Alexandra Hospital

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We did not inspect enough of the responsive domain to amend the rating of requires improvement from the last inspection in 2018. However, the parts we did review showed, the service worked well with system partners and stakeholders to develop and improve how children and young people accessed and used healthcare.

The service used people’s feedback and other evidence to actively seek to improve access for people more likely to experience barriers or delays in accessing their care.

This service scored 61 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not collect enough information from patients about their experience of care provision, integration and continuity to express their views in this report.

Leaders identified they had developed and provided care and treatment to enable improved and when possible, more local access away from regional centres. This supported continuity of care within the trust for children and their families.

Staff told us they worked well with other health professionals including GPs. Staff in the children’s outpatients had supported and trained staff working in GPs to take children’s blood to enable them to have their blood taken nearer to home.

Partners told us the service was considering adding a youth worker to the service to support children and young people further. This was in the early stages of discussions with funding to be agreed.

The divisional team had improved systems and processes to ensure they were centred around the needs of children and young people. The service had developed processes to improve transition from children to adult services and ensure continuity of care

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not collect enough information from patients about equity in access to express their views in this report.

Staff understood the importance of providing an inclusive approach to care and made appropriate adjustments to support equity in people’s experience and outcomes. Staff confirmed they had access to aids for communication including communication cards, and accessibility guides.

The service planned and provided care in a way that met the needs of local people, and the communities it served. It also worked with others in the wider system and local organisations to plan care.

The service had processes to ensure children and their families, including those in vulnerable circumstances such as looked after children and those with additional needs were able to access the service. Staff used appropriate systems to capture and review feedback from children and their families using the service including sense checking surveys and posters which were located throughout the department.

We did not collect enough information from patients about equity in experience and outcomes to express their views in this report.

Staff told us they felt they communicated well with children and young people to understand how best to support them with their procedures and treat them as individuals

The service had introduced visual feedback boards as well as friends and family test (FFT) cards so that it could get feedback from children and young people about their experiences as well as friends and family. All feedback from the boards between May and September 2024 (217 responses) had been good. Information from both the FFT and visual feedback boards were shown in the department for children and young people to see and in the monthly ward to board reports for staff to see.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.