Bradford Teaching Hospitals NHS Foundation Trust

Updated 9 April 2020

Bradford teaching hospitals became an NHS foundation trust in April 2004. It is responsible for providing hospital services for the people of Bradford and communities across Yorkshire. It serves a core population of around 530,000 people and provides specialist services for around 1.2 million people in the region. Specialist services include;

•Neonatal care

•Urology

•Vascular services

•Renal care

•Cancer care

•Cochlear implants

•Cardiology

Almost 5,800 staff work over several sites at the trust. There are around 500 volunteers at the trust who support the care of patients and visitors. Bradford Royal Infirmary is the main acute hospital. It provides acute services, diagnostics and outpatient services. There is an emergency department providing 24 hour, seven days a week, comprehensive accident and emergency service; this includes including resuscitation and high dependency unit, ambulatory care unit, dedicated paediatric service and a primary care streaming service.

St Luke’s hospital is the second hospital in terms of size and services provided. It has an inpatient intermediate care ward, and a wide range of outpatient and therapy services.

In addition, there were four smaller community hospitals in different areas of the city. Shipley hospital provides outpatients, diagnostic services and therapy services. Eccleshill community hospital provides diagnostic and outpatient services and day surgery. Westbourne Green community hospital has an intermediate care ward and provides outpatient services. Westwood Park diagnostic and treatment centre has an inpatient intermediate care ward and provides medical care and diagnostic and outpatient services.

Annually there are around 6000 babies born, over 140,000 attendances in A &E, 120,000 in-patients who receive care, and 500,000 outpatients’ appointments. There are around 300,000 surgical operations each year. There are around 780 in-patient beds.

In early 2017, a new £28 million wing opened at Bradford Royal Infirmary, part of a £75 million investment to improve patient care. A £2 million refurbishment of the accident and emergency department was also completed in 2017.

The trust is a teaching hospital, with strong links to local universities. The Bradford Institute for Health Research (BIHR) was established in 2007 by the trust. Since then the BIHR has developed and increased its expertise in clinical research and applied health research to support better patient outcomes and improved healthcare throughout the Bradford community. In 2018 over 41,000 people were recruited to research studies, and there were over 650 active research studies in 2018/2019.

Services provided at the trust are commissioned by four main clinical commissioning groups (CCGs);

•NHS Bradford City CCG

•NHS Bradford Districts CCG

•NHS Airedale, Wharfedale and Craven CCG

•NHS England Specialist Commissioning.

The trust is a member of the West Yorkshire association of acute trusts (WYAAT) which worked to develop and deliver collaborative solutions to some regional health challenges.

Updated 9 April 2020

Our rating of the trust improved. We rated it as good because:

• We rated safe, caring, responsive and well led as good. We rated effective as requires improvement.
• At this inspection we inspected four of the core services. We rated three of the services as good, and one as requires improvement. In rating the trust, we took into account the current ratings of the other services not inspected this time.
• We rated well-led for the trust overall as good; this was not an aggregation of the core service ratings for well-led.

Updated 9 April 2020

Updated 9 April 2020

Updated 24 June 2016

We found that community health inpatient services had made improvements since our 2014 inspection. We found:

• The nursing staff complement at the community hospitals had been increased based on patient acuity. Medical staff cover arrangements had been reviewed and formalised.

• The service had taken mitigating action because of a significantly high incidence of falls and a significant incidence of pressure ulcers, and had reviewed its policies with active monitoring of patients’ safety.

• Systems were in place to report incidents and learning from incidents was shared with staff.

• Arrangements were in place for the ordering and delivery of medicines.

• The service operated clear admission protocols. Staff were aware of risks to the service, which were recorded in the risk register.

• Escalation plans for patients reflected their condition.

• The community hospitals used recognised patient outcome measures. Outcome data compared favourably with data from the national intermediate care audit.

• Multi-disciplinary meetings were held weekly and assessments and actions were reviewed for each patient.

• The monthly audit programme included the community hospitals’ contribution to national audits.

• A matron reported to the divisional manager and provided oversight for the community hospitals. Each community hospital had in post a full time nursing sister.

• There was a positive culture in the community hospitals.

• An external review had concluded that the efficiency of the community hospitals compared well with other services nationally.

• Staff in the community hospitals had completed their mandatory training.

• Staff received an annual appraisal and staff development was supported