Posts axed at Royal Bournemouth Hospital in shake-up after damning CQC report

SHAKE-UP: A restructure in management at the Royal Bournemouth Hospital is underway

SHAKE-UP: A restructure in management at the Royal Bournemouth Hospital is underway

First published in News
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A MAJOR staff shake-up is underway at the Royal Bournemouth Hospital leading to the loss of several senior managers.

The staff restructuring follows a damning report by the Care Quality Commission last December, which criticised management and leadership of the hospital.

The report said: “We found the trust overall was not ensuring effective leadership and governance across the hospital.”

Around six or seven of the hospital’s senior or middle managers in key areas such as surgical services and theatre, are now believed to have lost their jobs.

Some may be relocated to other departments while others are likely to be offered redundancy packages.

One source who didn’t want to be identified told the Echo that there were originally eight posts up for grabs, which were then reduced to three.

However after all the interviews were conducted, only one person got a job.

They were all highly experienced, according to the source, and there are fears that their loss will have an impact on the frontline.

A spokesman for the trust said it couldn’t comment on individual members of staff or what was an ongoing internal process. The Royal Bournemouth was one of the first hospitals to be assessed at the end of last year under the new regime in the wake of the Mid Staffs scandal.

In the view of some patients and staff at the time, the report was an indictment of the management and leadership of RBH.

Inspectors are due to return to the hospital for an unannounced, follow-up inspection sometime shortly.

The hospital trust’s board of directors were due to meet at the Royal Bournemouth last Friday, May 9.

Items on the agenda included an update on the CQC action plan and improvements to the board.

Comments (17)

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8:20am Tue 13 May 14

Baywolf says...

I was a patient at the hospital some months ago...never again
I was a patient at the hospital some months ago...never again Baywolf
  • Score: -1

8:24am Tue 13 May 14

uberbloke says...

Baywolf wrote:
I was a patient at the hospital some months ago...never again
Posts from beyond the grave, that's a new one even for the echo...
[quote][p][bold]Baywolf[/bold] wrote: I was a patient at the hospital some months ago...never again[/p][/quote]Posts from beyond the grave, that's a new one even for the echo... uberbloke
  • Score: 18

10:42am Tue 13 May 14

High Treason says...

Notice how this news item has been pushed down the page when it should be one of the top due to public concerns about the RBH.
Notice how this news item has been pushed down the page when it should be one of the top due to public concerns about the RBH. High Treason
  • Score: 22

10:42am Tue 13 May 14

muscliffman says...

Mess up your job in the private sector - Sorry it didn.t work out, here is your P45, goodbye.

Fail as an NHS employee and it's "Some may be relocated to other departments while others are likely to be offered redundancy packages."

So those who caused the problems in the Hospital highlighted in the damning report will either be relocated - presumably at risk of repeating these failings in another NHS department - or made redundant with a nice publicly funded reward - nobody in the NHS appears to be simply sacked for being useless, how is this ever going to improve things?
Mess up your job in the private sector - Sorry it didn.t work out, here is your P45, goodbye. Fail as an NHS employee and it's "Some may be relocated to other departments while others are likely to be offered redundancy packages." So those who caused the problems in the Hospital highlighted in the damning report will either be relocated - presumably at risk of repeating these failings in another NHS department - or made redundant with a nice publicly funded reward - nobody in the NHS appears to be simply sacked for being useless, how is this ever going to improve things? muscliffman
  • Score: 20

12:21pm Tue 13 May 14

High Treason says...

muscliffman wrote:
Mess up your job in the private sector - Sorry it didn.t work out, here is your P45, goodbye.

Fail as an NHS employee and it's "Some may be relocated to other departments while others are likely to be offered redundancy packages."

So those who caused the problems in the Hospital highlighted in the damning report will either be relocated - presumably at risk of repeating these failings in another NHS department - or made redundant with a nice publicly funded reward - nobody in the NHS appears to be simply sacked for being useless, how is this ever going to improve things?
With the top management It is all a case of you tell on me and I will tell on you. Stick together and we will all do very nicely. No morals, no backbone, in fact traitors to the ethics of the Hippocratic Oath. Guaranteed they do not lose any sleep when patients suffer and die due to poor care.
[quote][p][bold]muscliffman[/bold] wrote: Mess up your job in the private sector - Sorry it didn.t work out, here is your P45, goodbye. Fail as an NHS employee and it's "Some may be relocated to other departments while others are likely to be offered redundancy packages." So those who caused the problems in the Hospital highlighted in the damning report will either be relocated - presumably at risk of repeating these failings in another NHS department - or made redundant with a nice publicly funded reward - nobody in the NHS appears to be simply sacked for being useless, how is this ever going to improve things?[/p][/quote]With the top management It is all a case of you tell on me and I will tell on you. Stick together and we will all do very nicely. No morals, no backbone, in fact traitors to the ethics of the Hippocratic Oath. Guaranteed they do not lose any sleep when patients suffer and die due to poor care. High Treason
  • Score: 10

12:22pm Tue 13 May 14

northbourne1957 says...

