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deaths and other catastrophic outcomes as expected, and omitting key details in accounts given to families as well as to official bodies. Although we did not find evidence that there was a conscious conspiracy, the effect of these behaviours was to cover up the truth. 1.113 Even had none of the previous failings been known – and they were – baby Harry’s death should surely have been a catalyst for immediate change. In fact, it required public remonstration by a coroner over two years later, precipitated by the persistence, diligence and courage of baby Harry’s family, to reveal an organisation that did not accept its own failings, considered itself above scrutiny or accountability, and consistently rejected the opportunity to learn when things went wrong.
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Quality
Commission upgraded the trust from "inadequate" to "requires improvement" and cited significant improvements. Two of the trust's five hospitals were rated as "Good". It was one of 26 responsible for half of the national growth in patients waiting more than four hours in accident and emergency over the 2014/5 winter. It hit controversy when an RAF sergeant was asked to leave the waiting room in case his uniform upset other patients. It admitted breaching a patient's human rights when it placed a "do not resuscitate" (DNR) order on the patients notes because the patient had learning difficulties. The trust had not consulted the family about the decision.
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In particular, when speaking of the seminal case, Harry
Richford, Kirkup said - 1.112 This pattern of behaviour by the Trust, clearly evident in this case, recurred in many others that we examined. It included denying that anything had gone amiss, minimising adverse features, finding reasons to treat
235:
The trust's proposal to centralise surgery on the
Canterbury site in order to manage problems caused by "the increasing sub-specialisation of surgery, the lack of availability of surgeons with skills that are essential to managing high risk and emergency general surgery, and the difficulty recruiting
381:
The families investigation into Harry's death was masterminded by Derek
Richford, Harry's grandfather. The BBC said of the family's efforts "However, it took a skilled, determined, grieving family's fight for justice to force meaningful change on a reluctant and failing organisation." The story was
255:
In August 2022 it was reported that the trust needed £65 million worth of improvements for critical risk infrastructure including the high voltage transformers at the Kent and
Canterbury Hospital, high voltage upgrade works at the Queen Elizabeth, the Queen Mother, Hospital, replacement of obsolete
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found in 2015, consultants, failing to do labour ward rounds, failing to review women, make care plans or attend out of hours when asked, consultants, rarely did CTG training, and reportedly were, "doing their own thing rather than follow guidelines" Staff alleged at the review, the board did not
323:
In
September 2018, SERCO were sacked as the facilities provider for the Trust. They were replaced by 2gether Support Solutions, a brand new company, wholly owned by the Trust. 2Gether were given a 25 year contract and a loan of £100 million from the Trust. The deal was signed off by the then CEO
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In 2016 the trust saw improvements in its annual
Patient-Led Assessment in Care Environments audits, which were introduced nationally in 2013. All hospitals, hospices and day treatment centres that give NHS-funded care are subject to a PLACE inspection. In April 2016 it admitted that it could not
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In 2015 the Trauma Audit & Research
Network showed that the William Harvey Hospital in Ashford was the best performing hospital receiving trauma patients in England and Wales, out of 100 hospitals offering trauma facilities across the country, according to survival rates of patients. The Care
389:
led by Dr Bill Kirkup was published on 19 October 2022. The review found that up to 45 babies may have survived if they had received better care. The report focused on the Trust's two maternity units, at the
William Harvey Hospital in Ashford, and the Queen Elizabeth the Queen Mother Hospital in
366:
From 2016 to 2019 the trust had to close one of its two maternity units, which are nearly 40 miles apart, to new births 111 times. At least 120 women in labour were diverted. Although it is not unusual for maternity units close or divert for short periods these closures were unusually frequent.
231:
In April 2014 it was reported that the trust was looking for a partner to develop a private hospital at the
William Harvey Hospital site and enhance the returns from the Spencer private hospital on the Queen Elizabeth The Queen Mother Hospital site with a contract over the next 15 to 15 years.
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fire alarm cabling and replacement of defective heat exchangers at the neonatal intensive care unit at the William Harvey Hospital. 8% of its estate was classified as bad, life expired and/or at serious risk of imminent failure.
