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Bug hospital chief pay withheld | |
(30 minutes later) | |
The health secretary has told the trust at the centre of a hospital bug investigation to withhold any severance pay from its former chief executive. | The health secretary has told the trust at the centre of a hospital bug investigation to withhold any severance pay from its former chief executive. |
Rose Gibb of Maidstone and Tunbridge Wells NHS Trust resigned on Friday after four years in the post. | Rose Gibb of Maidstone and Tunbridge Wells NHS Trust resigned on Friday after four years in the post. |
Alan Johnson described the deaths of 90 hospital patients from Clostridium difficile as "scandalous". | Alan Johnson described the deaths of 90 hospital patients from Clostridium difficile as "scandalous". |
Kent police have launched an investigation into whether the trust should be prosecuted for the deaths. | Kent police have launched an investigation into whether the trust should be prosecuted for the deaths. |
The suspension of Ms Gibb's pay is pending legal advice. | The suspension of Ms Gibb's pay is pending legal advice. |
Ms Gibb left the trust by mutual arrangement. The trust has refused to disclose how much money she received after leaving. | Ms Gibb left the trust by mutual arrangement. The trust has refused to disclose how much money she received after leaving. |
READ THE FINDINGS Health Commission report on C.difficile at Maidstone and Tunbridge Wells NHS Trust [1.72MB] Most computers will open this document automatically, but you may need Adobe Reader Download the reader here | |
Annual accounts showed she earned about £150,000 in salary, £5,000 in benefits and £12,500 in pension in 2006/07. | Annual accounts showed she earned about £150,000 in salary, £5,000 in benefits and £12,500 in pension in 2006/07. |
Geoff Martin of campaign group Health Emergency said: "A severance payment should never have been considered in the first place. | Geoff Martin of campaign group Health Emergency said: "A severance payment should never have been considered in the first place. |
"We have a right to know how much taxpayers' money is involved." | "We have a right to know how much taxpayers' money is involved." |
"Avoidable tragedy" | "Avoidable tragedy" |
The Healthcare Commission said a "litany" of errors in infection control had caused the "avoidable tragedy". | The Healthcare Commission said a "litany" of errors in infection control had caused the "avoidable tragedy". |
The commission's report said nurses at the trust were too rushed to wash hands and left patients to lie in their own excrement. | The commission's report said nurses at the trust were too rushed to wash hands and left patients to lie in their own excrement. |
For many of these patients there may well have been a good chance that they would have recovered if all steps had been taken Heather WoodReport author Q&A: Clostridium difficile | For many of these patients there may well have been a good chance that they would have recovered if all steps had been taken Heather WoodReport author Q&A: Clostridium difficile |
The trust said it had not been prepared for "an outbreak of that size and complexity" but had learned lessons. | |
Maidstone and Tunbridge Wells Trust's Medical director Dr Malcolm Stewart said managers of trusts were "trying to juggle with many balls". | |
His own trust was changing the way it offered services internally and externally, opening an independent sector treatment centre, managing a financial deficit as well as applying for foundation trust status. | |
Mr Johnson said he was shocked by the findings, but denied accusations the problems were caused by staff being put under pressures to meet government A&E targets. | |
He said copies of the report would now be sent to all trusts so lessons could be learnt. | He said copies of the report would now be sent to all trusts so lessons could be learnt. |
A Kent Police spokesman said the force was "in the process of reviewing the contents" of the report. | A Kent Police spokesman said the force was "in the process of reviewing the contents" of the report. |
"The purpose of the review is to see if any criminal acts have taken place," he said. | "The purpose of the review is to see if any criminal acts have taken place," he said. |
Death rate | Death rate |
The commission began its investigations amid a string of complaints about cleanliness, and was particularly alarmed after the trust claimed no-one had died from the condition despite admitting there had been hundreds of cases. | The commission began its investigations amid a string of complaints about cleanliness, and was particularly alarmed after the trust claimed no-one had died from the condition despite admitting there had been hundreds of cases. |
It said that seemed highly improbable given that the average death rate is between 6% and 7%. | |
