Barking, Havering and Redbridge University Hospitals NHS Trust

Barking, Havering and Redbridge University Hospitals NHS Trust is an NHS trust which runs King George Hospital in Goodmayes and Queen's Hospital in Romford. It also operates clinics at a number of sites in the nearby area including Barking Hospital and Brentwood Community Hospital.[3]

Barking, Havering and Redbridge University Hospitals NHS Trust
TypeNHS trust
Established5 June 2000
HeadquartersRom Valley Way
Romford
RM7 0AG[1]
Hospitals
Staff7,374 (2019/20)[2]
Websitewww.bhrhospitals.nhs.uk

History

The trust was established as Barking, Havering and Redbridge Hospitals NHS Trust on 5 June 2000 and became operational on 1 April 2001. It took its current name on 1 February 2009.[4][5]

Facilities

It has a new Hyper Acute Stroke Unit, a regional centre for neurosurgery, one of the busiest cancer centres in London and one of the busiest maternity services delivering over 8,000 babies a year. The Trust has a strong infection control record, and slashed the number of MRSA and Clostridium difficile rates by more than 70% in recent years.

It had an oncology unit, run in partnership with Hospital Corporation of America, with 14 inpatient beds, six chemotherapy chairs and two consulting rooms established in 2011. The partnership was dissolved in March 2018.[6]

It is implementing System C's Medway patient administration system.[7]

Performance

In October 2013 it was placed in the highest risk category by the Care Quality Commission.[8] In December 2013 it was reported that the trust had paid out more than £23 million for negligence claims in maternity in five years.[9] The CQC report said that while the trust was working hard to make improvements in many areas, it still provided "unsafe care" in A&E and "needs to urgently focus" on resolving these issues because "The A&E departments are at times unsafe because of the lack of full-time consultants and middle-grade doctors." It was placed in special measures on 18 December 2013.[10]

In December 2013 it was placed in special measures by the Care Quality Commission. Inspectors returned to the Trust in March 2015 and highlighted improvement in some areas. The Trust remained in special measures with ongoing challenges around governance and performance. The Trust was re-inspected in October 2016 and came out of special measures in March 2017 - the first Trust in London to do so.[11]

In March 2014 The Trust was forecasting a deficit of £38 million for 2013-4 and a similar figure for 2014-5.[12] In September 2014 the trust revealed a huge, previously unreported waiting list of more than 90,000 patients, 61,143 of which had been waiting past the national 18 week limit.[13] In February 2016 1,015 patients had been waiting more than a year for elective treatment - more than those waiting in the rest of England.[14]

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.[15] Its performance against the 4-hour standard improved dramatically during 2015-16. While the Trust had been among the worst performers in the country at one point, it became one of the best in London. It hosted a conference in 2015, giving other struggling trusts an insight into the work which had taken place to turn performance around. However, the improvement was short-lived. It spent 10.6% of its total turnover on agency staff in 2014/5.[16] In December 2019 it was the third worst performing trust in England, with only 44.6% seen within 4 hours.[17]

The Trust was one of five to benefit from a five-year, £12.5m programme announced by Jeremy Hunt in July 2015 to bring in Virginia Mason Medical Center to assist English hospitals using their clinical engagement and culture tools including the Patient Safety Alert System and electronic dashboard. Hunt said: “The achievements at Virginia Mason over the past decade are truly inspirational and I’m delighted they will now help NHS staff to learn the lessons that made their hospital one of the safest in the world – patients will see real benefits as a result.” [18]

In June 2015 Leigh Day & Co co-ordinated group litigation involving 17 separate families based on the trust’s alleged “failure to take reasonable care to ensure that there was a safe system of healthcare provided at [Queen’s Hospital]”. This included failure to provide sufficient numbers of suitably trained nursing staff and failure to supervise those staff and to ensure adequate records.[19]

In October 2017 it needed a £15 million emergency loan from the Department of Health when external suppliers began threatening legal action over unpaid bills. In 2016-17 it reported that only 25% of non-NHS invoices were paid within 3 months, compared to 59% the previous year. The target is 95%.[20]

As a result of this, the Trust was ultimately placed in Special Measures for Finance, with an increasing deficit significantly above that predicted at the start of the financial year. In September 2018 it was looking for a loan of £100 million from the Department of Health and Social Care which would attract an interest rate of 6% to support an expected in year deficit plan of £53, although in the first four months of 2018, it reported an average monthly deficit of £6 million.[21]

It featured prominently in a report by the Health Service Journal in 2020 on NHS trusts under “enhanced monitoring” by the General Medical Council, because of concerns from junior doctors. Reports included consultants leaving junior doctors with insufficient support. [22]

Management

In the last few years there have been frequent changes to the hospital's Board members. In November 2017, some of the consultant medical staff expressed their lack of confidence in the current leadership, including the former medical director Dr Moghal. A meeting of the senior medical staff committee demanded significant changes to the culture in the organisation. The Chief Executive responded by stating he would start meeting consultants on a quarterly basis. In July 2018 Matthew Hopkins, Chief Executive left the Trust, being replaced by Chris Bown on an interim basis. However, an external report by Deloitte heavily criticised the consultant body and the senior medical staff committee and highlighted that non-medical staff attributed the poor culture to senior doctors.

