Exclusive: Are whistleblowers now too frit to reveal when NHS patients and care home residents are in danger?

dr-henrietta-hughes

Dr Henrietta Hughes, 4 day a week National Guardian Pic Credit: CQC

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Tucked away in a recent National Audit Office report on the NHS and social care regulator, the Care Quality Commission, is the extraordinary statistic that the number of whistleblowers who tipped off the regulator fell by a staggering 16 per cent to 7452 in 2016-17. That is one in six fewer whistleblowers than the previous year. See paragraph 2.19 of the report.

The figure compares with 153,000 members of the public – an increase of one per cent – expressing concerns about services during the same period.

I have written about this in Tribune this week.

And the latest figures come after  a report by Robert Francis QC to Jeremy Hunt, the health secretary,which was highly critical of the way some had been treated after they made a complaint.

In 2015, Francis reported widespread severe victimisation of staff by senior management when they spoke up for patients. Francis recognised that sacked whistleblowers are blacklisted and recommended a re-employment scheme but nothing seems to have come of it.

His most substantial recommendation was for a National Guardian to protect staff. This led the CQC to create a part time post with no powers. The first appointee, Dame Eileen Sills, quit before starting.

Since then Dr Henrietta Hughes . a GP has been appointed  as National Guardian, on a four day week. And according  to the CQC  yesterday marked her first year as the National Guardian for the NHS with the publication of her first case review report and her annual report highlighting the work of Freedom to Speak Up Guardians.

The one case review she published covered Southport and Ormskirk Health Trust which  has the unenviable reputation for bullying and discriminating against black and ethnic minority staff , a dodgy appointments system favouring some people against others and an attitude of not bothering when staff raise concerns about patients. This might sound familiar incidently for those who have followed my articles on staff practices at the Equality and Human Rights Commission but we should wait for the employment tribunals to see what happened there.

Dr Hughes has recommended a series of recommendations to put matters right – 22 in all – and there is promise from the interim chief executive of the trust, Karen Jackson, to act  with a new senior management team. We shall see. Also this was a trial – how many reports are we going to get from her in future?

The National Guardian has also produced a series of high flown documents which sound terribly good in theory – but again I think we should wait to see what happens.

What has happened so far is that the appointment of a national guardian has coincided with a drop in whistleblowers telling the CQC when things are going wrong.

What we do know is that staff do lose jobs are blacklisted and get the reputation of being troublemakers. There is a  website which covers 11 such cases here. All designed I suspect to cover up an NHS and care system creaking at the seams and not being adequately financed. I hope Dr Hughes does not turn out to be a convenient fig leaf for a service in trouble.

 

Sneaky and Naive: The Department of Health’s plan to raise care home inspection fees

Care quality Commission

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While MPs were enjoying their Christmas break the Department of Health sneaked out a consultation paper planning a massive increase in compulsory inspection fees for care homes, privately provided ambulance services and hospitals.

As part of the spending settlement the ministry has decided to recoup the present £120m  a year subsidy given to cover compulsory inspections made by the Care Quality Commission. Altogether the ministry want to recoup some £780m over a ten year period. I have written about this in Tribune magazine

There is a subsidy is because the CQC has had to up its game and do more through inspections after the scandals exposed by  the Robert Francis report into Mid-Staffordshire NHS Foundation Trust and the Winterbourne View private home for people with learning difficulties exposed by BBC Panorama.

The Treasury wants to abolish this subsidy on the grounds that it must recover all the costs of inspections rather than part of them.. Superficially this sounds fine as NHS trusts will not to have to pay for the inspection of their own hospitals and ambulance services. Neither will 94 per cent of GP surgeries.

However increasing privatisation and outsourcing of services by local authorities and health trusts to private firms means that the bill for the inspections which already run into thousands of pounds could fall on councils and trusts who commission the services.

The paper reveals that 90 per cent of  care services are already privatised and privatisation is increasing in the NHS with private ambulance providers becoming the norm and mental health provision and other services being outsourced.

To try and justify this civil servants have tried to tell ministers that this could have nil effect on health provision.

