Date: 08/04/2010
•Tougher new regulatory system now underway
•101 trusts registered in third and final weekly announcement
•All 378 NHS trusts now registered
The Care Quality Commission (CQC) has announced plans to give the final 101 NHS trusts a licence to provide services under a new, tougher system for regulating standards in the NHS.
For 10 of the trusts in today's batch, registration is conditional on action being taken to address concerns about the safety and quality of care. CQC has set out the action required at each trust with strict deadlines for improvements to be made.
All 378 NHS trusts providing services in England are now registered with CQC, whose full legal powers are now in force. Trusts must be registered with CQC by law to provide care. To be registered, trusts needed to show they meet new essential standards of quality and safety, which CQC will constantly monitor.
CQC said urgent improvements were needed at the following trusts:
•Barking, Havering and Redbridge University Hospitals NHS Trust
•Basildon and Thurrock University Hospitals NHS Foundation Trust
•East and North Hertfordshire Primary Care Trust
•East Riding of Yorkshire Primary Care Trust
•Heart of England NHS Foundation Trust
•Heatherwood and Wexham Park Hospitals NHS Foundation Trust
•Medway NHS Foundation Trust
•Peterborough and Stamford Hospitals NHS Foundation Trust
•Sherwood Forest Hospitals NHS Foundation Trust
•Tameside Hospital NHS Foundation Trust
The regulator has registered the remaining 91 trusts in this third and final batch without conditions. A full list from this batch is below. Two previous batches of registrations were announced on 18 and 25 March.
Cynthia Bower, CQC's chief executive, said: "I am pleased to announce that CQC has completed registration of all NHS trusts in England. Meeting the 1 April deadline is the first step in a new, single system of regulation for health and adult social care. We will now be monitoring these trusts constantly, carrying out more unannounced inspections and using our tough new enforcement powers to make sure people get better care.
"For 22 trusts, registration is conditional on improvements being made. We have set out the steps we expect to be taken and by when. It is now the responsibility of these trusts to ensure improvements are made. If they fail to act, we will take appropriate action."
With 378 trusts now registered, 22 have had conditions imposed. Fifteen of these are in the acute sector, four are in mental health, two are PCTs and one is an ambulance trust. Twelve of the 22 with conditions are Foundation Trusts.
Cynthia Bower said: "Most conditions were imposed in relation to the care and welfare of people who use services. This makes clear that some trusts must do more to make sure people experience effective, safe and appropriate care that meets their needs and respects their rights.
"Staffing issues are a cause of concern in some hospitals and led to a number of conditions. Having enough staff on duty with the right training and experience has a direct impact on the quality of care people experience. Trust boards must ensure staff in hospitals are well trained and properly supported."
Around 40 per cent of trusts informed CQC of concerns about meeting one or more of the regulations but in most cases conditions were not needed, either because suitable action plans were in place or because these were minor concerns that did not directly affect people's care.
Cynthia Bower said: "Many NHS trusts across England have really engaged with the process and I want to congratulate them for their honesty about the challenges they face. In many cases, trusts told us where they had concerns but also set out the plans they had in place to deal with them. This showed a willingness to take responsibility for patient care and to put improvements in place.
"CQC's regional teams will be following these up as a priority. After 1 April, compliance is not optional."
In October this year, the new registration system will be extended to cover independent healthcare and adult social care providers, which are currently registered with CQC under a different system. For the first time, all these organisations will have to comply with a common set of essential standards.
From April 2011, the registration system is set to cover dentists and private ambulances. From April 2012, it is set to include primary medical care services such as GPs and private midwives.
