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Cambridge University Hospitals NHS Foundation Trust

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111-619: Cambridge University Hospitals NHS Foundation Trust is a British public sector healthcare provider located in Cambridge , England. It was established on 4 November 1992 as Addenbrooke's National Health Service Trust , and authorised as an NHS foundation trust under its current name on 1 July 2004. The Trust provides healthcare for people in the Cambridge area, in eastern England , and specialist services such as transplantation , treatment of rare cancers and neurological intensive care for

222-539: A 3,500- year-old farmstead discovered at the site of Fitzwilliam College . Archaeological evidence of occupation through the Iron Age is a settlement on Castle Hill from the 1st century BC , perhaps relating to wider cultural changes occurring in southeastern Britain linked to the arrival of the Belgae . The principal Roman site is a small fort ( castrum ) Duroliponte on Castle Hill , just northwest of

333-422: A Gini coefficient of 0.460 in 2018. Local census 1749 Census: Regional District 1801–1901 Civil Parish 1911–1961 District 1971–2011 The town's river link to the surrounding agricultural land, and good road connections to London in the south meant Cambridge has historically served as an important regional trading post. King Henry I granted Cambridge a monopoly on river trade, privileging this area of

444-645: A battery pack and 24 inch widescreen monitors capable of moving all around the hospital. It was the first Trust to receive the Healthcare Information and Management Systems Society Stage 6 Award in November 2015 for the effective use of technology in providing high quality patient care within a year of going live, the fastest in the UK. In June 2018 the trust announced that it was abandoning its £140 million contract with Hewlett Packard Enterprise which

555-562: A cathedral, traditionally a prerequisite for city status, instead falling within the Church of England Diocese of Ely . In 1962, Cambridge's first shopping arcade, Bradwell's Court, opened on Drummer Street, though this was demolished in 2006. Other shopping arcades followed at Lion Yard, which housed a relocated Central Library for the city, and the Grafton Centre which replaced Victorian housing stock which had fallen into disrepair in

666-492: A good or outstanding CQC rating was associated with a better quality of life for residents. High staff wages were linked with better CQC ratings, and short-staffed homes were linked with worse CQC ratings. Michelle Fenwick, the director of Heritage Healthcare Franchising, complained in December 2019 that the fees charged to home care providers, which are proposed to be based on the number of clients supported, were unfair and

777-435: A greater degree and, for the first time, across localities. The organisation failed to meet its inspection targets during the second quarter of 2015–16. 70% of adult social care inspections had been undertaken and 61% of primary medical services. An exception to this was inspections of hospital acute services where targets were slightly exceeded, an additional two inspections having been made in this sector. In December 2015

888-418: A higher-level qualification (e.g. degree, Higher National Diploma , Master's or PhD), much higher than the national average proportion (19.7%). Centre for Cities identified Cambridge as the UK's most unequal city in 2017 and 2018. Residents' income was the least evenly distributed of 57 British cities measured, with its top 6% earners accounting for 19% of its total income and the bottom 20% for only 2%, and

999-637: A male carer and mistreated by four others. The standard of care at the nursing home had been rated "excellent." The victim was an 81-year-old woman with Alzheimer's disease and severe arthritis . Although the commission's primary function is to enforce national standards including safeguarding the vulnerable and "enabling them to live free from harm, abuse and neglect" the CQC responded by stating that they "should not be criticised for failing to protect people from harm" and could not be expected to spot abuse "which often takes place behind closed doors." Whorlton Hall

1110-437: A mayor, although the first recorded mayor, Harvey FitzEustace, served in 1213. City councillors now elect a mayor annually. For electoral purposes the city is divided into 14 wards: Abbey, Arbury , Castle, Cherry Hinton , Coleridge, East Chesterton , King's Hedges , Market, Newnham , Petersfield , Queen Edith's, Romsey , Trumpington , and West Chesterton . At the 2019 election , Labour retained its majority. Each of

1221-495: A meeting where deletion of a critical report was allegedly discussed. Bower and Jefferson immediately denied being involved in a cover-up. The Guardian newspaper reported on 19 June 2013 that Tim Farron MP had written to the Metropolitan Police asking them to investigate the alleged cover-up. Following an investigation, CQC found that Jefferson had not been party to any alleged 'delete' instruction. Jefferson

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1332-716: A much wider area. It is located on the Cambridge Biomedical Campus and runs Addenbrooke's Hospital and the Rosie Hospital . It is a member of the Shelford Group , an informal organisation of ten leading English university teaching hospitals. Roland Sinker is the current chief executive; Sinker joined the Trust in 2015 moving from King's College Hospital NHS Foundation Trust in London where he

1443-407: A national average of 92.12%. Within the university, 84% of undergraduates and 80% of post-graduates identified as white (including overseas students). Cambridge has a much higher than average proportion of people in the highest paid professional, managerial or administrative jobs (32.6% vs. 23.5%) and a much lower than average proportion of manual workers (27.6% vs. 40.2%). In addition, 41.2% have

1554-710: A number of high-specification facilities, equipment and resource to support all of this activity, including the recently expanded Cambridge Clinical Research Facilities offering 24/7 clinical beds to support Phase I and Phase II studies. In addition there is support to set up and initiate studies from the Cambridge Clinical Trials Unit, the Research & Development Department, the Cambridge BioResource and in processing and managing studies an onsite pharmacy and BioRepository. Cambridge

