Elective RTT waiting times shot up by over a week in December, in the fastest monthly increase since 2010, notes Rob Findlay
Yet another large trust stopped reporting its referral to treatment data, which clouded the picture for the latest November figures and raised non-reported waiting lists to a new record.
Why does a safety-critical industry such as the NHS have the level of bullying and fear running through it at so many levels, asks Andy Cowper
Four children were potentially exposed to severe harm after delays in their treatment, as dozens have been on a surgery waiting list for more than a year.
Birmingham’s specialist orthopaedic hospital will stop providing paediatric surgery after an external review recommended moving the service to a bigger site.
The surgeon leading the national programme to reduce clinical variation in the NHS says there is “no way” he would ask for extra funding until the service improves efficiency and quality of care.
A sustainability and transformation partnership has intervened in a specialist trust’s sharply deteriorating RTT performance, appointing an outside executive to lead the recovery.
Two leading names in emergency medicine are to head a major project aimed at improving efficiency in accident and emergency departments across the country.
The capital’s specialist trusts have seen significant increases in their private income over the past year.
Five NHS trusts have been identified by the Care Quality Commission as having significantly poor overall patient experience scores.
The leading surgeon heading a national programme to reduce unwarranted variation in NHS care and save £1.5bn is to revisit more than 200 hospitals to assess trusts’ progress.
A hospital trust has topped the staff sickness absence rate table for the fourth year in a row, HSJ analysis reveals.
Data released today shows five trusts were responsible for more than half of all the patients waiting more than a year for elective treatment in England.
Almost 70 per cent of NHS trusts have seen a rise in E coli infections in the 12 months up to to January 2017, raising questions over their ability to meet the government’s target to cut rates by 50 per cent in three years.
Essential insight into England’s biggest health economy, by Ben Clover
NHS staff feel senior managers do not involve them enough in decision making, according to the latest staff survey results, released this morning.
The organisations in the running to win one of the HSJ Value in Healthcare Awards 2017 at have been revealed.
A number of specialist NHS trusts are “exceptionally concerned” about the two year payment tariff proposed by regulators, saying it would be “damaging” for patient care.
Regulators have published proposed new ratings for every NHS trust that reflect the seriousness of the problems they face.
Several NHS trusts which were slated by officials for takeover or management franchise are revealed in a list obtained by HSJ, which regulators sought to keep secret for 18 months.
PERFORMANCE: The Royal National Orthopaedic Hospital Trust has made an agreement with NHS England to return to hitting waiting times targets by September.
This is a full list of trusts’ scores on the new digital maturity index, based on HSJ analysis of NHS England data.
An alliance of specialist trusts could develop new “experimental tariffs” to encourage acute providers to improve or franchise their orthopaedics services as part of the Five Year Forward View’s new care models programme.
The total waiting list for patients awaiting elective treatment has ballooned to its highest level in seven years.
The government’s newly appointed quality tsar will work with Lord Carter’s team to drive out ‘unwanted variation’ in clinical practice across the NHS, it has announced.
Dictation and document management technology can reduce the paper burden
Private hospitals could see a steep cut in their income from NHS funded services under draft prices proposed for 2016-17, Monitor has warned.
Proposals to redesign London’s £93bn public services through wide ranging devolution from central government have been agreed by borough leaders and the city’s mayor.
STRUCTURE: The Royal Free London Foundation Trust is considering a joint venture with a specialist orthopaedic hospital trust.
The Department of Health has admitted it made a last minute reversal of its decision to stop providing “Project Diamond” funding for specialist hospitals in 2014-15, boosting the finances of up to 19 trusts.
FINANCE: The Royal Orthopaedic Hospital Foundation Trust is planning for a financial deficit for the first time in its history.
London teaching hospitals have turned down an offer from NHS England to pay just a quarter of their previous allocation for highly specialist treatments.
STRUCTURE: The Royal National Orthopaedic Hospital will complete an £11.7m investment by the end of the year bringing services including a new day case unit, electronic prescribing systems and CT and MRI scanners, its chief executive has promised.
Walsall Healthcare Trust has instigated an action plan to clear its ‘significant’ waiting list after being hit by a ‘perfect storm’ of IT problems and heightened demand that threatens to push it £9m into the red.
