[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-243876-105":53,"doc-detail-243876-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","southampton-general-hospital-hta-inspection-report-22-august-2024-final","Southampton General Hospital HTA Inspection Report - 22 August 2024 - Final","","Inspection report documents HTA licensing compliance for Southampton General Hospital under the Human Tissue Act 2004 (licensing number 12214) based on an inspection dated 22 August 2024. The HTA determined the Designated Individual and Licence Holder to be suitable, and the establishment suitable for licensed activities subject to corrective and preventative actions. Ten major and six minor shortfalls were identified across Consent, Governance and quality systems, Traceability, and Premises, facilities and equipment, including gaps in SOPs, competency assessment, tissue audit sample adequacy, incident reporting, and use of minimum identifiers for traceability.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/southampton-general-hospital-hta-inspection-report-22-august-2024-final/243876/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/southampton-general-hospital-hta-inspection-report-22-august-2024-final/243876.png","ImageObject",442,249,{"name":88,"@type":89},"Patrick","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-18","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What was the inspection date and HTA licensing number for Southampton General Hospital?","Question",{"text":109,"@type":110},"The inspection date was 22 August 2024, and the HTA licensing number was 12214.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Was the establishment found suitable to continue licensed activities?",{"text":114,"@type":110},"Yes. The HTA assessed the establishment as suitable to be licensed for the specified activities, subject to implementing corrective and preventative actions for the identified shortfalls.",{"name":116,"@type":107,"acceptedAnswer":117},"What major issues were identified during the inspection?",{"text":118,"@type":110},"Major shortfalls covered areas such as consent-related training and competency assessment, SOPs not reflecting current practice, audit sampling adequacy for tissue storage, failures in incident reporting to the HTA, and incomplete use of a minimum set of identifiers for bodies and tissue.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},243876,1790032845,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":25,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":47},549758146520,"https://ap-avatar.wpscdn.com/avatar/80002397d8c0411e94?_k=1775819394049821470","Inspection report on compliance with HTA licensing standards Inspection date: 22 August 2024  \nSouthampton General Hospital  \nHTA licensing number 12214  \nLicensed under the Human Tissue Act 2004  \nLicensed activities  \nThe table below shows the activities this establishment is licensed for and the activities currently undertaken at the establishment  \n\n| Area | Making of a postmortem examination | \u003Cbr>Removal from the body of a deceased person (otherwise than in the course of an anatomical examination or post-mortem examination) of relevant material of which the body consists or which it contains, for use for a scheduled purpose other than transplantation | \u003Cbr>.\u003Cbr>Storage of the body of a deceased person or relevant material which has come from a human body for use for a scheduled purpose |\n| --- | --- | --- | --- |\n| Hub site Southampton General Hospital | Licensed | Licensed | Licensed |\n| Mortuary | Carried out | Carried out | Carried out |\n| Pathology lab | - | - | Carried out |\n| Maternity | - | Carried out | - |\n| A&E | - | Carried out | - |\n\nSummary of inspection findings  \nThe HTA found the Designated Individual (DI) and the Licence Holder (LH) to be suitable in accordance with the requirements of the legislation.  \nAlthough the HTA found that Southampton General Hospital (‘the establishment’) had met the majority of the HTA’s standards, ten major and six minor shortfalls were found against standards for Consent, Governance and quality systems, Traceability and Premises, facilities and equipment.  \nThe HTA has assessed the establishment as suitable to be licensed for the activities specified , subject to corrective and preventative actions being implemented to meet the shortfalls identified during the inspection.  \nCompliance with HTA standards  \nMajor shortfall  \n\n| Standard | Inspection findings | Level of shortfall |\n| --- | --- | --- |\n| C2 Staff involved in seeking consent receive training and support in the essential requirements of taking consent |  |  |\n| d) Competency is assessed and maintained. | The establishment does not have a system in place for assessing the competency of the bereavement care team against the HTA requirements when seeking consent for Post mortems.\u003Cbr>(See Shortfall against standard GQ3(c)) . | Major |\n\nGQ1 All aspects of the establishment’s work are governed by documented policies and procedures  \n\n| a) Documented policies and SOPs cover all mortuary/laboratory procedures relevant to the licensed activity, take account of relevant Health and Safety legislation and guidance and, where applicable, reflect guidance from RCPath. | Standard operating procedures (SOPs) relating to mortuary activities are not reflective of current practice or do not contain sufficient details of procedures. For example: There are inconsistencies with what is covered in SOPs.\u003Cbr>These include but are not limited to:\u003Cbr>• Post mortem Consent and Human Tissue Disposal Policy.\u003Cbr>• HTA Training Reference Guide.\u003Cbr>• Protocol required to document and record a mortuary post mortem\u003Cbr>• Procedure for viewing the deceased by authorised persons.\u003Cbr>This is not an exhaustive list of the amendments required to all the SOPs and, to fully address this shortfall, the establishment should review all SOPs relating to all mortuary activities to ensure that they are accurate, reflect current practice and contain sufficient detail of procedures.\u003Cbr>(See Advice item 2) . | Major |\n| --- | --- | --- |\n\n\n| GQ2 There is a documented system of audit |  |  |\n| --- | --- | --- |\n| c) Regular audits are carried out of tissue being stored so that staff are fully aware of what is held and why and to enable timely disposal of tissue where consent has not been given for continued retention. | The inspection team were not assured tissue audits contain a sufficient sample size for the establishment to assure themselves non-conformances are identified and that any follow up action is taken in a timely manner. | Major |\n\nGQ3 Staff are appropr","cbCaivVzrdPq0V14","https://ap.wps.com/l/cbCaivVzrdPq0V14","pdf",195870,"English","# Summary of inspection findings\n## Compliance with HTA standards\n### Major shortfalls\n## Compliance with HTA standards\n### Governance and quality systems\n### Staff training and competence\n### Audit and traceability\n### Incident reporting","[{\"question\":\"What was the inspection date and HTA licensing number for Southampton General Hospital?\",\"answer\":\"The inspection date was 22 August 2024, and the HTA licensing number was 12214.\"},{\"question\":\"Was the establishment found suitable to continue licensed activities?\",\"answer\":\"Yes. The HTA assessed the establishment as suitable to be licensed for the specified activities, subject to implementing corrective and preventative actions for the identified shortfalls.\"},{\"question\":\"What major issues were identified during the inspection?\",\"answer\":\"Major shortfalls covered areas such as consent-related training and competency assessment, SOPs not reflecting current practice, audit sampling adequacy for tissue storage, failures in incident reporting to the HTA, and incomplete use of a minimum set of identifiers for bodies and tissue.\"}]","Southampton General Hospital HTA Inspection Report - 22 August 2024 - Final | PDF",1789209584]