Hull Royal Infirmary

Registration details

The location ID for Hull Royal Infirmary is RWA01.

CQC register Hull Royal Infirmary to carry out these legally regulated activities. Contact us if you think Hull Royal Infirmary is operating services not listed here.

Type of service

• Community services - Healthcare
• Hospital

Service specialism

• Services for everyone

Local authority

Kingston upon Hull, City of

Monitored services

CQC register Hull Royal Infirmary to carry out the following legally regulated services here:

Maternity and midwifery services

Mrs Amanda Stanford is responsible for these services.

Condition of this registration relating to carrying out this regulated activity

By 4pm Friday 26 May 2023, the registered provider must provide a detailed action plan that includes the following:
i. A detailed plan of how it will ensure patients have an appropriate assessment of their health needs including risk assessments to reflect the care they require. The plan must identify how it will achieve this in the short to medium term, including any immediate actions taken.
ii. A detailed plan of how it will ensure patients are clinically prioritised and their health needs are managed appropriately. The plan must identify how it will achieve this in the short to medium term, including any immediate actions taken.
iii. Summary report of the actions taken to address the immediate risk to patients, this should include detailed evidence of how it will achieve, sustain, and monitor this going forward.
iv. Detailed plan of how it is routinely monitoring patient harm – this should include documentary evidence such as governance framework, incidents, audits, performance data, meeting minutes, terms of reference of all relevant meetings and evidence of trust board oversight. This should include how it will be communicated with all staff.
v. A report providing details of the effective systems and processes that are implemented to comply with the conditions to ensure that medical and midwifery staff are suitably qualified, skilled, and competent to care for and meet the needs of women and babies within all areas of the Maternity Services.
vi. The action plan must include assigned responsibilities, timelines for completion, measurable and appropriate actions.

The registered provider must implement an effective risk and governance system which ensures that:
i. There is oversight at service, division, and board level in the management of the maternity services.
ii. There are effective quality assurance systems in place to support the delivery of safe and quality care.
iii. Risk and occurrence of incidents are properly identified and managed, to include an effective system of recording actions taken and ensuring learning from any incidents.
iv. Serious incidents are reflected and reported correctly in line with national guidance and adequately investigated.
v. Ensuring learning is shared from the investigation.
vi. Incident grading is reviewed to ensure it is accurate and in line with national guidance.

i. The registered provider must implement an effective system for managing and responding to patient risk to ensure all mothers and babies who attend Hull Royal Infirmary are cared for in a safe and effective manner and in line with national guidance.
ii. The registered provider must operate an effective clinical escalation system to ensure every woman attending the hospital are triaged, assessed, and streamlined in a timely manner by appropriately skilled and qualified staff.

By 4pm Friday 30 June 2023 and thereafter on the last Friday of every month the registered provider must provide the following:
i. An updated copy the action plan that covers all conditions that are contained within this notice.
ii. All reports written to provide assurance to the senior leadership team and/or trust board to demonstrate compliance with the conditions.
iii. Update on training figures, separated into each individual module of learning (including trust compliance figure)
iv. Maternity dashboard

Termination of pregnancies

Mrs Amanda Stanford is responsible for these services.

Treatment of disease, disorder or injury

Mrs Amanda Stanford is responsible for these services.

Assessment or medical treatment for persons detained under the Mental Health Act 1983

Mrs Amanda Stanford is responsible for these services.

Surgical procedures

Mrs Amanda Stanford is responsible for these services.

Diagnostic and screening procedures

Mrs Amanda Stanford is responsible for these services.