Royal National Orthopaedic Hospital NHS Trust

Front of Medway Maritime Hospital

'Fantasy' trust debts overtake PFI liabilities

A steep increase in emergency bailouts means NHS trusts’ total borrowing from the Department of Health and Social Care has overtaken their PFI liabilities.

Patient-Safety-Awards 3

HSJ Patient Safety Awards 2018: Cancer Care

Winner Belfast Health and Social Care Trust: Improving the safety of chemotherapy prescribing through implementation of a standardised electronic assessment proforma

Patient-Safety-Awards 3

HSJ Patient Safety Awards 2018: Perioperative and Surgical Care

Winner St James’s University Hospital, The Leeds Teaching Hospitals Trust: NELA – improving care for emergency laparotomy patients

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Long waits soar as hospitals struggle to admit

Over one year waiters shot up by 20 per cent, as admission rates slumped in the face of record A&E pressures.

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Dame Julie Moore dismisses further hospital takeover

Dame Julie Moore has dismissed suggestions of another takeover of a neighbouring trust but says the boundaries between acute providers are “blurring” across Birmingham and Solihull.

Royal Free London NHS Foundation Trust

Hospital chain trust expects nearly £100m deficit

The founder trust of a hospital group has declared its “underlying deficit” is likely to be more than £95m this financial year.

Rob findlay

Shocking deterioration in RTT waiting times

Elective RTT waiting times shot up by over a week in December, in the fastest monthly increase since 2010, notes Rob Findlay

rob findlay

Waiting times steady despite slowdown in admissions

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.

Andy Cowper

Cowper’s Cut: The fear, the network and the path

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

Royal Orthopaedic Hospital

Children potentially exposed to severe harm after waiting list blowout

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.

Royal Orthopaedic Hospital

Troubled specialist trust to lose paediatric surgery service

Birmingham’s specialist orthopaedic hospital will stop providing paediatric surgery after an external review recommended moving the service to a bigger site.

Tim Briggs

Exclusive: 'No way' NHS should ask for extra funding before tackling waste

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.

Royal Orthopaedic Hospital

STP director appointed to lead trust's turnaround

A sustainability and transformation partnership has intervened in a specialist trust’s sharply deteriorating RTT performance, appointing an outside executive to lead the recovery.

Clifford Mann

Exclusive: Former royal college president to lead national A&E review

Two leading names in emergency medicine are to head a major project aimed at improving efficiency in accident and emergency departments across the country.

Great Ormond Street

Private income up £20m at London specialist trusts

The capital’s specialist trusts have seen significant increases in their private income over the past year.

Hospital room

The best and worst performing trusts on patient experience

Five NHS trusts have been identified by the Care Quality Commission as having significantly poor overall patient experience scores.

Tim Briggs

NHSI director to review 140 trusts' progress on cutting variation

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.

woman with a cold

Hospital trust tops sickness absence table for fourth year in a row

A hospital trust has topped the staff sickness absence rate table for the fourth year in a row, HSJ analysis reveals.

Imperial College Healthcare NHS Trust

Five trusts responsible for over half of year-plus waiters

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.

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Analysis: Over 100 trusts report rise in E coli infections in a year

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.

Ben clover expert briefing

London Eye: Missing data causes harm to patients in south London

Essential insight into England’s biggest health economy, by Ben Clover

meeting

Revealed: Trusts with the best and worst manager engagement

NHS staff feel senior managers do not involve them enough in decision making, according to the latest staff survey results, released this morning.

HSJ Value In Healthcare Awards

HSJ Value in Healthcare Awards shortlist revealed

The organisations in the running to win one of the HSJ Value in Healthcare Awards 2017 at have been revealed.

hospital operation

New tariff would mean revenue cuts for specialist providers

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.

Ben clover expert briefing

London Eye: An unlikely story

Essential insight into England’s biggest health economy, by Ben Clover

The Christie

Revealed: New oversight ratings for every NHS trust

Regulators have published proposed new ratings for every NHS trust that reflect the seriousness of the problems they face.

Hinchingbrooke

Exclusive: Regulator's list reveals trusts slated for takeover or franchise

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.

Xray

Orthopaedic specialist promises to hit RTT target by September

PERFORMANCE: The Royal National Orthopaedic Hospital Trust has made an agreement with NHS England to return to hitting waiting times targets by September.

Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham FT

Revealed: First digital maturity index scores in full

This is a full list of trusts’ scores on the new digital maturity index, based on HSJ analysis of NHS England data.

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Specialist care vanguard may design new 'experimental tariffs'

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.

Surgery

Elective performance declines as national waiting list balloons

The total waiting list for patients awaiting elective treatment has ballooned to its highest level in seven years.

Tim Briggs

Specialist hospitals leading the way in innovation

Meet the financial challenge facing NHS

Tim Briggs

Carter review: Top surgeon to tackle clinical and cost variation

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 GP letters

Special report: How technology is giving letters a new take

Dictation and document management technology can reduce the paper burden

Surgeons

Private providers could take big hit from NHS price changes

Private hospitals could see a steep cut in their income from NHS funded services under draft prices proposed for 2016-17, Monitor has warned.

