"I'm not a bully", says Colchester hospitals boss

Essex County Standard: "I'm not a bully", says Colchester hospitals boss "I'm not a bully", says Colchester hospitals boss

THE man in charge of Colchester’s hospitals has insisted he is not a bully.

A Care Quality Commission investigation found junior staff had been forced to change cancer patients’ records to hit targets.

Union leaders, including Royal College of Nursing director Karen Webb, this week claimed workers in other hospital departments were also harassed and that the leadership presided over a bullying culture.

But Dr Gordon Coutts, chief executive at Colchester Hospitals University Foundation Trust, which oversees Colchester General Hospital and Essex County Hospital, sauid he believed the “vast majority” of staff were opposed to such practices.

He insisted he and his leadership largely set the right tone for the rest of the hospital trust to follow.

Asked for his response to Mrs Webb’s claims, he said: “There has been lots of publicity and it’s all around the Care Quality Comission report, which is a very tough report in terms of the delays.

“It shows there have been inappropriate changes and a culture which is completely contrary to the culture which the majority of the staff here aspire to.”

Asked if he met those standards, Dr Coutts replied: “I think I do. Feedback from staff from all walks of the hospitals have been very encouraging.

I do my very best to live up to those values – to be open, to be available and to be visible around the trust. The feedback I get tends to be I do, but clearly this investigation will need to look at that.”

Enquiries have been launched by the trust, Essex Police, NHS England and regulatos Monitor, which has placed the trust in special measures.

Dr Coutts said: “We have to create a culture where people can speak up. It takes a lot of courage.

“We need to be better at listening to concerns and encouraging people to raise them.

“The chairman, Sally Irvine, has already initiated a review into these sorts of claims in conjunction with Monitor. That will get to the bottom of these individual cases.

“But overall we employ over 4,000 people and the vast majority of our staff get our culture. If there are [any more] areas we need to find out where they are and we need to tackle them head on.”

The Gazette revealed yesterday that since the cancer scandal broke the hospital had started missing targets, including treating 95 per cent of accident and emergency patients within four hours.

Dr Coutts said there had been a similar blip following the publication of the Keogh Review into high death rates at the hospital in February.

He believes staff are extra-cautious about sending patients home, leading to missed targets.

He said: “These reports trouble staff. Because patient care is their number one priority, it’s not inconceivable they become a little bit more cautious and think twice before sending a patient home.

“It doesn’t take much hestitation for it to cause people to stay longer in the hospital, which then has an impact on the A&E standard.

“We’ve also seen the number of patients staying longer than two weeks has also gone up. That has caused our performance to dip.”

Dr Coutts said two contingency wards had been opened, partly to tackle a rise in winter A&E admissions.

He said: “This is disappointing but we have got plans in place, we’ve got good staff here so I’m sure we’ll get back on track.”

Comments (14)

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6:51am Mon 2 Dec 13

suzyn says...

Ever hear the expression
the 'lady doth protest too much'?


That's what you sound like dr coutts.
Ever hear the expression the 'lady doth protest too much'? That's what you sound like dr coutts. suzyn

7:59am Mon 2 Dec 13

Campbell-Vencarto says...

suzyn wrote:
Ever hear the expression
the 'lady doth protest too much'?


That's what you sound like dr coutts.
There always appears to be an excuse for everything!

Every corner is fought with gusto and quite a blunt and abrupt insensitivity:

You may get a one liner of some sympathy, but it is followed with paragraphs of much of what you see in the press, a defensive posture of meaningless directives.

The letters we have had from him can be taken as rude and abrupt, the mail published extracts of one of many letters we had, they did not think they were not rude or bullying and we were the patients.

You can say one thing for his predecessor MURPHY even though there were many problems at the trust, HE WAS NEVER OFFENSIVE TO YOU

And by the way Chief Officers in other departments in the town, are not that much better either, including Education "PRINCIPLES" I have known seen so much Esoteric written Incivility in all my years.