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In 2018 it had 214 estates and facilities related incidents. It runs more than 100 buildings, some of which date back to the 1930s, and appealed for £34 million in emergency capital funding in January 2019.
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https://assets.publishing.service.gov.uk/media/634fb083e90e0731a5423408/reading-the-signals-maternity-and-neonatal-services-in-east-kent_the-report-of-the-independent-investigation_print-ready.pdf
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it was clearly the worst performing trust in England on A&E in 2017–18, with around 30%t of patients waiting over four hours. The chair of the trust, Nikki Cole, resigned and was replaced by
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In August 2018 it announced that planned orthopaedic operations would be moved from the William Harvey Hospital to the Kent and Canterbury Hospital in an attempt to avoid cancellations.
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cope with the overwhelming demand on its ophthalmology department, which saw nearly 100,000 patients in 2015/6. 7000 were in need of follow-up and at risk of deteriorating eyesight.
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It serves a local population of around 759,000 people. It is a teaching trust involved in the education and training of doctors, nurses and other healthcare professionals, with
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In January 2020, the inquest of baby Harry Richford revealed that he had died due to 7 gross failings which, the coroner said, amounted to neglect. This led to a
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for failing to provide safe care and treatment exposing Harry Richford and his mother Sarah to avoidable harm. Harry died a week after his birth at
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found 7 cases of babies either stillborn or who died shortly after birth since 2016, these cases should have been prevented with better care. The
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consider maternity services a priority and no action would be taken over concerns raised. In 2014 the trust was put into special measures after
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331:, to support patients medically fit to leave hospital but not able to return to their own home. It was forced to abandon the scheme when the
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in 2017. This is the first such prosecution of an acute trust. The trust were fined £1.1 million reduced to £733k following a guilty plea.
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655:"East Kent Health Trust placed into special measures by Monitor following damning CQC report on sites in Canterbury, Ashford and Margate"
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and 250 NHS staff working on estates, procurement and facilities to a new limited company owned by the trust and described as a
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covered nationally on all channels and later on the BBC website Michael Buchanan wrote Derek's story "No-one joined the dots"
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led by Dr Bill Kirkup. Well over 200 families came forward to have their own maternity cases examined by the inquiry.
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In May 2018 the trust announced plans to transfer 850 cleaning, catering, switchboard and portering staff who work for
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1026:"Reading the signals Maternity and neonatal services in East Kent – the Report of the Independent Investigation"
762:"EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Worst performing A&E trust appoints new interim chair"
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rated its care, including maternity care inadequate. Since then the CQC rated it as requiring improvement.
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In response to the report, Chief Executive Tracey Fletcher apologised for the "harm and suffering" caused.
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629:"East Kent Hospitals University NHS Foundation Trust named Trust of the Year in the 2010 Hospital Guide"
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Following two years of investigation into maternity services at East Kent Hospitals, a report named
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In 2010, it was named "Trust of the Year 2010" by the healthcare information organisation
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both permanent and locum medical staff" in May 2014 aroused opposition among consultants.
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560:"SUBSCRIBE NOW Estates staff at East Kent Hospital trust strike over job transfers"
439:. East Kent Hospitals University NHS Foundation Trust. 2 September 2019. p. 15
313:. In 2017–18 East Kent Hospitals saw 74.3% of A&E patients within four hours.
