More than a third of critical care units in the East of England are either at or have exceeded their maximum surge capacity, information leaked to HSJ reveals, and all but one are above their normal capacity.
Nine English NHS trusts now have at least half their adult acute beds occupied by covid-positive patients, with admissions still growing in every case.
There are 14 hospital trusts on course to have at least a third of their beds filled by covid patients on New Year’s Eve.
Thirteen trusts are facing billions of pounds of maintenance — in some cases, making it more cost-effective to rebuild the hospital — over ‘significant safety issues’ stemming from outdated construction methods.
Norfolk and Waveney’s three acute providers have set up a 12-strong leadership group which will meet in private to determine the organisations’ service integration strategy.
A teaching hospital which had over a thousand staff shielding or working from home at the peak of the covid outbreak has made getting these employees safely back on site a top priority before winter, its chief executive has told HSJ.
Regulators have uncovered multiple examples of patients being put at risk when junior doctors are left with tasks they are not trained for, lacking support, and facing bullying and inappropriate behaviour.
NHS England has commissioned an investigation into the finances of a major acute trust, after concerns led to an accounting adjustment which added £46m to its deficit, HSJ has learned.
A major teaching trust should be released from special measures after almost two years in the regime, the Care Quality Commission has said.
Twenty-three trusts will share a £28m pot of technology funding as part of the first wave of “digital aspirant” providers, NHSX has announced.
The trusts which are likely to face the fiercest struggle to deliver quality care in the immediate future have been identified through an analysis carried out exclusively for HSJ.
Norfolk and Waveney commissioners have provided financial support to help two acute trusts agree control totals, in a deal they say shows progress in the challenged health economy.
NHS providers that owe the government a combined £10bn would see the debts converted into a form of investment that does not have to be repaid, under plans being discussed by national leaders.
A troubled mental health trust’s quality rating has been upgraded from “inadequate” to “requires improvement” but it remains in special measures, inspectors have announced.
Norfolk and Waveney’s five clinical commissioning groups will merge in April 2020 after NHS England and Improvement signed off the plan this month.
A senior clinician who led the development of plans for a major acute reconfiguration in Essex has been seconded to the Norfolk and Waveney Health and Care Partnership as its “independent medical director”, HSJ has learned.
A struggling district general hospital is in discussions with a local college to establish a “workforce academy” and school of nursing to address its workforce problems, its chief executive told HSJ.
Heavily-indebted NHS providers are bidding to restructure their loans with the Department of Health and Social Care, albeit with little prospect of them being written off.
Norfolk and Norwich University Hospitals Foundation Trust has appointed a new chief executive following Mark Davies announcing he would stand down earlier this year.
James Paget University Hospitals Foundation Trust has promoted deputy chief Anna Hills to the chief executive role on a permanent basis.
Queen Elizabeth Hospital King’s Lynn Foundation Trust will remain in special measures after Care Quality Commission inspectors said they found an “extremely concerning” lack of improvement.
Devon sustainability and transformation partnership has appointed an improvement director who was overseeing three troubled Norfolk trusts as its lead chief executive
A major teaching hospital has been issued with its second warning notice over the leadership and culture of its emergency department, despite inspectors upgrading the trust’s “inadequate” rating.
Norfolk and Waveney’s five clinical commissioning groups have appointed a joint chief officer and finance officer across the hugely challenged health economy.
Inadequate-rated Norfolk and Norwich University Hospitals Foundation Trust has appointed an experienced chair
NHS Improvement has authorised a tranche of financial support projects, ending a mini-drought in trusts tendering for management consultancy.
A breakdown by area of acute and combined trusts based on the share of employees experiencing violence from patients, relatives or the public in the last 12 months, according to the NHS staff survey 2018.
Below is a breakdown of acute and combined trusts by the share of staff saying they had witnessed potentially harmful errors, near misses or incidents in the last month, in the 2018 NHS staff survey.
Waiting time performance for major emergency admissions at one London trust has deteriorated by 29 percentage points in the last two years, HSJ can reveal.
The chair of an outstanding trust has been appointed to lead Norfolk and Suffolk Foundation Trust, which is in special measures.
Queen Elizabeth Hospital King’s Lynn Foundation Trust has appointed a senior Nottingham University Hospital Trust board member as its new chief executive.
A foundation trust which has dramatically improved care quality in recent years has been buddied with a troubled organisation 80 miles away.
The chief executive of a special measures trust has stepped down just weeks after its chair departed.
A trust in special measures has delayed a board discussion on plans to move cancer patients to a neighbouring hospital 40 miles away, amid patient safety concerns from senior clinicians.
Regional chiefs have identified Norfolk as a trouble spot this winter, with local ambulance handover delays described as a “major problem”, according to leaked meeting minutes obtained by HSJ.
East of England Ambulance Service Trust has lined up an interim chief executive following the resignation of Robert Morton last month, HSJ understands.