I have never commented before but feel moved to do so now due to the suggestion that the people responsible for the poor report from the CQC have been identified and are now the subject of this review of senior positions. The truth is that the managers who have been mentioned have, in the majority, been sacrificed to protect the positions of those at the top - namely Tony Spotswood and, more directly, Helen Lingham. Eight managers were asked to apply for three positions - only one (the least experienced but a favourite of Lingham) has been appointed and now the Trust are advertising for locum managers to fill the other posts until final appointments can be made at a cost of £700-800 a day - talk me through the logic of that! Some of the managers had already decided that they were not interested in the new 'super' positions and some would have been out of their depth has they been successful. However, there were those (two in particular) who have dedicated their working lives to the NHS and have tidied up many a mess for Spotswood & Lingham in the past only to be treated in this shabby fashion purely to protect the backs of their supposed superiors. There is a great deal of unrest within senior staff and it is sadly true to say that the real losers here will be the public and the individuals who may lose their jobs. To suggest that their redundancy packages may soften the blow is unfair - these people just want to do their jobs and serve the public but they have been let down by those who should be above personal protection. Let's hope that the truth will out in due course but I don't hold my breath.
I have never commented before but feel moved to do so now due to the suggestion that the people responsible for the poor report from the CQC have been identified and are now the subject of this review of senior positions. The truth is that the managers who have been mentioned have, in the majority, been sacrificed to protect the positions of those at the top - namely Tony Spotswood and, more directly, Helen Lingham. Eight managers were asked to apply for three positions - only one (the least experienced but a favourite of Lingham) has been appointed and now the Trust are advertising for locum managers to fill the other posts until final appointments can be made at a cost of £700-800 a day - talk me through the logic of that! Some of the managers had already decided that they were not interested in the new 'super' positions and some would have been out of their depth has they been successful. However, there were those (two in particular) who have dedicated their working lives to the NHS and have tidied up many a mess for Spotswood & Lingham in the past only to be treated in this shabby fashion purely to protect the backs of their supposed superiors. There is a great deal of unrest within senior staff and it is sadly true to say that the real losers here will be the public and the individuals who may lose their jobs. To suggest that their redundancy packages may soften the blow is unfair - these people just want to do their jobs and serve the public but they have been let down by those who should be above personal protection. Let's hope that the truth will out in due course but I don't hold my breath. northbourne1957
  • Score: 88

1:04pm Tue 13 May 14

Southerner138 says...

When a football team performs badly they sack the manager - when a shop loses sales they sack the manager - THE HOSPITAL IS PERFOMING BADLY - SACK THE MANAGER - it's about time Bournemouth residents united and demand he gets out - SPOTSWOOD doesn't have a clue !
When a football team performs badly they sack the manager - when a shop loses sales they sack the manager - THE HOSPITAL IS PERFOMING BADLY - SACK THE MANAGER - it's about time Bournemouth residents united and demand he gets out - SPOTSWOOD doesn't have a clue ! Southerner138
  • Score: 40

5:52pm Tue 13 May 14

charlie2004 says...