1665-582: A regional East Anglian army, which became the mainstay of the Parliamentarian military effort before the formation of the New Model Army . In 1643 control of the town was given by Parliament to Oliver Cromwell , who had been educated at Sidney Sussex College in Cambridge. The town's castle was fortified and garrisoned with troops and some bridges were destroyed to aid its defence. Although Royalist forces came within 2 miles (3 km) of

1776-505: A result of an improved risk management and a stronger learning culture." They also said the research was based on a limited sample of inspections which took place over five years ago. In August 2019 the Avon and Wiltshire Mental Health Partnership NHS Trust was fined £80,000 as a result of a prosecution brought to court by the CQC. This followed the fall of a patient from a hospital roof which led to serious injury. The service had been warned of

1887-540: A secret meeting of military leaders held in Trinity College laid the foundation for the allied invasion of Europe. During the war Cambridge served as an evacuation centre for over 7,000 people from London, as well as for parts of the University of London . Cambridge was granted its city charter in 1951 in recognition of its history, administrative importance and economic success. Cambridge does not have

1998-628: A third of English clergy dying in the Black Death, four new colleges were established at the university over the following years to train new clergymen, namely Gonville Hall , Trinity Hall , Corpus Christi , and Clare . In 1382, a revised town charter effected a "diminution of the liberties that the community had enjoyed", due to Cambridge's participation in the Peasants' Revolt . This charter transferred supervision of baking and brewing, weights and measures, and forestalling and regrating , from

2109-613: A village in the Cambridge district of Newnham . Following the Roman withdrawal from Britain around 410, the location may have been abandoned by the Britons , although the site is usually identified as Cair Grauth , as listed among the 28 cities of Britain in the History of the Britons attributed to Nennius . Evidence exists that the invading Anglo-Saxons had begun occupying

2220-485: A website for whistleblowers, providing resources and advice on whistleblowing, patient safety and professionalism. Cambridge Cambridge ( / ˈ k eɪ m b r ɪ dʒ / KAYM -brij ) is a city and non-metropolitan district in the county of Cambridgeshire , England . It is the county town of Cambridgeshire and is located on the River Cam , 55 miles (89 km) north of London . As of

2331-455: Is Pippa Heylings ( Lib Dems ), first elected in 2024. The University of Cambridge formerly had two seats in the House of Commons; Sir Isaac Newton was one of the most notable MPs. The Cambridge University constituency was abolished under 1948 legislation, and ceased at the dissolution of Parliament for the 1950 general election , along with the other university constituencies . Cambridge

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2442-649: Is a private hospital in County Durham which had previously been owned by the same company as Winterbourne View. An undercover investigation by the BBC Panorama programme found evidence that vulnerable clients with autism or learning difficulties were physically and verbally abused by staff. Patients were also physically restrained. The current owners of the service, Cygnet have stated that all patients have now been transferred to other hospitals. The service had been visited at least 100 times by official agencies in

2553-431: Is clearly unacceptable from a public body in which taxpayers are placing their trust." In July 2016 the commission issued an apology after admitting that up to 500 Disclosure and Barring Service (DBS) certificates submitted by applicants to become registered managers and providers had been lost during a planned office refurbishment; a locked filing cabinet had been incorrectly marked up to be taken away and destroyed. In

2664-433: Is completely enclosed by green belt as a part of a wider environmental and planning policy first defined in 1965 and formalised in 1992. While some small tracts of green belt exist on the fringes of the city's boundary, much of the protection is in the surrounding South Cambridgeshire and nearby East Cambridgeshire districts, helping to maintain local green space, prevent further urban sprawl and unplanned expansion of

2775-507: Is one of 13 Genomic Medicine Centres and the lead site for the East of England Genomic Medicine Centre, part of the 100,000 Genomes Project which is sequencing whole genomes of people with rare diseases and cancers. The trust was one of 26 responsible for half of the national growth in patients waiting more than four hours in accident and emergency over the 2014/5 winter. The trust spent £13.2 million on agency staff in 2014/5. Performance against

2886-481: Is owned by 3i and NIBC Bank . Dr Narinder Kapur, consultant neuropsychologist and head of neuropsychology was sacked in 2010. The trust claimed there had been a breakdown in their relationship because of his management style and working methods. He said he had raised concerns about staff shortages and the impact on patient care several times to his line managers. In July 2013 an employment tribunal ruled that he had been unfairly dismissed. Dr Kapur subsequently set up

2997-665: Is situated about 55 miles (89 km) north-by-east of London and 95 miles (153 kilometres) east of Birmingham. The city is located in an area of level and relatively low-lying terrain just south of the Fens , which varies between 6 and 24 metres (20 and 79 ft) above sea level . The town was thus historically surrounded by low-lying wetlands that have been drained as the town has expanded. The underlying geology of Cambridge consists of gault clay and Chalk Marl , known locally as Cambridge Greensand, partly overlaid by terrace gravel . A layer of phosphatic nodules ( coprolites ) under

3108-506: Is to make sure that hospitals, care homes, dental and general practices and other care services in England provide people with safe, effective and high-quality care, and to encourage those providers to improve. It carries out this role through checks during the registration process which all new care services must complete, as well as through inspections and monitoring of a range of data sources that can indicate problems with services. Part of

