- SERVICE PROVIDER
University Hospitals of Derby and Burton NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
Registration details
The provider ID for University Hospitals of Derby and Burton NHS Foundation Trust is RTG. These are the registration details of the provider University Hospitals of Derby and Burton NHS Foundation Trust. They set out what services University Hospitals of Derby and Burton NHS Foundation Trust can legally provide, where they can provide them and who is responsible for them.
Maternity and midwifery services
Mr Stephen James Posey is responsible for these services.
Condition of this registration relating to carrying out this regulated activity
1. The registered provider must implement an effective system for ensuring staff at the Royal Derby Hospital are competent to review, interpret and escalate fetal monitoring traces to ensure all women and birthing people and their babies are cared for in a safe and effective manner in line with national guidance.
2. The registered provider must ensure all staff at the Royal Derby Hospital have completed annual mandatory fetal monitoring training which must include a fetal monitoring competency assessment.
3. The registered provider must ensure that maternity staff at the Royal Derby Hospital complete hourly ‘fresh eyes’ during intrapartum care.
4. The registered provider must implement an effective system for ensuring staff at the Royal Derby Hospital continually risk assess and manage the risk of post-partum haemorrhage (PPH) and potential major obstetric haemorrhage (MOH).
5. The registered provider must ensure all staff at the Royal Derby Hospital have completed professional obstetric multidisciplinary training (PrOMPT) annually that includes skills and drills training in responding to MOH emergency scenarios.
6. The registered provider must implement and audit effective use of a PPH and MOH management proforma at the Royal Derby Hospital.
7. The registered provider must audit the occurrence as a proportion of deliveries and severity of PPH and MOH at the Royal Derby Hospital every month.
8. The registered provider must ensure there is adequate senior midwife clinical support from midwifery leaders’ band 8a and above at the Royal Derby Hospital to support the safety of management of PPH and MOH.
9. By 4pm on Thursday 31 August 2023, the registered provider must provide a detailed action plan that includes the following:
a. A detailed plan of how it will ensure service users at the Royal Derby Hospital have safe and effective fetal monitoring. The plan must identify how it will achieve this in the short to medium term, including any immediate actions taken.
b. A detailed plan of how it will ensure service users at the Royal Derby Hospital are protected from the risks associated with PPH and MOH. The plan must identify how it will achieve this in the short to medium term, including any immediate actions taken.
c. Summary report of the actions taken to address the immediate risk to service users at the Royal Derby Hospital, this should include detailed evidence of how you will achieve and monitor this.
d. The action plan must include assigned responsibilities, timelines for completion, measurable and appropriate actions.
10. By 4pm on Friday 29 September 2023 and thereafter on the last Friday of every month the registered provider must provide the following:
a. An updated action plan that covers all conditions that are contained within this notice.
b. All reports written to provide assurance to the senior leadership team and/or trust board to demonstrate compliance with the conditions.
c. Up to date training compliance data for Royal Derby Hospital, separated into staff job roles for each individual module of learning in relation to fetal monitoring and professional obstetric multidisciplinary training (PrOMPT) (including trust compliance figure)
d. The trust maternity dashboard.
Registered services
Termination of pregnancies
Mr Stephen James Posey is responsible for these services.
Registered services
Treatment of disease, disorder or injury
Mr Stephen James Posey is responsible for these services.
Registered services
- Sir Robert Peel Community Hospital
- Samuel Johnson Community Hospital
- Florence Nightingale Community Hospital
- Royal Derby Hospital
- Queens Hospital
Assessment or medical treatment for persons detained under the Mental Health Act 1983
Mr Stephen James Posey is responsible for these services.
Registered services
- Sir Robert Peel Community Hospital
- Samuel Johnson Community Hospital
- Florence Nightingale Community Hospital
- Royal Derby Hospital
- Queens Hospital
Surgical procedures
Mr Stephen James Posey is responsible for these services.
Registered services
- Sir Robert Peel Community Hospital
- Florence Nightingale Community Hospital
- Royal Derby Hospital
- Queens Hospital
Diagnostic and screening procedures
Mr Stephen James Posey is responsible for these services.