The chair of a trust recently put back into special measures has announced his resignation, adding “a change in board leadership” was needed to address the “significant cultural change” required for a turnaround.
Norfolk and Waveney sustainability and transformation partnership is drawing up plans for a major stroke reconfiguration which involves partnering with a neighbouring trauma centre, HSJ has learned.
A third of acute trusts routinely break the law by paying their suppliers late, HSJ can reveal.
A hospital has decided against rolling out emergency proposals discussed today to suspending cancer and urgent operations but it could postpone routine operations because of significant staff shortages.
A small rural trust has been put back in special measures after inspectors found a deterioration in quality since their last visit.
A steep increase in emergency bailouts means NHS trusts’ total borrowing from the Department of Health and Social Care has overtaken their PFI liabilities.
North Norfolk and South Norfolk clinical commissioning groups have appointed a new chief officer, the CCGs have announced.
Some prostate cancer patients are “pressurised into receiving treatment within 62 days” even where it is deemed unnecessary, according to evidence within a new report.
Norfolk and Norwich University Hospitals Foundation Trust has been placed in special measures after inspectors rated the trust and its leadership inadequate, having found a “bullying culture” and an “obvious deterioration” in services.
HSJ approached the 29 pathology networks proposed by NHS Improvement to ask if local trusts had signed up. In most cases the proposed “hub” trust was able to answer on behalf of its network.
Regulators withheld funding from a teaching hospital after it admitted only meeting its accident and emergency target “through the inclusion of the walk in centre performance [data]” from a facility it does not run, HSJ has learned.
NHS Improvement has accepted formal revisions to the financial forecasts of almost 60 NHS trusts, according to data published today.
Elective RTT waiting times shot up by over a week in December, in the fastest monthly increase since 2010, notes Rob Findlay
A financial turnaround project where management consultants are sent to work with NHS trusts has been shelved by NHS Improvement, HSJ has learned.
NHS trusts must reduce their combined monthly deficit to £107m to meet the official forecast figures in the second half of 2017-18, after recording a monthly deficit of almost £300m in the first half of the year.
More than a quarter of hospital trusts are now routinely delaying payments to their suppliers because of cash flow problems, analysis by HSJ reveals.
Five trusts have been identified as offering a poor overall experience to patients in their accident and emergency departments, based on a new Care Quality Commission patient survey.
Concerns have been raised by a teaching trust that consolidating its back office with two smaller local trusts may not deliver direct savings for the larger provider, HSJ has learned.
Commissioners in Norfolk are to vote on plans to set up a joint committee that would “ideally” broker “single contracts” for all five local clinical commissioning groups with all their major providers.
One of the council chiefs leading a sustainability and transformation partnership is to stand down and hand the role to a local NHS service leader.
Queen Elizabeth Hospital King’s Lynn Foundation Trust has appointed Jon Green, the executive chief operating office at nearby West Suffolk Foundation Trust, as its new chief executive.
Regulators have published proposed new ratings for every NHS trust that reflect the seriousness of the problems they face.
WORKFORCE: North Norfolk Clinical Commissioning Group chief officer Mark Taylor has resigned.
A new NHS England assessment of “digital maturity” across the NHS lays bare significant variation among providers, HSJ can reveal.
Documents released by the Department of Health show five foundation trusts where reconfiguration of services could be necessary.
STRUCTURE: Norfolk’s three hospital trusts and its community trust have signed a memorandum of understanding to try to ensure services in the county remain sustainable.
By using publicly available data, HSJ has been able to closely match the methodology used by Lord Carter to produce trusts’ headline “savings opportunity” figures. Here we list the least and most efficient trusts according to the headline measure, as well as data for all trusts.
Queen Elizabeth Hospital King’s Lynn Foundation Trust is planning a radical restructure after an independent review said it faced a £39m funding deficit by 2018-19.
The Department of Health obliged some of the most seriously troubled hospitals in the NHS to receive their bailouts in the form of ‘loans’ last year, DH figures show.
PERFORMANCE: Monitor has taken Queen Elizabeth Hospital King’s Lynn Foundation Trust out of special measures.
PERFORMANCE: The Care Quality Commission has recommended that Queen Elizabeth Hospital King’s Lynn Foundation Trust should come out of special measures.
WORKFORCE: The Queen Elizabeth Hospital King’s Lynn Foundation Trust has appointed Dorothy Hosein as its chief executive.
The special measures regime for struggling hospitals has the potential to demoralise staff and hamper efforts to fill much needed vacancies, according to a high profile troubleshooter tasked with putting one trust back on track.
PERFORMANCE: The Care Quality Commission has recommended that Queen Elizabeth Hospital King’s Lynn Foundation Trust remains in special measures.
Hospital trusts needed financial help last year to fend off legal threats from suppliers, update “obsolete” medical equipment and even keep electricity supplies flowing, according to a raft of pleas for bailouts seen by HSJ.