NURSES DID NOT ALWAYS Wash handsEmpty/clean commodesHelp patients go to toiletClean mattressesWear aprons/gloves class="" href="/1/hi/health/7038107.stm">'My mother died' class="" href="/1/hi/health/7039324.stm">C.difficile experiences | |
The watchdog examined a sample of 50 patients out of a total of 345 to whom various causes of death had been attributed, but who were also known to have had C.difficile, between April 2004 and September 2006. | The watchdog examined a sample of 50 patients out of a total of 345 to whom various causes of death had been attributed, but who were also known to have had C.difficile, between April 2004 and September 2006. |
It concluded that C.difficile - a bacterial infection of the gut which mainly affects the elderly - was definitely or probably the main cause of death for 90 patients. | It concluded that C.difficile - a bacterial infection of the gut which mainly affects the elderly - was definitely or probably the main cause of death for 90 patients. |
It was definitely a contributing factor in the deaths of a further 124, and a probable factor in another 55. | It was definitely a contributing factor in the deaths of a further 124, and a probable factor in another 55. |
Nurse shortages | Nurse shortages |
The Healthcare Commission said that despite Ms Gibbs's resignation, nothing short of a full review of the trust's leadership would be appropriate in the circumstances. | The Healthcare Commission said that despite Ms Gibbs's resignation, nothing short of a full review of the trust's leadership would be appropriate in the circumstances. |
Commodes were not properly cleaned after use | Commodes were not properly cleaned after use |
It described the trust as one which had been facing some "serious challenges", not least those brought on by a recent merger. | |
But it suggested that the board's fixation with meeting financial targets got in the way of making sure safety was a priority, and it accused members of not addressing problems consistently raised by patients and staff. | But it suggested that the board's fixation with meeting financial targets got in the way of making sure safety was a priority, and it accused members of not addressing problems consistently raised by patients and staff. |
These included the shortage of nurses, which in turn led to poor care for patients. | These included the shortage of nurses, which in turn led to poor care for patients. |
HAVE YOUR SAY Thorough washing, using soap and hot water and the use of aseptic technique is required. Tony, UK Send us your comments | HAVE YOUR SAY Thorough washing, using soap and hot water and the use of aseptic technique is required. Tony, UK Send us your comments |
Patients with C.difficile were also moved between wards, increasing the risk of infection. | Patients with C.difficile were also moved between wards, increasing the risk of infection. |
In some instances this was due to concerns about meeting the government's targets for waiting times for treatment in A&E wards, the report said. | In some instances this was due to concerns about meeting the government's targets for waiting times for treatment in A&E wards, the report said. |
Isolation wards were few and far between, and sometimes the infected were simply kept in the middle of the ward. | Isolation wards were few and far between, and sometimes the infected were simply kept in the middle of the ward. |
Saying sorry | Saying sorry |
The commission noted there were "worrying similarities" with the last serious C.difficile outbreak it had investigated at Stoke Mandeville hospital, in which 30 patients died. | The commission noted there were "worrying similarities" with the last serious C.difficile outbreak it had investigated at Stoke Mandeville hospital, in which 30 patients died. |
MAIDSTONE AND TUNBRIDGE WELLS TRUST Maidstone HospitalKent and Sussex HospitalPembury Hospital | |
Both involved old hospitals, both had recently undergone mergers, and at both the boards were "preoccupied with finance". | Both involved old hospitals, both had recently undergone mergers, and at both the boards were "preoccupied with finance". |
The commission is urging trusts to treat C.difficile as a condition in its own right, rather than a complicating factor. | The commission is urging trusts to treat C.difficile as a condition in its own right, rather than a complicating factor. |
In addition, antibiotics should be used with utmost care in treating the condition, as they can easily make it worse by killing the so-called "friendly" bacteria in the gut which help the body fight it. | In addition, antibiotics should be used with utmost care in treating the condition, as they can easily make it worse by killing the so-called "friendly" bacteria in the gut which help the body fight it. |
The government has pledged £140m to tackle C.difficile as part of the Comprehensive Spending Review. | The government has pledged £140m to tackle C.difficile as part of the Comprehensive Spending Review. |