North Cumbria University Hospitals NHS Trust

Last updated

Type of Trust
NHS hospital trust
Trust Details
Last annual budget
Employees4500
ChairRobin Talbot
Chief ExecutiveStephen Eames
Links
Website North Cumbria University Hospitals
Care Quality Commission reports CQC

North Cumbria University Hospitals NHS Trust was created in April 2001 by merging Carlisle Hospitals NHS Trust and West Cumbria Healthcare NHS Trust. It ran Cumberland Infirmary in Carlisle, Cumbria, the birthing unit at Penrith Hospital and West Cumberland Hospital in Whitehaven, England. In January 2012, the Trust decided that its preferred future was as part of Northumbria Healthcare NHS Foundation Trust [1] but in 2018 it proposed to merge with Cumbria Partnership NHS Foundation Trust. [2] The merger took place in October 2019. The new organisation is called North Cumbria Integrated Care NHS Foundation Trust.

Contents

Financial Problems

The Trust's financial problems are longstanding [3] and associated with the move of services out of hospital closer to patients' homes and the difficulties of delivering services in a large rural area. [4] The Trust predicts a deficit of £22.8m in 2013-14. [5] In May 2014 it was reported that the Trust had been forced to get a loan in order to pay its debts. According to its loan application, only 19.5 per cent of the trust’s non-NHS suppliers had been paid on time at the end of January, against a target of 95 per cent. [6]

It spent 7.3% of its total turnover on agency staff in 2014/5. [7]

In 2017-2018 a Cost Improvement Target of £16.26m was set, with £13m savings achieved. The Trust delivered a deficit of £40.3m which is £3.9m better than the original plan for the year. This is an improvement of £7.0m over the deficit in 2016/17 of £47.3m. [8]

Performance

Four-hour target in the emergency department quarterly figures from NHS England Data from https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/ North Cumbria University Hospitals NHS Trust A&E performance 2005-18.png
Four-hour target in the emergency department quarterly figures from NHS England Data from https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/

The Trust was placed in special measures as a result of Sir Bruce Keogh's review of hospital mortality. [9] In October 2013 the Trust was put into the highest risk category by the Care Quality Commission. [10]

In December 2013 the Trust was one of thirteen hospital trusts named by Dr Foster Intelligence as having higher than expected higher mortality indicator scores for the period April 2012 to March 2013 in their Hospital Guide 2013. [11] It was put into a buddying arrangement with Northumbria Healthcare NHS Foundation Trust. [12]

The Trust came out of Special Measures in 2017 [13]

Private Finance Initiative

In February 2014 it was reported that the trust board had lost confidence in the maintenance and estates services provided to the Cumberland Infirmary through Health Management Carlisle under the PFI contract after a probe uncovered “major issues” with the way its operating theatres, water systems and gas pipelines were being maintained. [14]

Staffing

In March 2014 it became apparent that the Trust was struggling to retain clinical staff, when three consultants resigned, and as a result junior doctors were removed because there was a lack of consultant supervision. There was a 25 per cent vacancy rate in consultant posts, the equivalent of 50 people, meaning the trust is relying heavily on locums. Nursing gaps at the hospital were said to be so serious they needed daily monitoring. [15]

In June 2014 a senior consultant, Guy Broome, co-chairman of the Trust's Medical Staff Committee resigned his post, questioning the motives of Northumbria Healthcare, wanting to see the merger stopped and other options explored. He claimed his workload has been stripped back since new bosses took over and specialist links to experts in Newcastle had been severed. [16]

See also

Related Research Articles

Private finance initiative United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects

The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 1992 by Prime Minister John Major, and expanded considerably by the Blair government, PFI is part of the wider programme of privatisation and financialisation, and presented as a means for increasing accountability and efficiency for public spending.

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.