northbourne1957 wrote:
I have never commented before but feel moved to do so now due to the suggestion that the people responsible for the poor report from the CQC have been identified and are now the subject of this review of senior positions. The truth is that the managers who have been mentioned have, in the majority, been sacrificed to protect the positions of those at the top - namely Tony Spotswood and, more directly, Helen Lingham. Eight managers were asked to apply for three positions - only one (the least experienced but a favourite of Lingham) has been appointed and now the Trust are advertising for locum managers to fill the other posts until final appointments can be made at a cost of £700-800 a day - talk me through the logic of that! Some of the managers had already decided that they were not interested in the new 'super' positions and some would have been out of their depth has they been successful. However, there were those (two in particular) who have dedicated their working lives to the NHS and have tidied up many a mess for Spotswood & Lingham in the past only to be treated in this shabby fashion purely to protect the backs of their supposed superiors. There is a great deal of unrest within senior staff and it is sadly true to say that the real losers here will be the public and the individuals who may lose their jobs. To suggest that their redundancy packages may soften the blow is unfair - these people just want to do their jobs and serve the public but they have been let down by those who should be above personal protection. Let's hope that the truth will out in due course but I don't hold my breath.
How right you are. You say there is a great deal of unrest within senior staff, I say what goes on at the top filters right through to the bottom and a complete shambles, poor working conditions and unrest is created. This subsequently affects the patients who often have no alternative than to attend or be admitted to this hospital for their treatment. I left RBCH a couple of years ago to work in a different area of health care. I recently applied for another post there. After interview I was offered the position, but decided not to take it because I reminded myself why I had left in the first place.
[quote][p][bold]northbourne1957[/bold] wrote: I have never commented before but feel moved to do so now due to the suggestion that the people responsible for the poor report from the CQC have been identified and are now the subject of this review of senior positions. The truth is that the managers who have been mentioned have, in the majority, been sacrificed to protect the positions of those at the top - namely Tony Spotswood and, more directly, Helen Lingham. Eight managers were asked to apply for three positions - only one (the least experienced but a favourite of Lingham) has been appointed and now the Trust are advertising for locum managers to fill the other posts until final appointments can be made at a cost of £700-800 a day - talk me through the logic of that! Some of the managers had already decided that they were not interested in the new 'super' positions and some would have been out of their depth has they been successful. However, there were those (two in particular) who have dedicated their working lives to the NHS and have tidied up many a mess for Spotswood & Lingham in the past only to be treated in this shabby fashion purely to protect the backs of their supposed superiors. There is a great deal of unrest within senior staff and it is sadly true to say that the real losers here will be the public and the individuals who may lose their jobs. To suggest that their redundancy packages may soften the blow is unfair - these people just want to do their jobs and serve the public but they have been let down by those who should be above personal protection. Let's hope that the truth will out in due course but I don't hold my breath.[/p][/quote]How right you are. You say there is a great deal of unrest within senior staff, I say what goes on at the top filters right through to the bottom and a complete shambles, poor working conditions and unrest is created. This subsequently affects the patients who often have no alternative than to attend or be admitted to this hospital for their treatment. I left RBCH a couple of years ago to work in a different area of health care. I recently applied for another post there. After interview I was offered the position, but decided not to take it because I reminded myself why I had left in the first place. charlie2004
  • Score: 27

5:54pm Tue 13 May 14

pooleres says...

Who from the board or the governors has accepted responsibility and sacked themselves?
Who from the board or the governors has accepted responsibility and sacked themselves? pooleres
  • Score: 18

7:18pm Tue 13 May 14

Southerner138 says...

Whilst I sit with my family watching my desperately ill husband (because of his illness absconded from RBH sat am and ended up being 'pava' sprayed by Dorset police outside A & E and thrown to the floor, handcuffed and dumped back in the hospital - he once again left the hospital Sunday Eve and a 'Dr' deemed him fit to go home) - he is confused disorientated and not aware of where he is - we have rang 999 - they can't take him to poole hospital - we are stuck with our loved one who no one can help because they can't be bothered !!!!!! If he had received the correct drugs whilst in RBH he would be ok - would TONY SPOTSWOOD like to come and deal with him ????? Would he like to take over his management ??????
Whilst I sit with my family watching my desperately ill husband (because of his illness absconded from RBH sat am and ended up being 'pava' sprayed by Dorset police outside A & E and thrown to the floor, handcuffed and dumped back in the hospital - he once again left the hospital Sunday Eve and a 'Dr' deemed him fit to go home) - he is confused disorientated and not aware of where he is - we have rang 999 - they can't take him to poole hospital - we are stuck with our loved one who no one can help because they can't be bothered !!!!!! If he had received the correct drugs whilst in RBH he would be ok - would TONY SPOTSWOOD like to come and deal with him ????? Would he like to take over his management ?????? Southerner138
  • Score: -2

9:14pm Tue 13 May 14

dorsetred says...

Apathy and total non motorvation by the great British public will once again prevail.
Apathy and total non motorvation by the great British public will once again prevail. dorsetred
  • Score: -2

11:37pm Tue 13 May 14

Chris12 says...

It seems quite common to hear people talk of RBH in a bad way, particularly in comparsion to Poole.

I was appalled by the care my mother received in the RBH and sadly my experience was that the front line staff were not particularly good. I had rarely seen so many people around yet never anyone available to answer a question or approach for assistance. When my mother was not eating I timed visits to be there to feed her. When I couldn't be there I provided plenty of snacks that she was able to manage herself but these were left ot go off in the ward fridge. For ward teams who always seemed to be busy with handovers, there didn't seem to be much in the way of communication between shifts.

