The Mascie-Taylor report is another in a long line commissioned by senior leaders at Health and Community Services that identifies significant concerns.
The Government say that the report was commissioned by HCS Director General Caroline Landon at the request of the Medical Director Patrick Armstrong and Chief Nurse Rose Naylor.
It was therefore initiated by the senior doctor and nurse at the Hospital.
It adds that the report was commissioned because Executive Team, which is headed by Mrs Landon, “wanted to understand why it is challenging to get traction in the organisation at pace to improve governance.”
It added: “It was important post-covid to recognise long-standing issues which needed to be addressed comprehensively.”
This is one of a series of reviews established by senior management of HCS which identifies shortcomings in the organisation they lead.
A review of theatre services, published last June, had more than 100 recommendations, including “senior management should establish a robust monitoring process for compliance with the process” and “review individual performance at least once a year and identify any training or development needs to undertake role to improve performance”
Pictured: A review of hospital theatres last year had more than 100 recommendations.
That month, a Quality and Performance Review, which was initially withheld from the public for fear it would be "sensationalised", highlighted nearly 20 areas in need of improvement, including waiting times and processes in A&E.
Just a month later, a review of maternity services had 29 recommendations for change.
That review found, for example, that there was no agreed “single maternity strategy which describes agreed outcome and performance goals for maternity services”.
It added: “Such a strategy is vital to establishing a modern maternity service that meets the need of our population.”
Thirdly, an independent review of Adult Mental Health Services in Jersey found that there was a lack of senior management leadership and direction, a lack of multi-disciplinary teamworking, silo-working and more supervision structures.
Recommendations included reviewing the senior management structure within Adult Mental Health Services and making sure the service had “clear objectives that are regularly reviewed”.
Health has also been reviewed by twice in the last five years by the Comptroller and Auditor General.
Last September, Lynn Pamment found that arrangements were failing to hold the Director General and senior managers properly to account.
While Mrs Pamment noted the governance of Jersey’s health service had “visibly moved forward” since a review by her predecessor in 2018, she found that just six recommendations had been acted on.
Positive steps, she said, included the external reviews, reviews of ‘care group performance’ and new systems for standards, regulation and risk management.
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Q&A: How will the Government act on the Mascie-Taylor report?
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