We the public deserve a voice and we deserve action not matter what the excuses are.

There are many many executives out there, ready and waiting to do a good job and listen to those who they are meant to represent themselves to.

We do not need this sort of thing it has been going on since 2010, with all these flag waving quango style reports, stating how good things have been going then within months the rot had set in and disaster struck.

Here is one below: read it for yourselves: and then think about it afterwards?
[quote][p][bold]suzyn[/bold] wrote: Ever hear the expression the 'lady doth protest too much'? That's what you sound like dr coutts.[/p][/quote]There always appears to be an excuse for everything! Every corner is fought with gusto and quite a blunt and abrupt insensitivity: You may get a one liner of some sympathy, but it is followed with paragraphs of much of what you see in the press, a defensive posture of meaningless directives. The letters we have had from him can be taken as rude and abrupt, the mail published extracts of one of many letters we had, they did not think they were not rude or bullying and we were the patients. You can say one thing for his predecessor MURPHY even though there were many problems at the trust, HE WAS NEVER OFFENSIVE TO YOU And by the way Chief Officers in other departments in the town, are not that much better either, including Education "PRINCIPLES" I have known seen so much Esoteric written Incivility in all my years. We the public deserve a voice and we deserve action not matter what the excuses are. There are many many executives out there, ready and waiting to do a good job and listen to those who they are meant to represent themselves to. We do not need this sort of thing it has been going on since 2010, with all these flag waving quango style reports, stating how good things have been going then within months the rot had set in and disaster struck. Here is one below: read it for yourselves: and then think about it afterwards? Campbell-Vencarto

8:00am Mon 2 Dec 13

Campbell-Vencarto says...

ARCHIVE - FRIDAY, 2 APRIL 2010 Hospital trust passes new standards in its quality
By Helen Orrell »
A HOSPITAL trust has turned itself around and has passed new national standards in quality and patient safety.
Sir Peter Dixon, chairman of Colchester Hospital University NHS Foundation Trust, said he was pleased it had been given a green light by the Care Quality Commission under a new system aimed at raising standards in the NHS.
The trust was tasked with improvement by health watchdog Monitor last year after it missed standards in accident and emergency and cancer care.
Its chairman, Richard Bourne, was sacked and Sir Peter Dixon was brought in to improve its performance. Yesterday it registered with the Care Quality Commission without any problems.
Sir Peter said the trust’s registration was evidence of the progress it had made.
He said: “This is tremendous news for our patients and a tribute to the hard work of staff, who I shall be writing to today to thank them for their achievement.
“It gives assurance to patients and the public that in the view of the Care Quality Commission, which is an independent regulator, we are a safe organisation delivering high standards of care.
“In addition, it means as well as achieving good clinical outcomes, we are focusing on the whole patient experience, respecting them all as individuals and mindful of their privacy and dignity.”
All NHS trusts in England have to be licensed and monitored by the Care Quality Commission to provide care.
Those failing to meet its standards can face fines, prosecution, restrictions on their activities and even closure.
A total of 22 health trusts have had conditions imposed on them, including Basildon and Thurrock University Hospitals NHS Trust, which was slammed along with Colchester by Monitor last November for failing standards.----------
ARCHIVE - FRIDAY, 2 APRIL 2010 Hospital trust passes new standards in its quality By Helen Orrell » A HOSPITAL trust has turned itself around and has passed new national standards in quality and patient safety. Sir Peter Dixon, chairman of Colchester Hospital University NHS Foundation Trust, said he was pleased it had been given a green light by the Care Quality Commission under a new system aimed at raising standards in the NHS. The trust was tasked with improvement by health watchdog Monitor last year after it missed standards in accident and emergency and cancer care. Its chairman, Richard Bourne, was sacked and Sir Peter Dixon was brought in to improve its performance. Yesterday it registered with the Care Quality Commission without any problems. Sir Peter said the trust’s registration was evidence of the progress it had made. He said: “This is tremendous news for our patients and a tribute to the hard work of staff, who I shall be writing to today to thank them for their achievement. “It gives assurance to patients and the public that in the view of the Care Quality Commission, which is an independent regulator, we are a safe organisation delivering high standards of care. “In addition, it means as well as achieving good clinical outcomes, we are focusing on the whole patient experience, respecting them all as individuals and mindful of their privacy and dignity.” All NHS trusts in England have to be licensed and monitored by the Care Quality Commission to provide care. Those failing to meet its standards can face fines, prosecution, restrictions on their activities and even closure. A total of 22 health trusts have had conditions imposed on them, including Basildon and Thurrock University Hospitals NHS Trust, which was slammed along with Colchester by Monitor last November for failing standards.---------- Campbell-Vencarto