When it came to discharging her to a Care Home, I had to tell the discharge department that this had been arranged after they had lost the information from social services. Finally they delivered her to her home, rather than the Care Home. A very distressing time for a terminally ill lady who would have loved to have returned home but cannot and will not due to the care that she needs.

I accept that poor management can have an impact on staff elsewhere in an organiation but the basic requirement for someone in the caring profession to appear to actually care was, in my opinion, not evident in the majority of ward staff that I dealt with.
It seems quite common to hear people talk of RBH in a bad way, particularly in comparsion to Poole. I was appalled by the care my mother received in the RBH and sadly my experience was that the front line staff were not particularly good. I had rarely seen so many people around yet never anyone available to answer a question or approach for assistance. When my mother was not eating I timed visits to be there to feed her. When I couldn't be there I provided plenty of snacks that she was able to manage herself but these were left ot go off in the ward fridge. For ward teams who always seemed to be busy with handovers, there didn't seem to be much in the way of communication between shifts. When it came to discharging her to a Care Home, I had to tell the discharge department that this had been arranged after they had lost the information from social services. Finally they delivered her to her home, rather than the Care Home. A very distressing time for a terminally ill lady who would have loved to have returned home but cannot and will not due to the care that she needs. I accept that poor management can have an impact on staff elsewhere in an organiation but the basic requirement for someone in the caring profession to appear to actually care was, in my opinion, not evident in the majority of ward staff that I dealt with. Chris12
  • Score: 5

2:58pm Wed 14 May 14

casualobserver1 says...

Chris12 wrote:
It seems quite common to hear people talk of RBH in a bad way, particularly in comparsion to Poole.

I was appalled by the care my mother received in the RBH and sadly my experience was that the front line staff were not particularly good. I had rarely seen so many people around yet never anyone available to answer a question or approach for assistance. When my mother was not eating I timed visits to be there to feed her. When I couldn't be there I provided plenty of snacks that she was able to manage herself but these were left ot go off in the ward fridge. For ward teams who always seemed to be busy with handovers, there didn't seem to be much in the way of communication between shifts.

When it came to discharging her to a Care Home, I had to tell the discharge department that this had been arranged after they had lost the information from social services. Finally they delivered her to her home, rather than the Care Home. A very distressing time for a terminally ill lady who would have loved to have returned home but cannot and will not due to the care that she needs.

I accept that poor management can have an impact on staff elsewhere in an organiation but the basic requirement for someone in the caring profession to appear to actually care was, in my opinion, not evident in the majority of ward staff that I dealt with.
Having read all the posts on this article I would like to make the following comments; Its easy to be critical as an outsider looking in and the NHS has always been and always will be an easy target. Whilst numerous people have undoubtedly had at some stage a bad experience and or lost loved ones, there are numerous people who have had good experiences and whose lives have been saved. Both myself and my family have had nothing but good experiences at both Bournemouth and Poole Hospitals and thanks to Bournemouth I have had a full recovery from a cancer scare a few years ago. Whilst obviously some people have had bad experiences at Bournemouth and other hospitals most people I have spoken to say Bournemouth is excellent. At the end of the day they are human and make mistakes and whilst clearly if they make a mistake it can have fatal consequences they frequently carry out some miraculous work in an environment that is becoming increasingly squeezed from both financial and sociological pressures. You only have to see some of the docu-soaps or take a walk through A & E to see some of the challenges they face ! I think as a country we should be proud of our NHS , many countries are envious of our NHS system , of course it is not without its problems but lets face it not many organisations both in the public and private sector are. ( Incidentally , I am not an NHS employee or in the medical profession).