Boris Johnson

London's devolution demands revealed

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.

The Royal Orthopaedic Hospital Foundation Trust

Best Places to Work 2015 – Acute Specialist Trusts

Royal National Orthopaedic Hospital Trust

Best Places to Work 2015 – Acute Specialist Trusts

Royal Free London NHS Foundation Trust

Royal Free considers joint venture with specialist trust

STRUCTURE: The Royal Free London Foundation Trust is considering a joint venture with a specialist orthopaedic hospital trust.

Richmond house

Exclusive: DH concedes last minute U-turn over axing specialist hospital cash

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.

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Specialist West Midlands trust plans for 'unprecedented' deficit

FINANCE: The Royal Orthopaedic Hospital Foundation Trust is planning for a financial deficit for the first time in its history.

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Trusts ‘unanimously’ reject NHS England's reduced specialist funding offer

London teaching hospitals have turned down an offer from NHS England to pay just a quarter of their previous allocation for highly specialist treatments.

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Orthopaedic trust set to complete major upgrade of site and services

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.

Waiting room

'Perfect storm' tips Walsall trust into the red

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.

Blackpool Victoria Hospital

Hospital inspections in marginal seats could swing general election

Hospital inspections could play a role in deciding the outcome of next year’s general election, according to analysis shared exclusively with HSJ.

Hospital staff

HSJ reveals the top healthcare employers

Four clinical commissioning groups are among the top 10 Best Places to Work in healthcare

Royal National Orthopaedic Hospital Trust

Best Places to Work 2014 – acute trust

The Royal Orthopaedic Hospital Foundation Trust

Best Places to Work 2014 – acute trust

Tim Briggs

Arm the NHS to better serve injured veterans

Armed forces personnel often find the service fails to meet their needs

Tim Briggs

MSK procurement model could 'destabilise' local health economies

Clinical commissioning groups that commission elective and trauma musculoskeletal services separately risk destabilising their local health economies, the British Orthopaedic Association has warned.

Money

Uncertain future for Project Diamond funding

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.

Tim Briggs

Specialist hospitals fear NHS England centralisation plans

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.

Les Lawrence

Heart of England appoints new chair

WORKFORCE: Heart of England Foundation Trust has appointed a new chairman.

Nursing student

HSJ Live 22.04.2014: Nurse training review gets under way in the east

Major review of nurse training and education in the East of England launched, and the rest of today’s news and comment.

Norman Lamb

HSJ Live 28.03.2014: Involve providers in 'better care fund' talks, ministers say

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

HSJ Top chief executives

HSJ celebrates the NHS's outstanding chief executives

A week championing leadership at the NHS provider organisations

New chair at Coventry and Warwickshire

WORKFORCE: A new chair has been appointed at University Hospitals Coventry and Warwickshire Trust, the NHS Trust Development Authority has confirmed.

Record breaking rise in English waiting list

The English waiting list got much bigger again in April. There will be trouble.

Sharp increase in English waiting list

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 race towards zero

One year waits continue to fall sharply. 18 week waits, and the waiting list overall, are steady. Orthopaedic long-waits are deteriorating.

Royal Orthopaedic Hospital appoints new chair

WORKFORCE: The Royal Orthopaedic Hospital has appointed Bryan Jackson as its chair.

RNOH plans to do 80 per cent specialist work

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.

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Orthopaedic hospital PFI a step closer after affordable housing rollback

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.

Trust hires PR firm to 'manage negative coverage' of its planned PFI

COMMERCIAL: The Royal National Orthopaedic Hospital has hired a PR firm to “manage negative coverage” of its proposed private finance initiative rebuild.

NHS holds the line on 18 weeks

Small improvements meant new record-bests for long-waiters in November.

NHS Gooroo Rob FIndlay

Orthopaedics scrapes inside waiting target for first time

Long waits are down again, but the total number waiting is a bit higher than usual. This will become worrying, if it carries on.

Royal National Orthopaedic Hospital achieves waiting time targets

PERFORMANCE: The Royal National Orthopaedic Hospital Trust has achieved its 18-week referral to treatment times targets for July and August.

Royal National Orthopaedic Hospital Trust behind on savings

FINANCE: The Royal National Orthopaedic Hospital Trust

Royal National Orthopaedic Hospital spends £2.5m on 'external clinical support'

FINANCE: The Royal National Orthopeadic Hospital Trust is spending £2.5m on “clinical support services provided by other organisations”.

Royal National Orthopaedic Hospital offers new national blood cancer service

CLINICAL RESEARCH: The Royal National Orthopaedic Hospital Trust has launched the new service to patients suffering from a blood cancer that affects the spine.

ROH overspends on agency staff amid vacancies and high sickness rate

WORKFORCE: The Royal Orthopaedic Trust’s spend on agency staffing for month three was over plan on agency staffing and medical locums.

ROH spinal income falls 22 per cent short in quarter one

FINANCE: The Royal Orthopaedic Hospital Foundation Trust has seen a 22 per cent shortfall in spinal activity in the first quarter of 2012-13.

