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Oxford University Hospitals NHS Foundation Trust

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How we measure up - our hospital ratings

The Trust is governed by a regulatory framework set by the Care Quality Commission (CQC) which has a statutory duty to assess the performance of healthcare organisations. The CQC requires that hospital trusts are registered with the CQC and therefore licensed to provide health services.

The CQC provides assurance to the public and commissioners about the quality of care through a system of monitoring a trust’s performance across a broad range of areas to ensure it meets essential standards. The CQC assessors and inspectors frequently review all available information and intelligence they hold about a hospital, and depending on what this tells them, they may choose to inspect a hospital to ensure standards are being maintained.

The CQC’s Chief Inspector of Hospitals inspected all four of our hospital sites in Oxford and Banbury in February 2014 as part of the CQC’s new inspection regime.

In May 2014, the CQC published its report and gave the Trust an overall rating of ‘Good’ across all five of the standards upon which the CQC judges the services and care we provide for patients.

CQC Inspection Ratings for Oxford University Hospitals NHS Foundation Trust

We were particularly pleased that the inspectors observed caring and compassionate staff throughout the four hospitals and noted they worked well between teams and to provide excellent care for our patients.

Out of 115 areas inspected across the Trust, 11 were identified as requiring improvement. At the John Radcliffe Hospital, the inspectors highlighted problems with staff shortages within the maternity department and on surgical wards and in theatres. They also highlighted the Trust’s failure to meet the national emergency department target to treat, admit, transfer or discharge patients within four hours. You can read our efforts to address this issue in the section on operational performance in this report.

The individual hospitals were rated as follows:

Trust overall Good
John Radcliffe Hospital Requires improvement
Horton General Hospital Good
Churchill Hospital Good
Nuffield Orthopaedic Centre Good

In respect of the John Radcliffe Hospital, the Trust has undertaken a number of actions following the CQC inspection, including:

  • Ensuring sufficient qualified, skilled and experienced staff are on duty at all times to safely meet people’s needs.
  • The Trust delivers emergency care to people in a way that safeguards people's privacy and dignity.
  • Suitable inductions are delivered to staff in each area that they work.
  • Newly qualified midwives are appropriately supported.
  • Patient records accurately reflect the care and treatment for each patient in line with good practice.

The Trust Board continues to monitor compliance against all of the CQC essential standards of quality and safety on an ongoing basis. The board of directors and the quality committee are updated monthly via the integrated quality report.

You can find out more about the CQC assessment and ratings for the Trust here: