- NHS hospital
William Harvey Hospital
Registration details
CQC register William Harvey Hospital to carry out these legally regulated activities. Contact us if you think William Harvey Hospital is operating services not listed here.
Type of service
- Blood and transplant service
- Community services - Healthcare
- Hospital
Service specialism
- Services for everyone
Local authority
Kent
Monitored services
CQC register William Harvey Hospital to carry out the following legally regulated services here:
Transport services, triage and medical advice provided remotely
Ms Sarah Hayes is responsible for these services.
Maternity and midwifery services
Ms Sarah Hayes is responsible for these services.
Condition of this registration relating to carrying out this regulated activity
By 20 February 2023 the registered provider must implement an effective system for assessing, managing and monitoring the safety of the environment and equipment at the maternity department at William Harvey Hospital.
By 12 noon on 24 February 2023 and by 12 noon on the last Friday of each month thereafter, the registered provider shall provide a report to the Care Quality Commission setting out the actions taken to ensure the system in place for assessing, managing and monitoring the safety of the environment and equipment at the maternity department at the William Harvey Hospital is effective.
The report must include results of any monitoring data and audits undertaken that provide assurance that an effective clinical management system is in place and must include the following:
a. Daily quality round checklist audit;
b. Clinically led environmental audit;
c. Master environmental audit and;
d. Equipment checks in the monthly environmental audit.
By 20 February 2023 the registered provider must implement an effective system for assessing, managing and monitoring the safety of women and babies using Cardiotocography (CTG) monitoring and fresh eyes/ears at the maternity service at the William Harvey Hospital.
By 12 noon on 24 February 2023 and by 12 noon on the last Friday of each month thereafter, the registered provider shall provide a report to the Care Quality Commission setting out the actions taken to ensure the system in place for assessing, managing and monitoring the safety of women and babies using Cardiotocography (CTG) monitoring and fresh eyes/ears at the maternity service at the William Harvey Hospital is effective. The report must include results of any monitoring data and audits undertaken that provide assurance that an effective clinical management system is in place and patients are escalated appropriately for medical support and review in line with national clinical guidelines and must include:
a. Intermittent auscultation (IA) and CTG audits.
By 20 February 2023 the registered provider must implement an effective system for assessing, managing and monitoring the safety of women and babies using triage services at the maternity service at the William Harvey Hospital.
By 12 noon on 24 February 2023 and by 12 noon on the last Friday of each month thereafter, the registered provider shall provide a report to the Care Quality Commission setting out the actions taken to ensure the system in place for assessing, managing and monitoring the safety of women and babies using triage services at the maternity service at the William Harvey Hospital is effective. The report must include results of any monitoring data and audits undertaken that provide assurance that an effective clinical management system is in place and patients are escalated appropriately for medical support and review in line with national clinical guidelines. The report to the Care Quality Commission must include:
a. Triage audit tool data.
By 20 February 2023 the registered provider must implement an effective system for assessing, managing and monitoring infection prevention and control practices at the maternity service at the William Harvey Hospital.
By 12 noon on 24 February 2023 and by 12 noon on the last Friday of each month thereafter, the registered provider shall provide a report to the Care Quality Commission setting out the actions taken to ensure the system in place for assessing, managing and monitoring infection prevention and control practices at the maternity service at the William Harvey Hospital is effective. The report must include results of any monitoring data and audits undertaken that provide assurance that an effective clinical management system is in place and must include:
a. Weekly Personal Protective Equipment (PPE) audits and;
b. Weekly hand hygiene audits.
By 20 February 2023 the registered provider must implement an effective system for assessing, managing and monitoring the safety of staffing levels to keep women safe from avoidable harm and there is appropriate escalation to provide the right care and treatment at the maternity service at the William Harvey Hospital.
By 12 noon on 24 February 2023 and by 12 noon on the last Friday of each month thereafter, the registered provider shall provide a report to the Care Quality Commission setting out the actions taken to ensure the system in place for assessing, managing and monitoring the safety of staffing levels to keep women safe from avoidable harm and there is appropriate escalation to provide the right care and treatment at the maternity service at the William Harvey Hospital is effective. The report must include results of any monitoring data and audits undertaken that provide assurance that an effective clinical management system is in place and must include the following:
a. Emergency second on-call consultant rota;
b. Where there are gaps in the rota, a rationale for how gaps are covered;
c. Update on progress of recruitment into the vacant medical and midwifery posts and;
d. Staffing arrangements to make sure women are protected from risk of unsafe care.
By 20 February 2023 the registered provider must implement an effective system for assessing, managing and monitoring the safety and timeliness of discharge to keep women safe from avoidable harm and to provide the right care and treatment at the maternity service at the William Harvey Hospital.
By 12 noon on 24 February 2023 and by 12 noon on the last Friday of each month thereafter, the registered provider shall provide a report to the Care Quality Commission setting out the actions taken to ensure the system in place for assessing, managing and monitoring the safety and timeliness of discharge to keep women safe from avoidable harm and to provide the right care and treatment at the maternity service at the William Harvey Hospital is effective. The report must include results of any monitoring data and audits undertaken that provide assurance that an effective clinical management system is in place and must include the following:
a. The number of delayed discharges at triage and postnatal;
b. Reason for delayed discharge and;
c. Update on progress against the mapping of discharge process review.
Termination of pregnancies
Ms Sarah Hayes is responsible for these services.
Family planning
Ms Sarah Hayes is responsible for these services.
Treatment of disease, disorder or injury
Ms Sarah Hayes is responsible for these services.
Assessment or medical treatment for persons detained under the Mental Health Act 1983
Ms Sarah Hayes is responsible for these services.
Surgical procedures
Ms Sarah Hayes is responsible for these services.
Diagnostic and screening procedures
Ms Sarah Hayes is responsible for these services.
Management of supply of blood and blood derived products
Ms Sarah Hayes is responsible for these services.