UHBW Bristol Campus

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We reviewed capable, compassionate and inclusive leadership and governance, management and sustainability for the well-led key question.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Leaders we spoke with were knowledgeable about issues and priorities for the quality of services. Nursing staff we spoke with were positive about the support from their immediate managers and leaders in the department. Staff had access to trust workplace health and wellbeing initiatives. The trust’s psychological health services team were also offering ‘team check-ins’ for emergency department staff in recognition of the significant strain staff in the department worked under.

The service had processes to support staff affected by violence and aggression in the department. Leaders monitored violence and aggression incidents and worked to reduce the impact of these incidents on staff.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff understood their role and responsibilities. Leaders understood the key risks affecting their service and worked to mitigate them. For example, leaders understood the risks in relation to staffing meeting the demand for the service out of hours and at weekends. At the time of the site visit the service was carrying out a workforce demand and capacity review. However, there was insufficient action to improve medical staffing at weekends until after our assessment.

The service had staff with clear responsibilities, roles, systems of accountability and good governance. The service had systems to manage current and future performance and risks to the quality of the service, although the medical staffing risk had not been effectively mitigated at the time of our assessment Leaders shared learning from incidents with staff regularly. We reviewed the last 3 learning from incidents newsletters and found lessons learned and good practice were shared. Managers reviewed incidents regularly as part of the monthly emergency department assurance report. We reviewed the last 3-monthly assurance reports and found themes from incidents were continually monitored to identify areas for improvement.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.