Following on from the CQC post what I will say is that it appears in some public sector companies there still appears to be a belief that jobs are for life regardless of your performance. As someone has commented , in the private sector if you don't perform then you dont have a job, welcome to the real world. If the CQG found RBH wanting in certain areas then is it any surprise there is a shakeup ?, I think the public would be dissapointed if there were not. If there are leadership issues then who is to blame for this , quite often in organisations the CEO relies on a layer of Senior / Middle managers (and pays them high slaries) to carry out the day to day mangement of staff which includes responsibilty for the leadership and morale of their direct reports, not least because they are involved in more strategic issues and more often or not in the public sector I suspect sucked into politics. In any case it cant just be one person's responsibility in such a huge organisation . If I was the CEO of RBH ( I am not ) following the CQC report I would be looking to take stock of the senior managers and make sure that I had the best team around me that I could in order to give the public the best possible service and if that means making some staff redundant or relocating then whilst it is not nice for anyone to lose their job and not an easy decision taken lightly I am sure - it has to be done for the greater good , clearly there are problems. For the record I am not Tony Spotswood or Helen Lingham (not sure what I would look like in a dress !) Incidentally I saw an earlier post which mentioned something about favouritism and experience , what I would say is don't make the mistake of confusing experience with ability , the two don't always go hand in hand , and if my head was on the chopping block I wouldn't be appointing staff to a senior position because I liked them. Finally - thank you RBH for looking after my family over the years and all the majority of staff who I know care about their work and their paitients and work their **** off every day. ( honest I dont work for the NHS or RBH ) :-)
[quote][p][bold]Chris12[/bold] wrote: It seems quite common to hear people talk of RBH in a bad way, particularly in comparsion to Poole. I was appalled by the care my mother received in the RBH and sadly my experience was that the front line staff were not particularly good. I had rarely seen so many people around yet never anyone available to answer a question or approach for assistance. When my mother was not eating I timed visits to be there to feed her. When I couldn't be there I provided plenty of snacks that she was able to manage herself but these were left ot go off in the ward fridge. For ward teams who always seemed to be busy with handovers, there didn't seem to be much in the way of communication between shifts. When it came to discharging her to a Care Home, I had to tell the discharge department that this had been arranged after they had lost the information from social services. Finally they delivered her to her home, rather than the Care Home. A very distressing time for a terminally ill lady who would have loved to have returned home but cannot and will not due to the care that she needs. I accept that poor management can have an impact on staff elsewhere in an organiation but the basic requirement for someone in the caring profession to appear to actually care was, in my opinion, not evident in the majority of ward staff that I dealt with.[/p][/quote]Having read all the posts on this article I would like to make the following comments; Its easy to be critical as an outsider looking in and the NHS has always been and always will be an easy target. Whilst numerous people have undoubtedly had at some stage a bad experience and or lost loved ones, there are numerous people who have had good experiences and whose lives have been saved. Both myself and my family have had nothing but good experiences at both Bournemouth and Poole Hospitals and thanks to Bournemouth I have had a full recovery from a cancer scare a few years ago. Whilst obviously some people have had bad experiences at Bournemouth and other hospitals most people I have spoken to say Bournemouth is excellent. At the end of the day they are human and make mistakes and whilst clearly if they make a mistake it can have fatal consequences they frequently carry out some miraculous work in an environment that is becoming increasingly squeezed from both financial and sociological pressures. You only have to see some of the docu-soaps or take a walk through A & E to see some of the challenges they face ! I think as a country we should be proud of our NHS , many countries are envious of our NHS system , of course it is not without its problems but lets face it not many organisations both in the public and private sector are. ( Incidentally , I am not an NHS employee or in the medical profession). Following on from the CQC post what I will say is that it appears in some public sector companies there still appears to be a belief that jobs are for life regardless of your performance. As someone has commented , in the private sector if you don't perform then you dont have a job, welcome to the real world. If the CQG found RBH wanting in certain areas then is it any surprise there is a shakeup ?, I think the public would be dissapointed if there were not. If there are leadership issues then who is to blame for this , quite often in organisations the CEO relies on a layer of Senior / Middle managers (and pays them high slaries) to carry out the day to day mangement of staff which includes responsibilty for the leadership and morale of their direct reports, not least because they are involved in more strategic issues and more often or not in the public sector I suspect sucked into politics. In any case it cant just be one person's responsibility in such a huge organisation . If I was the CEO of RBH ( I am not ) following the CQC report I would be looking to take stock of the senior managers and make sure that I had the best team around me that I could in order to give the public the best possible service and if that means making some staff redundant or relocating then whilst it is not nice for anyone to lose their job and not an easy decision taken lightly I am sure - it has to be done for the greater good , clearly there are problems. For the record I am not Tony Spotswood or Helen Lingham (not sure what I would look like in a dress !) Incidentally I saw an earlier post which mentioned something about favouritism and experience , what I would say is don't make the mistake of confusing experience with ability , the two don't always go hand in hand , and if my head was on the chopping block I wouldn't be appointing staff to a senior position because I liked them. Finally - thank you RBH for looking after my family over the years and all the majority of staff who I know care about their work and their paitients and work their **** off every day. ( honest I dont work for the NHS or RBH ) :-) casualobserver1
  • Score: 14

8:01pm Wed 14 May 14

cromwell9 says...