Queen Elizabeth Hospital, London Hospital in London, England

Queen Elizabeth Hospital is a hospital in Woolwich in the Royal Borough of Greenwich. It was opened in March 2001 and serves patients from the Royal Borough of Greenwich and the London Borough of Bexley. The hospital was built to accommodate the services previously provided at Greenwich District Hospital and Brook General Hospital, and is a Private Finance Initiative hospital. It is managed by the Lewisham and Greenwich NHS Trust.

Furness General Hospital Hospital in North West England

Furness General Hospital (FGH) is a hospital located in the Hawcoat area of Barrow-in-Furness, Cumbria, England. It is managed by the University Hospitals of Morecambe Bay NHS Foundation Trust.

Great Western Hospitals NHS Foundation Trust runs the Great Western Hospital, a large hospital situated in Swindon, Wiltshire, England, next to junction 15 of the M4 motorway.

Ipswich Hospital Hospital in Suffolk, England

Ipswich Hospital is a large district general hospital in Heath Road, Ipswich, Suffolk, England. It is now managed by East Suffolk and North Essex NHS Foundation Trust which was formed on 1 July 2018 by the merging of Ipswich Hospital NHS Trust with Colchester Hospital University NHS Foundation Trust.

Nottingham University Hospitals NHS Trust (NUH) is one of England's largest acute teaching trusts. It was established on 1 April 2006 following the merger of Nottingham City Hospital and the Queen's Medical Centre NHS Trusts. They provide acute and specialist services to 2.5 million people within Nottingham and surrounding communities at the Queen’s Medical Centre (QMC) and the City Hospital campuses, as well as specialist services for a further 3-4 million people from across the region.

Princess Royal University Hospital Hospital in England

The Princess Royal University Hospital or PRUH is a large acute district general hospital situated in Locksbottom, near Farnborough, in the London Borough of Bromley. It is managed by King's College Hospital NHS Foundation Trust.

Central Manchester University Hospitals NHS Foundation Trust

Central Manchester University Hospital NHS Foundation Trust, established in 2009, ran eight hospitals in Manchester and Trafford: Manchester Royal Infirmary, Royal Manchester Children's Hospital, Saint Mary's Hospital, Manchester, Manchester Royal Eye Hospital and University Dental Hospital of Manchester in Manchester, and Trafford General Hospital, Altrincham Hospital and Stretford Memorial Hospital in Trafford.

West Cumberland Hospital Hospital in England

West Cumberland Hospital is a hospital in Hensingham, a suburb of Whitehaven in Cumbria, England, and was the first district general hospital to be built in England following the creation of the National Health Service. It is managed by the North Cumbria University Hospitals NHS Trust. A campaign group is fighting to maintain hospital services at the West Cumberland Hospital, many of which have been moved to the Cumberland Infirmary, 40 mi (64 km) away from the population centres of the West Cumbrian coast.

Cumberland Infirmary Hospital in Cumbria, England

Cumberland Infirmary is a hospital in Carlisle, Cumbria, England. It is managed by the North Cumbria Integrated Care NHS Foundation Trust.

University Hospitals of Morecambe Bay NHS Foundation Trust is an NHS Foundation Trust in North West England, providing services in South Cumbria and North Lancashire in the Morecambe Bay area. It has about 6,000 employees and provides services for some 350,000 people.

Northumbria Healthcare NHS Foundation Trust is an NHS foundation trust which provides hospital and community health services in North Tyneside and hospital, community health and adult social care services in Northumberland.

Cumbria Partnership NHS Foundation Trust was an NHS foundation trust that provided mental health and community services in Cumbria, England. It ran the Ramsey Unit at Furness General Hospital, Barrow In Furness, Mary Hewetson Cottage Hospital, Keswick Penrith Community Hospital, Cockermouth Community Hospital, Workington Community Hospital, Victoria Cottage Hospital, Reiver House and The Carleton Clinic, Carlisle.

