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Medway Maritime Hospital Requires improvement

Details of this locations CQC registration


Here you will find the list of services and areas where we, the Care Quality Commission, authorise and regulate this service to operate. If you think this service is operating services not listed here please contact us

Type of service
  • Clinic
  • Hospital
Specialisms/services
  • Services for everyone
Local authority
  • Medway

Regulated services/activities

CQC register Medway Maritime Hospital to carry out the following legally regulated services here:

Maternity and midwifery services

  • Karen Hannah Rule is responsible for these services.

Termination of pregnancies

  • Karen Hannah Rule is responsible for these services.

Treatment of disease, disorder or injury

  • Karen Hannah Rule is responsible for these services.
Condition of this registration relating to carrying out this regulated activity

1. The Registered Provider must operate an effective system which will ensure that patients attending Accident and Emergency at Medway Maritime Hospital have an initial assessment of their condition carried out by appropriately qualified clinical staff within 15 minutes of the arrival of the patient at the Accident and Emergency Department in such a manner as to comply with the Guidance issued by the College of Emergency Medicine and others in their “Triage Position Statement” dated April 2011, a copy of which is attached to this condition (“the CEM standard”) or such other recognised professional processes or mechanisms as the Registered Provider commits itself to.

2. The Registered Provider shall ensure that sufficient numbers of appropriately qualified clinical staff are employed by the Registered Provider so as to enable the Registered Provider to operate the system required by condition 1.

3. The Registered Provider shall, as soon as is reasonably possible and in any event by 4pm on 5 September 2014, describe the system operated by the Registered Provider is operating its Accident and Emergency Department at Medway Maritime Hospital so as to comply with the standards set out in condition 1 and shall:

a. Publicise the content of the said system for the staff of the Accident and Emergency Department; and

b. Provide a copy of the document describing the said system to the Care Quality Commission.

4. As part of the description of the system as required by condition 3, the Registered Provider shall explain how the Registered Provider:

a. Records the arrival time of each patient at the Accident and Emergency Department;

b. Records the time at which each patient is registered as having arrived at the Accident and Emergency Department; and

c. Records the time at which an initial clinical assessment is commenced for each patient and by whom the assessment is being undertaken.

5. From 5 September 2014, on the Friday of each week thereafter, the Registered Provider shall report to the Care Quality Commission on how many occasions the Registered Provider has failed to provide a service to a patient which fails to meet the standards set in condition 1 and, in respect of each such occasion:

a. A unique identifier for the patient;

b. The time taken between arrival and the commencement of an initial clinical assessment; and

c. The reason that the standard was not met for this patient;

d. The consequences (if any) for the individual patient of the delay in initial clinical assessment.

6. On the twenty-eighth day of each month from 28 September 2014, the Registered Provider shall submit a report to the Care Quality Commission which identifies the root causes for failure to meet the CEM standard and explains how the Registered Provider will address these causes in the form of an action plan. The subsequent month’s report must:

a. Repeat this root cause analysis for any new failures to meet the CEM standard,

b. Re-evaluate the action plan considering these new failures,

c. Indicate progress made against the action plan.

Assessment or medical treatment for persons detained under the 1983 Act

  • Karen Hannah Rule is responsible for these services.

Surgical procedures

  • Karen Hannah Rule is responsible for these services.

Diagnostic and screening procedures

  • Karen Hannah Rule is responsible for these services.