This naive view is bolstered by the belief that care homes s will accept a cut in their profits to prevent an adverse health outcome caused by councils and health trusts having to cut the number of people sent there because of the increased cost of inspection fees.

This is contradicted by negotiations for the present year’s fee increases. The paper says:

“There is a risk that any increases in fees could have a destabilising effect on providers, as many providers are facing a tough financial climate, with increased running costs and reductions in income. During the CQC’s consultation into their fee levels for 15/16, 80% of providers opposed the proposed 9% fee increases for this reason. “

This is hardly surprising given that to run a care home on a profit, they already pay staff little more than the minimum wage and cash strapped councils are unlikely to pay them any more for residents. It puts into question whether running a care home  is a suitable business for the private sector. Soon they will soon have to pay the living wage. So would anyone believe they will absorb higher inspection fees into their profit margins.

 

The paper also discloses that the review will mean they will cut inspection fees for private dentists as they make a profit. It then naively assumes that the dentist will pass on the saving to patients. Does anyone believe that?

Whoever drew up these proposals cannot really live in the real world – no wonder ministers are told what they want to know rather than face reality themselves.

 

About time too! Inspectors to up their game on private ambulance companies

England’s private ambulance services need some tough discipline as companies – from bus firms like Arriva to parking firms like NSL ( formerly National Car Parks) rush to make profits providing patient transport.

 A report I have written for Tribune magazine this week reveals that already 50 per cent of patient journeys to care homes and hospitals are provided by the private sector and they are already eyeing up taking over 999 ambulance services, Such is the pace of privatisation under the Conservative-Liberal Democrat coalition.

The standards provided by some of the companies – as earlier blogs, including one from personal; experience reveal,- is little short of  cruel and appalling. I will be returning in future blogs to expose other bad  firms who show little care for elderly and disabled people except to swell their bosses’s salaries.

However there is some good news. The Care Quality Commission –  whose job it is to monitor hospitals, care homes and ambulance services – is planning to up its game. It is reviewing its entire inspection  system of both private and public ambulance services – for both patient transport and emergency responses.

 The  decision is contained in a report from the CQC  which reveals that  Sir Michael Richards, chief hospitals inspector, has decided that this rather neglected side of the business deserves revamping. The report also discloses – as the CQC is the main registration for ambulance services  that already 50 per cent of patient transport journeys are carried out by private firms.

 Sir Michael ought to have done this sooner – he should know from, some of his own CQC inspections that some private firms were failing in the most basic way – like not bothering to check the criminal records of staff carrying vulnerable patients or whether they had proper training.

He is making big promises He says:  “Over the next three years we will develop a ratings system for most providers of health and social care.

“Our ratings will develop to become the single, authoritative assessment of the quality and safety provided by an organisation. They will be primarily based on the judgements of our inspectors about whether services are safe, effective, caring, responsive to people’s needs and well-led, but will also take into account all the information we hold about a service and the findings of others.”

Fine words, he better keep them. Unions like Unite and Unison are already warning about the deterioration of services and some of the people who have contacted me on this website have related appalling experiences. The only private firm that contacted me wanted the information  I reported about a bad inspection of their company  by the CGC removed from the internet. It shows you where they are coming from. Vigilance of these firms is going to be essential.

 

 

 

 

 

 

Revealed: The damning reports on privatised patients ambulance services ( and some public ones as well)

 Medical Services Ltd on" NHS " ambulance.They passed the Care Quality Care Commission inspection for Hertfordshire,but many others didn't Pic taken by myself

Medical Services Ltd on” NHS ” ambulance. They passed Care Quality Care Commission inspection, but many others didn’t Pic taken by myself

Following my appalling experience of a five hour wait for a privatised ambulance from Medical Services Ltd to pick my stroke victim wife in Hemel Hempstead, Hertfordshire I decided to look at the national picture for England. The company has passed an inspection by the Care Quality Commission- which regulates and inspects all NHS services-though the inspectors report admitted it never talked to patients.
People had already contacted me from Manchester and Devon to highlight private bidders for services which included bin collectors, bus companies, car parking and foreign firms queuing up across England to take over NHS patient ambulance services.
For example Arriva, the bus company, has landed a lucrative contract in Greater Manchester to take over ferrying disabled people, cancer and renal patients, despite a petition signed by 14,000 people opposing the move and opposition from Unison and two Labour MPs.

