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...However in ED and Maternity the excessive workload led to the standards of caring falling below that we would expect...

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Legal accountability refers to the theory under the law to find culpability such as a crime or a theory to receive money by way of a civil case.

The issue is:
Duty of Condour

...the trust's current policy on "Being Open" was revised in response to the regulatory obligations of the duty of condour requirements,...historically, the trust's approach to duty of condour lacked rigour and openness, ...we looked at investigation reports of three serious incidents that had taken place since the duty of condour regulation came into force. we carried out an extensive review of all related documents which detailed complexity of each case. Complaints and contact with the families were transparent and each file contained written evidence of apologies to the families concerned...

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Ensuring professionals and non-professionals practice in a sound and sustainable manner, maintain accountability for their practices and are held accountable for any deficiencies in their professional activities.

The issues are:
Lack of Duty of Care:

...there was an inconsistent approach to incident reporting across the trust, ...due to the inconsistency of incident feedback the trust was loosing valuable opportunities to learn from these incidents and improve patient care...care and treatment was not always planed and delivered in line with current evidence-based guidence and standards and further improvements are required to complete clinical audits and achieve better patient outcome results...

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A key concept in modern management theory and practice. It means that managers are held responsible for carrying out a defined set of duties or tasks, and for conforming with rules and standards applicable to their posts.

The issues is:
Training:

...the skills mix of the emergency department staff showed there were insufficient qualified paediatric nurses available 24 hours a day, ...during the announced inspection 8 to 10 September 2015 , we were concerned about leadership in maternity services in particular, management and staffing levels...

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Refers to the responsibility or obligation of government officials to act in the best interests of society or face consequences. Public officials should be held responsible for their actions.

The main issue is Funding:

...The trust establishment was funded for 4055.18 WTE, in May 2015 the actual WTE in post was 3734.03, this showed a deficit of 321.15. The staff group with the largest deficit was nursing and midwifery staff..., ...Maternity, emergency department and medical services did not have sufficient staff to meet the needs of the patients all of the time...

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UNDERSTANDING THE OUTCOMES OF WALSALL HEALTHCARE REPORT

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UNDERSTANDING THE OUTCOMES OF WALSALL HEALTHCARE REPORT

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Someone who is accountable is completely responsible for what they do and must be able to give a satisfactory reason for it.

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Walsall Healthcare NHS Trust provides acute hospital and community health services for people living in Walsall and the surrounding areas and the trust serves a population of around 260,000. Acute hospital services are provided from one site, Walsall Manor Hospital which has 606 inpatient beds made up of 536 acute and general beds, 57 maternity beds and 13 critical care adult beds.

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It is hard to judge without witnessing in person or even listening to other people views. One believes and understands that it must be very hard to work under pressure, overloaded and with no conditions, it must be very frustrating. However has a professional one is, he believes that the patient/client comes first and even with short resources we should always be caring and approachable. Hopefully with this 5 year plan, staff and future staff can be trained properly and the requirements for professionalism and duty of care will be very high.
One believes that although funding is necessary to improve services, encouragement and acknowledgement from the managers can improve staff attitude at work, in order to help employees, managers should put in place performance reviews, rewards also managers should be more approachable.

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Although the outcomes of the CQC report are not good at the moment the NHS has developed a 5 year plan to improve Walsall community and its services.

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...The latest MBRRACE report presented results for still births, neonatal mortality and extended perinatal mortality rates for 2013...

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Also we need to have in account the population living in this area.

Statistics show that Poverty levels are high in Walsall and that this hospital is providing care to more patients then they should.

...Walsall has a high rates of obesity, smoking, diabetes, coronary heart desease and alchool related hospital admissions. Disease and Poor health indicators in Walsall saw five out of eight worse than the national average. ...Walsall Healthcare NHS thrust has seen an increase demand due to growth in hospital activity from Walsall and Stafordshire following changes at the former Mid-Stafdordshire Foundation Trust(23% increase in emergency admissions between 2012/13 and 2014/15)...

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Walsall Healthcare NHS Trust provides local general hospital and community services to around 260,000 people in Walsall and the surrounding areas.

Walsall provides care for inpatients and outpatients at the Manor Hospital as well as a wide range of services in the community.

Walsall Healthcare NHS Trust formed on 1 April 2011, brings together the teams at Walsall Hospitals NHS Trust and NHS Walsall Community Health.

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Latest news

More than 40 Walsall medical students scored a visit to Walsall FC's Poundland Bescot Stadium. Third and fourth year students from the University of Birmingham, on placement at Walsall Healthcare [...]

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Latest news More than 40 Walsall medical students scored a visit to Walsall FC's Poundland Bescot Stadium. Third and fourth year students from the University of Birmingham, on placement at Walsall Healthcare [...]

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Walsall  is an industrial town in the West Midlands of England. It is located 8 miles north-west of the City of Birmingham and 6 miles east of the City of Wolverhampton.

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...and that the Community Heath Services overall are GOOD

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However the report states that the Staff are caring...

...Staff were caring and compassionate towards patients and their relatives...

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Walsall Healthcare Care Quality Comission report (CQC) shows that the services provided at the Manor Hospital are INADEQUATE or REQUIRES IMPROVEMENT. It has been an ongoing situation.

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The trust which runs health services in Walsall should be placed into special measures after it was rated as 'Inadequate overall', England's Chief Inspector of Hospitals has said.

Walsall Healthcare NHS Trust, which provides acute hospital and community health services for around 260,000 people, was told by the Care Quality Commission (CQC) that it needed to make "urgent improvements" to ensure it was consistently delivering safe and effective care.

The inspections, carried out in September, raised concerns about the trust's staffing, and found that care had fallen to below the standards patients should be able to expect in the emergency department and maternity wards as a result of heavy workloads.
The inspection highlighted a number of concerns and areas where the trust must improve, including:

Governance of incident reporting systems needed to improve to ensure processes were embedded across the trust;

Adequate numbers of qualified staff needed to be made available across all services, particularly in maternity services and the emergency department;

Equipment needed to be kept in good working order and fit for purpose across all services and be stored appropriately; keeping all fire exits free from obstruction;

The patient administration system needed to be reviewed to minimise problems associated with missed patient appointments and its data needed to be accurate;

The trust needed to ensure health records were completed appropriately and maintain patient confidentiality at all times.

The trust was also warned it 'requires Improvement' for being caring and responsive.

The CQC's Chief Inspector of Hospitals, Professor Sir Mike Richards, said:

We found a number of serious problems when we inspected the services run by Walsall Healthcare NHS Trust and I have made a recommendation to the Trust Development Authority (TDA) that the trust should be placed into special measures.

Professor Sir Mike Richards, Chief Inspector of Hospitals, CQC

The inspection looked at services at Walsall Manor Hospital, community end of life services, community services for children young people and families and community services for adults.

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Walsall hospitals 'should be put in special measures' | ITV News

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The trust which runs health services in Walsall should be placed into special measures after it was rated as 'Inadequate overall', England's Chief Inspector of Hospitals has said. Walsall Healthcare NHS Trust, which provides acute hospital and community health services for around 260,000 people, was told by the Care Quality Commission (CQC) that it needed to make "urgent improvements" to ensure it was consistently delivering safe and effective care.