Patient Inspections and Local Healthwatch: from PEAT to PLACE

There’s a lot of new Healthwatch info being published  – check out the new Healthwatch website at www.healthwatch.co.uk  – and one of the many new tasks for Local Healthwatch is involvement with new patient-led inspections. The info about this seems a bit fragmented, so to be nice and helpful I thought I’d try to summarise it here.

Patient-led inspections?! How did that sneak into my Healthwatch basket?!

David Cameron announced in January of this year that current PEAT (Patient Environment Action Teams) inspections would be replaced by new patient-led inspections, which will be known as Patient-Led Assessments of the Care Environment or PLACE.

What are (… were … ) PEAT inspections?

PEAT inspections, as they are known, have been going on since 2000. PEAT stands for ‘Patient Environment Action Teams’.  PEAT Teams are made up of NHS staff (such as nurses, matrons, doctors, catering managers, directors etc.) and also patients and patient representatives.

PEAT inspections are an annual event for all NHS sites that have more than 10 beds.  The PEAT teams look at non-clinical aspects of patient care – such as the environment, food, privacy and dignity – basically everything from how clean the floor is to how tasty the jelly is…

NHS sites and trusts are given scores from 1 (unacceptable) to 5 (excellent). The idea is that the inspections produce scores for each site to encourage them to improve their services – and to share best practice.

How are the new PLACE assessments going to work?

The final details haven’t been decided yet – but the new assessments are being piloted this October. A total of 68 hospitals are currently involved in pilot PLACE assessments. The Pilot assessments will run from 1 October to 12 October 2012. You can read the documentation that the hospitals have been sent here. They will be similar to the current PEAT inspections but with more lay members/patients on the teams (over 50% of the team members must be patients).

How will Local Healthwatch be involved?

Local Healthwatch will of course be the ‘new consumer champion for health and social care’ – and hopefully a source of eager patient representatives champing at the bit to do This Sort Of Thing. Local Healthwatches – like LINks – will decide what work they get involved with  so they might decide that they don’t want to get involved with the new PLACE assessments. But the initial message seems to be that Local Healthwatch should be invited to have a key role in the new PLACE assessments.

Which hospitals are taking part in the Pilot PLACE assessments?

Here’s a list of all the hospitals that are taking part (the list names the Trust and then the name of the hospital):

  • Sheffield Children’s, Sheffield Children’s
  • Salisbury NHSFT, Salisbury
  • Avon And Wiltshire, Callington Road
  • Worcester Acute, Redditch
  • Birmingham And Solihull, Ardenleigh
  • Royal Wolverhampton, New Cross
  • Sheffield Teaching, Northern General
  • Manchester Mh And Sc, Park House
  • Morecambe Bay NHS FT, Royal Lancaster
  • Leeds Teaching, St James
  • Devon Partnership, Langdon
  • Leicestershire Partnership, Evington Centre
  • Nuffield, Plymouth
  • Pennine Care, Fairfield General
  • S/W Yorkshire Partnership, Fieldhead
  • Bmi, Rochdale
  • East Cheshire NHS Trust, Congleton
  • Yeovil District NHSFT, Yeovil District
  • Bedford Hospitals NHS Trust, Bedford
  • Barking Havering And Redbridge, Queens Hospital
  • Chesterfield Royal NHS FT, Chesterfield Royal
  • Queen Victoria, Queen Victoria
  • West London Mh, St Bernards
  • Norfolk And Suffolk NHS FT, Hellesdon
  • Birmingham Women’s, Birmingham Women’s
  • Pennine Acute, North Manchester
  • South West London And St Georges, Springfield
  • Norfolk And Norwich, Norfolk And Norwich
  • Kent And Medway Partnership, Thanet
  • West Kent , Gravesham
  • Uclh, Heart Hospital
  • Southern Health, Parklands
  • York Teaching, York
  • Royal Brompton, Royal Brompton
  • Royal Liverpool And Broadgreen, Royal Liverpool
  • North Cumbria University, Cumberland Infirmary
  • Central And N/W London, Park Royal
  • Spire Healthcare, Harpenden
  • Western Sussex, St Richards & Worthing
  • Central Manchester, Central Manchester
  • Medway Maritime NHSFT, Medway Maritime
  • Dorset Healthcare, Blandford
  • Gloucestershire, Cheltenham General
  • South Tees, Friarage Hospital
  • University Hospitals Bristol, St Micheals
  • Southport And Ormskirk, Ormskirk
  • South Warwickshire NHS FT, Leamington Spa
  • Liverpool Heart And Chest, Liverpool Heart And Chest
  • Tees Esk And Wear Valley, West Park
  • Nottingham University, Nottingham City
  • Humber NHS FT, East Riding Community
  • Barts Health, Whipps Cross
  • Cambridge University Hospitals, Addenbrookes
  • North Staffs Combined, Harplands
  • Plymouth Hospitals NHS T, Derriford
  • 5 Boroughs Partnership, Hollins Park
  • Royal National Orthopaedic, Stanmore
  • Ramsay Healthcare, Colchester
  • Anglian Community CIC, Clacton And Harwich
  • Calderstones Partnership, Calderstones
  • Surrey Community, Woking Community
  • St Georges Healthcare, St Georges
  • County Durham And Darlington (Ex County Durham PCT), Richardson Hospital
  • Nottinghamshire Healthcare, Rampton High Secure
  • Leicester University, Leicester Royal
  • Papworth Hospital NHS FT, Papworth
  • South Staffordshire An Shropshire Healthcare, St George’s
  • Hinchingbrooke Healthcare, Hinchingbrooke
  • County Durham And Darlington NHS FT, Darlington

Some useful links:

What to do with this data:

  • Make sure your LINk understands that PEAT inspections are changing and – once established – Local Healthwatch should be offered the chance to be involved in the new PLACE assessments.
  • Check the list of Pilot areas to see whether your local hospital/s are involved. If so, get in touch with the hospital (ask for someone with ‘Director’ and ‘Nursing’ in their job title…) to ask whether you can be a part of the Pilot – or at least kept informed of developments.
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