8:11am Mon 2 Dec 13

Campbell-Vencarto says...

(APOLOGIES SPELLING ERRORS IN MY FIRST POST) RUBBISH KEYPAD!


And by the way Chief Officers in other departments in the town, are not that much better either, including Education "PRINCIPLES": I have never known or seen so much Esoteric written Incivility in all my years.

We the public deserve a voice and we deserve action no matter what the excuses are.

There are many many executives out there, ready and waiting to do a good job and listen to those, who they are meant to serve and represent.
(APOLOGIES SPELLING ERRORS IN MY FIRST POST) RUBBISH KEYPAD! And by the way Chief Officers in other departments in the town, are not that much better either, including Education "PRINCIPLES": I have never known or seen so much Esoteric written Incivility in all my years. We the public deserve a voice and we deserve action no matter what the excuses are. There are many many executives out there, ready and waiting to do a good job and listen to those, who they are meant to serve and represent. Campbell-Vencarto

10:12am Mon 2 Dec 13

micksmercs says...

He looks like Fred the Shred.
He looks like Fred the Shred. micksmercs

10:37am Mon 2 Dec 13

totallyfootball says...

A liar, a spineless, clueless and selfish me, me, me individual, eight weeks I have been waiting to have a meeting with this vacuous coward, be a man or get out you waster!
A liar, a spineless, clueless and selfish me, me, me individual, eight weeks I have been waiting to have a meeting with this vacuous coward, be a man or get out you waster! totallyfootball

12:42pm Mon 2 Dec 13

Wicky1 says...

Or is it that clinical staff can now properly give patients the time, care and treatment they deserve instead of prematurely turfing them out without threatening managers, with targets being their overriding concern, breathing down their necks.

"He believes staff are extra-cautious about sending patients home, leading to missed targets.

He said: “These reports trouble staff. Because patient care is their number one priority, it’s not inconceivable they become a little bit more cautious and think twice before sending a patient home."
Or is it that clinical staff can now properly give patients the time, care and treatment they deserve instead of prematurely turfing them out without threatening managers, with targets being their overriding concern, breathing down their necks. "He believes staff are extra-cautious about sending patients home, leading to missed targets. He said: “These reports trouble staff. Because patient care is their number one priority, it’s not inconceivable they become a little bit more cautious and think twice before sending a patient home." Wicky1

4:24pm Mon 2 Dec 13

romantic says...

Like it or not, the buck stops at the top. He is the one who sets the tone and that then trickles down the chain. It sounds like a box-ticking culture has been in operation, where it is more important to meet targets than fulfil the prime function of the hospital, which is to treat the ill and injured. I am sure a lot of these targets are set by people who wouldn't know a bedpan from a bandage.

The NHS is full of managers who then justify their existence, not by making sure that the patient is being properly cared for, but by continually pressuring the staff to meet the targets.

If this sorry story has the effect of improving that care, that would surely be a good thing, even if an arbitrary target is not met. The problem is that it is hard to quantify "care", whereas endless forms and reports can be generated from actual numbers such as waiting time.

