An update from SWF Health & Social Care Group

Leadership at Mid &South Essex NHS Foundation Trust, which runs our hospitals at Broomfield, Basildon & Southend, has been rated inadequate after staff morale was found to be among the lowest in the country, there were “persistent” safety failures and it had a poor behavioural culture.

We have sent the following question to the Trust, copied to our MP, County Councillor and Integrated Care Board: “Please would you ask the Non-Executive Directors (NEDS) and Governors of the Mid & South Essex NHS Foundation Trust why they didn’t identify and address the inadequacies of the Trust’s Leadership before it took CQC to find it and if they are now considering their positions? This is another finding and report by CQC of inadequacies in this Trust. It seems that the NEDS, Governors and the Senior Leadership Team have been consistently negligent in their care for the patients of the Trust. [We are] also cogniscent of the oversight role of Mid & South Essex ICB.”

The new Chief Executive, who started in November, said: “We are deeply sorry for having failed our patients and staff. We know that they deserve better from us.”Serious and systemic failures in leadership” had put people at risk and made staff feel undervalued.” Despite numerous improvement programmes, leaders continuously failed to deliver. “Staff across all three hospital sites told [CQC] they felt disconnected from senior leaders, undervalued and unable to raise concerns without fear.” “Many described a culture where poor behaviours went unchallenged and where financial pressures were perceived to take priority over quality and safety.”

  • Only 65% of mandatory reviews of deaths in its care were completed on time
  • Staff engagement and morale were among the lowest in the country
  • The trust was among the worst-performing nationally for ambulance handover delays and cancer waiting times
  • A new operating model introduced in November 2024 was causing confusion about roles, responsibilities and accountability

However, CQC said the Trust recognised the challenges it faced and leaders showed awareness of the improvements needed. Our Chair had a very satisfactory experience recently taking someone to Broomfield A&E.  This has also being communicated to the Trust.

Another Resident Doctors’ strike for five-days started on 14 November, “inflicting pain and misery” on patients according to the Health Secretary. It is reported that more resident doctors are choosing to work this time. Nevertheless, it’s estimated this strike will cost £240m as it’s expected to cause significant disruption, particularly in hospitals. One patient after a third cancellation for the removal of a benign tumour is quoted as being furious. “By striking they ignore the Hippocratic Oath – first and foremost do no harm”.  These strikes must stop. Patients on long waiting lists must be prioritised, along with reducing NHS pressures. Do the Resident (sic) Doctors have public support?

Health leaders are warning that NHS services and jobs will be cut unless £3bn more is allocated by the Chancellor in the Budget tocover unexpected costs,including the costs of redundancies and strikes, and paying more for medicines. The Treasury has now agreed to pay staff redundancy costs as 18,000 administration and managerial jobs are cut as the NHS and Department of Health and Social Care are merged. The immediate costs will be recouped in future savings.

Age UK has urged the government to get a grip on long A&E waits. The plea comes in a report detailing “heartbreaking” stories of how older people are suffering, spending hours in corridors and side-rooms. It highlights cases of people being left in their own excrement, having blood transfusions and even dying in these make-shift treatment areas. Older people were much more likely to experience long waits, with data showing one in three over 90s attending A&E in England last year faced a 12-hour wait or more. The government said the situation was unacceptable, but added it was taking action.

Data for week 43 (3-9 November) shows:

  • influenza activity continues to increase; this is an unusually early start to the flu season; whilst levels are reasonably low;
  • COVID-19 has decreased activity, circulating at baseline levels.  
  • respiratory syncytial virus (RSV) activity increased but is still at baseline levels. 
  • Norovirus continues increasing and is higher than average for this time, whilst remaining within expected levels. It is highest among children aged 0-4 years.

Shocking new childhood obesity figures highlight the urgent need for preventative action to create the healthiest generation of children ever. Government “won’t look away as kids become unhealthier”, as they push through preventative plans to reverse childhood obesity rates with support at school, in the playground and at home. A package of measures, including restrictions on junk food advertising, expanding free school meals and the universal free breakfast clubs will promote healthier eating and increase physical activity. Data shows that while the majority of children remain a healthy weight (75.4% in reception, age 4 to 5 years, and 62.2% in year 6, age 10 to 11 years), 10.5% of children in reception and 22.2% of year 6 children are living with obesity. Excluding the pandemic peak, this is the highest obesity prevalence seen in reception since measurements began in 2006 to 2007. Counter-measures include:

  • restrictions on junk food advertising and high-caffeine energy drinks
  • expanded free school meals
  • universal free breakfast clubs.

A new report highlights the impact of climate change on mental health in the UK.

It warns that the risks will increase as the climate warms and extreme weather events become more frequent and severe. Climate warming will exacerbate mental health inequalities, with impacts greatest on rural and agricultural communities and young people. Crucially this report highlights there is much we can do to minimise the adverse impacts from climate change on mental health and it’s hoped that it will help galvanise activity and lead to coordinated action in this area.

The winter flu season has begun five weeks earlier than usual and the UK is facing a long, tough drawn-out flu season, the NHS boss is warning. The new flu virus mutation could see ‘worst season in a decade’. So the NHS has now issued a “flu jab SOS” as fears grow that this will add up to a brutal winter. There’s “no doubt” this winter will be one of the toughest the health service has faced. Lots of vulnerable people are still to be vaccinated to get protected. Those eligible for the free vaccine are urged to come forward quickly for it. The NHS is calling on eligible adults to get their jab as soon as possible to stamp out the early wave of flu hitting the NHS more than a month earlier this year, with cases triple the same time last year. More than 13 million people have been vaccinated so far this year, but that is still more than 5 million below the number who were jabbed last winter. The thought of a long, drawn-out flu season has kept the NHS Chief awake at night. Unfortunately, it looks like that fear is becoming reality.

“Australia has just endured its worst flu season on record — over 410,000 cases — and all the signs suggest the NHS will face similar challenges in the months ahead. From December through to March, our hospitals will be at capacity.” Flu cases are rising quickly among children and young people – and will soon spread across older age groups. People eligible for the flu vaccine should get protected. Last year nearly 8,000 people died from flu and in 2022-23 there were nearly 16,000 deaths.

In the “biggest change to sexual health services since the 1960s”, the oral emergency contraception pill (Morning After Pill) will be available for free to women from almost 10,000 pharmacies across the country without needing to see their GP or get an appointment at a sexual health clinic.

Vaccination crucial as meningitis cases increase. Latest data reveals 378 cases of invasive meningococcal disease (IMD) were confirmed in 2024-25. Children and young adults, particularly university students, remain at risk. Whilst meningococcal meningitis and septicaemia are rare, they can be devastating, life changing and sometimes deadly. Two vaccines protect against the main causes of meningococcal meningitis and septicaemia. The MenB vaccine is offered to infants at 8 weeks, 12 weeks and one year of age, as part of routine NHS vaccinations. The MenACWY vaccine protects teenagers against four strains and is usually given in school Year 9 (aged 13 to 14). All teenagers remain eligible for the MenACWY jab until their 25th birthday, so they can get the vaccine if they missed out at school. 

Brand-new Thurrock Community Diagnostic Centre (CDC) is open, offering faster, local, vital tests and scans for thousands of local residents, without needing to go to hospital. This state-of-the-art facility will deliver 75,000+ additional diagnostic appointments every year, significantly reducing waiting times and supporting faster diagnosis for patients. Other planned CDC sites include Southend (late 2025), Braintree (2026) and Pitsea (2026/27).

Thanks to Donors!: Crouch Vale Medical Centre has Wheelchairs again. If you need one for an appointment ask at Reception – and PLEASE return it!

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