3219-516: The 2021 United Kingdom census , the population of the City of Cambridge was 145,700; the population of the wider built-up area (which extends outside the city council area) was 181,137. Cambridge became an important trading centre during the Roman and Viking ages, and there is archaeological evidence of settlement in the area as early as the Bronze Age . The first town charters were granted in

3330-646: The Danelaw , by 878. Their vigorous trading habits resulted in rapid growth of the town. During this period, the town's centre shifted from Castle Hill on the left bank of the river to the area now known as the Quayside on the right bank. After the Viking period, the Saxons enjoyed a return to power, building churches, such as St Bene't's Church , as well as wharves, merchant houses, and a mint which produced coins with

3441-790: The University of Cambridge . Research is central to the role and function of this specialist teaching hospital. In 2017 it was awarded £114 million from the National Institute for Health and Care Research (NIHR) to the Cambridge Biomedical Research Centre, a research partnership with the University of Cambridge. There are approximately 1,000 research studies underway at one time covering a range of health conditions including common conditions like diabetes and heart disease, through to specialist research in rare dementias and rare cancers. The hospital has

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3552-518: The borough court. The distinctive Round Church dates from this period. In 1209, Cambridge University was founded by Oxford students fleeing from hostility. The oldest existing college, Peterhouse , was founded in 1284. Cambridge had a significant Jewish community in the middle ages , centred on what is now known as All Saints Passage, then known as the Jewry. A synagogue stood nearby. In January 1275, Eleanor of Provence expelled Jews from all of

3663-484: The "most beautiful cities in the world" by Forbes in 2010, with the view from The Backs being selected as one of the 10 greatest in England by National Trust chair Simon Jenkins . Tourism generates over £750 million for the city's economy. Cambridge and its surrounds are sometimes referred to as Silicon Fen , an allusion to Silicon Valley , because of the density of high-tech businesses and technology incubators that have developed on science parks around

3774-478: The 1200 homes inspected were rated as outstanding. In September 2016 the CQC said that 40% of nursing homes in the country were rated as "requiring improvement" or "inadequate". It is a legal requirement for homes to clearly display their CQC ratings on their websites, but a July 2017 survey carried out by Which? found that 27% of care homes surveyed either completely failed to display them or placed them where they were very difficult to find. As of September 2018,

3885-507: The 12th century, although modern city status was not officially conferred until 1951. The city is well known as the home of the University of Cambridge , which was founded in 1209 and consistently ranks among the best universities in the world. The buildings of the university include King's College Chapel , Cavendish Laboratory , and the Cambridge University Library , one of the largest legal deposit libraries in

3996-586: The 14 wards also elects councillors to Cambridgeshire County Council , which is responsible for services including school education, social care and highways. Since 2017, Cambridge has also been within the area of the Cambridgeshire and Peterborough Combined Authority , which is led by a directly elected Mayor . The city is represented on the authority by the leader of the City Council. The parliamentary constituency of Cambridge covers most of

4107-658: The 16th century, sanitation and fresh water were brought to Cambridge by the construction of Hobson's Conduit in the early 1600s. Water was brought from Nine Wells, at the foot of the Gog Magog Hills to the southeast of Cambridge, into the centre of the town. Cambridge played a significant role in the early part of the English Civil War as it was the headquarters of the Eastern Counties Association , an organisation administering

4218-404: The 1930s to the 1980s, the size of the city was increased by several large council estates . The biggest impact has been on the area north of the river, which are now the estates of East Chesterton , King's Hedges , and Arbury where Archbishop Rowan Williams lived and worked as an assistant priest in the early 1980s. During World War II , Cambridge was an important centre for defence of

4329-595: The 200 patients affected". Chief information officer, Dr Afzal Chaudhry, said "well over 90% of implementation [had] proceeded successfully". Dr Chaudhry has described the difficulties of computerising clinical practice in some detail. "If you take some of the senior consultants who'd never left notepad and books. They'd trained as a student, used them as junior doctors all the way through and some of these people, they'd been there for years. Then overnight we took everything that they knew, then threw it away." The trust has installed 6,000 new PCs and 395 workstations on wheels with

4440-754: The 21st century, with estates such as the CB1 and Accordia schemes near the station, and developments such as Great Kneighton , formally known as Clay Farm, and Trumpington Meadows currently under construction in the south of the city. Other major developments currently being constructed in the city are Darwin Green (formerly NIAB ), and University-led developments at West Cambridge and North West Cambridge , ( Eddington ). The entire city centre, as well as parts of Chesterton, Petersfield, West Cambridge, Newnham, and Abbey, are covered by an Air Quality Management Area, implemented to counter high levels of nitrogen dioxide in

4551-480: The 34 homes closed during Cynthia Bower 's tenure after failing their inspection later reopened with a new name or under new ownership, but with similar problems. The campaigning charity Compassion in Care told the magazine that if a home changed name or ownership it was then listed by the CQC as "new services" and "uninspected", and there was no link to reports on the same establishment under different ownership, even if

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4662-515: The CQC continued to respond to concerns raised by staff. In October 2020 the Department of Health asked the CQC to investigate the use of Do Not Resuscitate (DNACPR) decisions early in the COVID-19 pandemic, when blanket DNACPR decisions were applied to all care home residents without considering individual circumstances. In March 2024, it was announced that psychotherapist Sue Evans, who