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677:"William Harvey Hospital rated best performing hospital in country for trauma"
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1054:"East Kent maternity deaths: Babies might have survived with better care"
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938:"Exclusive: Trust diverted at least 120 women in labour in four years"
866:"Trust spot purchasing beds after ending deal with 'inadequate' home"
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The trust commissioned 28 beds from a residential home, Ami Lodge in
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Four-hour target in the emergency department quarterly figures from
515:"Surgery centralisation plans on hold following clinician concerns"
699:"26 trusts responsible for half of national A&E target breach"
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In October 2017 after months of very poor performance against the
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920:"East Kent hospitals: Baby death parents' heartbreak over errors"
902:"Baby Harry Richford's Margate hospital death 'wholly avoidable'"
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996:"'No-one joined the dots' - grandad who exposed an NHS scandal"
960:"Harry Richford: East Kent NHS Trust charged over baby's death"
489:"East Kent FT seeks partner to 'reinvigorate' private offering"
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is one of the largest hospital trusts in England. It runs the
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in September 2014 following an unfavourable report from the
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978:"East Kent hospitals: The failings that led to baby deaths"
800:"Elective operations moved to new hospital ahead of winter"
679:. East Kent Hospitals University NHS Foundation Trust. 2015
537:"Over 1,000 staff to transfer to trust subsidiary company"
585:"Trust fixes high-risk outdated electrics after warnings"
247:. This organisation is named 2gether Support Solutions.
189:(Folkestone) – and some outpatient facilities in the
437:"Annual Report, Quality Report and Accounts 2018/19"
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East Kent Hospitals University NHS Foundation Trust
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East Kent Hospitals University NHS Foundation Trust
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228:in a contract worth £10m – £40m in December 2013.
356:Royal College of Obstetricians and Gynaecologists
370:In October 2020 the trust was prosecuted by the
324:Susan Acott and the then Chairman Steven Smith.
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607:"A&E Attendances and Emergency Admissions"
335:rated the home "inadequate" in November 2018.
8:
740:"Hospital 'overwhelmed' by eye care demand"
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868:. Health Service Journal. 19 February 2019
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29:
20:
824:. Health Service Journal. 28 January 2019
722:"Apology over 'do not resuscitate' order"
376:Queen Elizabeth The Queen Mother Hospital
179:Queen Elizabeth The Queen Mother Hospital
99:Queen Elizabeth The Queen Mother Hospital
802:. Health Service Journal. 21 August 2018
783:The 10 worst A&Es for waits revealed
764:. Health Service Journal. 3 October 2017
587:. Health Service Journal. 15 August 2022
940:. Health Service Journal. 30 April 2020
822:"Trust seeks £34m in emergency capital"
742:. Health Service Journal. 14 April 2016
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222:Maidstone and Tunbridge Wells NHS Trust
1122:Medical scandals in the United Kingdom
701:. Health Service Journal. 1 April 2015
517:. Health Service Journal. 3 June 2014
7:
843:https://2gethersupportsolutions.org/
539:. Health Service Journal. 9 May 2018
558:MacSwan, Anna (24 September 2018).
459:"Kent trusts issue £40m EPR tender"
465:. 24 December 2013. Archived from
339:Maternity deaths and Kirkup report
14:
720:Dreaper, Jane (8 December 2015).
226:electronic patient record system
657:. Kent Online. 2 September 2014
210:Kent and Medway Medical School
1:
16:NHS hospital trust in England
412:List of hospitals in England
171:Kent and Canterbury Hospital
89:Kent and Canterbury Hospital
59:Kent and Canterbury Hospital
1107:Organisations based in Kent
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887:http://harrysstory.co.uk/
224:was jointly procuring an
28:
307:A&E four hour target
282:The trust was placed in
372:Care Quality Commission
361:Care Quality Commission
333:Care Quality Commission
292:Care Quality Commission
187:Royal Victoria Hospital
175:William Harvey Hospital
109:Royal Victoria Hospital
94:William Harvey Hospital
493:Health Service Journal
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121:Stewart Baird (acting)
1112:NHS foundation trusts
267:
206:King's College London
42:NHS foundation trust
387:Reading the signals
1002:. 18 October 2022.
926:. 23 January 2020.
908:. 24 January 2020.
635:on 9 November 2013
469:on 12 January 2014
417:List of NHS trusts
407:Healthcare in Kent
273:
64:Region served
1060:. 19 October 2022
966:. 9 October 2020.
245:social enterprise
208:and, since 2018,
185:(Dover), and the
183:Buckland Hospital
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104:Buckland Hospital
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984:. 17 June 2021.
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495:. 11 April 2014
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129:Tracey Fletcher
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