Newcastle upon Tyne Hospitals NHS Foundation Trust is one of the Shelford Group of University Teaching Hospitals and an NHS Foundation Trust. It provides acute medical services in Newcastle upon Tyne, England, at Royal Victoria Infirmary and Freeman Hospital, the Campus for Ageing and Vitality, Newcastle Dental Hospital, Newcastle Fertility Centre and the Northern Genetics Service.

Peterborough and Stamford Hospitals NHS Foundation Trust was one of the first ten NHS Foundation Trusts in England in 2004. It ran Peterborough City Hospital and Stamford and Rutland Hospital. It was one of six centres used by the Defence Medical Services. The trust merged with Hinchingbrooke Health Care NHS Trust in 2017 to become North West Anglia NHS Foundation Trust.

Healthcare in Cumbria is now the responsibility of Cumbria Clinical Commissioning Group. From 1 April 2017 32 GP practices will leave the CCG and merge with Lancashire North CCG to form Morecambe Bay CCG.

Healthcare in Northumberland, since 2013, is the responsibility of the Northumberland, Newcastle Gateshead and North Tyneside clinical commissioning groups.

North West Anglia NHS Foundation Trust

North West Anglia NHS Foundation Trust was formed on 1 April 2017 from the acquisition of Hinchingbrooke Health Care NHS Trust by Peterborough and Stamford Hospitals NHS Foundation Trust. It runs Peterborough City Hospital, Stamford and Rutland Hospital and Hinchingbrooke Hospital. It is one of six centres used by the Defence Medical Services.

North Cumbria Integrated Care NHS Foundation Trust was created in October 2019 by a merger between Cumbria Partnership NHS Foundation Trust and North Cumbria University Hospitals NHS Trust It provides mental health and community services in Cumbria

References

  1. ↑ "Two troubled hospitals taken over". 1 February 2012. Retrieved 19 July 2019.
  2. ↑ "Acute and mental health trusts to merge". Health Service Journal. 7 June 2018. Retrieved 29 August 2018.
  3. ↑ "Analysed: a healthcare crisis facing Cumbria". Health Service Journal. 22 May 2012. Retrieved 4 November 2013.
  4. ↑ "TRUST FACING 20PC CUT IN BUDGET". Times and Star. 14 July 2010. Retrieved 4 November 2013.
  5. ↑ "More than a third of trusts predict year-end deficit". Local Government Chronicle. 13 March 2014. Retrieved 16 March 2014.
  6. ↑ "Exclusive: Trusts plead for extra cash to pay bills". Health Service Journal. 21 May 2014. Retrieved 17 June 2014.
  7. ↑ "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
  8. ↑ Team, North Cumbria University Hospitals NHS Trust Communications (28 October 2010). "Annual report". www.ncuh.nhs.uk. Retrieved 24 January 2019.
  9. ↑ "HEALTH SECRETARY GIVES REASSURANCE OVER CUMBRIAN HOSPITALS". News and Star. 25 October 2013. Retrieved 4 November 2013.
  10. ↑ "NHS Trusts put in risk categories - full list". Independent. 24 October 2013. Archived from the original on 2 November 2013. Retrieved 9 November 2013.
  11. ↑ "Dr Foster identifies 13 trusts with high mortality ratios". Health Service Journal. 6 December 2013. Retrieved 7 December 2013.
  12. ↑ "'Buddy' trusts could double their money under bonus scheme". Health Service Journal. 23 July 2013. Retrieved 17 September 2014.
  13. ↑ "North Cumbria's hospitals 'to come out of special measures'". News and Star. Retrieved 28 January 2019.
  14. ↑ "Trust 'loses confidence' in PFI provider". Health Service Journal. 17 February 2014. Retrieved 15 March 2014.
  15. ↑ "Junior doctors pulled out of Cumbrian hospital amid supervision concerns". News and Star. 26 March 2014. Retrieved 20 April 2014.
  16. ↑ "CONSULTANT QUITS, CALLS FOR NORTH CUMBRIA HOSPITALS TAKEOVER TO BE STOPPED". News and Star. 11 June 2014. Retrieved 17 June 2014.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.