4773-570: The CQC inspectors but also the NHS staff who are diverted from other activities." They suggested a less resource-intensive approach should be adopted. A spokesman from the CQC responded: "To use rates of reported falls and pressure ulcers in isolation to determine CQC's impact is a crude measure and presents an overly simplistic view that is not borne out in the quality and safety improvements we have seen through our hospital inspections. It also fails to recognise that increased reporting of such incidents may be

4884-500: The CQC rated almost 3,000 out of 14,975 care homes in England as inadequate or needing improvement. The care home Horncastle House was closed by CQC in September 2018 as an urgent enforcement action to protect residents. In November 2018 the CQC had rated 1% of adult social care providers as inadequate, 17% as requiring improvement, 79% as good and 3% as outstanding in that year. A 2021 review of 20 care homes in England found that

4995-450: The CQC said that an urgent review was carried out when the issue was discovered and it was found that "none of these referrals contained information about immediate risk of severe harm to people". Sutcliffe apologised for the error and said an independent investigation "will assist us in ensuring we improve our systems to avoid something like this happening again". In October 2018 CQC's Chief Executive Ian Trenholm stated that he wanted to make

5106-545: The CQC stated that it was finding it difficult to meet their inspection target of GP practices and had therefore drafted in 'bank' inspectors and authorised staff overtime to deal with the backlog. In October 2014 Field announced that the commission was going to begin inspecting health systems across whole geographical areas from 2015, including social care and NHS 111 . There are suggestions that it could inspect clinical commissioning groups . Behan admitted in March 2015 that

5217-455: The Health and Social Care Act 2008 does not distinguish between types of health or social care service, in practice, the CQC has different regulatory approaches for: Cross-sector inspections In November 2009 Barbara Young , then the CQC chair, resigned from the commission when a report detailing poor standards at Basildon and Thurrock University Hospitals NHS Foundation Trust was leaked to

5328-482: The Journal of Health Services Research and Policy studied rates of falls which led to harm and pressure ulcers in more than 150 hospitals following CQC inspections. Rates of improvements in these criteria slowed after the inspections. Lead researcher Ana Cristina Castro stated that the inspection regime "creates a significant pressure on staff before and during the inspection period, and also significant costs, not just of

5439-522: The Kite area of the city. This latter project was controversial at the time. The city gained its second university in 1992 when Anglia Polytechnic became Anglia Polytechnic University. Renamed Anglia Ruskin University in 2005, the institution has its origins in the Cambridge School of Art opened in 1858 by John Ruskin . Cambridge is a non-metropolitan district – one of six districts within

5550-648: The London area. Cambridge also often records the annual highest national temperature in any given year – 30.2 °C (86.4 °F) in July 2008 at NIAB and 30.1 °C (86.2 °F) in August 2007 at the Botanic Garden are two recent examples. Other years include 1876, 1887, 1888, 1892, 1897, 1899 and 1900. The absolute maximum stands at 39.9 °C (103.8 °F) recorded on 19 July 2022 at Cambridge University Botanic Garden. Before this date, Cambridge held

5661-861: The NIAB site, to 48.3 days at the Botanic Garden per year over the 1981–2010 period. Typically the coldest night of the year at the Botanic Garden will fall to −8.0 °C (17.6 °F). Such minimum temperatures and frost averages are typical for inland areas across much of southern and central England. Sunshine averages around 1,500 hours a year or around 35% of possible, a level typical of most locations in inland central England. The city contains three Sites of Special Scientific Interest (SSSIs), at Cherry Hinton East Pit, Cherry Hinton West Pit, and Travellers Pit, and ten Local Nature Reserves (LNRs): Sheep's Green and Coe Fen, Coldham's Common, Stourbridge Common, Nine Wells, Byron's Pool, West Pit, Paradise, Barnwell West, Barnwell East, and Logan's Meadow. Cambridge

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5772-562: The Public Accounts Committee (PAC) was critical of the regulator, and said that it was "behind where it should be, six years after it was established". Meg Hillier MP, the chair of the PAC, noted that reports prepared by the CQC contained many errors; one foundation trust said that their staff had found more than 200 errors in a draft CQC report. Hillier said "The fact these errors were picked up offers some reassurance, but this

5883-501: The UK, has a maritime climate highly influenced by the Gulf Stream . Located in the driest region of Britain, Cambridge's rainfall averages around 570 mm (22.44 in) per year, around half the national average. The driest recent year was in 2011 with 380.4 mm (14.98 in) of rain at the Botanic Garden and 347.2 mm (13.67 in) at the NIAB site. This is just below the semi-arid precipitation threshold for

5994-487: The area by the end of the century. Their settlement – also on and around Castle Hill – became known as Grantebrycge (" Granta -bridge". By Middle English , the settlement's name had changed to "Cambridg koe", deriving from the word 'Camboricum', meaning 'passage' or 'ford' of stream in a town or settlement, and the lower stretches of the Granta changed their name to match.) ) Anglo-Saxon grave goods have been found in

6105-569: The area, which is 350 mm of annual precipitation. Conversely, 2012 was the wettest year on record, with 812.7 mm (32.00 in) reported. Snowfall accumulations are usually small, in part because of Cambridge's low elevation, and low precipitation tendency during transitional snow events. Owing to its low-lying, inland, and easterly position within the British Isles, summer temperatures tend to be somewhat higher than areas further west, and often rival or even exceed those recorded in

