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West Hertfordshire Teaching Hospitals NHS Trust

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West Hertfordshire Teaching Hospitals NHS Trust runs three National Health Services hospitals: Watford General Hospital, St Albans City Hospital and Hemel Hempstead Hospital, in Hertfordshire, England. It provides "acute healthcare services to a core catchment population of approximately half a million people living in west Hertfordshire and the surrounding area".[3] The Trust also "serves people living in North London, Bedfordshire, Buckinghamshire and East Hertfordshire".[3]

West Hertfordshire Teaching Hospitals NHS Trust
TypeNHS trust
Established23 March 2000
HeadquartersWatford, Hertfordshire, England[1]
Hospitals
Staff4,951 (2018/19)[2]
Websitewww.westhertshospitals.nhs.uk Edit this at Wikidata

The trust is part of the East of England Local Education and Training Board, and has students from UCL Medical School.[4]

In July 2016 Katie Fisher from the Royal Free London NHS Foundation Trust took over as Chief Executive.[5] She left in March 2018.[6]

History

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The trust was established on 23 March 2000, and became operational on 1 April 2000.[7]

The COVID-19 pandemic stimulated the development of virtual wards across the British NHS. Patients are managed at home, monitoring their own oxygen levels using an oxygen saturation probe if necessary and supported by telephone. The trust managed around 1200 patients at home between March and June 2020 and planned to continue the system after COVID-19, initially for respiratory patients.[8]

Finance

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It has wrestled with the financial difficulties of running on several sites for many years.[9] In June 2012 it was proposed to develop a local general hospital on the Hemel Hempstead Hospital site.[10] In January 2015 the trust was operating with a deficit of £16.3 million - at that point in the year £4.3 million worse than planned, but with expectation of hitting its budgeted deficit target of £14 million. A loan for £11.1 million towards the trust's capital costs has been approved by the Department of Health; a request for another £22.7 million of temporary borrowing was at that point still being considered.[11] In February 2016 it was expecting a deficit of £37.2 million for the year 2015/6.[12]

The trust is expecting about £400 million capital funding from the government's new infrastructure fund for the rebuilding of Watford General Hospital, which will come with a 3.5% yearly interest charge.[13]

Criticism and praise

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Former Chief Executive Samantha Jones was named by the Health Service Journal (HSJ) as Chief Executive of the Year in November 2014.[14] The Trust's daily Onion patient safety meeting, "an initiative aimed at improving patient care and empowering hospital staff to raise concerns about the quality of care provided",[15] was also Highly Commended in the 2014 HSJ Awards[16] The Onion's name refers to "the scheme ‘peeling back the layers’ within its hospitals".[15]

Performance

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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.[17] The mortality rate subsequently fell by a quarter, an improvement credited to issues raised and dealt with at Onion meetings.[15]

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.[18]

It was put into special measures In September 2015 after the Care Quality Commission rated its services as “inadequate”. The inspectors found A&E patients at Watford General facing long delays before they were examined by a doctor where unqualified staff assessed A&E arrivals, and there was a dangerous lack of nurses. The problems were attributed to understaffing over a long period and excessive use of agency and locum staff.[19] It moved out of special measures in January 2018 following a CQC inspection where it was rated as 'Requires improvement'.[20][21]

It spent 9.7% of its total turnover on agency staff in 2014/5.[22]

Because it failed to meet the NHS targets for elective treatment - 92 patients had waited more than a year in October 1918 - the Herts Valley Clinical Commissioning Group decided to fine the trust £500,000 a month until its performance reaches the national target of 92%. The money will be spent on private and specialist providers. The trust expects at least a £53 million deficit for 2018–19.[23]

Maternity

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Following a Care Quality Commission inspection in April 2015 the Trust decided to suspend the private obstetric service at Watford General Hospital. This affected 27 mothers due to give birth after May 1.[24]

See also

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References

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  1. ^ "Contacting West Hertfordshire Hospitals NHS Trust". West Hertfordshire Hospital NHS Trust. Retrieved 13 January 2020.
  2. ^ "Annual Report 2018/19" (PDF). West Hertfordshire Hospitals NHS Trust. Retrieved 13 January 2020.
  3. ^ a b "West Hertfordshire Hospitals NHS Trust: About the Trust". Westhertshospitals.nhs.uk. Retrieved 2 April 2018.
  4. ^ "The District General Hospitals". UCL Medical School.
  5. ^ "London Eye: Chain-gang". Health Service Journal. 8 July 2016. Retrieved 31 July 2016.
  6. ^ "Trust Chief Executive leaves to join health charity".
  7. ^ "The West Hertfordshire Hospitals National Health Service Trust (Establishment) Order 2000". legislation.gov.uk. Retrieved 13 January 2020.
  8. ^ "The "virtual wards" supporting patients with covid-19 in the community". BMJ. 2020 (369): m2119. 5 June 2020. Retrieved 24 December 2020.
  9. ^ "Herts consultation labelled a 'sham'". Health Service Journal. 1 January 2007. Retrieved 3 November 2013.
  10. ^ "Business case for new hospital in Hemel". Health Service Journal. 21 June 2012. Retrieved 3 November 2013.
  11. ^ "West Hertfordshire Hospitals NHS Trust is worse in debt than planned". Watford Observer. 15 March 2015. Retrieved 23 March 2015.
  12. ^ "One in four trusts plunge deeper into the red". Health Service Journal. 25 February 2016. Retrieved 22 March 2016.
  13. ^ "Trusts in line for new hospitals will face extra charges". Health Service Journal. 27 November 2019. Retrieved 11 January 2020.
  14. ^ "HSJ Awards 2014: Chief Executive of the Year". Health Service Journal. 22 November 2014. Retrieved 14 December 2014.
  15. ^ a b c "Hospitals boss wins 'Oscar of the NHS world' - Hemel Gazette". Hemeltoday.co.uk. 21 November 2014. Retrieved 2 April 2018.
  16. ^ 2014-11-22T08:00:00+00:00 (22 November 2014). "HSJ Awards 2014: Patient Safety | Supplements | Health Service Journal". Hsj.co.uk. Retrieved 2 April 2018.{{cite web}}: CS1 maint: numeric names: authors list (link)
  17. ^ "Dr Foster identifies 13 trusts with high mortality ratios". Health Service Journal. 6 December 2013. Retrieved 7 December 2013.
  18. ^ "26 trusts responsible for half of national A&E target breach". Health Service Journal. 1 April 2015. Retrieved 3 May 2015.
  19. ^ "NHS hospital trust put in special measures over serious care failings". Watford Observer. 10 September 2015. Retrieved 18 September 2015.
  20. ^ "West Hertfordshire Hospitals NHS Trust". Care Quality Commission. 10 January 2018.
  21. ^ "Sustained improvements mean hospital trust has moved out of special measures". 10 January 2018.
  22. ^ "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
  23. ^ "Struggling trust faces £5m hit as CCG looks to private providers". Health Service Journal. 21 November 2018. Retrieved 25 December 2018.
  24. ^ "'Anxious, devastated and disgusted' - births at private maternity unit suspended". Borehamwood Times. 22 April 2015. Retrieved 28 April 2015.
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