Personally, the times I've ended up in hospital, they've sorted me out quickly and well, but I've never been stuck in overnight. I have visited people there and was dismayed by the numbers of elderly people there with no visitors, alarm bells going for hours and nobody coming. It seems that you will get the attention if you can move or shout, but are on your own if you cannot. Whatever the Chief Exec says, that is a problem and needs to be resolved.
Like it or not, the buck stops at the top. He is the one who sets the tone and that then trickles down the chain. It sounds like a box-ticking culture has been in operation, where it is more important to meet targets than fulfil the prime function of the hospital, which is to treat the ill and injured. I am sure a lot of these targets are set by people who wouldn't know a bedpan from a bandage. The NHS is full of managers who then justify their existence, not by making sure that the patient is being properly cared for, but by continually pressuring the staff to meet the targets. If this sorry story has the effect of improving that care, that would surely be a good thing, even if an arbitrary target is not met. The problem is that it is hard to quantify "care", whereas endless forms and reports can be generated from actual numbers such as waiting time. Personally, the times I've ended up in hospital, they've sorted me out quickly and well, but I've never been stuck in overnight. I have visited people there and was dismayed by the numbers of elderly people there with no visitors, alarm bells going for hours and nobody coming. It seems that you will get the attention if you can move or shout, but are on your own if you cannot. Whatever the Chief Exec says, that is a problem and needs to be resolved. romantic

11:08pm Mon 2 Dec 13

Another one says...

Fact: there has been a meeting 3 wks ago for the staff at all levels. promises made and as yet none fulfilled. I have for many wks seen many areas of our local hospitals and I am not impressed! Waiting in corridors in A&E. not being 'booked in' until you are in a cubical( helps with the 4 hr timer?). consultant talking to wrong elderly patient about thir care! Charts not read properly. Lack of porters. Too much for the staff to do in my opinion. They feel we have lost faith in them. Stop paying management so much and spend it where it is needed. O and Dr Coutts should go. Same old, same old. those at the top, have not got a clue and lose sight of reality!
Fact: there has been a meeting 3 wks ago for the staff at all levels. promises made and as yet none fulfilled. I have for many wks seen many areas of our local hospitals and I am not impressed! Waiting in corridors in A&E. not being 'booked in' until you are in a cubical( helps with the 4 hr timer?). consultant talking to wrong elderly patient about thir care! Charts not read properly. Lack of porters. Too much for the staff to do in my opinion. They feel we have lost faith in them. Stop paying management so much and spend it where it is needed. O and Dr Coutts should go. Same old, same old. those at the top, have not got a clue and lose sight of reality! Another one

10:09am Tue 3 Dec 13

Lawford Lass says...

All I can say is that when the hospital couldn't offer my daughter an appointment in the foreseeable future for something that she needs on a daily basis to avoid pain, I emailed him and within 4 days I had an appointment and my daughter was seen and sorted. So I have to keep an open mind....
All I can say is that when the hospital couldn't offer my daughter an appointment in the foreseeable future for something that she needs on a daily basis to avoid pain, I emailed him and within 4 days I had an appointment and my daughter was seen and sorted. So I have to keep an open mind.... Lawford Lass

10:14am Tue 3 Dec 13

totallyfootball says...

Lawford Lass wrote:
All I can say is that when the hospital couldn't offer my daughter an appointment in the foreseeable future for something that she needs on a daily basis to avoid pain, I emailed him and within 4 days I had an appointment and my daughter was seen and sorted. So I have to keep an open mind....
You must have caught him on a good day, I have been waiting over eight weeks, he keeps putting his side kicks in front of me to deal with it, he has not got a clue what he is doing, in way over his head! I saw things I never want to see again, corpses left on the wards for in excess of five hours, what about patient dignity or is like everything else in this mans hands, something in the past!
[quote][p][bold]Lawford Lass[/bold] wrote: All I can say is that when the hospital couldn't offer my daughter an appointment in the foreseeable future for something that she needs on a daily basis to avoid pain, I emailed him and within 4 days I had an appointment and my daughter was seen and sorted. So I have to keep an open mind....[/p][/quote]You must have caught him on a good day, I have been waiting over eight weeks, he keeps putting his side kicks in front of me to deal with it, he has not got a clue what he is doing, in way over his head! I saw things I never want to see again, corpses left on the wards for in excess of five hours, what about patient dignity or is like everything else in this mans hands, something in the past! totallyfootball