6216-555: The area. During this period, Cambridge benefited from good trade links across the hard-to-travel fenlands. By the 7th century, the town was less significant and described by Bede as a "little ruined city" containing the burial site of Æthelthryth (Etheldreda). Cambridge sat on the border between the East and Middle Anglian kingdoms, and the settlement slowly expanded on both sides of the river. The Anglo-Saxon Chronicle reports that Vikings arrived in 875; they imposed Viking rule,

6327-768: The atmosphere. The city has an oceanic climate ( Köppen : Cfb ). Cambridge has an official weather observing station, at the Cambridge University Botanic Garden , about one mile (1.6 km) south of the city centre. In addition, the Digital Technology Group of the university's Department of Computer Science and Technology maintains a weather station on the West Cambridge site, displaying current weather conditions online via web browsers or an app , and also an archive dating back to 1995. The city, like most of

6438-562: The city centre around the location of the earlier British village. The fort was bounded on two sides by the lines formed by the present Mount Pleasant , continuing across Huntingdon Road into Clare Street. The eastern side followed Magrath Avenue, with the southern side running near to Chesterton Lane and Kettle's Yard before turning northwest at Honey Hill. It was constructed around AD 70 and converted to civilian use around 50 years later. Evidence of more widespread Roman settlement has been discovered, including numerous farmsteads and

6549-424: The city such as Sheep's Green as well as residential development. Like most cities, modern-day Cambridge has many suburbs and areas of high-density housing. The city centre of Cambridge is mostly commercial, historic buildings, and large green areas such as Jesus Green, Parker's Piece and Midsummer Common . Some of the roads in the centre are pedestrianised. Population growth has seen new housing developments in

6660-404: The city, as well as protecting smaller outlying villages from further convergence with each other as well as the city. At the 2011 census, the population of the Cambridge contiguous built-up area (urban area) was 158,434, while that of the City Council area was 123,867. In the 2001 Census held during University term, 89.44% of Cambridge residents identified themselves as white, compared with

6771-574: The city. Many of these parks and buildings are owned or leased by university colleges, and the companies often have been spun out of the university. Cambridge Science Park , which is the largest commercial R&D centre in Europe, is owned by Trinity College ; St John's is the landlord of St John's Innovation Centre . Technology companies include Abcam , CSR , ARM Limited , CamSemi , Jagex and Sinclair . Microsoft has located its Microsoft Research UK offices in West Cambridge , separate from

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6882-613: The city; Daniel Zeichner ( Labour ) has represented the seat since the 2015 general election . The seat was generally held by the Conservatives until it was won by Labour in 1992, then taken by the Liberal Democrats in 2005 and 2010, before returning to Labour in 2015. A southern area of the city, Queen Edith's ward and Cherry Hinton ward, falls within the South Cambridgeshire constituency, whose MP

6993-428: The commission would not be able to inspect all acute trusts before the end of 2015 as it had intended. In February 2015, it reported that it was missing its targets for following up on the safeguarding information it received that might indicate that patients are at risk. He also said the CQC would update its oversight in line with the growth of new provider models and would begin looking at care quality along pathways to

7104-634: The commission's remit is protecting the interests of people whose rights have been restricted under the Mental Health Act . Until 31 March 2009, regulation of health and adult social care in England was carried out by the Healthcare Commission and the Commission for Social Care Inspection . The Mental Health Act Commission had monitoring functions with regard to the operation of the Mental Health Act 1983 . The commission

7215-459: The county of Cambridgeshire – and is administered by Cambridge City Council . The district covers most of the city's urban area, although some suburbs extend into the surrounding South Cambridgeshire district. The city council's headquarters are in the Guildhall , a large building in the market square. Cambridge was granted a Royal Charter by King John in 1207, which permitted the appointment of

7326-439: The east coast. The town became a military centre, with an R.A.F. training centre and the regional headquarters for Norfolk , Suffolk , Essex , Cambridgeshire , Huntingdonshire , Hertfordshire , and Bedfordshire established during the conflict. The town itself escaped relatively lightly from German bombing raids, which were mainly targeted at the railway. 29 people were killed and no historic buildings were damaged. In 1944,

7437-414: The economy of Cambridge. The town market provided for trade in a wide variety of goods and annual trading fairs such as Stourbridge Fair and Midsummer Fair were visited by merchants from across the country. The river was described in an account of 1748 as being "often so full of [merchant boats] that the navigation thereof is stopped for some time". For example, 2000 firkins of butter were brought up

7548-457: The first game, which was held at Parker's Piece . The Strawberry Fair music and art festival and Midsummer Fair are held on Midsummer Common , and the annual Cambridge Beer Festival takes place on Jesus Green . The city is adjacent to the M11 and A14 roads. Settlements have existed around the Cambridge area since prehistoric times . The earliest clear evidence of occupation is the remains of

7659-434: The information held by the organisation more widely available to the public and that he also intended to make CQC an easier organisation to do business with and a better place to work. A chief digital officer was to be appointed as part of this process. In January 2019 it was announced that Mark Sutton would take on the role of chief digital officer from April 2019. In April 2019 a study by the University of York published in

