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The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what recent assessment he has made of the adequacy of doctor staffing levels in the emergency department at North Middlesex University Hospital NHS Trust.

Ben Gummer

Patient safety remains a key priority for the Government and whilst progress has been made there is clearly much more to be done. The Department is aware of the situation at North Middlesex University Hospital NHS Trust and the relevant regulatory bodies, led by NHS Improvement, are taking appropriate action.

The Warning Notice, issued to North Middlesex University Hospital NHS Trust by the Care Quality Commission (CQC) on 6 June 2016 requires the trust to significantly improve the treatment of patients attending the emergency department (ED).

NHS Improvement has given assurance that North Middlesex University Hospital carried out immediate actions to support the staffing concerns raised by the regulators.

A new Clinical Director and an experienced Medical Director have been appointed to provide the ED with dedicated substantive leadership. The Clinical Director will provide leadership to the department and oversee the recruitment to currently vacant posts. In addition, there is also focus on reducing the medical work load in the ED through added support from other clinical services and professionals. This includes the appointment of new matrons and a new dedicated service manager with extensive ED experience.

Further, local general practitioners are increasing the level of support they provide to the department both to prevent admissions and to improve discharges. All of these measures will be in place by the end of June 2016.

On staffing, the local National Health Service is working with the Trust to ensure it can provide emergency care to the required standards. NHS Improvement and NHS England have put in place enhanced oversight mechanisms to assure themselves that services remain safe at all times.

An external specialist review of the consultant and middle grade rotas for June, July, August and September has been commissioned to provide independent assurance of the appropriate competencies within each rota.

NHS Improvement will continue to work with system colleagues, Health Education England and the General Medical Council to assure themselves that the improvements being put in place meet the requirements that they need to see from both the Trust and the system both in the short term and the long term.

The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what recent representations he has received from (a) Health Education England, (b) the General Medical Council and (c) the Care Quality Commission on the standard of treatment provided to patients at North Middlesex University Hospital NHS Trust’s emergency department; and on what dates he received those representations.

Ben Gummer

NHS Improvement (NHSI) is working alongside NHS England and the local health and care system to both improve patient care in the emergency department at North Middlesex University Hospital NHS Trust and to assure Health Education England (HEE) and the General Medical Council that patients are safe and that trainee doctors receive adequate support.

Ministers in the Department have held regular discussions and received updates from NHSI, NHS England and HEE and will continue to do so.

The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what contingency plans his Department has for the event of the closure of North Middlesex University Hospital NHS Trust’s emergency department.

Ben Gummer

NHS England is the responsible organisation for emergency planning and resilience in London. As such, it has well-established contingency plans in place which take effect in the event of emergency departments (EDs) having to temporarily reduce their scope of operations in order to ensure the best standards of patient care, our central concern.

As the Rt. hon. Member is aware, following an unannounced inspection by the Care Quality Commission (CQC) at North Middlesex University Hospital NHS Trust, the CQC issued a Warning Notice. The Warning Notice, published on 6 June 2016, requires the trust to significantly improve the treatment of patients attending its emergency department.

The CQC is responsible for assessing whether the Trust is providing the right standard of care and ensuring that improvement plans meet the level of improvement required.

NHS Improvement is working alongside NHS England and the local health and care system to ensure that the Trust has the resources it needs to ensure that patients receive safe, high quality care.

We are informed by NHS Improvement that, in order to address the poor performance at the Trust’s ED, it has devised a plan titled Safer, Faster, Better. This is a whole system programme with the primary objective of improving performance, patient experience and outcomes for patients.

The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what meetings he plans to hold with (a) Health Education England, (b) the General Medical Council, (c) the Care Quality Commission and (d) the leadership of North Middlesex University Hospital NHS Trust to discuss the standard of treatment in that hospital’s emergency department.

