The Care Quality Commission
  • Organisation
  • SERVICE PROVIDER

Mid and South Essex NHS Foundation Trust

This is an organisation that runs the health and social care services we inspect

Overall: Requires improvement read more about inspection ratings

Registration details

The provider ID for Mid and South Essex NHS Foundation Trust is RAJ.

These are the registration details of the provider Mid and South Essex NHS Foundation Trust. They set out what services Mid and South Essex NHS Foundation Trust can legally provide, where they can provide them and who is responsible for them.

Maternity and midwifery services

Mr Matthew Hopkins is responsible for these services.

Condition of this registration relating to carrying out this regulated activity

The registered provider must demonstrate they manage and respond to patient
risk to ensure all mothers and babies who attend Broomfield Hospital Maternity
Services are cared for in a safe and effective manner and in line with national
guidance as per National Institute of Clinical Excellence (NICE), Royal College of
Obstetrics (RCOG) NHS England “Saving Babies Lives Care Bundle version 3”
(SBLCBv3).

By 4pm Friday 26th April 2024, the registered provider must provide a detailed
action plan that includes the following:

i. Assurance the service has cardiotachygraph (CTG) machines that are being
used within a service date. To include identification of the number of machines
with Dawes Redman in antenatal ward, triage, and labour ward areas.

ii. A detailed plan of how it will ensure patients have an appropriate assessment
of their health needs including all risk assessments to reflect the care they
require. The plan must identify how it will achieve this in the short to medium
term, including any immediate actions taken.

iii. A detailed plan of how it will ensure patients are clinically prioritised and their
health needs are managed appropriately. The plan must identify how it will
achieve this in the short to medium term, including any immediate actions
taken.

iv. Summary report of the actions taken to address the immediate risk to patients,
this should include detailed evidence of how it will achieve, sustain, and
monitor this going forward.

v. Detailed plan of how it is routinely monitoring patient harm – this should
include documentary evidence such as governance framework, incidents,
audits, performance data, meeting minutes, terms of reference of all relevant
meetings and evidence of trust board oversight. This should include how it will
be communicated with all staff.

vi. A report providing details of the effective systems and processes that are
implemented to comply with the conditions to ensure that the Trust is
competent to care for and meet the needs of women and babies within all
areas of the Maternity Services with an action plan which must include
assigned responsibilities, timelines for completion, measurable and
appropriate actions taken in a timely manner.

By 4pm on the last Friday of every month, commencing on Friday 26th April
2024, the registered provider must submit to Care Quality Commission (CQC) the
following:

i. An updated copy of the action plan that covers all conditions that are
contained within this notice.

ii. All reports written to provide assurance to the senior leadership team and/or
trust board to demonstrate compliance with the conditions.

iii. Maternity dashboard, Perinatal Mortality Review Tool and Midwifery Red Flag
data.

Registered services

Termination of pregnancies

Mr Matthew Hopkins is responsible for these services.

Registered services

Family planning

Mr Matthew Hopkins is responsible for these services.

Registered services

Treatment of disease, disorder or injury

Mr Matthew Hopkins is responsible for these services.

Registered services

Assessment or medical treatment for persons detained under the Mental Health Act 1983

Mr Matthew Hopkins is responsible for these services.

Registered services

Surgical procedures

Mr Matthew Hopkins is responsible for these services.

Registered services

Diagnostic and screening procedures

Mr Matthew Hopkins is responsible for these services.

Registered services

Management of supply of blood and blood derived products

Mr Matthew Hopkins is responsible for these services.

Registered services