External Assessments

Patient and visitor on ward

This section shows what external organisations think about our services, including:


Care Quality Commission (CQC) Inspections

In August 2017, the Care Quality Commission (CQC) published its report into Lewisham and Greenwich NHS Trust following the Trust-wide inspection carried out in March 2017. The Trust’s overall rating from the inspection was “Requires Improvement”. This was also the Trust’s overall rating in each of the CQC’s five domains.

The CQC report does acknowledge several areas of good and outstanding practice and highlights many areas where Lewisham and Greenwich NHS Trust had improved since the last Trust-wide inspection in 2014. The Trust’s community services were rated as “Outstanding”, with particular praise for children’s community services.

Dr Elizabeth Aitken, Medical Director for Lewisham and Greenwich NHS Trust, said:

The CQC report shows that we were not getting it right for every patient every time when the inspection was carried out. We have apologised to the patients and their families where the report shows that we were failing to provide the best care.

We launched a major safety and quality improvement plan immediately after the CQC inspection in March and have made significant improvements for patients. This is a joint plan with our health and social care partners to make the improvements needed across the whole system to address the issues raised by the CQC.

We are extremely proud of our staff who work so hard, often under significant pressures.”

Improvements since March 2017 through the systems-wide safety and quality improvement plan include:

  • Ensuring that patients coming through our emergency departments are treated in a more timely manner – so they do not have to wait in corridors and are treated in the right place at the right time.
  • Making sure patient safety checks are carried out consistently – so that all patients in our hospitals are checked at least every two hours by nurses (and hourly in the emergency departments) to ensure they are safe and comfortable (including checking patients have something to eat and drink)
  • Working with staff to make sure that we get the basics right for all our patients – including improving our management of medicines and infection control
  • Developing specialist services at both hospitals to ensure that older people who come through our emergency departments receive an early comprehensive assessment of all their needs and support from a specialist team for older people
  • Developing “ambulatory care services” at both hospitals to treat more people in an outpatient setting, enable patients to leave hospital sooner and improve the patient experience. We officially opened the new ambulatory care centre at Queen Elizabeth Hospital in February 2017 following the opening the new centre at University Hospital Lewisham in December 2016
  • Ensuring patients in hospital do not have to wait for diagnostic tests
  • Running major recruitment campaigns locally, nationally and internationally to areas where there are staff shortages.
  • Working with staff to improve end-of-life care, ensuring that we have early discussions with patients, their families and carers so we can offer support that fits with patients’ wishes toward the end of their lives
  • Developing community services to reduce pressures on our hospitals and improve the patient experience. This includes a new community acute assessment unit for older people in Eltham, which our commissioners will be opening later this month. The assessment unit will reduce pressures on our emergency departments by providing  comprehensive assessments and support from a specialist team in the community.

 


CHKS Reviews

In May 2013, Lewisham Healthcare NHS Trust (incorporating Lewisham Hospital) was named as one of the CHKS 40 Top Hospitals for the fifth year running. The organisation was one of only four Trusts in London to gain this award, which is based on an assessment of clinical effectiveness, health outcomes, efficiency, patient experience and quality of care.

More information about the CHKS awards >>


National Patient Safety Agency Alerts

Lewisham Hospital

As of April 2013, all patient alerts issued by the National Patient Safety Agency have been signed off.

Queen Elizabeth Hospital

As of April 2013, all patient alerts issued by the National Patient Safety Agency have been signed off.

Why is this important? >>


Recent Achievements

Lewisham Hospital

  • In May 2013, Lewisham Healthcare NHS Trust (incorporating Lewisham Hospital) improved its rating in a national inspection by the NHS Litigation Authority (NHSLA). The Trust was rated at Level 2 (out of 3).
  • In December 2012, Lewisham Healthcare NHS Trust (incorporating Lewisham Hospital) was awarded full accreditation by the NHS South London Cardiac and Stroke Network for the provision of acute stroke services in Lewisham.
  • In May 2012, Lewisham Healthcare NHS Trust (incorporating Lewisham Hospital) received a rating of ‘good’ in a Patient Environment Action Team (PEAT) inspection. This review assesses non-clinical aspects of patient care including environment, food, privacy and dignity. 
  • In September 2012, emergency services at Lewisham Healthcare NHS Trust (incorporating Lewisham Hospital) were rated as ‘good’ by the CQC.