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Midlands patients need to worry over standard of care - report

THIS year’s Care Quality Commission ratings make worrying reading for patients across the West Midlands.

Despite 70 per cent of hospitals, primary care trusts and other services scoring extremely well where the balance books are concerned, the actual quality patients receive on the wards is a very different story.

Only three trusts achieved the ultimate rating of ‘excellent’ for both quality of services and financial management – The Royal Orthopaedic Foundation Hospital, in Northfield; University Hospitals Birmingham Foundation Trust and Birmingham and Solihull Mental Health Foundation Trust.

Andrea Gordon, regional director for the Care Quality Commission, said: “Care and finances go hand in hand. If a trust is performing weakly but getting an excellent rating for financial management you have to question what is going on and we will look at that. There is some good news but overall results in the West Midlands are disappointing. There are too few positive results across the board.”

Among those with a fall in ratings is Heart of England Foundation Trust, which is one of the largest in the Midlands and runs Heartlands, Solihull and Good Hope hospitals.

It has been one of the strongest performers in recent years but failed to meet its four-hour A&E targets and to correctly record data.

Chief executive Mark Goldman said: “We are determined to improve.”

Elsewhere Birmingham Children’s Hospital retained its rating from last year but health inspectors focused on long waits for heart surgery over 26 weeks and high numbers of patients whose operations were cancelled but who were not re-admitted within 28 days.

The Dudley Group of Hospitals was one of only four to receive the lowest grading for quality of services. Chief executive Paula Clark said: “A weak rating for quality of services is not acceptable and we have already improved in several of the areas in which we under-achieved.”

Compiled by the Care Quality Commission
Trust Service Quality 08/09 Service Quality 07/08 Finance Management 08/09 Finance Management 07/08
Royal Orthopaedic Hospital Excellent Good Excellent Excellent
Royal Wolverhampton Hospitals Trust Excellent Excellent Good Fair
University Hospitals Birmingham Trust Excellent Good Excellent Excellent
Birmingham Womens Hospital Good Good Excellent Excellent
Burton Hospitals Trust Good Excellent Excellent Good
Sandwell and West Birmingham Trust Good Good Good Good
South Warwickshire General Hospitals Good Excellent Good Fair
University Hospitals Coventry and Warwickshire Trust Good Good Good Good
Birmingham Childrens Hospital Fair Fair Excellent Excellent
George Eliot Hospital Fair Good Good Fair
Heart of England Trust Fair Good Excellent Excellent
University Hospital of North Staffs Fair Good Fair Fair
Walsall Hospitals Trust Fair Good Good Fair
Worcestershire Acute Hospitals Trust Fair Good Good Fair
Mid Staffordshire Trust Weak Weak Good Good
Dudley Group Weak Good Excellent Good
PCTS:
Dudley Good Fair Good Good
South Birmingham Good Good Good Good
South Staffordshire Good Fair Good Good
Wolverhampton City Good Fair Good Good
Birmingham East and North Fair Good Good Good
Coventry Fair Fair Fair Fair
Heart of Birmingham Fair Good Good Good
North Staffordshire Fair Fair Fair Fair
Sandwell Fair Fair Fair Fair
Shropshire Fair Fair Good Good
Solihull Fair Good Fair Fair
Walsall Fair Fair Good Good
Warwickshire Fair Fair Fair Fair
Worcestershire Fair Fair Good Fair
West Midlands Ambulance Service Fair Excellent Good Fair
Birmingham and Solihull Mental Health Trust Excellent Excellent Excellent Good
Sandwell Mental Health and Social Care Trust Good Excellent Good Good
South Staffordshire and Shropshire Healthcare Trust Good Excellent Excellent Excellent
Dudley and Walsall Mental Health Trust Fair New Trust) Fair 
Worcestershire Mental Health Weak Excellent Fair Weak

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