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Southern Health NHS trust 'still requires improvement' | Southern Health NHS trust 'still requires improvement' |
(about 3 hours later) | |
Inspectors have found improvements at an NHS trust that failed to investigate hundreds of unexplained deaths but said "there is still more to do". | Inspectors have found improvements at an NHS trust that failed to investigate hundreds of unexplained deaths but said "there is still more to do". |
The Care Quality Commission (CQC) rated Southern Health "good" for services being caring, but said overall it still "requires improvement". | The Care Quality Commission (CQC) rated Southern Health "good" for services being caring, but said overall it still "requires improvement". |
A report commissioned in 2013 after the death of 18-year-old Connor Sparrowhawk found serious failings at the trust. | A report commissioned in 2013 after the death of 18-year-old Connor Sparrowhawk found serious failings at the trust. |
It said over four years 272 unexplained deaths were not properly investigated. | It said over four years 272 unexplained deaths were not properly investigated. |
Southern Health, which provides services in Hampshire, was fined £2m after failing both Mr Sparrowhawk and Teresa Colvin, 45, who died in 2012. | Southern Health, which provides services in Hampshire, was fined £2m after failing both Mr Sparrowhawk and Teresa Colvin, 45, who died in 2012. |
It also pleaded guilty to failing to provide safe care and treatment after a patient fell from a roof in 2015. | It also pleaded guilty to failing to provide safe care and treatment after a patient fell from a roof in 2015. |
Former chief executive Katrina Percy resigned in 2016, followed by the trust's previous board of directors. | Former chief executive Katrina Percy resigned in 2016, followed by the trust's previous board of directors. |
In June the CQC issued the trust a warning notice because of concerns there were not always enough staff on child and adolescent mental health wards to keep patients safe. | In June the CQC issued the trust a warning notice because of concerns there were not always enough staff on child and adolescent mental health wards to keep patients safe. |
But it said this was withdrawn after a second unannounced visit in July, when inspectors found it had addressed their concerns. | But it said this was withdrawn after a second unannounced visit in July, when inspectors found it had addressed their concerns. |
Karen Bennett-Wilson, the regulator's head of hospital inspection in the south, said the trust had made "encouraging" improvements. | Karen Bennett-Wilson, the regulator's head of hospital inspection in the south, said the trust had made "encouraging" improvements. |
She said: "There is still more to do - especially where we found there were not enough staff to meet patients' needs. | She said: "There is still more to do - especially where we found there were not enough staff to meet patients' needs. |
"The new leadership team has a clear vision and strategy. | "The new leadership team has a clear vision and strategy. |
"Staff morale has improved with teams reporting a significant change in the culture and a greater sense of optimism than we have seen in the past. | "Staff morale has improved with teams reporting a significant change in the culture and a greater sense of optimism than we have seen in the past. |
"Frontline staff that we met felt positive and proud of their work and felt the trust was heading in the right direction." | "Frontline staff that we met felt positive and proud of their work and felt the trust was heading in the right direction." |
Trust chief executive Dr Nick Broughton said the improvements were tribute to "the diligence and compassion of our staff". | |
He added: "Whilst today's report gives real cause for optimism, clearly we have more work to do. | |
"Particularly in relation to our staffing levels and ensuring we have enough trained staff to best support the people we care for." | |
Southern Health timeline | Southern Health timeline |
26 April 2012 - Teresa Colvin dies at Southampton General Hospital after she was found unconscious at Woodhaven Adult Mental Health Hospital | 26 April 2012 - Teresa Colvin dies at Southampton General Hospital after she was found unconscious at Woodhaven Adult Mental Health Hospital |
July 2013 - Connor Sparrowhawk, 18, drowns after an epileptic seizure at Oxford unit Slade House. An inquest later rules neglect contributed to his death | July 2013 - Connor Sparrowhawk, 18, drowns after an epileptic seizure at Oxford unit Slade House. An inquest later rules neglect contributed to his death |
10 December 2015 - The BBC reveals details of a leaked independent report into the trust, produced by Mazars, which highlights a "failure of leadership" | 10 December 2015 - The BBC reveals details of a leaked independent report into the trust, produced by Mazars, which highlights a "failure of leadership" |
17 December 2015 - The report is officially published and shows out of 722 unexpected deaths over four years, only 272 were properly investigated | 17 December 2015 - The report is officially published and shows out of 722 unexpected deaths over four years, only 272 were properly investigated |
29 April 2016 - A full CQC inspection report is published that says the trust is continuing to put patients at risk | 29 April 2016 - A full CQC inspection report is published that says the trust is continuing to put patients at risk |
30 June 2016 - Following a review of the management team competencies, it is announced the trust's boss Katrina Percy is to keep her job | 30 June 2016 - Following a review of the management team competencies, it is announced the trust's boss Katrina Percy is to keep her job |
29 July 2016 - The BBC reveals the trust paid millions of pounds in contracts to companies owned by previous associates of Ms Percy | 29 July 2016 - The BBC reveals the trust paid millions of pounds in contracts to companies owned by previous associates of Ms Percy |
7 October 2016 - Ms Percy resigns completely from the trust | 7 October 2016 - Ms Percy resigns completely from the trust |
13 December 2016 - A CQC report, the culmination of a one-year inquiry, says investigations into patient deaths are inadequate | 13 December 2016 - A CQC report, the culmination of a one-year inquiry, says investigations into patient deaths are inadequate |
19 August 2017 - A medical tribunal finds a doctor failed to carry out risk assessments for Connor Sparrowhawk | 19 August 2017 - A medical tribunal finds a doctor failed to carry out risk assessments for Connor Sparrowhawk |
12 September 2017 - The trust announces Dr Nick Broughton, leader of Somerset Partnership NHS Foundation Trust, will take up Southern Health's chief executive role | 12 September 2017 - The trust announces Dr Nick Broughton, leader of Somerset Partnership NHS Foundation Trust, will take up Southern Health's chief executive role |
18 September 2017 - The trust admits breaching health and safety law in the case of Connor Sparrowhawk | 18 September 2017 - The trust admits breaching health and safety law in the case of Connor Sparrowhawk |
20 November 2017 - The trust admits breaching health and safety law in the case of Theresa Colvin | 20 November 2017 - The trust admits breaching health and safety law in the case of Theresa Colvin |
12 June 2018 - NHS Improvement said an independent review carried out in 2017 found "encouraging progress" | 12 June 2018 - NHS Improvement said an independent review carried out in 2017 found "encouraging progress" |