An interim Chief Executive was appointed to replace the outgoing CEO in July 2018. Although his salary has not been made public, his last interim NHS CEO salary was around £300,000, paid through a limited company.

  • Chair Joe Fielder [23] became Trust chair in November 2017.

Overseas patients

A check on 1,021 women attending maternity at Queen’s hospital in 2017 found that 11 were not entitled to free NHS treatment and each was billed £6,500.[24] The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £2.3 million in 2018-9, but only collected £0.6 million.[25]

See also

References
  1. "Contact details". Care Quality Commission. Retrieved 28 October 2019.
  2. "Annual Report and Accounts 2019 / 20". Barking, Havering and Redbridge University Hospitals NHS Trust. Retrieved 13 July 2020.
  3. "Our Health Centres". Archived from the original on 21 February 2011. Retrieved 10 March 2011.
  4. "The Barking, Havering and Redbridge Hospitals National Health Service Trust (Establishment) Order 2000". legislation.gov.uk. Retrieved 19 November 2019.
  5. "The Barking, Havering and Redbridge Hospitals National Health Service Trust (Establishment) Amendment Order 2009". legislation.gov.uk. Retrieved 19 November 2019.
  6. "Private provider and NHS trust end cancer partnership". Health Service Journal. 9 March 2018. Retrieved 10 May 2018.
  7. "CQC finds patient records in 'unlocked room' at NHS trust". Health IT Central. 10 March 2017. Retrieved 23 April 2017.
  8. "North West London Hospitals NHS Trust identified as 'high risk' for patients". Brent and Kilburn Times. 24 October 2013. Retrieved 4 November 2013.
  9. "Baby-in-cupboard hospital pays out £23m for maternity blunders". London Evening Standard. 4 December 2013. Retrieved 4 December 2013.
  10. "Barking, Havering and Redbridge University Hospitals NHS Trust placed in special measures". Independent. 18 December 2013. Retrieved 18 December 2013.
  11. Care Quality Commission (CQC) (7 March 2017). "Barking Havering and Redbridge NHS Trust out of special measures | Care Quality Commission". www.cqc.org.uk. Care Quality Commission (CQC). Retrieved 19 October 2017.
  12. "Barking set to record more than double expected shortfall". Health Service Journal. 13 March 2014. Retrieved 4 April 2014.
  13. "Updated: Troubled trust reveals huge waiting list". Health Service Journal. 10 September 2014. Retrieved 1 October 2014.
  14. "Trust has 1,000 patients waiting over a year for treatment". Health Service Journal. 2 March 2016. Retrieved 8 April 2016.
  15. "26 trusts responsible for half of national A&E target breach". Health Service Journal. 1 April 2015. Retrieved 3 May 2015.
  16. "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
  17. "Five trusts fail four-hour target in more than half of A&E cases". Health Service Journal. 10 January 2020. Retrieved 24 February 2020.
  18. "US corporation brought in to help improve five trusts". Nursing Times. 16 July 2015. Retrieved 20 July 2015.
  19. Lintern, Shaun (16 June 2015). "Exclusive: Special measures trust faces group legal action by patients". Health Service Journal. Retrieved 23 August 2015.
  20. "Investigation into financial management of large acute trust". Health Service Journal. 2 November 2017. Retrieved 25 December 2017.
  21. "Hospital trust requests £100m government cash support". Health Service Journal. 7 September 2018. Retrieved 9 October 2018.
  22. "Bullying, bad behaviour and broken IT uncovered at worst trusts for junior doctors". Health Service Journal. 29 June 2020. Retrieved 18 August 2020.
  23. "Non exec directors - BHR Hospitals". bhrhospitals.nhs.uk. Barking, Havering and Redbridge NHS Trust. 1 November 2017. Retrieved 1 November 2017.
  24. "8,900 checks on NHS 'health tourists' find just 50 liable to pay". Evening Standard. 29 May 2018. Retrieved 30 May 2018.
  25. "Trusts missing out on tens of millions from overseas patients". Health Service Journal. 19 November 2019. Retrieved 9 January 2020.
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