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| NHS and care sector: Safety a 'big concern' in England | NHS and care sector: Safety a 'big concern' in England |
| (34 minutes later) | |
| Safety across the NHS and care sectors in England is a "significant concern", with particular problems in hospitals, inspectors are warning. | Safety across the NHS and care sectors in England is a "significant concern", with particular problems in hospitals, inspectors are warning. |
| The Care Quality Commission review found three-quarters of hospitals visited under its new inspection regime so far had safety problems. | The Care Quality Commission review found three-quarters of hospitals visited under its new inspection regime so far had safety problems. |
| Over 40% of care and nursing homes and home care services and one in three GP services also had problems with safety. | Over 40% of care and nursing homes and home care services and one in three GP services also had problems with safety. |
| Lack of staff was identified as a major issue in hospitals and care services. | Lack of staff was identified as a major issue in hospitals and care services. |
| The way medicines were managed and how mistakes were investigated and learnt from were also highlighted. | The way medicines were managed and how mistakes were investigated and learnt from were also highlighted. |
| 'Kept on trolleys' | 'Kept on trolleys' |
| Among the individual cases flagged up were: | Among the individual cases flagged up were: |
| The findings - contained in the CQC's annual report - are effectively a mid-term update of the new tougher Ofsted-style inspection regime. | The findings - contained in the CQC's annual report - are effectively a mid-term update of the new tougher Ofsted-style inspection regime. |
| They cover the first 14 months of the inspection programme, which was launched in April 2014 and is expected to be largely completed by April 2016. | They cover the first 14 months of the inspection programme, which was launched in April 2014 and is expected to be largely completed by April 2016. |
| So far more than 5,000 organisations have been inspected - nearly half of hospitals, 17% of care services and 11% of GP surgeries and out-of-hours providers. | So far more than 5,000 organisations have been inspected - nearly half of hospitals, 17% of care services and 11% of GP surgeries and out-of-hours providers. |
| However, those deemed most at risk have been predominantly targeted first, so the level of failure is not necessarily representative of the overall sector. | However, those deemed most at risk have been predominantly targeted first, so the level of failure is not necessarily representative of the overall sector. |
| During the inspections, CQC experts look at a range of different issues, including: | During the inspections, CQC experts look at a range of different issues, including: |
| Each organisation - from GP surgery to hospital - gets a rating for each, resulting in an overall rating of inadequate, requires improvement, good or outstanding. | Each organisation - from GP surgery to hospital - gets a rating for each, resulting in an overall rating of inadequate, requires improvement, good or outstanding. |
| The results of these are widely published throughout the year, whereas this report looks at some of the common problems identified during the whole process. | The results of these are widely published throughout the year, whereas this report looks at some of the common problems identified during the whole process. |
| Of all the issues looked at, the CQC said most concerns had been raised about safety. | Of all the issues looked at, the CQC said most concerns had been raised about safety. |
| Some 13% of hospitals were judged unsafe, 10% of social care services and 6% of GP services. | Some 13% of hospitals were judged unsafe, 10% of social care services and 6% of GP services. |
| Once those judged to be not safe enough are included, it brings the numbers with safety problems to 74% for hospitals, 43% for social care services and 31% for GPs. | Once those judged to be not safe enough are included, it brings the numbers with safety problems to 74% for hospitals, 43% for social care services and 31% for GPs. |
| The report said improving leadership was the key to tackling the problems. | The report said improving leadership was the key to tackling the problems. |
| David Behan, CQC chief executive, told Radio 4's Today programme: "What we know from our report and from other research is that the leadership of an organisation sets the culture of that organisation. | David Behan, CQC chief executive, told Radio 4's Today programme: "What we know from our report and from other research is that the leadership of an organisation sets the culture of that organisation. |
| "If the leadership says the important things around here are quality and safety, then that's what people attend to." | "If the leadership says the important things around here are quality and safety, then that's what people attend to." |
| 'Unacceptable' | 'Unacceptable' |
| Royal College of Nursing general secretary Janet Davies believes financial problems are a major factor - last week it was revealed trusts had already racked up a deficit of nearly £1bn in the first three months of this financial year, greater than the overspend for the whole of 2014-15. | Royal College of Nursing general secretary Janet Davies believes financial problems are a major factor - last week it was revealed trusts had already racked up a deficit of nearly £1bn in the first three months of this financial year, greater than the overspend for the whole of 2014-15. |
| She added nursing care, whether in hospitals, care homes or the community, depended on having the right number of staff with the right skills and support. | |
| She added: "There must be more investment in training nurses, keeping nurses and listening to nurses." | |
| Katherine Rake, chief executive of Healthwatch England, the patient watchdog, said it was vital to learn from mistakes, describing the problems highlighted as "unacceptable". | Katherine Rake, chief executive of Healthwatch England, the patient watchdog, said it was vital to learn from mistakes, describing the problems highlighted as "unacceptable". |
| "We would now like to see all services operate with the right culture of openness and transparency when things go wrong," she said. | "We would now like to see all services operate with the right culture of openness and transparency when things go wrong," she said. |
| But Rob Webster, of the NHS Confederation, which represents trusts, warned the financial pressures and negative publicity was creating a "toxic environment", which in turn had caused a "revolving door of NHS leadership". | But Rob Webster, of the NHS Confederation, which represents trusts, warned the financial pressures and negative publicity was creating a "toxic environment", which in turn had caused a "revolving door of NHS leadership". |
| "[This] is bad for the health service, and bad for patients," he said. | "[This] is bad for the health service, and bad for patients," he said. |
| Are you affected by the issues in this story? Share your experiences. You can email haveyoursay@bbc.co.uk. | Are you affected by the issues in this story? Share your experiences. You can email haveyoursay@bbc.co.uk. |
| Please include a contact number if you are willing to speak to a BBC journalist. You can also contact us in the following ways: | Please include a contact number if you are willing to speak to a BBC journalist. You can also contact us in the following ways: |
| Or use the form below | Or use the form below |