John Howlett

“We have given careful consideration to this point and have come to the conclusion that the concerns identified, namely, that Mr [name redacted] spent 22 hours in a corridor despite suffering from a chest infection due to demands on the department and capacity issues, a situation not unique to that particular day or hospital, sits outside of CQC remit.”

“continuation of 'front-door streaming', which identifies the most appropriate care pathway for each patient at initial assessment. Patients are streamed from A&E to suitable services such as urgent treatment centres, community services, same day emergency care and virtual wards to reduce long waits in A&E”

“Urgent Care Transformation Programme which aims to support patient flow. The programme has helped the Trust to identify priority areas, such as digitally recording of initial time-to-treatment, and has improved waiting times”

“review of the emergency department consultant rota to include 7-day working and extended working hours to support safety in the Department, and all waits over 12 hours are analysed to assess whether clinical harm was caused”

“the Trust's Chief Operating Officer working with Adult Social Care, locality and Integrated Care System colleagues to improve discharge from wards to reduce numbers of patients in beds with 'no criteria to reside'”

“any form of abuse or neglect is unacceptable. The department has legislation and policies in place for escalating concerns if provider action plans are not addressing safeguarding issues effectively”

“The Care Quality Commission (CQC) has also been sent a copy of this Regulation 28 report and will be issuing a response”

“We have begun to nurture again our relationship with the local Infection Prevention Teams and Contract Monitoring Teams to 'move' forward on our performance on a day-to-day basis and improve the quality of care and support and outcomes for our residents.”