7770-625: The main Microsoft UK campus in Reading , and also has an office on Station Road. Care Quality Commission The Care Quality Commission ( CQC ) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom . It was established in 2009 to regulate and inspect health and social care providers in England. It was formed from three predecessor organisations: The CQC's stated role

7881-541: The marl was mined in the 19th century for fertiliser; this became a major industry in the county, and its profits yielded buildings such as the Corn Exchange , Fulbourn Hospital , and St. John's Chapel until the Quarries Act 1894 and competition from America ended production. The River Cam flows through the city from the village of Grantchester , to the southwest. It is bordered by water meadows within

7992-547: The media. The report found that "hundreds of people had died needlessly due to appalling standards of care." One month earlier the commission had rated the quality of care at the hospital as "good." In August 2012, chief executive David Behan commissioned a report by management consultants Grant Thornton . The report examined the CQC's response to complaints about baby and maternal deaths and injuries at Furness General Hospital in Barrow-in-Furness, Cumbria and

8103-477: The new Epic electronic health record system. Waiting times for treatment increased and as many as 200 beds were occupied by patients who were medically fit for discharge, so that the hospital was repeatedly unable to admit patients. It projected a loss of £64 million for 2015/6. In December 2015 staff were told payment of their salaries was dependent on a loan from the Department of Health. In February 2016 it

8214-570: The new owners were linked to the previous owners, and there was no follow-up inspection if problems had been identified. They had found 152 homes re-registered as new, when they had only changed owner or name. The commission had identified safety concerns in more than 40% of the homes it had inspected, and 10% were rated as inadequate. In April 2016, it was reported that 44% of care homes in the South East inspected over an 18-month period were rated as inadequate or requiring improvement. Only 0.9% of

8325-501: The opening of the Great Eastern Railway 's London to Norwich line. The station was outside the town centre following pressure from the university to restrict travel by undergraduates. With the arrival of the railway and associated employment came development of areas around the station, such as Romsey Town . The rail link to London stimulated heavier industries, such as the production of brick, cement and malt . From

8436-544: The organisation's previous management had been "totally dysfunctional" and admitted that the organisation was "not fit for purpose." On 20 June 2013, Behan and Prior agreed to release the names of previously redacted senior managers within the Grant Thornton report, who it is alleged had suppressed the internal CQC report. The people named were former CQC Chief Executive Cynthia Bower, deputy CEO Jill Finney and media manager Anna Jefferson. All were reportedly present at

8547-445: The period of August 2016 to January 2017 the CQC sent questionnaires to inpatients of NHS hospitals who had been service users in the month of July 2016. 77,850 surveys were sent out. In October 2016, a briefing paper issued by the organisation stated that no directorate was meeting objectives for producing reports on time. Of services which had been inspected over half had not improved their rating when re-inspected, with 45% staying at

8658-461: The potential risk in 2011. A spokesman for the trust said they were working with NHS England to make improvements. In September 2019 the Barking, Havering and Redbridge University Hospitals Trust stated their inspection by the CQC had become drawn out "due to availability of inspectors". In response, the CQC's deputy chief inspector of hospitals Nigel Acheson said that the inspection "remains within

8769-427: The previous five years the 18-week waiting list for planned hospital treatment had increased from involving 3 million patients to 4.4 million. In March 2020 it was announced that most inspections would continue as planned following the outbreak of the coronavirus, and that this position would be kept under review. It was subsequently announced on 16 March that routine inspections were being temporarily paused, however

8880-694: The published CQC timeframes for inspection." The inspection began on 3 September and is expected to be completed in mid November. In October 2019 Professor Ted Baker, the Chief Inspector of Hospitals at the CQC stated that "little progress" has been made on improving patient safety in the NHS over the last 20 years. In the same month the CQC published their State of Care report. This stated that 44% of A&E departments were rated as requiring improvement and 8% were rated as being inadequate. 36% of NHS Hospitals were given ratings of requiring improvement on safety with 3% considered inadequate in that area. Over

8991-413: The record for the all-time maximum temperature in the UK , after recording 38.7 °C (101.7 °F) on 25 July 2019. Typically the temperature will reach 25.1 °C (77.2 °F) or higher on over 25 days of the year over the 1981–2010 period, with the annual warmest day averaging 31.5 °C (88.7 °F) over the same period. The absolute minimum temperature recorded at the Botanic Garden site

9102-505: The river every Monday from the agricultural lands to the northeast, particularly Norfolk , to be unloaded in the town for road transportation to London. Changing patterns of retail distribution and the advent of the railways led to a decline in Cambridge's importance as a market town. Cambridge today has a diverse economy with strength in sectors such as research and development, software consultancy, high value engineering, creative industries, pharmaceuticals and tourism. Described as one of

9213-521: The safety of service users who were more vulnerable due to mobility issues or learning disabilities. In March 2018 the Public Accounts Committee reported that although the regulator had "improved significantly" there was "no room for complacency" in the organisation which had "persistent weaknesses and looming challenges". Whilst there had been improvements in the timeliness of hospital inspection reports since 2015, only 25% of reports on hospitals where less than 3 services were inspected were published within

9324-588: The same rating and 10% having a lower rating. Following the cyber attacks on NHS systems in May 2017 it was announced that the CQC will be asking probing questions to assess data security as part of its inspection process. After the Grenfell Tower fire in June 2017 letters were sent to around 17,000 care homes, hospitals and hospices requesting that they review fire safety processes, paying particular attention to