Orthopaedic FT hits Monitor performance targets

PERFORMANCE: The Royal Orthopaedic Hospital Foundation Trust hit all Monitor’s compliance targets in quarter one of 2012-13.

Barnet and Chase Farm

Analysed: the future of Barnet and Chase Farm Hospitals Trust

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.

Royal National Orthopaedic Hospital breaches infection target for the year

PERFORMANCE: The north London specialist trust has recorded three cases of clostridium difficile for the year so far, equivalent to its full-year limit.

Report condemns trust's use of information and technology

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.

Royal Orthopaedic FT misses Q4 surplus target

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.

ROH finances 'embarrassingly good', says new CEO

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”.

ROH CQUINs worth over £600,000 at risk

FINANCE: The Royal Orthopaedic Hospital Foundation Trust identified an increased risk in achieving Commissioning for Quality and Innovation requirements for 2012-13.

Spire to manage trust's private patient unit

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.

Royal National Orthopaedic Trust 'significantly under-performed' on private patient income

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.

Royal National Orthopaedic Trust wants £5.2m loan for 2012-13

FINANCE: The north London specialist hospital’s outline business plan anticipates applying for £5.2m in working capital loans in this financial year.

Money pay coins

CQUIN and CQC quality results don't match, report finds

Trusts are improving the patient experience in areas where they receive financial incentives while neglecting others, a study suggests.

London trusts club together to pursue Welsh claims

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.

Money

Revealed: the six trusts that need DH support with their PFI

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.

London trusts make 85 per cent of their CIPs at month four

FINANCE: London’s non-foundation trusts made 85 per cent of their savings targets at month four, £16.3m lower than planned.

HSJ news reporter Ben Clover

Circle-style deal for London specialist?

Most regions have a few smaller specialist trusts and London is no exception.

Super merger plans let down by £116m PFI shortfall

STRUCTURE: A planned merger that would create England’s largest NHS trust would require £116m of support in its first year.

Royal National Orthopaedic's fate discussed at private SHA meeting

STRUCUTURE: NHS London was yesterday due to consider the fate of the Royal National Orthopaedic Hospital Trust.

Exclusive: Fifth acute trust says it is considering private franchise management

Exclusive: fifth acute trust says it is considering private franchise management

A fifth hospital trust has said it will consider private franchise management.

Penny Venables

Worcestershire gains new chief exec

WORKFORCE: Penny Venables has been appointed to lead the Alexandra, Kidderminster and Worcestershire Royal Hospitals, replacing John Rostill who has retired.

Go reconfigure?

There was no “clever form of words” to spare the SoS’s blushes in the end.

Andrew Lansley

Government will act as guarantor on PFI

The government will continue to act as a guarantor for private finance initiative schemes, the health secretary has announced.

Decisions on the organisational form of seven London trusts due in September

STRUCTURE: Seven London acute trusts are due to have decisions made about their future organisational form in September, an NHS London planning document says.

Royal Orthopaedic passes CQC spot check

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.

Nicholson says region's FT pipeline risks going backwards

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”.

HSJ's Ben Clover

London trusts encouraged by delayed 'drop dead' date for FT status

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?

Royal National Orthopaedic Hospital Trust finished 2010-11 in deficit

FINANCE: NHS London papers reveal that the specialist organisation in north west London had ended the last financial year in deficit.

London's acute trusts achieving 82 per cent of their CIPs in Feb

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.

RNOH presses ahead with PFI project

FINANCE: The north London specialist trust has shortlisted three bidders for its proposed rebuild.

Confidential report sets out quality issues for every provider in the region

PERFORMANCE: A confidential report commissioned by NHS London has listed the strategic health authority’s quality concerns about the capital’s provider bodies.

Minister announces merger option for non-FT acute

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.

A pile of clocks

Acute trusts' FT plans slip back a year

More than a quarter of the acute trusts still bidding for foundation status have seen their application date slip by over a year.

Leading MPs fail to find anything positive in NHS reforms

Leading MPs fail to find anything positive in NHS reforms

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

Exclusive: Acute trust latest to consider private franchise management

Exclusive: hospital trust considers private franchise

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 stuggle to meet foundation status target

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”.

Ben Clover

Reconfiguration threatening to derail London service level agreements

No sooner were service level agreements more or less signed off by London acutes and commissioners, than reconfiguration issues reared their head.

Orthopaedic Hospital in deficit despite delivering savings plan

FINANCE: The north London specialist trust has a £1.8m deficit despite delivering £2.1m saving plan, according to February board papers.

£1m from private mental health underspend funding acute overspends at NHS Dudley

FINANCE: NHS Dudley is using a £1m underspend on its private sector mental health services to offset a £2.9m acute overspend.

Royal National Orthopaedic Hospital Trust has been cleared to proceed with £90m PFI rebuild

STRUCTURE: The north London specialist trust was given permission to place an advert for partners for the scheme by NHS London in December.

National cancer unit opens at Royal Orthopaedic Hospital

STRUCTURE: The Royal Orthopaedic Hospital Foundation Trust has opened a new £313,000 national cancer facility for patients aged 13 to 24.

Baroness Barbara Young

Care Quality Commission will 'do a number' on weakest NHS performers

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.