List of all trusts with conditions
•Barking, Havering and Redbridge University Hospitals NHS Trust
•Basildon and Thurrock University Hospitals NHS Foundation Trust
•East and North Hertfordshire Primary Care Trust
•East Riding of Yorkshire Primary Care Trust
•Heart of England NHS Foundation Trust
•Heatherwood and Wexham Park Hospitals NHS Foundation Trust
•Medway NHS Foundation Trust
•Peterborough and Stamford Hospitals NHS Foundation Trust
•Sherwood Forest Hospitals NHS Foundation Trust
•Tameside Hospital NHS Foundation Trust
•Devon Partnership NHS Trust
•Kent and Medway NHS and Social Care Partnership Trust
•Luton and Dunstable Hospital NHS Foundation Trust
•Mid Essex Hospital Services NHS Trust
•Northern Lincolnshire and Goole Hospitals NHS Foundation Trust
•Scarborough and North East Yorkshire Healthcare NHS Trust
•Surrey and Borders Partnership NHS Foundation Trust
•Surrey and Sussex Healthcare NHS Trust
•West London Mental Health NHS Trust
•Yorkshire Ambulance Service NHS Trust
•Mid Staffordshire NHS Foundation Trust
•Milton Keynes Hospital NHS Foundation Trust
List of trusts in third announcement without conditions
Alder Hey Children's NHS Foundation Trust
Ashford and St Peter's Hospitals NHS Trust
Bassetlaw Primary Care Trust
Bedford Hospital NHS Trust
Berkshire East Primary Care Trust
Birmingham East and North Primary Care Trust
Bournemouth and Poole Teaching Primary Care Trust
Brent Teaching Primary Care Trust
Bromley Primary Care Trust
Calderdale and Huddersfield NHS Foundation Trust
Calderdale Primary Care Trust
Central and Eastern Cheshire Primary Care Trust
Central Manchester University Hospitals NHS Foundation Trust
Chelsea and Westminster Hospital NHS Foundation Trust
Chesterfield Royal Hospital NHS Foundation Trust
Colchester Hospital University NHS Foundation Trust
Cornwall and Isles of Scilly Primary Care Trust
County Durham and Darlington NHS Foundation Trust
Coventry Teaching Primary Care Trust
Derby City Primary Care Trust
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
East and North Hertfordshire NHS Trust
East Cheshire NHS Trust
East Lancashire Hospitals NHS Trust
Epsom and St Helier University Hospitals NHS Trust
Gateshead Health NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Greenwich Teaching Primary Care Trust
Hammersmith and Fulham PCT
Harrogate and District NHS Foundation Trust
Havering Primary Care Trust
Heart of Birmingham Teaching Primary Care Trust
Hereford Hospitals NHS Trust
Hillingdon Primary Care Trust
Homerton University Hospital NHS Foundation Trust
Imperial College Healthcare NHS Trust
Islington Primary Care Trust
Kettering General Hospital NHS Foundation Trust
Kingston Hospital NHS Trust
Lambeth Primary Care Trust
Leicester City Primary Care Trust
Liverpool Primary Care Trust
Manchester Primary Care Trust
Medway Primary Care Trust
Mid Essex Primary Care Trust
Newham Primary Care Trust
NHS Direct Trust
Norfolk Primary Care Trust
North Lancashire Teaching Primary Care Trust
North Staffordshire Primary Care Trust
Northern Devon Healthcare NHS Trust
Nottingham City Primary Care Trust
Oxford Radcliffe Hospitals NHS Trust
Oxfordshire Primary Care Trust
Pennine Acute Hospitals NHS Trust
Plymouth Hospitals NHS Trust
Redbridge Primary Care Trust
Redcar and Cleveland Primary Care Trust
Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust
Royal Devon and Exeter NHS Foundation Trust
Royal National Hospital for Rheumatic Diseases NHS Foundation Trust
Sefton Primary Care Trust
Shrewsbury and Telford Hospital NHS Trust
Shropshire County Primary Care Trust
South Gloucestershire Primary Care Trust
South London Healthcare NHS Trust
Southend University Hospital NHS Foundation Trust
St Helens and Knowsley Teaching Hospitals NHS Trust
Stockport NHS Foundation Trust
Swindon Primary Care Trust
Tameside and Glossop Primary Care Trust
Telford and Wrekin Primary Care Trust
The Lewisham Hospital NHS Trust
The Princess Alexandra Hospital NHS Trust
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
Trafford Healthcare NHS Trust
Trafford Primary Care Trust
University Hospitals Birmingham NHS Foundation Trust
University Hospitals Coventry and Warwickshire NHS Trust
University Hospitals of Leicester NHS Trust
Walsall Teaching Primary Care Trust
Warwickshire Primary Care Trust
West Essex Primary Care Trust
West Hertfordshire Hospitals NHS Trust
West Kent Primary Care Trust
West Middlesex University Hospital NHS Trust
Western Sussex Hospitals NHS Trust
Whipps Cross University Hospital NHS Trust
Wirral Primary Care Trust
Wirral University Teaching Hospital NHS Foundation Trust
Worcestershire Primary Care Trust
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