Royal Preston A&E staff praised for their care - but more of them may be needed to keep patients safe, inspectors say
The accident and emergency department at the Royal Preston has been rated as"requires improvement" after an inspection by the regulator
The rise in the number of children seeking urgent and emergency care over the same period was sharper still - up 40 percent to just under 35,000.Against that tough backdrop, staff were lauded by inspectors for the way in which they treated their patients, with the A&E at the Royal Preston being rated as “good” in the “caring”, “effective” and “well-led” categories - just as it was in 2019.
“Staff understood and respected the individual needs of each patient and showed understanding and a non-judgemental attitude when caring for or discussing patients with physical or mental health needs.” There was also seven-day-a-week support from matrons - and healthcare assistants were integrated into teams to provide back up in the event of any reduction in the numbers of registered nurses available.
While the funded establishment for medical posts at the trust had jumped by more than two thirds to 108 compared to July 2019, 12 of those posts were vacant at the time of the inspection. An assessment of staffing levels on the hospital’s wards - away from A&E - found that not all of them had a “full complement” of nursing staff as a result of national shortages of nurses and support workers. On the occasions that a ward did have a full rota, its staff were often obliged to provide cover elsewhere, the report said.
The Post approached Lancashire Teaching Hospitals for comment on the details of the report about the Royal Preston’s A&E. “As ever, I would like to pay tribute to NHS colleagues throughout Lancashire and South Cumbria who continue to do incredible work on a daily basis,” Mr. McGee added.The CQC said that patients at the Royal Preston's A&E sometimes had to"wait long periods for treatment due to high demand and lack of a capacity in the hospital".
However, as of January, the median time a patient spent waiting for an initial triage assessment after arrival met the expected standard of 15 minutes - although this was nevertheless up from nine minutes a year earlier. However, over the 12 months to the turn of the year, the trust’s monthly average total time spent in the emergency department for all patients was in line with the England average - standing at 166 minutes in December 2021.CQC inspectors recognised the Royal Preston had established segregated areas within its emergency department to keep Covid-positive and Covid-negative patients away from each other - resulting in the creation of two of each of the triage, resuscitation and “majors” areas.
The regulator also wants to judge how individual operators work together to address any challenges that need to be dealt with collectively across a wider geographical area.
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