I have a family member who works in Leeds Royal Imfirmery.
In a senior position,at the hospital,.She has told me that a good number of her staff ,should not be working in the NHS.
The problem is unless you have commited Murder or Rape,Thanks to their union UNISON,Its almost imposible to sack any member of staff,
And iff you dare to SNITCH ,You are driven OUT.
Thats Labour and LIb DEMS Policy as well.
I have a family member who works in Leeds Royal Imfirmery. In a senior position,at the hospital,.She has told me that a good number of her staff ,should not be working in the NHS. The problem is unless you have commited Murder or Rape,Thanks to their union UNISON,Its almost imposible to sack any member of staff, And iff you dare to SNITCH ,You are driven OUT. Thats Labour and LIb DEMS Policy as well. cromwell9
  • Score: 0

10:57pm Wed 14 May 14

Chris12 says...

casualobserver1 wrote:
Chris12 wrote:
It seems quite common to hear people talk of RBH in a bad way, particularly in comparsion to Poole.

I was appalled by the care my mother received in the RBH and sadly my experience was that the front line staff were not particularly good. I had rarely seen so many people around yet never anyone available to answer a question or approach for assistance. When my mother was not eating I timed visits to be there to feed her. When I couldn't be there I provided plenty of snacks that she was able to manage herself but these were left ot go off in the ward fridge. For ward teams who always seemed to be busy with handovers, there didn't seem to be much in the way of communication between shifts.

When it came to discharging her to a Care Home, I had to tell the discharge department that this had been arranged after they had lost the information from social services. Finally they delivered her to her home, rather than the Care Home. A very distressing time for a terminally ill lady who would have loved to have returned home but cannot and will not due to the care that she needs.

I accept that poor management can have an impact on staff elsewhere in an organiation but the basic requirement for someone in the caring profession to appear to actually care was, in my opinion, not evident in the majority of ward staff that I dealt with.
Having read all the posts on this article I would like to make the following comments; Its easy to be critical as an outsider looking in and the NHS has always been and always will be an easy target. Whilst numerous people have undoubtedly had at some stage a bad experience and or lost loved ones, there are numerous people who have had good experiences and whose lives have been saved. Both myself and my family have had nothing but good experiences at both Bournemouth and Poole Hospitals and thanks to Bournemouth I have had a full recovery from a cancer scare a few years ago. Whilst obviously some people have had bad experiences at Bournemouth and other hospitals most people I have spoken to say Bournemouth is excellent. At the end of the day they are human and make mistakes and whilst clearly if they make a mistake it can have fatal consequences they frequently carry out some miraculous work in an environment that is becoming increasingly squeezed from both financial and sociological pressures. You only have to see some of the docu-soaps or take a walk through A & E to see some of the challenges they face ! I think as a country we should be proud of our NHS , many countries are envious of our NHS system , of course it is not without its problems but lets face it not many organisations both in the public and private sector are. ( Incidentally , I am not an NHS employee or in the medical profession).

Following on from the CQC post what I will say is that it appears in some public sector companies there still appears to be a belief that jobs are for life regardless of your performance. As someone has commented , in the private sector if you don't perform then you dont have a job, welcome to the real world. If the CQG found RBH wanting in certain areas then is it any surprise there is a shakeup ?, I think the public would be dissapointed if there were not. If there are leadership issues then who is to blame for this , quite often in organisations the CEO relies on a layer of Senior / Middle managers (and pays them high slaries) to carry out the day to day mangement of staff which includes responsibilty for the leadership and morale of their direct reports, not least because they are involved in more strategic issues and more often or not in the public sector I suspect sucked into politics. In any case it cant just be one person's responsibility in such a huge organisation . If I was the CEO of RBH ( I am not ) following the CQC report I would be looking to take stock of the senior managers and make sure that I had the best team around me that I could in order to give the public the best possible service and if that means making some staff redundant or relocating then whilst it is not nice for anyone to lose their job and not an easy decision taken lightly I am sure - it has to be done for the greater good , clearly there are problems. For the record I am not Tony Spotswood or Helen Lingham (not sure what I would look like in a dress !) Incidentally I saw an earlier post which mentioned something about favouritism and experience , what I would say is don't make the mistake of confusing experience with ability , the two don't always go hand in hand , and if my head was on the chopping block I wouldn't be appointing staff to a senior position because I liked them. Finally - thank you RBH for looking after my family over the years and all the majority of staff who I know care about their work and their paitients and work their **** off every day. ( honest I dont work for the NHS or RBH ) :-)
To be honest casualobserver1, that is what made it all so much more saddening for me. I have several very close friends who work in the NHS who do astounding work, of which one was recently on the Honours List this year. I know from them how frustrating things can be but I also know how good things can be.