PERFORMANCE: Monitor is to send a contingency planning team to Queen Elizabeth Hospital King’s Lynn to develop options for securing sustainable patient services at the financially troubled foundation trust.
This week HSJ celebrates the launch of its list of the top 50 chief executives of NHS provider organisations, and the rest of today’s comment and news
More than a third of hospital trusts are predicting deficits at the end of this financial year, HSJ research has found.
The survey can bring the NHS into the 21st century
The Department of Health’s integrated care “pioneers” will be monitored centrally to check progress against their plans and could be stripped of their status if they lose their way, health minister Norman Lamb has said.
Queen Elizabeth King’s Lynn Foundation Trust posted a £1m larger than forecast deficit for August and continued to breach its four-hour accident and emergency target.
WORKFORCE Queen Elizabeth Hospital King’s Lynn Trust has made a raft of senior appointments, according to trust board papers.
Queen Elizabeth Hospital King’s Lynn Foundation Trust is to bring in “external support” to sort out financial and performance problems identified by regulators, Monitor has announced.
PERFORMANCE Queen Elizabeth Hospital King’s Lynn Trust is set to hear from the Care Quality Commission after underperformance in three areas led to the trust being reprimanded by regulators, according to board papers.
WORKFORCE: The NHS Trust Development Authority has rubberstamped the appointment of two interim non-executive directors at East of England Ambulance Service Trust.
PERFORMANCE Queen Elizabeth Hospital Kings Lynn Trust did not hit the accident and emergency four-hour waiting target in April and May, according to commissioners.
PERFORMANCE Queen Elizabeth Hospital King’s Lynn Foundation Trust recorded seven never events in the first three quarters of the 2012-13 financial year.
PERFORMANCE Four of the five mixed sex accommodation breaches reported in the Midlands and East in December 2012 were recorded by Queen Elizabeth Hospital King’s Lynn Trust.
PERFORMANCE NHS Norfolk & Waveney PCT cluster is “very concerned” about the high incidence of pressure ulcers across all its providers, according to board papers.
NHS Midlands and East has announced the successful bidders in a tender for pathology services across the East of England, as part of a long-awaited reconfiguration intended to cut the region’s lab bill by up to £29m.
Princess Alexandra Hospital Trust has recorded the lowest score yet by any organisation on the friends and family test, according to the latest data from the pilot of the fledging patient satisfaction survey.
A major shake-up in vascular services is planned for the East of England, with several hospitals set to lose work.
WORKFORCE: Appraisal rates at the Queen Elizabeth Hospital, King’s Lynn, need to undergo a “step change” if they are to meet the target of 90 per cent, the board heard.
WORKFORCE: Around 180 staff who live close to the Queen Elizabeth Hospital, King’s Lynn, are to lose parking permits under a new car parking strategy adopted by the trust.
COMMERCIAL: Property developers and a leading healthcare technology firm have joined forced to try and create a ‘medical quarter’ in Birmingham.
Two more foundations trusts have been placed in significant breach of their terms of authorisation, taking the total to 15 of the 78 acute trusts regulated by Monitor.
A recent league table of over 2,000 UK businesses ranked four NHS trusts as the highest performing organisations. NHS Sustainable Development Unit director David Pencheon explains why other trusts must aim to emulate this success.
WORKFORCE: The Queen Elizabeth Hospital King’s Lynn FT has appointed a new chief executive.
The number of foundation trusts with serious financial problems has doubled since the last quarter, new data shows.
PERFORMANCE: Managers at Queen Elizabeth Hospital King’s Lynn FT have apologised to a patient who was moved between nine different wards while being treated for a heart attack.
FINANCE: Norfolk primary care trust is predicting acute activity to be above plan by more than £10m by the end of the year, as “all major providers” are currently over performing.
WORKFORCE: The Queen Elizabeth Hospital FT’s chief executive will leave the trust in October, it has been announced.
There have been problems of late for acute providers in the East, with two of its foundation trusts in trouble with the Care Quality Commission and another being scrutinised by the strategic health authority.
STRUCTURE: Queen Elizabeth Hospital Birmingham is to host £20m national centre for research into treating trauma.
Monitor has confirmed two more trusts have achieved foundation status.
STRUCTURE: The Queen Elizabeth Hospital King’s Lynn has been authorised as a foundation trust.
An employment tribunal has ruled in favour of a south London cancer specialist who claimed he had been bullied and harassed after expressing concern over NHS cost-cutting measures.
Fewer than 40 per cent of acute and specialist trusts are achieving the required standards of stroke care.
A senior NHS cancer specialist was branded a trouble-making whistleblower and effectively sacked after alleging bad practices at a London hospital, he will claim.
Hospital trusts have improved their clinical coding, but a third are still overcharging commissioners by as much as 6 per cent, the latest audit results show.
NHS London has abolished its provider agency, which was established two years ago to lead its trusts in gaining foundation status.