An unannounced two-day official inspection has started at the Royal Sussex County Hospital, in Brighton, this morning (Wednesday 26 February).
The Care Quality Commission (CQC) is focusing on the accident and emergency (A&E) and maternity departments.
The hospital trust chief executive George Findlay emailed staff earlier today.
The most recent CQC report on the Royal Sussex was published in February last year after an inspection over three days in August 2023.
It found that the staff provided outstanding care but safety and effectiveness required improvement – as did responsiveness and the leadership.
The Royal Sussex is run by University Hospitals Sussex NHS Foundation Trust. At its most recent inspection in October 2022, the trust was found to provide outstanding care, effectiveness and use of resources.
But the report, published in May the following year, said that the safety and responsiveness “requires improvement” and under the heading “well-led”, the trust was graded inadequate.
Maternity services at the Royal Sussex are currently described as inadequate on the CQC website. A report published in December 2021 said that they were inspected two months before but not rated.
The inspection followed “staff whistleblowing, patient complaints and information from other regulatory bodies”, and a programme of improvements was put in place afterwards.
The report said: “The service did not have enough staff to care for patients and keep them safe. Infection prevention and control standards and practices were not consistently applied across some areas.
“Staff did not have training in key skills. Not all staff were up to date with emergency life support training.
“The service did not manage safety incidents well and did not always learn lessons from them. Leaders did not run services well or support staff to develop their skills.”
The CQC website said that urgent and emergency services, including A&E, required improvement. An inspection report published in July 2022 said that the services were inspected in April of that year “following some information of concern”.
The report praised staff as they tried to manage the influx of patients, including those who needed help with their mental health, in corridors and other unsuitable spaces.
The report said: “The use of the environment did not always support keeping people safe. Patients were frequently accommodated in non-clinical areas. The use of the environment did not always enable staff to protect the privacy and dignity of patients.
“The environment of the short stay areas did not support effective care for patients accommodated there which included patients with mental health illnesses.
“The environment posed an infection risk as it could not be cleaned effectively.
“The service was not able to plan and provide care in a way that met the needs of local people and the communities served. The needs of patients in the local community with mental health conditions were not fully met.
“They were accommodated for lengthy periods of time in an environment that did not fully meet their needs and by staff who may not have the skills to care for the patient.”
A long-overdue modernisation of the hospital buildings has been taking place over several years, with a budget of more than half a billion pounds.
A&E was not part of the main modernisation project but several tranches of money have been allocated to try to improve the area where many patients arrive at the Royal Sussex.
One of the problems, identified by the trust as well as the CQC, is the flow of patients through the hospitals.
Delays in discharging patients – known as bed-blockers although they are not at fault – can make it hard for staff in urgent and emergency services to admit patients to a ward in the hospital.
Bed occupancy remains stubbornly high as the hospital treats more patients who are increasingly older and with a more complex mix of medical needs.
The trust, University Hospitals Sussex, runs more than half a dozen hospitals across Sussex including the Royal Alexandra Children’s Hospital and Sussex Eye Hospital, also both in Brighton.
Complaints about deaths and serious harm to patients during or after neurology and general surgery at the Royal Sussex have led to a police investigation known as Operation Bramber.
About 200 cases are understood to be under investigation over a number of years involving at least 40 deaths and possibly as many as 90.
Good to see
NHS and hospital budgets in particular should allow for training across the board, not left out as a seperate item for government funding only then can hospital needs be met, politicians think we can carry on hiring ready made nurses and doctors from abroad while in reality there’s never enough of them around, we need more training in the UK to meet UK needs,
Retention would be one of my key challenges. Average lifespan of some professions is identical to their NQ period when they can switch to outside the NHS on better pay, working hours, culture, and conditions.
That would help a lot, but still, a lot of people need to be trained in the UK just to meet our needs, I think retention is practused in other European countries, 10 years after qualifying I believe.
We tend to train our staff to a much higher level than our European counterparts, which means a lot of people can travel abroad for a massive just in seniority, and with it compensation.
That’s the image this country imagines, I’ve lived and worked in a few different countries, mostly Scandinavia, Germany, Holland, and some places a bit more exotic, hospital care is no worse than here, mostly better if anything. Had brilliant dental treatment in Holland from a Danish dentist same day, not likely to happen in the UK,
I got news today I have throat cancer, I really wish the staff were not under pressure to get people in and out of a&e asap. It’s not just the hospital that is making mistakes it’s also the GP service in the area.
