University Hospitals of Leicester NHS Trust

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University Hospitals of Leicester NHS Trust
Type NHS hospital trust
Hospitals Leicester Royal Infirmary
Glenfield Hospital
Leicester General Hospital
Website www.leicestershospitals.nhs.uk OOjs UI icon edit-ltr-progressive.svg

University Hospitals of Leicester NHS Trust was created in April 2000 with the merger of the Leicester General Hospital, Glenfield Hospital and Leicester Royal Infirmary.

Contents

At that time it was one of the six biggest NHS trusts in England with a budget of over £600 million per annum and 12,000 staff. It treats in excess of 1 million patients per annum, delivers 10,000 babies a year and provides the largest emergency service (admissions and ED attendances). It has one of the best records in the country for cardiac care and also specialises in kidney disease, cancer and vascular surgery. Its research programmes in cardio-vascular science, stroke medicine and diabetes are internationally renowned.

It was originally led by Philip Hammersley CBE (Chairman, 2000–06), Dr Peter Reading (Chief Executive, 2000–07) and Dr Allan Cole (Medical Director, 2000–10). In May 2008 new chief executive, Malcolm Lowe-Lauri, joined the trust from Kings College Hospital. John ADLER has been CEO since 2013.

Services

University Hospitals of Leicester NHS Trust provide services across their three sites with Accident and Emergency facilities based at the Royal Infirmary site.

Specialist coronary care and respiratory disease facilities are currently based at Glenfield Hospital, with a strong international reputation for medical research in cardiac and respiratory health. Leicester General Hospital specialise in renal care, orthopaedics, diabetes research, urology, maternity, brain injuries, and treatment for disabled children. [1]

Facilities

In 2015, Interserve was awarded a £300m contract to manage trust buildings over 7 years but the deal was ended in April 2016 after it was issued with a warning over poor cleaning standards. In March 2018 the trust agreed to create a wholly owned subsidiary to run its facilities management services which will increase salaries, spend £2m on cleaning and recruit more maintenance staff. About 1700 staff will be affected and about 200 will get a pay rise. [2]

Charitable Support

The University Hospitals of Leicester NHS Trust is supported by multiple charitable organisations including:

These charities provide additional funding and support to the NHS, patients and relatives.

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/ University Hospitals Of Leicester 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/

University Hospitals of Leicester achieved the highest possible ranking for service quality from the Healthcare Commission five years running - '3 Stars' in 2003/04 and 2004/05 followed by 'Excellent' from 2005/06 to 2007/08. This was the best five year record of any multi-specialty teaching trust in England, and followed a remarkable turnaround from zero stars in 2002/03 (associated with an administrative error relating to waiting lists for minor surgery), which the Leicester Mercury described as 'zeros to heroes'. In 2007/08, the Trust maintained its excellent rating for Quality of Service issued by the Healthcare Commission. In 2008/09 the rating slipped to 'Good'.

In October 2013 as a result of the Keogh Review the Trust was put into the highest risk category by the Care Quality Commission. [6]

The Trust predicted a deficit of £39.8m in 2013-14, the largest of any in England. [7]

The emergency department at Leicester Royal Infirmary is the busiest single unit in the country. It covers a population of 1.4 million. From 2014 to 2015 admissions rose by 12%. The trust has reduced its average length of stay by 7%, which has, in part, compensated for the increased admissions. Performance on the target of seeing 95% of people who attend accident and emergency departments within four hours has improved since January 2015. [8] When it was inspected by the Care Quality Commission in November 2015 it was found to be chaotic and unsafe, with the nurse in charge of insufficient seniority. [9] In May 2017 the trust declared a critical incident after patients faced extreme delays in its new £48m emergency department and bed occupancy at Leicester Royal Infirmary was running at 97%. It has reached a record of 805 attendances in a single day. [10]

In October 2017 the trust had 500 nursing vacancies. More than half of the trust’s 440 nurses from EU countries had left. It was proposed to replace some registered nurse posts with a nursing associate. [11]