I'm perhaps fortunate in that I have not had many relatives or friends who have needed to be hospitalised or who are in the final stages of their life. My comments are based purely on my observation of a 4 week stay on 1 ward at RBH and I can only hope that this is not representative of the whole facility. Nevertheless, you can understand how many who have had only a brief exposure to RBH may form an opinion on their particular experience.

Sadly, the discussions I have had with carers, health professionals and others who have experience of RBH have not convinced me that my experience was an isolated one. I would say that there were examples of care from 2 individuals that were excellent. I am only disappointed that there were only 2 individuals on an entire ward over a 4 week period that stood out.
[quote][p][bold]casualobserver1[/bold] wrote: [quote][p][bold]Chris12[/bold] wrote: It seems quite common to hear people talk of RBH in a bad way, particularly in comparsion to Poole. I was appalled by the care my mother received in the RBH and sadly my experience was that the front line staff were not particularly good. I had rarely seen so many people around yet never anyone available to answer a question or approach for assistance. When my mother was not eating I timed visits to be there to feed her. When I couldn't be there I provided plenty of snacks that she was able to manage herself but these were left ot go off in the ward fridge. For ward teams who always seemed to be busy with handovers, there didn't seem to be much in the way of communication between shifts. When it came to discharging her to a Care Home, I had to tell the discharge department that this had been arranged after they had lost the information from social services. Finally they delivered her to her home, rather than the Care Home. A very distressing time for a terminally ill lady who would have loved to have returned home but cannot and will not due to the care that she needs. I accept that poor management can have an impact on staff elsewhere in an organiation but the basic requirement for someone in the caring profession to appear to actually care was, in my opinion, not evident in the majority of ward staff that I dealt with.[/p][/quote]Having read all the posts on this article I would like to make the following comments; Its easy to be critical as an outsider looking in and the NHS has always been and always will be an easy target. Whilst numerous people have undoubtedly had at some stage a bad experience and or lost loved ones, there are numerous people who have had good experiences and whose lives have been saved. Both myself and my family have had nothing but good experiences at both Bournemouth and Poole Hospitals and thanks to Bournemouth I have had a full recovery from a cancer scare a few years ago. Whilst obviously some people have had bad experiences at Bournemouth and other hospitals most people I have spoken to say Bournemouth is excellent. At the end of the day they are human and make mistakes and whilst clearly if they make a mistake it can have fatal consequences they frequently carry out some miraculous work in an environment that is becoming increasingly squeezed from both financial and sociological pressures. You only have to see some of the docu-soaps or take a walk through A & E to see some of the challenges they face ! I think as a country we should be proud of our NHS , many countries are envious of our NHS system , of course it is not without its problems but lets face it not many organisations both in the public and private sector are. ( Incidentally , I am not an NHS employee or in the medical profession). Following on from the CQC post what I will say is that it appears in some public sector companies there still appears to be a belief that jobs are for life regardless of your performance. As someone has commented , in the private sector if you don't perform then you dont have a job, welcome to the real world. If the CQG found RBH wanting in certain areas then is it any surprise there is a shakeup ?, I think the public would be dissapointed if there were not. If there are leadership issues then who is to blame for this , quite often in organisations the CEO relies on a layer of Senior / Middle managers (and pays them high slaries) to carry out the day to day mangement of staff which includes responsibilty for the leadership and morale of their direct reports, not least because they are involved in more strategic issues and more often or not in the public sector I suspect sucked into politics. In any case it cant just be one person's responsibility in such a huge organisation . If I was the CEO of RBH ( I am not ) following the CQC report I would be looking to take stock of the senior managers and make sure that I had the best team around me that I could in order to give the public the best possible service and if that means making some staff redundant or relocating then whilst it is not nice for anyone to lose their job and not an easy decision taken lightly I am sure - it has to be done for the greater good , clearly there are problems. For the record I am not Tony Spotswood or Helen Lingham (not sure what I would look like in a dress !) Incidentally I saw an earlier post which mentioned something about favouritism and experience , what I would say is don't make the mistake of confusing experience with ability , the two don't always go hand in hand , and if my head was on the chopping block I wouldn't be appointing staff to a senior position because I liked them. Finally - thank you RBH for looking after my family over the years and all the majority of staff who I know care about their work and their paitients and work their **** off every day. ( honest I dont work for the NHS or RBH ) :-)[/p][/quote]To be honest casualobserver1, that is what made it all so much more saddening for me. I have several very close friends who work in the NHS who do astounding work, of which one was recently on the Honours List this year. I know from them how frustrating things can be but I also know how good things can be. I'm perhaps fortunate in that I have not had many relatives or friends who have needed to be hospitalised or who are in the final stages of their life. My comments are based purely on my observation of a 4 week stay on 1 ward at RBH and I can only hope that this is not representative of the whole facility. Nevertheless, you can understand how many who have had only a brief exposure to RBH may form an opinion on their particular experience. Sadly, the discussions I have had with carers, health professionals and others who have experience of RBH have not convinced me that my experience was an isolated one. I would say that there were examples of care from 2 individuals that were excellent. I am only disappointed that there were only 2 individuals on an entire ward over a 4 week period that stood out. Chris12
  • Score: 0