Hospital inspections could play a role in deciding the outcome of next year’s general election, according to analysis shared exclusively with HSJ.
Four clinical commissioning groups are among the top 10 Best Places to Work in healthcare
Armed forces personnel often find the service fails to meet their needs
Clinical commissioning groups that commission elective and trauma musculoskeletal services separately risk destabilising their local health economies, the British Orthopaedic Association has warned.
The future of funding for highly specialist treatments in various hospitals has been thrown into uncertainty after the Department of Health decided to stop providing a £62m budget that supplements it.
Specialist hospitals have urged NHS England to re-think its “one-size-fits-all” approach to centralising specialised acute services because it puts their independence at risk.
WORKFORCE: Heart of England Foundation Trust has appointed a new chairman.
Major review of nurse training and education in the East of England launched, and the rest of today’s news and comment.
Norman Lamb and communities minister Brandon Lewis have jointly written to health and wellbeing board chairs calling for more involvement of providers in plans for the better care fund, and the rest of today’s news and comment
Key feature in the new NHS landscape
A week championing leadership at the NHS provider organisations
WORKFORCE: A new chair has been appointed at University Hospitals Coventry and Warwickshire Trust, the NHS Trust Development Authority has confirmed.
The English waiting list got much bigger again in April. There will be trouble.
The number of patients waiting rose sharply in March, and is now higher than in recent years and may indicate waiting time pressures to come. But bed pressures over winter do not explain all the increase
One year waits continue to fall sharply. 18 week waits, and the waiting list overall, are steady. Orthopaedic long-waits are deteriorating.
WORKFORCE: The Royal Orthopaedic Hospital has appointed Bryan Jackson as its chair.
STRUCTURE: The Royal National Orthopaedic Hospital Trust is planning an 80/20 split of specialist and routine activity in the future, according to a commissioner strategy document.
A London trust’s private finance initiative rebuild has moved a step closer after it secured permission to sell off some of its land with a smaller proportion than usual earmarked for affordable housing.
COMMERCIAL: The Royal National Orthopaedic Hospital has hired a PR firm to “manage negative coverage” of its proposed private finance initiative rebuild.
Small improvements meant new record-bests for long-waiters in November.
Long waits are down again, but the total number waiting is a bit higher than usual. This will become worrying, if it carries on.
PERFORMANCE: The Royal National Orthopaedic Hospital Trust has achieved its 18-week referral to treatment times targets for July and August.
FINANCE: The Royal National Orthopaedic Hospital Trust
FINANCE: The Royal National Orthopeadic Hospital Trust is spending £2.5m on “clinical support services provided by other organisations”.
CLINICAL RESEARCH: The Royal National Orthopaedic Hospital Trust has launched the new service to patients suffering from a blood cancer that affects the spine.
WORKFORCE: The Royal Orthopaedic Trust’s spend on agency staffing for month three was over plan on agency staffing and medical locums.
FINANCE: The Royal Orthopaedic Hospital Foundation Trust has seen a 22 per cent shortfall in spinal activity in the first quarter of 2012-13.
PERFORMANCE: The Royal Orthopaedic Hospital Foundation Trust hit all Monitor’s compliance targets in quarter one of 2012-13.
HSJ Local Briefing is our new in-depth analysis of key issues facing some of the major NHS health economies. This week we examine the options for Barnet and Chase Farm Hospitals Trust as it seeks a merger partner.
PERFORMANCE: The north London specialist trust has recorded three cases of clostridium difficile for the year so far, equivalent to its full-year limit.
PERFORMANCE: An external report has found that the Royal Orthopaedic Hospital Foundation Trust has “no coherent vision” for information management and technology and is failing to use it to drive efficiencies.
FINANCE: The Royal Orthopaedic Hospital Foundation Trust fell well short of its quarter four surplus target, but still beat its planned total for 2011-12.
FINANCE: The Royal Orthopaedic Hospital Foundation Trust’s chief executive has warned his board against potential complacency after describing the trust’s finances as “almost embarrassingly good”.