Ben Gummer

NHS Improvement (NHSI) is working alongside NHS England and the local health and care system to both improve patient care in the emergency department at North Middlesex University Hospital NHS Trust and to assure Health Education England (HEE) and the General Medical Council that patients are safe and that trainee doctors receive adequate support.

Ministers in the Department have held regular discussions and received updates from NHSI, NHS England and HEE and will continue to do so.

The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what recent assessment he has made of the standard of treatment in North Middlesex University Hospital NHS Trust’s emergency department.

Ben Gummer

NHS England is the responsible organisation for emergency planning and resilience in London. As such, it has well-established contingency plans in place which take effect in the event of emergency departments (EDs) having to temporarily reduce their scope of operations in order to ensure the best standards of patient care, our central concern.

As the Rt. hon. Member is aware, following an unannounced inspection by the Care Quality Commission (CQC) at North Middlesex University Hospital NHS Trust, the CQC issued a Warning Notice. The Warning Notice, published on 6 June 2016, requires the trust to significantly improve the treatment of patients attending its emergency department.

The CQC is responsible for assessing whether the Trust is providing the right standard of care and ensuring that improvement plans meet the level of improvement required.

NHS Improvement is working alongside NHS England and the local health and care system to ensure that the Trust has the resources it needs to ensure that patients receive safe, high quality care.

We are informed by NHS Improvement that, in order to address the poor performance at the Trust’s ED, it has devised a plan titled Safer, Faster, Better. This is a whole system programme with the primary objective of improving performance, patient experience and outcomes for patients.

The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what steps his Department is taking to ensure that the emergency department at North Middlesex University Hospital NHS Trust is able to guarantee patient safety; and if he will make a statement.

Ben Gummer

NHS England is the responsible organisation for emergency planning and resilience in London. As such, it has well-established contingency plans in place which take effect in the event of emergency departments (EDs) having to temporarily reduce their scope of operations in order to ensure the best standards of patient care, our central concern.

As the Rt. hon. Member is aware, following an unannounced inspection by the Care Quality Commission (CQC) at North Middlesex University Hospital NHS Trust, the CQC issued a Warning Notice. The Warning Notice, published on 6 June 2016, requires the trust to significantly improve the treatment of patients attending its emergency department.

The CQC is responsible for assessing whether the Trust is providing the right standard of care and ensuring that improvement plans meet the level of improvement required.

NHS Improvement is working alongside NHS England and the local health and care system to ensure that the Trust has the resources it needs to ensure that patients receive safe, high quality care.

We are informed by NHS Improvement that, in order to address the poor performance at the Trust’s ED, it has devised a plan titled Safer, Faster, Better. This is a whole system programme with the primary objective of improving performance, patient experience and outcomes for patients.

The below Parliamentary question was asked by Joan Ryan on 2016-06-15.

To ask the Secretary of State for Health, what assessment he has made of the implications for his Department of findings of Health Education England’s briefing paper on its inspection visit to North Middlesex University Hospital NHS Trust’s emergency department in March 2016.

Ben Gummer

We understand that no announcement has been made by Health Education England (HEE) about ceasing postgraduate training in North Middlesex University Hospital NHS Trust’s emergency department.

We are determined to make the National Health Service the safest and most transparent healthcare system in the world, transforming patient safety and changing the culture of the NHS to support patients and doctors alike.

Patient safety is the key concern of the Government. HEE’s role is to ensure that trainees have access to safe, high quality learning. Excellence in healthcare education leads to safe, high quality care for patients in both the short term and the long term.

HEE continues to work with the Trust, NHS Improvement, NHS England and the General Medical Council (GMC) to support the Trust and ensure it has an achievable action plan for trainees to meet GMC standards.

HEE has required the Trust to have sufficient middle grade and senior cover so that junior doctors are appropriately supported. The Trust has appointed a Clinical Director to lead the improvement work required. Enhanced oversight arrangements imposed by NHS Improvement and NHS England will ensure that rotas are safely staffed. Additional support has been provided to the Trust by other NHS organisations.