Broomfield Hospital is part of the Mid Essex Hospital Services NHS Trust (MEHT).Broomfield Hospital is an acute district general hospital and it is the only hospital location within Mid Essex Hospital Services NHS Trust to provide accident and emergency (A&E) services.
Concerns were raised by stakeholders around the flow of patients through the A&E department, whether timely care was being provided and whether patients received sufficient pain relief.
Concerns were also raised about ambulance handover delays which resulted in patients waiting for long periods of time prior to being taken into the hospital.
This was our third inspection of the Urgent and Emergency Services due to concerns raised with us.
In August 2014 our inspection raised concerns over patient safety, security for patients, especially those with mental illness and paediatric patients, incident reporting and staffing levels and training.
At our comprehensive inspection in November 2014 we saw that these issues had failed to be addressed.
In February 2015 we returned to the EAU as we were alerted to qualified nurses who were working without registration.Following this issue being raised by us to the trust, action was taken to ensure that only registered nurses were directing patient care in this area.We returned in March 2015 to ensure that actions taken remained in place within the EAU.The service was rated as inadequate following these inspections.We returned in April 2015 due to concerns being raised with us in respect of the care provided within the service.Overall the rating for Urgent and Emergency Services remains as ‘Inadequate’ following this inspection.