22/05/2014
During a routine inspection
We inspected Hove Polyclinic on 21 May 2014 as part of our comprehensive inspection of Brighton and Sussex University Hospitals NHS Trust.
Hove Polyclinic provided a safe and caring service, but required improvement in being responsive to patients and being well-led.
Our key findings were as follows:
- We found the outpatient department to be safe, accessible, well-maintained and fit for purpose. The outpatient department had sufficient essential equipment.
- Guidance from the National Institute for Health and Care Excellence (NICE) was speciality-based within the speciality of the division. We saw copies of the relevant guidance for staff to access in the nurse manager’s office in the outpatient department.
- Nurses had received additional training to enable them to run nurse-led clinics. For example, Parkinson’s disease and cystic fibrosis clinics. Extended roles for nurses were in place in the pain management service.
- Each patient attended the outpatient clinic for long-term management of their clinical condition. On the inpatient notes, we saw the running records that demonstrated how patient care and support had been managed and how patients were involved in the care planning process.
However, there were also areas of poor practice where the trust needs to make improvements.
Importantly, the trust must:
- Ensure that effective systems are in place through the Hub, so that patients needing urgent referrals for assessment or treatment are dealt with promptly.
In addition the trust should:
- Ensure that there are systems in place to communicate necessary performance data to relevant clinic staff to enable them to more effectively manage the outpatient service at Hove Polyclinic.
- Ensure that there is feedback and communication from the medical records department to Hove Polyclinic.
- Ensure that Hove Polyclinic is part of a wider clinical governance framework for outpatient services across the trust.
- Ensure that staff are supported to attend appropriate internal and external training courses and are provided with time and resources that are fair and equitable to the individual staff member, the department and the trust as a whole.
- Ensure that Hove Polyclinic reviews the directional signage in relation to people who are visually impaired.
Professor Sir Mike Richards
Chief Inspector of Hospitals