PERFORMANCE: Troubled Barking, Havering and Redbridge University Hospitals Trust has published an improvement plan which includes attracting more senior accident and emergency staff by sharing rotas with neighbouring trusts.

The plan concedes that the trust’s “long-standing challenges” have led to “a reputation that does not encourage enough people to choose it as their place of work”.

It notes: “This is particularly the case for junior and senior medical roles within the trust, but also applies to nurses and some therapy roles.”

To make the job offer more appealing for potential candidates the trust will set up joint rotas with neighbouring trusts. The plan states: “We will aim to improve recruitment to A&E consultant posts by creating rotations with other trusts such as Barts Health, to make the posts more attractive, and will assess the feasibility of creating an academic post at BHRT.”

The trust also plans to work with community services in the area to improve frail elderly care and reduce admissions by using community services to assess patients who are currently being assessed from acute beds.

The plan notes that trainee doctors are critical of their experience at the trust. It states: “Doctors in training do not always have a positive experience, usually because of perceived high workloads, and a lack of consistent clinical supervision and training from senior medical staff- high turnover which negates the impact of recruitment. This is compounded by other local hospitals paying their staff inner London weighting which we are not able to provide because of our location.”

The trust is aiming to reduce its vacancies in consultant and middle grade posts to five in each. Currently there are 13 consultant vacancies and 18 middle grade.

The trust also plans to set up four training posts in A&E and acute medicine at Queen’s Hospital.