In January 2018 18% of patients needing admission from A&E had to wait more than four hours for a bed - an improvement in the Trust's performance against other NHS hospitals compared with previous years. [12] In November 2018 it was reported that the trust was having severe problems running the Intensive Care Unit at Leicester General Hospital because of problems with staff recruitment and retention. It proposed to move the unit to an 11 bed extension at Glenfield Hospital and open a six bed ICU annex at Leicester Royal Infirmary. [13]

A number of cancer patients had surgery cancelled due to lack of intensive care beds. Dr Moira Fraser-Pearce of Macmillan Cancer Support said, “It is unacceptable that some people living with cancer are experiencing last-minute cancellations for surgery for nonclinical reasons. These people will have prepared both practically and emotionally for their operation, and this news will cause additional stress and upset at an already difficult time. We worry that these cancellations in Leicester are just one example of similar challenges faced by NHS trusts across the country, and symptomatic of a system which is underfunded and understaffed. This must not become the ‘new normal’.” [14]

Criticism

Staff were banned from drinking tea or coffee in outpatient clinic reception areas in October 2014 by Michelle Scowen, matron for clinical support and imaging because it gave the wrong impression to staff and the public that clinic staff were not working as hard as they might be. [15]

Related Research Articles

<span class="mw-page-title-main">Glenfield Hospital</span> Hospital in England

Glenfield Hospital, formally known as Glenfield General Hospital, is situated near Glenfield, on the outskirts of Leicester. It is one of England's main hospitals for coronary care and respiratory diseases. It is a tertiary referral university teaching hospital, with a strong international reputation for medical research in cardiac and respiratory health. It is managed by the University Hospitals of Leicester NHS Trust.

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.

<span class="mw-page-title-main">Countess of Chester Hospital</span> Hospital in England

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<span class="mw-page-title-main">Leicester Royal Infirmary</span> Hospital in England

The Leicester Royal Infirmary (LRI) is a National Health Service hospital in Leicester, England. It is located to the south-west of the city centre. It has an accident and emergency department and is managed by of the University Hospitals of Leicester NHS Trust.

<span class="mw-page-title-main">University Hospitals Birmingham NHS Foundation Trust</span> NHS hospital trust

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<span class="mw-page-title-main">Southmead Hospital</span> Hospital in Bristol, England

Southmead Hospital is a large public National Health Service hospital, situated in the area of Southmead, though in Horfield ward, in the northern suburbs of Bristol, England. It is part of the North Bristol NHS Trust. The 800-bed Brunel Building opened in May 2014, to provide services, which transferred from Frenchay Hospital in advance of its closure. The hospital site covers 60 acres (24 ha).

<span class="mw-page-title-main">Weston General Hospital</span> NHS district hospital

Weston General Hospital is an NHS district general hospital in the town of Weston-super-Mare, Somerset, England, operated by University Hospitals Bristol and Weston NHS Foundation Trust. As of June 2019, the hospital had 261 beds and around 1,800 clinical and non-clinical staff. It has a part-time Accident & Emergency department, an intensive care unit, an oncology and haematology day unit, and a day case unit. The hospital also has a 12-bed private unit, The Waterside Suite, wholly owned by the hospital trust, with profits being re-invested into the main hospital.

<span class="mw-page-title-main">Aberdeen Royal Infirmary</span> Hospital in Aberdeen, Scotland

Aberdeen Royal Infirmary is the largest hospital in the Grampian area, located on the Foresterhill site in Aberdeen, Scotland. ARI is a teaching hospital with around 900 inpatient beds, offering tertiary care for a population of over 600,000 across the north of Scotland. It offers all medical specialities with the exception of heart and liver transplants. It is managed by NHS Grampian.

<span class="mw-page-title-main">Croydon University Hospital</span> Hospital in London, England

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<span class="mw-page-title-main">Leicester General Hospital</span> Hospital in England

Leicester General Hospital (LGH) is a National Health Service hospital located in the suburb of Evington, about three miles east of Leicester City Centre, and is a part of University Hospitals of Leicester NHS Trust. It has approximately 430 beds. The hospital is the largest employer in the area.

