• Organisation

North West Anglia NHS Foundation Trust

This is an organisation that runs the health and social care services we inspect

Overall: Requires improvement read more about inspection ratings
Important: Services have been transferred to this provider from another provider

Latest inspection summary

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Background to this inspection

Updated 20 December 2019

North West Anglia NHS Foundation Trust (NWAFT) is a statutory not for profit, public benefit corporation. NWAFT was formed when Peterborough and Stamford NHS Foundation Trust acquired Hinchingbrooke Health Care NHS Trust on 1 April 2017.

The trust provides a variety of acute services from its three main hospital sites:

• Hinchingbrooke Hospital

• Peterborough City Hospital

• Stamford and Rutland Hospital

Hinchingbrooke Hospital is a 289-bedded district general hospital located at Hinchingbrooke Park in Huntingdon. The hospital opened in 1983 and provides a range of specialities including general surgery, ear, nose and throat, ophthalmology, orthopaedics, urology, breast surgery and vascular services. The hospital has an emergency department and a maternity unit. The hospital took over acute children’s services from a neighbouring community NHS trust on 1 April 2019. The hospital also has private facilities for patients who choose to receive their care on the Mulberry suite. On the site, there is also a 23-bedded treatment centre, which opened in 2005.

Peterborough City Hospital is a 674-bedded purpose-built hospital and is located at Bretton Gate, Peterborough. The hospital has a haematology/oncology unit, radiotherapy suite, an emergency department, a dedicated women’s and children’s unit, a cardiac unit, a respiratory investigations facility and full diagnostic imaging facilities.

Stamford and Rutland Hospital is a 22-bedded hospital and provides a range of outpatient services. It also has a minor injuries unit, medical ward and a day case surgery facility.

The trust employs approximately 6,117 members of staff and is supported by approximately 450 volunteers. Some staff work across more than one hospital site. Approximately 90 members of staff are permanently based at Stamford and Rutland Hospital, 1,750 work at Hinchingbrooke Hospital and approximately 4,337 members of staff are based at Peterborough City Hospital.

The trust also took over the delivery of outpatient services at Doddington Hospital and the Princess of Wales, Ely in September 2017, and is also commissioned to provide clinics at the Spalding (Johnson Hospital) and Peterborough City Care Centre.

The trust provides a full range of District General Hospital (DGH) services and some regional specialties for a catchment area of just under 750,000 people living in Peterborough, North and East Cambridgeshire, Huntingdonshire, South Lincolnshire, East Leicestershire, Rutland, Bedfordshire and East Northamptonshire.

The Trust’s main clinical commissioning groups (CCG) are Cambridgeshire and Peterborough CCG and South Lincolnshire CCG. However, the trust’s catchment area also falls within the boundaries of South West Lincolnshire CCG, East Leicestershire and Rutland CCG and Bedfordshire CCG.

Some services are provided in partnership with tertiary hospitals including joint appointments and visiting consultants from nearby trusts. They also have some partnership working with the private sector, notably in renal services, and are exploring new models of care and the potential to integrate with primary and community care in Peterborough and Stamford.

We inspected the trust between 30 July 2019 and 13 September 2019. Between 30 July and 31 July 2019, at the Hinchingbrooke Hospital site, we inspected services for children and young people. At the Peterborough site, we inspected the core services of urgent and emergency care, surgery, critical care, maternity, services for children and young people, end of life care, outpatients and diagnostic imaging. At the Stamford and Rutland site, we inspected the core services of urgent and emergency care, medical care (including older people’s care) surgery and outpatients.

We also undertook unannounced inspections on 7 and 8 August 2019 to follow up on concerns identified at the Peterborough City Hospital site. Between 3 September and 4 September 2019, we undertook a well led inspection at provider level. We returned to the trust on 13 September 2019 to follow up on concerns identified at the provider wide well led inspection.

Overall inspection

Requires improvement

Updated 20 December 2019

  • We rated safe, effective, responsive and well led as requires improvement and caring as good.
  • We took into account the current ratings of the eight core services across the three locations that we did not inspect this time.
  • We rated five services across the trust as requires improvement.
  • We rated eight core services as good.
  • We rated the well-led element of the trust as requires improvement.
  • The overall ratings for Peterborough City Hospital went down from good to requires improvement.
  • Our decision on the overall ratings take into account the relative size of the service and we use our professional judgement to reach fair and balanced ratings.