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South West NHS 111 service rated inadequate | South West NHS 111 service rated inadequate |
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A "consistently failing" NHS patient helpline has been rated inadequate in a "damning" report. | A "consistently failing" NHS patient helpline has been rated inadequate in a "damning" report. |
Patients requiring emergency care in the South West were left waiting "for long periods", the Care Quality Commission (CQC) found. | Patients requiring emergency care in the South West were left waiting "for long periods", the Care Quality Commission (CQC) found. |
Inspectors said the 111 service, run by South Western Ambulance Service NHS Foundation Trust (SWASFT), put callers' safety at risk. | Inspectors said the 111 service, run by South Western Ambulance Service NHS Foundation Trust (SWASFT), put callers' safety at risk. |
SWASFT chief executive Ken Wenman said the report contained "no surprises". | SWASFT chief executive Ken Wenman said the report contained "no surprises". |
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He said there was no evidence the service had caused clinical harm. but accepted it was "no way near what it should be". | He said there was no evidence the service had caused clinical harm. but accepted it was "no way near what it should be". |
'National problem' | 'National problem' |
Mr Wenman said: "The CQC report does point out that we were understaffed... it's very difficult to recruit and retain members of staff, particularly clinical staff in this type of service, and that's the focus that we're going to be having as part of the improvements that we're going to make over the coming months." | Mr Wenman said: "The CQC report does point out that we were understaffed... it's very difficult to recruit and retain members of staff, particularly clinical staff in this type of service, and that's the focus that we're going to be having as part of the improvements that we're going to make over the coming months." |
Chris Nelson, joint branch secretary at Unison for South West Ambulance, said the report was "clearly very damning". | Chris Nelson, joint branch secretary at Unison for South West Ambulance, said the report was "clearly very damning". |
"What we experience within NHS 111 is indicative, unfortunately, of the national problem with NHS 111, a service that is poorly understood, poorly commissioned, poorly funded will always fail, despite the clear and obvious efforts that are being made by our members", he said. | "What we experience within NHS 111 is indicative, unfortunately, of the national problem with NHS 111, a service that is poorly understood, poorly commissioned, poorly funded will always fail, despite the clear and obvious efforts that are being made by our members", he said. |
The inspection was brought forward after a former senior call adviser for the non-emergency hotline said staff were asleep on the job. | The inspection was brought forward after a former senior call adviser for the non-emergency hotline said staff were asleep on the job. |
Melissa Mead, whose son died of sepsis after the 111 service and GPs failed to spot his condition, said the report confirmed "her doubts and suspicions" but she hoped it would bring improvements to the service. | Melissa Mead, whose son died of sepsis after the 111 service and GPs failed to spot his condition, said the report confirmed "her doubts and suspicions" but she hoped it would bring improvements to the service. |
"We can't bring William back but for us the best apology is to change behaviour", she said. | "We can't bring William back but for us the best apology is to change behaviour", she said. |
A team of 13 inspectors visited two call centres, which serve Dorset, Devon and Cornwall, on three occasions in March. | A team of 13 inspectors visited two call centres, which serve Dorset, Devon and Cornwall, on three occasions in March. |
They found the service "had been consistently failing to meet national standards", and "too many patients" abandoned their calls due to long waiting times. | They found the service "had been consistently failing to meet national standards", and "too many patients" abandoned their calls due to long waiting times. |
The report said staff were stressed and tired, and calls were being answered by staff "who were not trained to assess patients' symptoms". | The report said staff were stressed and tired, and calls were being answered by staff "who were not trained to assess patients' symptoms". |
Patients were at risk of harm because the system used to assess the urgency of a caller's medical needs was "not good enough", chief inspector of hospitals Professor Sir Mike Richards said. | Patients were at risk of harm because the system used to assess the urgency of a caller's medical needs was "not good enough", chief inspector of hospitals Professor Sir Mike Richards said. |
Despite a "large number of complaints" from staff, patients and healthcare professionals about the service, SWASFT only took "limited action" to deal with the problems, the report found. | Despite a "large number of complaints" from staff, patients and healthcare professionals about the service, SWASFT only took "limited action" to deal with the problems, the report found. |
However it highlighted the "calm, patient and professional manner" of frontline staff, who were "reassuring when responding to people calling in distress". | However it highlighted the "calm, patient and professional manner" of frontline staff, who were "reassuring when responding to people calling in distress". |
Previous Problems | Previous Problems |
Nationally 95% of NHS 111 calls should be answered in 60 seconds - but in the South West only 72% of calls at one point were hitting this target, inspectors said. | Nationally 95% of NHS 111 calls should be answered in 60 seconds - but in the South West only 72% of calls at one point were hitting this target, inspectors said. |
The CQC has issued a warning notice to SWASFT, which has been ordered to make "significant improvements" by 8 July. | The CQC has issued a warning notice to SWASFT, which has been ordered to make "significant improvements" by 8 July. |
A separate report commissioned by SWASFT found no evidence for many of the allegations made about the service by whistleblower Sarah Hayes, who told the Daily Mail newspaper that staff had fallen asleep. | A separate report commissioned by SWASFT found no evidence for many of the allegations made about the service by whistleblower Sarah Hayes, who told the Daily Mail newspaper that staff had fallen asleep. |
Ms Hayes did not appear to have raised her concerns using any of the internal channels, it said, but it acknowledged staff felt there had been "insufficient clinical support available". | Ms Hayes did not appear to have raised her concerns using any of the internal channels, it said, but it acknowledged staff felt there had been "insufficient clinical support available". |
The report did not consider allegations relating to performance or patient safety at the request of SWASFT. | The report did not consider allegations relating to performance or patient safety at the request of SWASFT. |