This is also following the company’s new subsidiary Ambuline being criticised by the Care Quality Commissionfor poor staff training, staff shortages and failing to keep records of whether vehicles were properly cleaned to avoid infection risks in a contract they run in Leicestershire. The CGC made a second inspection and now says the service is satisfactory.

In Manchester there are already complaints about Arriva not having enough ambulances and using taxis to transport disabled patients.

In South Devon and parts of Cornwall and Somerset ambulance services are to be taken over by the successor company to National Car Parks – NSL – who beat a refuse collection company and the NHS provided services.

Danish company,Falke which runs private ambulances and fire services, has bought a 45 per cent stake in Medical Services, with the obvious intention of buying up more services. It had already talked and entertained Brian Coleman, the former Tory chairman of the London fire Brigade, to discuss buying up London’s entire fire service.See my earlier blog.
The most damning stuff has come from the Care Quality Commission’s website which reveals a worrying picture. It shows that small private ambulance services in Dagenham, Wigan, Dorset, Wiltshire, Buckinghamshire, Bicester and Peterborough have been required to make improvements after their first inspections to bring them up to scratch, particularly over management and record keeping and staff standards.
You can find the inspections on the care quality commission website. Type in ambulances under services on home page.The roll call of companies found wanting by CQC inspections is too large for this blog but here are some of the firms.
International Medical Assistance, Tamworth; Patients at risk of harm from poor service which may now be under new management..
Medical Services Ltd Warrington : Failed to have proper records such as references on staff recruitment
APMS services, Peterborough. Staff inadequately trained to care for patients
Henry Ward, Buckingham. Had no checks on staff including whether they had a criminal record.
AFG Birmingham Recruitment staff bad, some had no interviews.Ambulance breakdown not reported.
BN Gibson, Newark. Staff not trained properly to manage medicines.
AST, Surbiton Staff references not obtained.
Remote Medical Service, Manchester poor recruitment policy and no training to deal with abuse of patients.
Caring for You PTS -Benfleet,Essex Staff started work without waiting for criminal record clearance.
Collingwood Medical Services, Salisbury, Staff not trained to safeguard patients from abuse.
Paramedico Correspondence Event Cover, West Wickham, Kent. Staff not fully trained, recruitment procedures not followed including independent criminal record check,
Medical Response Services, Wigan. Newly recruited staff not properly checked.
Medicar Ltd,Clacton, Essex. Staff references not obtained, no management supervision recorded, no complaints procedure.
First Aid Medical Services Ltd. Sheffield Owner only just aware that staff had to have criminal record checks, no knowledge of rules protecting patients from abuse.
Ambu Kare, Peterborough. No guidance on how to transport people with intravenous drips,patients belongings and medical needs not signed for, inaccurate info given to patients about complaints.
Plymouth Central Ambulance Service Ltd. Never applied for criminal records or medical checks on staff, one person didn’t have a satisfactory report from Criminal record Bureau.
NHS
East of England Ambulance Service. Failed to respond in time in Norfolk and Suffolk, particularly bad in responding to stroke patients in that area.
NHS Ambulance Trust London :Hit by equipment and staff shortages posing moderate risk to patients.

More worryingly it shows that the CQC has a backlog of inspections and has not looked at some of the big new privatised services, including Medical Services Ltd operation in Birmingham and Arriva’s new operation in Nottingham.
The overall picture is completely unsatisfactory given the big expansion in privatisation. What we could see is a dumbing down of standards, companies relying on out of date training provided earlier by the NHS, and no proper checks on who is being employed to look after vulnerable patients. The latter is regarded as a ” minor” by the CQC but I wonder whether patients would like to be looked after by people with criminal records.
The CQC – which has an appalling record of missing abuse in care homes- does not seem to have a real handle on this. They also don’t seem to want to seek patients views on privatised services – but do check up on those run by the NHS. Some double standards here and I wonder if they have the resources to do a proper job of inspecting the 856 services provided by companies and the NHS.