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<span class="mw-page-title-main">Bed management in England</span>

Bed management is the allocation and provision of beds, especially in a hospital where beds in specialist wards are a scarce resource. The "bed" in this context represents not simply a place for the patient to sleep, but the services that go with being cared for by the medical facility: admission processing, physician time, nursing care, necessary diagnostic work, appropriate treatment, food, cleaning and so forth.

NHS targets are performance measures used by NHS England, NHS Scotland, NHS Wales, and the Health and Social Care service in Northern Ireland. These vary by country but assess the performance of each health service against measures such as 4 hour waiting times in Accident and Emergency departments, weeks to receive an appointment and/or treatment, and performance in specific departments such as oncology.

<span class="mw-page-title-main">East Lancashire Hospitals NHS Trust</span> NHS hospital trust

East Lancashire Hospitals NHS Trust is an NHS hospital trust in Lancashire, England. It was established on 1 September 2002, as the result of a locally controversial, cost saving merger of Blackburn Hyndburn & Ribble Valley NHS Trust and Burnley Health Care NHS Trust, first announced in September 1999.

<span class="mw-page-title-main">Central Manchester University Hospitals NHS Foundation Trust</span>

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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.

The University Hospitals of North Midlands NHS Trust was created on 1 November 2014. It runs Royal Stoke University Hospital, formerly run by the University Hospital of North Staffordshire NHS Trust and the County Hospital. It was formed after the dissolution of Mid Staffordshire NHS Foundation Trust. The trust is currently under the leadership of chair David Wakefield and chief executive Tracy Bullock.

The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.

<span class="mw-page-title-main">Private healthcare in the United Kingdom</span>

Private healthcare in the UK, where universal state-funded healthcare is provided by the National Health Service, is a niche market.

Healthcare in Leicestershire was the responsibility of three clinical commissioning groups covering West Leicestershire, Leicester City and East Leicestershire and Rutland until July 2022. As far as the NHS is concerned Rutland is generally treated as part of Leicestershire.

References

  1. ↑ Rudd, Bramwell G. (2015). "Leicester General Hospital – From Poor Law to High Technology Specialist Hospital". Evington Echo. Retrieved 13 August 2017.
  2. ↑ "Teaching trust creates subsidiary to turn around 'unsustainable' facilities services". Health Service Journal. 21 March 2018. Retrieved 13 May 2018.
  3. ↑ "Who we are". Leicester Hospitals Charity. Retrieved 27 May 2023.
  4. ↑ "Our Journey| My Site". Heart Link. Retrieved 27 May 2023.
  5. ↑ "About - KeepTheBeat • Giving hope to children with poorly hearts". Keepthebeat. Retrieved 27 May 2023.
  6. ↑ "NHS Trusts put in risk categories - full list". Independent. 24 October 2013. Archived from the original on 2 November 2013. Retrieved 9 November 2013.
  7. ↑ "More than a third of trusts predict year-end deficit". Local Government Chronicle. 13 March 2014. Retrieved 16 March 2014.
  8. ↑ "Hit or miss: Lessons from the best and worst A&E performers". Health Service Journal. 13 April 2015. Retrieved 4 May 2015.
  9. ↑ "Emergency department 'inadequate, chaotic and compromised safety'". Health Service Journal. 7 April 2016. Retrieved 19 June 2016.
  10. ↑ "Critical incident declared by major acute trust". Health Service Journal. 1 June 2017. Retrieved 5 July 2017.
  11. ↑ "Chief executive admits trust will fail to fill hundreds of nurse vacancies". Health Service Journal. 4 October 2017. Retrieved 23 December 2017.
  12. ↑ Meek, James (5 April 2018). "NHS SOS". Vol. 40, no. 7. London Review of Books. Retrieved 31 March 2018.
  13. ↑ "ICU to shut amid safety and workforce fears". Health Service Journal. 14 November 2018. Retrieved 19 December 2018.
  14. ↑ NHS bed shortages cause late cancellation of cancer surgeries The Guardian
  15. ↑ "NHS staff banned from drinking tea or coffee on the job because it looks like they're not working hard enough". Independent. 20 October 2014. Archived from the original on 20 October 2014. Retrieved 21 October 2014.
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