonomy when almost all had to rely on money borrowed from the Department of Health, to which strings were attached. Foundation trusts have some managerial and financial freedom when compared to NHS trusts . The introduction of foundation trusts represented a change in the history of the National Health Service and the way in which hospital services are managed and provided. At

5330-462: The target of 50 days. It was intended that 90% of reports should meet the target. The PAC also noted that GPs had felt burdened by the CQC's regulation practices. In response David Behan stated that he accepted the committee's recommendations and did not underestimate the task at hand. In July 2018, the CQC stated that 96 safeguarding concerns had not been passed on to local authorities over the last 12 months. Andrea Sutcliffe, acting chief executive of

5412-599: The time of introduction, they were described "as a sort of halfway house between the public and private sectors". This form of NHS trust is an important part of the United Kingdom government's programme to create a "patient-led" NHS with an internal market . The stated purpose is to devolve decision-making from a centralised NHS to local communities, in an effort to be more responsive to their needs and wishes. But after Gordon Brown prevented plans by Alan Milburn to make them financially autonomous they have been much more in

5494-1143: The trust combined with Solent NHS Trust and Isle of Wight NHS Trust to form one large trust Hampshire and Isle of Wight Healthcare NHS Foundation Trust . The trust runs Eastrop House and Parklands Hospital in Basingstoke, Hollybank and Elmleigh in Havant , Postern House in Marlborough , Melbury Lodge and Leigh House in Winchester , Crowlin House and Forest Lodge, Woodhaven, Western Community Hospital, Antelope House and Moorgreen Hospital in Southampton , Fareham Community Hospital and Ravenswood House in Fareham, Jacobs Lodge in Hounsdown , as well as Chase Community Hospital, Alton Community Hospital, Fordingbridge Hospital, Romsey Hospital, Petersfield Hospital and Gosport War Memorial Hospital . The Trust

5576-613: The trust's learning disability inpatient services as ‘requiring improvement’ in March 2015 though community learning disability services were rated as ‘good’. It is one of the Multispecialty community providers established under the Five Year Forward View and is setting up a contract with a GP practice whereby 10 practice employees - the non-clinical staff, the salaried GPs and two out of the four partners - will become trust employees. The two remaining doctors will continue to own

5658-477: The year before the abuse was found out, including visits by the Care Quality Commission, Durham council and local NHS bodies. It has since been closed. A former CQC inspector Barry Stanley-Wilkinson has alleged that he had raised concerns about a "very poor culture" at the service in 2015. Stanley-Wilkinson said that he worked at the CQC for a decade and that this was the only report he had written which

5740-451: Was "more likely than not" that Ms Finney had ordered the deletion of an internal report by Louise Dineley, the CQC's head of regulatory risk. The CQC started litigation against Grant Thornton claiming a contribution towards any "damages, interests and/or costs" incurred in the case. Residential establishments, unlike hospitals, can easily be closed, or sold, and reopened with a new identity. Private Eye reported in November 2015 that most of

5822-412: Was a private hospital at Hambrook , South Gloucestershire , owned and operated by Castlebeck. It was exposed in a Panorama investigation into physical and psychological abuse suffered by people with learning disabilities and challenging behaviour , first broadcast in 2011. One senior nurse had reported his concerns directly to CQC, but his complaint was not taken up. The public funded hospital

5904-539: Was announced that the CQC will be asking probing questions to assess data security as part of its inspection process. After the Grenfell Tower fire in June 2017 letters were sent to around 17,000 care homes, hospitals and hospices requesting that they review fire safety processes, paying particular attention to the safety of service users who were more vulnerable due to mobility issues or learning disabilities. In March 2018

5986-425: Was cleared of any wrong-doing and CQC apologised for the distress caused by the allegation. Finney subsequently started litigation seeking at least £1.3 million libel damages from the CQC on the basis that the CQC's current chair David Prior and chief executive David Behan abused their power and acted maliciously in publishing allegations that she ordered a "cover-up" of its failings. The Grant Thornton report said it

6068-474: Was created in shadow form on 1 October 2008 and began operating on 1 April 2009. The commission has three chief inspectors who are also board members: The Commission's board also contains a number of non-executive directors. Previous board members have included: In August 2013 the CQC stated that it was finding it difficult to meet their inspection target of GP practices and had therefore drafted in 'bank' inspectors and authorised staff overtime to deal with

6150-449: Was established". Meg Hillier MP, the chair of the PAC, noted that reports prepared by the CQC contained many errors; one foundation trust said that their staff had found more than 200 errors in a draft CQC report. Hillier said "The fact these errors were picked up offers some reassurance, but this is clearly unacceptable from a public body in which taxpayers are placing their trust." In July 2016

6232-450: Was instigated by a complaint from a member of the public and "an allegation of a "cover-up" submitted by a whistleblower at CQC." It was published on 19 June 2013. Among the findings, the CQC was "accused of quashing an internal review that uncovered weaknesses in its processes" and had allegedly "deleted the review of their failure to act on concerns about University Hospitals of Morecambe Bay NHS Trust." One CQC employee claimed that he

6314-460: Was instructed by a senior manager "to destroy his review because it would expose the regulator to public criticism." The report concluded: "We think that the information contained in the [deleted] report was sufficiently important that the deliberate failure to provide it could properly be characterised as a ' cover-up '." David Prior, who joined the commission as chairman in January 2013, responded that

6396-411: Was missing its targets for following up on the safeguarding information it received that might indicate that patients are at risk. He also said the CQC would update its oversight in line with the growth of new provider models and would begin looking at care quality along pathways to a greater degree and, for the first time, across localities. The organisation failed to meet its inspection targets during

6478-413: Was not published. In response the CQC stated that reports went through a "rigorous peer review process" and the draft report "did not raise any concerns about abusive practice". They also said: "We are in the process of commissioning a review into what we could have done differently or better in our regulation of Whorlton Hall and these allegations will be fully investigated as part of this. We will update on

6560-460: Was shut down as a result of the abuse that took place. Cynthia Bower , then the chief executive of the commission, resigned ahead of a critical government report in which Winterbourne View was cited. Ash Court is a residential nursing home for the elderly in London, operated by Forest Healthcare . In April 2012 hidden camera footage was broadcast in a BBC Panorama exposé which showed an elderly woman being physically assaulted at Ash Court by

6642-680: Was the first to raise concerns about Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust when she worked there in 2005, along with a parent of a fifteen-year-old, were challenging the CQC in the High Court over its decision to license the Gender Plus Hormone Clinic, accusing the CQC of breaching its statutory duties under the Health and Social Care Act 2008 . The CQC regulates providers of "health or social care in, or in relation to, England", where: While

6724-630: Was the largest number in England. Critics say restraints are potentially traumatic, and even life-threatening, for patients. NHS foundation trust Alan Milburn 's trip in 2001 to the Hospital Universitario Fundación Alcorcón in Spain is thought to have been influential in developing ideas around foundation status. That hospital was built by the Spanish National Health System , but its operational management

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