8:37am Thu 15 May 14

casualobserver1 says...

Chris12 wrote:
casualobserver1 wrote:
Chris12 wrote:
It seems quite common to hear people talk oDear Chris12 , dont get me wrong I am not for one minute suggesting that these are isolated cases and obviously if it ends in the tragic loss of someone it is one too many and I am sure the majority of staff at any hospital will feel this way. I dont know how many patients go through RBH in a year but there must be hundreds of thousands , we dont get to hear about all the good experiences and how the medical teams spend hours saving someone's life ( probably because they have taken a drug overdose or driven themselves into a brick wall because they are drunk!) because that is not news worthy. However, I can bet you there are more good news stories than there are bad. Of course as I said there is clearly a problem as pointed out in the Echo news article and RBH are taking action to resolve this , they obviously have to undertake some major surgery ( pardon the pun) that will be painful for a lot of people and may be result in people lossing their jobs. Personally I dont know what the answer is , do we have an American style sytem where they want to know how you will pay for your treatment before they will even attend you , they are trying to introduce a similiar NHS system but their politicians say it will bankrupt the country. Personally , I dont believe in years to come we will have a NHS as it is now because we cant afford it. No organisation is perfect and do not get it right every time especially with limited resources. I suspect if you asked the nation to pay more for their medical care they would run a mile or could not afford it..
[quote][p][bold]Chris12[/bold] wrote: [quote][p][bold]casualobserver1[/bold] wrote: [quote][p][bold]Chris12[/bold] wrote: It seems quite common to hear people talk oDear Chris12 , dont get me wrong I am not for one minute suggesting that these are isolated cases and obviously if it ends in the tragic loss of someone it is one too many and I am sure the majority of staff at any hospital will feel this way. I dont know how many patients go through RBH in a year but there must be hundreds of thousands , we dont get to hear about all the good experiences and how the medical teams spend hours saving someone's life ( probably because they have taken a drug overdose or driven themselves into a brick wall because they are drunk!) because that is not news worthy. However, I can bet you there are more good news stories than there are bad. Of course as I said there is clearly a problem as pointed out in the Echo news article and RBH are taking action to resolve this , they obviously have to undertake some major surgery ( pardon the pun) that will be painful for a lot of people and may be result in people lossing their jobs. Personally I dont know what the answer is , do we have an American style sytem where they want to know how you will pay for your treatment before they will even attend you , they are trying to introduce a similiar NHS system but their politicians say it will bankrupt the country. Personally , I dont believe in years to come we will have a NHS as it is now because we cant afford it. No organisation is perfect and do not get it right every time especially with limited resources. I suspect if you asked the nation to pay more for their medical care they would run a mile or could not afford it.. casualobserver1
  • Score: 0

8:58am Thu 15 May 14

casualobserver1 says...

northbourne1957 wrote:So lets get this straight eight mangers apply for three positions and I presume as in most large organisations ( especially in the public sector ) have to go through a series of tests and or interviews ( yeah I know they were fixed ) which will have undoubtedly involved more than one person, and the "least experienced person favoured by Helen Lingham" gets the position ....mmmmm. What I would say to the person who got that position - if it doesnt work out come and head up my sales team and I can undoubtedly pay you more for a lot less hours because it sounds like you sure hoodwinked a lot of intelligent senior people in the NHS !
[quote][p][bold]northbourne1957[/bold] wrote:So lets get this straight eight mangers apply for three positions and I presume as in most large organisations ( especially in the public sector ) have to go through a series of tests and or interviews ( yeah I know they were fixed ) which will have undoubtedly involved more than one person, and the "least experienced person favoured by Helen Lingham" gets the position ....mmmmm. What I would say to the person who got that position - if it doesnt work out come and head up my sales team and I can undoubtedly pay you more for a lot less hours because it sounds like you sure hoodwinked a lot of intelligent senior people in the NHS ! casualobserver1
  • Score: 2

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