9435-400: The service was poor. It could take more than four months for a new service to be registered. She complained that assessments were too subjective. The commission has also been accused of being a barrier to innovation and impeding a shift to digital services because they insisted on paper records, and there were claims that some inspectors did not understand electronic records. Winterbourne View

9546-500: The target in November 2019 was the worst since 2009. Only 92 per cent of patients were seen within four hours. The Care Quality Commission placed the trust in special measures in September 2015. This was a surprising move and generated considerable publicity and controversy. The chief executive, Dr Keith McNeil and the finance director resigned. Its sudden failure has been blamed on shortages of staff and an increased use of agency staff, which increased costs and reduced quality and on

9657-462: The target of 50 days. It was intended that 90% of reports should meet the target. The PAC also noted that GPs had felt burdened by the CQC's regulation practices. In response David Behan stated that he accepted the committee's recommendations and did not underestimate the task at hand. In July 2018, the CQC stated that 96 safeguarding concerns had not been passed on to local authorities over the last 12 months. Andrea Sutcliffe, acting chief executive of

9768-595: The town in 1644, the defences were never used, and the garrison was stood down the following year. In the 19th century, in common with many other English towns, Cambridge expanded rapidly, due in part to increased life expectancy and improved agricultural production leading to increased trade in town markets. The Inclosure Acts of 1801 and 1807 enabled the town to expand over surrounding open fields and in 1912 and again in 1935 its boundaries were extended to include Chesterton, Cherry Hinton, and Trumpington. The railway came to Cambridge in 1845 after initial resistance, with

9879-639: The town to the university. King's College Chapel was begun in 1446 by King Henry VI . Built in phases by a succession of kings of England from 1446 to 1515 — its history intertwined with the Wars of the Roses — the chapel was completed during the reign of King Henry VIII . The building would become synonymous with Cambridge, and currently is used in the logo for the Cambridge City Council . Following repeated outbreaks of pestilence throughout

9990-636: The town's name abbreviated to "Grant". In 1068, two years after the Norman Conquest of England, William the Conqueror erected a castle on Castle Hill, the motte of which survives. Like the rest of the newly conquered kingdom, Cambridge fell under the control of the King and his deputies. Cambridge's first town charter was granted by Henry I between 1120 and 1131. It granted the town monopoly of waterborne traffic and hithe tolls and recognised

10101-689: The towns within her dower lands, and the Jews of Cambridge were ordered to relocate to Norwich . In 1349, Cambridge was affected by the Black Death . Few records survive but 16 of 40 scholars at King's Hall died. The town north of the river was severely impacted, being almost wiped out. Following further depopulation after a second national epidemic in 1361, a letter from the Bishop of Ely suggested that two parishes in Cambridge be merged as there were not enough people to fill even one church. With more than

10212-407: The trust installed an Epic Systems electronic health record system in 2014, which together with a Hewlett-Packard infrastructure transformation, will cost the Trust £200 million over 10 years. The Epic implementation is the first end-to-end deployment of Epic in Europe, as well as the first Epic implementation in the UK. 2.1 million records were transferred to it and it went live on 26 October. In

10323-460: The university. Over 40 per cent of the workforce have a higher education qualification, more than twice the national average. The Cambridge Biomedical Campus , one of the largest biomedical research clusters in the world, includes the headquarters of AstraZeneca and the relocated Royal Papworth Hospital . Cambridge produced the first 'Laws of the Game' for association football and was the site of

10434-766: The weeks after Go-Live, it experienced significant teething problems. There were particular problems with communicating pathology results with both the new Epic system and the system used by The Pathology Partnership, the newly formed joint venture pathology provider. The trust reported ongoing issues with pathology codes and reporting leading to difficulty matching test results to patients, requiring re-checking. "GPs were asked to stop all routine blood tests at short notice; patients were attending their GP surgery for blood tests and had to be turned away. Some tests that had already been taken had to be discarded and GPs had to repeat them. The trust has apologised to GPs’ patients and The Pathology Partnership has written to GPs giving details of

10545-754: The world. The city's skyline is dominated by several college buildings , along with the spire of the Our Lady and the English Martyrs Church , and the chimney of Addenbrooke's Hospital . Anglia Ruskin University , which evolved from the Cambridge School of Art and the Cambridgeshire College of Arts and Technology, also has its main campus in the city. Cambridge is at the heart of the high-technology Silicon Fen or Cambridge Cluster , which contains industries such as software and bioscience and many start-up companies born out of

10656-487: The year before the abuse was found out, including visits by the Care Quality Commission, Durham council and local NHS bodies. It has since been closed. A former CQC inspector Barry Stanley-Wilkinson has alleged that he had raised concerns about a "very poor culture" at the service in 2015. Stanley-Wilkinson said that he worked at the CQC for a decade and that this was the only report he had written which

10767-451: Was "more likely than not" that Ms Finney had ordered the deletion of an internal report by Louise Dineley, the CQC's head of regulatory risk. The CQC started litigation against Grant Thornton claiming a contribution towards any "damages, interests and/or costs" incurred in the case. Residential establishments, unlike hospitals, can easily be closed, or sold, and reopened with a new identity. Private Eye reported in November 2015 that most of

