Services provided by Bristol Royal Infirmary Hospital
Explain Service Operation Management.
The Bristol Royal Infirmary is a Teaching Hospital with close relations in terms of its establishment to Bristol University where it provides services for acute pain related diseases, surgery, trauma, accident and orthopaedic related cases. The Bristol Royal Infirmary Hospital also provides services in terms of cardio – thoracic diseases and for cystic fibrosis care (UhBristol 2015)
The Bristol Royal Infirmary Hospital provides services in various segments like Abdominal zones, Breast Surgeries, Clinical Bio Chemistry services, Dermatology, Diabetes, Endocrinology, Emergency Department, Histopathology, Laboratory, Psychiatry, Liver and Hepatology, Cancer relative to lung and neuro physiology, Stroke Medicines, Rheumatology, Gastrointestinal Surgery and Palliative Care Medicine (UhBristol 2015).
The Bristol Royal Infirmary Hospital made its own efforts in terms of renovating its Hospital Buildings and has also improved the quality care given by the Employees to the Patients of different contexts. The Bristol Royal Infirmary Hospital has also made its own plans for starting Children’s services at Frechay Hospital and it has become fully operational in order to ensure that all the seriously affected Patients could be transferred to the Children’s Hospital or the Bristol Heart Institute which has known to be more competitive in terms of serving the Patients by providing them awith all the required facilities (Telegraph 2010).
In the year 2014 – 2015 the Hospital has set its own objectives which were totally based on improvising their quality and improving their incoming flow of Patients through various means of their emergency Hospitals. The Bristol Royal Infirmary Hospital has also been working closely with all their Health Partners in order to reduce the no. of issues which they might be facing with respect to reducing the no. of cancelled operations, reducing and looking towards minimising the Patient movements between various rooms of the Hospitals and providing the best care possible (Telegraph 2010).
The CQC inspection ratings were between 44 – 55 and were recorded to be between good and better and the report has also signified that the quality of leadership in the maternity services and the effectiveness of the care being provided in the Children’s services was to be appreciated and they have also rated them to be performing in an outstanding way (Telegraph 2010).
In spite of being motivated completely the Bristol Royal Infirmary Hospital had its share of being questioned of the type and quality of the services which they were rendering.
Renovation and quality care
Bristol Heart Scandal has highlighted a major sea – change in the way in which the mortality rates were getting higher in the Hospitals as per an Annual Survey (UhBristol 2015). There were major issues which were raised because of this and there were different biggest concerns which were raised and they haveled to the probing of a public inquiry into the working of NHS.
The Commission was chaired by Sir Ian Kennedy who has collected different evidences about 850000 – 900000 and have dedicated a ten year time in order to conduct the inquiry. There were various operations conducted on account of various diseases and there were deaths recorded of 30 – 35 babies between the years 1990 – 1995 (Telegraph 2010).
Sir Ian Kennedy has found a major setback where he found that there were serious no. of employee shortages because of lack of leadership and the units were not really maintaining their standards up to the levels of which they were expected to be.
The Commission chaired by Sir Ian Kennedy also found that the team of Doctors were totally relaxed and they had a lamenting attitude in order to treat the Patients and they also found that the Doctors has an Old Boys Culture which has also promoted the attitude of relaxation in them.
The Doctors - James Wisheart and John Roylance were eliminated from the system by the Commission and the General Medical Council. After a complete inspection of the Hearts of the Babies the Commission came to a conclusion that there was a serious arrogance born of indifference which could be seen in the failure which has led to the death of the babies.
Such cases hardly come out of the Hospitals and they are majorly kept undisclosed by the Hospital in order to protect and save their image in the market for the future. With such Commissions being deployed for conducting the surveys these cases would be forcible made to come up to the surface and the world would come to know about the atrocities which the Hospitals might be making.
The higher mortality rates have triggered various inspections and they have helped the world know of the no. of deaths happening in different hospitals like Mid-Staffordshire NHS Trust and Basildon Hospital.
The Cardiac surgery ratings were being published along with the no. of mortality rates where the world was constantly watching the numbers being reduced after the facts were being recorded for the public analysis and the Government analysis.
CQC Inspection ratings
With the constant committees being formed for a regular survey Sir Ian Kennedy has started taking stricter decisions where he decided to close down the Hospitals where the maximum no. of deaths were being recorded especially in terms of Children Cardiac Centres.
With such tougher decisions and systems in place the Hospitals have started being extra cautious in terms of medicine and care to all their Patients of all ages and especially the child patients (The Guardian 2015). Better care being rendered has led to a major reduction in the fatal rates of the Child Heart death cases (Open Heart Journal nd).
As per the latest researches being conducted on Clinical Operational Research Units the death rates have been low and have been seeing a declining trend which is great news which shows us that there have been some type of improvements in the method of clinical care being provided and also in terms of the standardisation of the care being taken. In cases of Hospitals and Health Care Centres where surgeries are prone to happen there would be cases reported of the death or ill – treatment. When the cases along with the method of treatment get reported and analysed they provide a greater source of proof to the Public and the concerning bodies of the type of health care being provided.
The Mandatory Analysis being conducted by various Researchers from different Hospitals like the Bristol Royal Infirmary Hospital, The Royal Hospital, Royal Brompton and Sick Children have all proved to be good sources for getting the analysis done and reporting the no. of hit cases in terms of medical treatments as well as in terms of misses in medical treatments being provided in the Hospitals.
The analysed data reported to the National Institute of Cardiovascular Outcomes Research for Children and Adults has considered various cases of medical conditions which have been treated by different Hospitals (The Guardian 2015). The medical cases being treated in the Hospitals have shifted their focus towards the results of the treatment being provided than the no. of cases treated and the no. of mortality cases reported (UhBristol 2015).
The increase in the no. of cases in the Hospitals as a result of the surveys conducted don’t give an understanding that the no. of complications have increased in children however they give us an insight that the complexities in patients have increased due to some other health issues which they might be facing like a complex health issue related to being overweight and any other medical condition (The Guardian 2015).
The further reviews which would be conducted should be more reassuring owing to the advancements in terms of research and the expertise with which the Doctors handle the cases. More amount of efforts need to be exercised on understanding the long - term implications of the specific case of congenital heart diseases in order to improve the health of the people for a quality time in their lives (The Guardian 2015).
The Bristol Royal Infirmary Hospital has taken new measures to train and support the employees for further medical skills and also to develop them in terms of working towards the Organization’s objective of providing exceptional medical care to the People who approach the Hospitals for various purposes. They have imbibed a new culture where they could motivate their Employees to develop new behaviours and create a major impact within the Organization (UhBristol 2015). The Bristol Royal Infirmary Hospital and its Management have taken an initiative to implement their plans with further quality in a way where they can improve their present standards to a world – class service. The biggest issue in the Hospital which was cancellation of operations was planned to be considered and it was also decided to reduce the no. of cancellations and conduct the operations in an effective and an efficient way (UhBristol 2015).
UhBristol 2015, “Quality Report”, Viewed on May 19th 2016, https://www.uhbristol.nhs.uk/patients-and-visitors/about-your-stay/
Rebecca Smith 2010, Bristol Heart Scandal, Viewed on May 19th 2016, https://www.telegraph.co.uk/news/health/news/7914795/Bristol-heart-scandal.html
The Guardian 2015, “ UK Children’s Heart Surgery Death Rates Nearly Halve in Ten Years”, Viewed on May 19th 2016, https://www.theguardian.com/society/2015/apr/02/uk-childrens-heart-surgery-deaths-halve-10-years-open-heart
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