10:44am Tue 3 Dec 13

TheEqualisers says...

totallyfootball wrote:
A liar, a spineless, clueless and selfish me, me, me individual, eight weeks I have been waiting to have a meeting with this vacuous coward, be a man or get out you waster!
Some siccko cane on here last night and started thumbs downing all the posts in favour of Heir Stormontfurher Coutts!!!

was it one of his very few supporters or was it the man himself

And by the way what is his accreditation as a Doctor...ie Doctor of what???

You wont get to see him when my brother was in hospital after a whole host of complaints and issues with his office Mr Coutts and an entourage of extremely important officials conveniently by passed his room with hurried speed and haste as he made sure not to stop them at the room on that inspection.

Some of the remarks made above are quite blunt but appear to be appropriate...
A taste of his own medicine he has been dishing out over the last three years appears to be the order of the day...
It is just a case of how we go about it???

Please go now before you do any more damage to our community!!!

If you agree with this post can we have a thumbs up vote click to see how many have a palate for a similar sentiment.
The Equalisers
[quote][p][bold]totallyfootball[/bold] wrote: A liar, a spineless, clueless and selfish me, me, me individual, eight weeks I have been waiting to have a meeting with this vacuous coward, be a man or get out you waster![/p][/quote]Some siccko cane on here last night and started thumbs downing all the posts in favour of Heir Stormontfurher Coutts!!! was it one of his very few supporters or was it the man himself And by the way what is his accreditation as a Doctor...ie Doctor of what??? You wont get to see him when my brother was in hospital after a whole host of complaints and issues with his office Mr Coutts and an entourage of extremely important officials conveniently by passed his room with hurried speed and haste as he made sure not to stop them at the room on that inspection. Some of the remarks made above are quite blunt but appear to be appropriate... A taste of his own medicine he has been dishing out over the last three years appears to be the order of the day... It is just a case of how we go about it??? Please go now before you do any more damage to our community!!! If you agree with this post can we have a thumbs up vote click to see how many have a palate for a similar sentiment. The Equalisers TheEqualisers

1:12am Sun 8 Dec 13

TheEqualisers says...

totallyfootball wrote:
A liar, a spineless, clueless and selfish me, me, me individual, eight weeks I have been waiting to have a meeting with this vacuous coward, be a man or get out you waster!
YES AND YOU DO NOT APPEAR TO BE THE ONLY ONE THAT HAS SIMILAR PROBLEMS AND ISSUES...GOOD ON YOU BY THE WAY

PEOPLE SHOULD SPEAK OUT MORE NOW WHILE THE IRONS ARE HOT???
[quote][p][bold]totallyfootball[/bold] wrote: A liar, a spineless, clueless and selfish me, me, me individual, eight weeks I have been waiting to have a meeting with this vacuous coward, be a man or get out you waster![/p][/quote]YES AND YOU DO NOT APPEAR TO BE THE ONLY ONE THAT HAS SIMILAR PROBLEMS AND ISSUES...GOOD ON YOU BY THE WAY PEOPLE SHOULD SPEAK OUT MORE NOW WHILE THE IRONS ARE HOT??? TheEqualisers

3:48pm Sun 8 Dec 13

totallyfootball says...

Why are you still there Coutts, you should be locked for the safety of the people of this town. You and me lets have it out you coward!
Why are you still there Coutts, you should be locked for the safety of the people of this town. You and me lets have it out you coward! totallyfootball

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