10878-412: Was a private hospital at Hambrook , South Gloucestershire , owned and operated by Castlebeck. It was exposed in a Panorama investigation into physical and psychological abuse suffered by people with learning disabilities and challenging behaviour , first broadcast in 2011. One senior nurse had reported his concerns directly to CQC, but his complaint was not taken up. The public funded hospital

10989-608: Was acting CEO. He had previously been the Chief Operating Officer from 2009 to 2015. Cambridge University Hospitals sits in the heart of the Cambridge Biomedical Campus and is part of the internationally renowned research campus which has seen a huge expansion over the last 20 years. The hospital is a partner in one of 6 designated academic health science centres , Cambridge University Health Partners , formed with Royal Papworth Hospital NHS Foundation Trust , Cambridgeshire and Peterborough NHS Foundation Trust and

11100-425: Was cleared of any wrong-doing and CQC apologised for the distress caused by the allegation. Finney subsequently started litigation seeking at least £1.3 million libel damages from the CQC on the basis that the CQC's current chair David Prior and chief executive David Behan abused their power and acted maliciously in publishing allegations that she ordered a "cover-up" of its failings. The Grant Thornton report said it

11211-461: Was confirmed as one of four additional NHS Global Digital Exemplars ; joining the twelve announced in September 2016. It plans a deficit of £93 million for 2018-19, and has outstanding loans of £263 million. Roland Sinker, the chief executive, warned staff in November 2021 that patients could be sent to hospitals in Birmingham or London if it could not tackle an ongoing bed crisis and that he

11322-531: Was established as a single, integrated regulator for England's health and adult social care services by the Health and Social Care Act 2008 to replace these three bodies. The commission was created in shadow form on 1 October 2008 and began operating on 1 April 2009. The commission has three chief inspectors who are also board members: The Commission's board also contains a number of non-executive directors. Previous board members have included: In August 2013

11433-512: Was expecting a deficit of £39.7 million for the year. In September 2015, the trust was placed in special measures after Care Quality Commission inspectors deemed it inadequate. It was taken out of special measures in January 2017, following a visit from inspectors the previous September. The Care Quality Commission has since given the Trust a rating of "good". At the end of March 2017, the trust

11544-450: Was instigated by a complaint from a member of the public and "an allegation of a "cover-up" submitted by a whistleblower at CQC." It was published on 19 June 2013. Among the findings, the CQC was "accused of quashing an internal review that uncovered weaknesses in its processes" and had allegedly "deleted the review of their failure to act on concerns about University Hospitals of Morecambe Bay NHS Trust." One CQC employee claimed that he

11655-410: Was instructed by a senior manager "to destroy his review because it would expose the regulator to public criticism." The report concluded: "We think that the information contained in the [deleted] report was sufficiently important that the deliberate failure to provide it could properly be characterised as a ' cover-up '." David Prior, who joined the commission as chairman in January 2013, responded that

11766-413: Was not published. In response the CQC stated that reports went through a "rigorous peer review process" and the draft report "did not raise any concerns about abusive practice". They also said: "We are in the process of commissioning a review into what we could have done differently or better in our regulation of Whorlton Hall and these allegations will be fully investigated as part of this. We will update on

11877-460: Was shut down as a result of the abuse that took place. Cynthia Bower , then the chief executive of the commission, resigned ahead of a critical government report in which Winterbourne View was cited. Ash Court is a residential nursing home for the elderly in London, operated by Forest Healthcare . In April 2012 hidden camera footage was broadcast in a BBC Panorama exposé which showed an elderly woman being physically assaulted at Ash Court by

11988-430: Was supposed to run until 2020 and had signed a new contract with Novosco , a Belfast based company, for the introduction of new hardware, IT infrastructure, Wi-Fi, and cyber security at a cost of £107 million. The trust made a Private Finance Initiative deal in 2007 for the building of a £76 million elective care centre. It is required to pay £9 million a year for 30 years to Key Health Services (Addenbrookes) Ltd. which

12099-754: Was the first to raise concerns about Gender Identity Development Service at the Tavistock and Portman NHS Foundation Trust when she worked there in 2005, along with a parent of a fifteen-year-old, were challenging the CQC in the High Court over its decision to license the Gender Plus Hormone Clinic, accusing the CQC of breaching its statutory duties under the Health and Social Care Act 2008 . The CQC regulates providers of "health or social care in, or in relation to, England", where: Health and Social Care Act 2008 , section 9 While

12210-566: Was ‘anxious and scared’ that its main acute site was under so much pressure from the COVID-19 pandemic in England that it was "ceasing to function as a hospital" as 150 beds out of 900 were out of action. The trust has 825 on-site bedrooms for staff and in 2022 is planning to increase that number, as the cost of local accommodation is causing recruitment problems, especially for nursing and midwifery staff. 60 offices could be returned to residential use. As part of its eHospital transformation,

12321-487: Was −17.2 °C (1.0 °F), recorded in February 1947, although a minimum of −17.8 °C (0.0 °F) was recorded at the now defunct observatory site in December 1879. More recently the temperature fell to −15.3 °C (4.5 °F) on 11 February 2012, −12.2 °C (10.0 °F) on 22 January 2013 and −10.9 °C (12.4 °F) on 20 December 2010. The average frequency of air frosts ranges from 42.8 days at

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