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Mar 2023

Last Updated: 20/03/2023

Health

Inspectors says Harrogate hospital maternity services 'requires improvement'

by Calvin Robinson

| 20 Mar, 2023

Health inspectors have rated Harrogate District Hospital’s maternity services as 'requires improvement'.

The Care Quality Commission, which inspects hospitals and health services, published its verdict in a report on Friday after an inspection in November 2022.

The CQC visited the hospital as part of a national inspection of maternity services.

Harrogate District Hospital was previously rated 'good' in a 2016 inspection that looked at maternity services and gynaecology. This latest report was the first time maternity services were rated as standalone services.

The four possible outcomes are 'outstanding'. 'good', 'requires improvement' and 'inadequate'.

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, said it was “difficult to understand” the change in the rating.

The CQC report said "compliance with appropriate safeguarding, life support training and medicines did not meet targets" although it acknowledged "there was a plan in place to recover this position".

It added that the number of medical staff on hand “were not always sufficient” and there was no clear system in place to “to identify prioritise risks to women in the maternity assessment area”.

Regular checks on life saving equipment “were not always completed”, the report said.

Inspectors said staff at the service “did not always receive and keep up to date” with mandatory training.

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However, the CQC did find the service had enough midwifery staff to care for women and that staff worked well together.

It added:

“Staff had training in key skills, and worked well together for the benefit of women, understood how to protect women from abuse, and managed safety well. The service controlled infection risk well.

“Staff assessed risks to women in most areas, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.”

'Not a fair reflection'

In response to the report, Mr Coulter said he did not feel that the findings in the report were a reflection of the service at the hospital.

He said:

“With such positive findings in the CQC report it is difficult to understand the resultant rating change and we do not feel it is a fair reflection of the maternity service we provide. The report describes a maternity unit which is fully staffed, with a positive culture, with staff that are competent, listen to women and are always seeking to improve.

“We are proud of our team for the dedication, professionalism and caring attitude that they show each day whilst supporting those in our care. We are disappointed the rating applied to the service overall and for the safe domain does not appear to reflect the findings in the report.

“Whatever the rating in this report, our response will be to focus on learning and improvement, as it is for any external or internal service review.

“As part of this focus on continually improving our services, we prioritise listening and learning to ensure we can provide the high quality care that our patients deserve. Listening to people who use our maternity services is so important, as we completely understand that peoples’ experience can differ.

“This is why, in addition to our own improvement work, we work in partnership with our Maternity Voices Partnership who provide another valuable way for us to hear the needs of those using our services.”

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Inspectors says Harrogate hospital maternity services 'requires improvement'

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'Not a fair reflection'