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CQC carried out a period of listening activity at Brighton and Sussex University Hospitals NHS Trust in December 2013 and January 2014. The report from that exercise, which informed our inspection in May 2014, is available below.

All reports

Inspection report

Date of Inspection: 9, 10, 11, 15 April 2013
Date of Publication: 31 May 2013
Inspection Report published 31 May 2013 PDF | 109.82 KB

Overview

Inspection carried out on 9, 10, 11, 15 April 2013

During an inspection in response to concerns

We carried out this review in response to concerns centred on the provision of emergency care. The trust had already been subject to external review which led to our decision to inspect the trust and also informed our inspection report. The trust had developed action plans to address the review's recommendations, but they were at an early stage of implementation.

Most patients we met said staff were dedicated and caring. However, the current inability to effectively discharge and manage the flow of patients through the hospital meant some patients were not treated with the privacy and dignity they should have been given. This was particularly the case in the emergency department, as pressure from elsewhere in the hospital impacted on them most acutely. In this and some other parts of the hospital, the pathways of care for patients were not working or organised effectively. This meant some patients were staying longer than clinically required.

The hospital was working well to play its part in cooperating with other providers of care. However, the trust was not doing enough to get sufficient support from the local health and social care community to alleviate pressures on the hospital. The trust had responded to staff shortages in some acute areas and had reviewed the way it effectively deployed staff to provide safe care. However, the governance of the hospital and leadership of services had not been effective in order to avoid or limit the current pressures.