Glan Clwyd Hospital emergency department designated ‘department in need of significant improvement’

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Post : Wed 18 May 2022

Update: wed may 18

The Betsi Cadwaladr University Health Board Emergency Department at Ysbyty Glan Clwyd in Bodelwyddan has been designated a ‘department in need of significant improvement’ by the Health Care Inspectorate of Wales (HIW).

Calls have now been made for the Welsh Government to take immediate action.

On Monday, May 9, 2022, in accordance with its escalation processHIW held a service concern meeting to discuss the emergency service at Ysbyty Glan Clwyd in Bodelwyddan during which the service was considered and therefore identified as a service in need of significant improvement.

The designation is based on an accumulation of evidence, dating back to January 2022, leading to the completion of a quality check on March 8, 2022 and an unannounced on-site inspection which took place May 3-5, 2022.

Several patient safety issues were identified during this period.

During the most recent inspection (May 3-5, 2022), HIW identified areas where the actions of the Betsi Cadwaladr University Health Board (BCUHB) in response to the previous quality check had not led to improvement .

HIW said in a statement, “The Service in Need of Significant Improvement designation enables us to plan and perform future activities necessary to achieve assurance of quality and safety of care in this service.”

“We will work with the health board to ensure that improvements are made in a timely manner. We will then consider whether the service can be defused and removed from this process.

Responding to the HIW report, Jo Whitehead, chief executive of the Betsi Cadwaladr University Health Board, said:

“It is clear from this report and subsequent HIW visit that patients received a standard of care well below what they and we expect. We have not lived up to these expectations and we must and will do better.

“On behalf of the Board of Health, I apologize to the patients who did not receive the care they deserve.”

“I can assure the public that senior leadership already has stronger oversight of the emergency department at Glan Clwyd Hospital, including different models of care designed to ensure earlier assessment of patients.”

“Emergency services are for seriously ill or injured people with life-threatening injuries and illnesses, who require immediate action and we encourage you to attend if you need this support. We treat hundreds of thousands of patients each year, safely.

“We take our duty of care to patients very seriously and are working with HIW to make things right.”

“We continue to be extremely busy in our North Wales emergency services which, combined with understaffing, is putting greater stress on those working, often having to cover extra shifts to ensure that our services can work.”

“This situation is made worse because we are seeing more and more people who are very sick when they arrive in our emergency departments.”

“It is not a question of deviating from the conclusions of this report, which we accept in its entirety. It was extremely disappointing to read.

Welsh Conservative Shadow Minister for North Wales Clwyd West MS Darren Millar has called on the Welsh Government to take immediate action following today’s announcement:

He said: ‘Today’s news is deeply concerning, but unfortunately not shocking given the correspondence in my inbox over the past few months.

“It is alarming that despite having been given the opportunity to develop an action plan and implement changes, the Betsi Cadwaladr University Health Board has not been able to demonstrate sufficient progress in several key areas related to patient safety and quality of care. care.”

“I find it appalling that a health board that was previously in special measures – under the direct control of the Welsh Government – does not appear to have the ability or capacity to respond quickly to serious patient safety concerns.”

“Patients in North Wales deserve better and with ongoing concerns about mental health services, vascular services and other aspects of care, Cardiff-based ministers urgently need to get this under control and make the improvements which we desperately need.”

He added: “The Health Council was clearly not prepared for special measures to be withdrawn before the last Senedd elections and today’s announcement suggests the Health Minister’s decision was purely political and unfounded on evidence.”

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Lillian L. Pena