A patient should not have to literally beg to have an appointment or to have an extended CT or be fobbed off in the A&E and attached departments to meet government or hospital waiting times. I genuinely feel for the staff the staff they are rushed off their feet and don’t have time to listen to patients. I had a stroke was sent home no treatment, lost my speech/language and memory have done everything to recover what I can myself to date from Christmas I have not seen the stroke team. Neuro were great but they have their hands they cannot refer patients to other departments outside their remit and they order further test they get knocked back. The pain in my neck was brushed off, I was having a CT so I made a point of asking for the scan to extended only to be told only the head was needed for the stroke. The GP refused to do a referral unless neuro, A&E extended or stroke depts advised to do it. My begging ncluding PALs team was pointless. The emergency dentist for a broken tooth from the stroke actually helped me, I did my own home surgery and photo images in my throat with a £20 Amazon ear camera to phone kit, a mirror, phone and a diy tonsil kit so I could release some pressure so I could speak. The GP would only do the referral after the dentist intervened. The most frustrating thing is because of another medical issue I have an open Maxillofacial appointment but could not gain access to it because part of my care is under West Sussex and part under East Sussex.
I don’t blame the staff most have tried their best but I do blame the ridiculous way they are under funded, are under pressure to meet unrealistic targets which is increasing stress and errors.
My job was as a metrics analyst for years and I know that they should only be used for guidance not as a hangman’s rope
Please don’t perform surgical dental procedures on yourself using a DIY kit you brought from Amazon…
Probably a result of the same hospital advertising for a corridor care consultant.
We used to call them HALOS. It basically a Bronze managing four incoming patients from the ambulances at a time. Not exactly excellent care, but it does free up three trucks to get back on the road.
There does seem to be problems in A&E and possibly the Maternity unit. In the main the service at RSCH is pretty good for routine matters but it’s when you really need them up to snuff that when the problems begin. Not sure this inspection will alter this, we shall see.
I have been in the Royal Sussex county Hospital many times the last one being about four yars ago. The department was clearly under stafed and overcrowded with patients. Staff had difficulty getting from one to another, they were stressed and under great pressure. I recall one nurse apologizing to me for the situation, I assured her she did not need to apogise as I had the utmost confidence and regard for them. Staff are highly skilled and heroic. They should be better taken care of, here I’m thinking of some kind of occupational therapy. I can only hope the proposed ‘inspection’ will be foward looking and beneficial
I’ve been in A&E a few times recently, for myself and with others. “Improvement” is a euphemism.
I was a medical journalist and have been a local newspaper editor in previous career (not here.) I have written extensively about the NHS in the past.
We all know what the problems are, they’re complex, but a greater population should deliver a greater tax product. Years and years of tax avoidance and Tory Kakocracy have run the NHS down to the bone. On top of that, we had Covid, it now costs a fortune to train as an MD or nurse, we sent all the EU staff home after the bigots voted for Brexit.
The NHS has many cultural problems. Inability to get rid of useless staff. Top heavy, over rewarded administration obsessed with theoretical planning who are largely out of touch with what goes on on the ground. (This is normal for all large organisations.) Wastage caused in equipment and medicine procurement because it’s not a profit business so nobody cares if the supplier is ripping you off. Years of weak unions (especially the RCN which had a disgraceful lack of interest in nurses’ pay) not getting decent pay for a whole range of NHS employees.
Pressure from greedy American health insurance companies, stealthy building of ‘private hospitals’ enabling queue jumping for a lot of non serious treatments, but most have zero OT, ICU or HDU. People get into trouble, off to put more pressure on the local NHS hospital.
Terrible mistake made in allowing Primary Care to be privately owned, even though they ONLY take on NHS patients. This means that they are run as businesses and can’t pay for permanent staff, people understandably have figured out that locum work is better rewarded and of course, less stressful.
Inability to invest in genuine preventative healthcare, and inability to triage out timewasters and ‘the Worried Well.’ These people are a constant drain on resources. Yesterday, I was with someone waiting to be seen in a large practice in the City and I watched a very interesting video about the state of the NHS, did you know that the DoH allots just 30p a day per patient to a Primary Care practice?
With all the atrocities coming down the pike in, and inevitably from, the USA, we need to make some decisions now about whether this country wants to maintain the health and wellbeing (and education and infrastructure) which supports the customers and the workers of Big Corp which wants to end social care and responsibilities like this, including free healthcare. Dystopia is here. And the NHS won’t survive unless we are determined.