FINANCE: The Royal Orthopaedic Hospital Foundation Trust identified an increased risk in achieving Commissioning for Quality and Innovation requirements for 2012-13.
COMMERCIAL: The private hospital chain Spire has secured a three-year deal to run the private patient unit at the Royal National Orthopaedic Hospital in north London.
COMMERCIAL: The north London specialist hospital said its private unit had “significantly under-performed” in 2011-12 and that is was “finalising” plans for the private management of the facility.
FINANCE: The north London specialist hospital’s outline business plan anticipates applying for £5.2m in working capital loans in this financial year.
Trusts are improving the patient experience in areas where they receive financial incentives while neglecting others, a study suggests.
FINANCE: Moorfields Eye Hospital, the Royal National Orthopaedic Hospital, Kingston and Barts are pursuing the Welsh Health Boards for unpaid bills, a board paper reveals.
Six hospital trusts have been identified as needing Department of Health cash support with their private finance initiative payments in order to make foundation trust status, HSJ can reveal.
FINANCE: London’s non-foundation trusts made 85 per cent of their savings targets at month four, £16.3m lower than planned.
Most regions have a few smaller specialist trusts and London is no exception.
STRUCTURE: A planned merger that would create England’s largest NHS trust would require £116m of support in its first year.
STRUCUTURE: NHS London was yesterday due to consider the fate of the Royal National Orthopaedic Hospital Trust.
A fifth hospital trust has said it will consider private franchise management.
WORKFORCE: Penny Venables has been appointed to lead the Alexandra, Kidderminster and Worcestershire Royal Hospitals, replacing John Rostill who has retired.
The government will continue to act as a guarantor for private finance initiative schemes, the health secretary has announced.
STRUCTURE: Seven London acute trusts are due to have decisions made about their future organisational form in September, an NHS London planning document says.
PERFORMANCE: The Care Quality Commission found the trust was meeting standards relating to dignity and nutrition during a spot check as part of a wider investigation into how older patients are treated.
STRUCTURE: Sir David Nicholson has written to the board of a strategic health authority saying “there is a real danger that by the end of 2011-12 many of these [trusts in the pipeline] will be a position where their ability to achieve FT by 2014 will have worsened”.
So what does the slackening off of the pressure behind the foundation trust pipeline mean for London, the most stubborn of regions in resisting an all-FT health service?
FINANCE: NHS London papers reveal that the specialist organisation in north west London had ended the last financial year in deficit.
FINANCE: A document submitted to NHS London’s delivery group in April itemises each trust against its savings target and found a capital-wide variance of £69m against plan - some trusts achieving less than half their target.
FINANCE: The north London specialist trust has shortlisted three bidders for its proposed rebuild.
PERFORMANCE: A confidential report commissioned by NHS London has listed the strategic health authority’s quality concerns about the capital’s provider bodies.
STRUCTURE: A merger or independent franchise are among the options for a hospital trust which has a private finance deal preventing it from achieving foundation status.
More than a quarter of the acute trusts still bidding for foundation status have seen their application date slip by over a year.
The chair of the influential Public Accounts Committee has said the cross-party group of MPs struggled to find anything positive in the government’s NHS reform plan
The Royal National Orthopaedic Hospital has become the third NHS trust to consider becoming privately managed after admitting it cannot achieve foundation status in the short term.
Exclusive: government admits PFI deals mean 22 trusts will struggle to meet foundation status target
The Department of Health has named 22 hospitals with private finance deals that are “an obstacle to them achieving FT status by April 2014”.
No sooner were service level agreements more or less signed off by London acutes and commissioners, than reconfiguration issues reared their head.
FINANCE: The north London specialist trust has a £1.8m deficit despite delivering £2.1m saving plan, according to February board papers.
FINANCE: NHS Dudley is using a £1m underspend on its private sector mental health services to offset a £2.9m acute overspend.
STRUCTURE: The north London specialist trust was given permission to place an advert for partners for the scheme by NHS London in December.
STRUCTURE: The Royal Orthopaedic Hospital Foundation Trust has opened a new £313,000 national cancer facility for patients aged 13 to 24.
The chair of the Care Quality Commission has pledged to get tough with NHS and social care organisations languishing in the bottom 10 per cent of performance tables.