Royal Cornwall Hospitals NHS Trust

The Royal Cornwall Hospitals NHS Trust is an NHS trust which runs West Cornwall Hospital, St Michael's Hospital, Royal Cornwall Hospital, and St Austell Hospital - Penrice Birthing Unit, in Cornwall, England.

Royal Cornwall Hospitals NHS Trust
TypeNHS trust
Established1 November 1991
HeadquartersTreliske
Truro
TR1 3LJ[1]
Hospitals
Staff5,377 (2018/19)[2]
Websitewww.royalcornwall.nhs.uk

History

The trust was established as the Royal Cornwall Hospitals and West Cornwall Hospital NHS Trust on 1 November 1991, and became operational on 1 April 1992. It changed its name to its current name soon after on 9 June 1992.[3][4]

In June 2013, Martin Watts resigned from his post as Chair of the Trust after external investigations into two separate complaints were upheld.[5]

In October 2013, one of the trust's governors complained that the health and social care system in the county was dysfunctional[6] because some elements of health care were no longer part of the NHS, but provided by what were "essentially private contractors". Community health services in the county are now provided by Peninsula Community Health

The trust's plans to switch up to 450 jobs in catering, housekeeping, cleaning, portering, waste and switchboard functions to private companies were attacked by local Labour Party candidates in December 2013.[7]

In January 2019, the trust decided to move elective orthopaedic work out of Treliske to St Michael’s Hospital in Hayle, in order to protect the waiting list from the pressure of emergencies. This made room for a frailty unit at Treliske.[8]

The trust was one of the biggest beneficiaries of Boris Johnson's announcement of capital funding for the NHS in August 2019, with an allocation of £100 million for a new women’s and children’s hospital in Truro.[9]

Performance
Four-hour target in the emergency department quarterly figures from NHS England Data from https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/

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.[10]

The trust established a cleaning contract with Mitie in 2014 worth £90M over seven years. Sick pay cost £1.2M in its first eight months compared with £280,000 for the NHS in the previous financial year. UNISON blamed the rise on staff stress which it claimed had been caused by mistakes on pay.[11]

In October 2015, Bill Shields, the interim chief executive announced his resignation. The human resources director, company secretary, the interim chief operating officer and the interim director of financial recovery are also leaving. The Care Quality Commission (CQC) inspected the hospital in June 2015 and rated safety in medical care and the accident and emergency department as “inadequate”.[12]

In the last quarter of 2015, it had one of the worst performances of any hospital in England against the four-hour waiting target.[13]

In March 2016, the trust was rated as having a poor reporting culture in the Learning from Mistakes League.[14] In October 2017, the CQC reported that patients were waiting too long for treatment and suffering harm as a result. There were long delays in cardiology and ophthalmology and unacceptable levels of operations canceled. There were shortages of midwives, and midwives were insufficiently equipped and trained They recommended that the trust be placed in special measures.[15] In 2019, it was fined a total of £16,250 for 13 separate breaches of the NHS statutory duty of candour after it failed to notify the patient or their family of the facts available in a safety investigation as soon as reasonably possible.[16]

Performance against the four-hour target improved from 56.6% in February 2018 to 94.1% in April. Sixty care home beds were purchased through the Better Care Fund with Cornwall Council, the number of homecare providers was increased from 20 to 40 and homecare workers were paid the National Living Wage.[17]

In the twelve months to September 2018, the trust was at OPEL level 4 – a major crisis requiring external help – for 134 days, the worst in England, with operations repeatedly cancelled.[18]

In 2018, the CQC rated the trust as requiring improvement.[19]

When Scan4Safety was introduced in its pharmacies the trust managed to reduce dispensing errors by 76%.[20]

See also

References
  1. "Contact details - Royal Cornwall Hospitals NHS Trust". Care Quality Commission. Retrieved 21 December 2019.
  2. "Annual Report 2018/19" (PDF). Royal Cornwall Hospitals NHS Trust. Retrieved 30 March 2020.
  3. "The Royal Cornwall Hospitals and West Cornwall Hospital National Health Service Trust (Establishment) Order 1991". legislation.gov.uk. Retrieved 30 March 2020.
  4. "The Royal Cornwall Hospitals and West Cornwall Hospital National Health Service Trust (Change of Name) Order 1992". legislation.gov.uk. Retrieved 30 March 2020.
  5. "Former hospital boss rules out legal action". This is Cornwall. 29 October 2013. Retrieved 4 November 2013.
  6. "Cornwall's health service 'fragmented', hospital governor says". BBC News. 25 October 2013. Retrieved 4 November 2013.
  7. "Call to reverse privatisation of NHS services". Plymouth herald. 2 December 2013. Retrieved 4 December 2013.
  8. "Troubled trust moves major service in bid to improve flow". Health Service Journal. 4 January 2019. Retrieved 5 February 2019.
  9. "Revealed: The 20 capital projects promised by the PM". Health Service Journal. 5 August 2019. Retrieved 9 September 2019.
  10. "26 trusts responsible for half of national A&E target breach". Health Service Journal. 1 April 2015. Retrieved 3 May 2015.
  11. "Sick pay costs rise for Cornwall NHS hospitals private cleaners Mitie". BBC news. 24 June 2015. Retrieved 25 June 2015.
  12. "Royal Cornwall chief leaves for 'personal reasons'". Health Service Journal. 1 October 2015. Retrieved 7 November 2015.
  13. "Thirty worst A&E trusts called to London summit". Health Service Journal. 4 March 2016. Retrieved 17 April 2016.
  14. "Trusts ranked in 'learning from mistakes' league". Health Service Journal. 9 March 2016. Retrieved 2 May 2016.
  15. "NHS patients going blind and missing cancer treatments due to hospital failings, report finds". Independent. 4 October 2017. Retrieved 14 October 2017.
  16. "Hospital fined for 13 breaches of duty of candour rules". Health Service Journal. 9 October 2019. Retrieved 20 November 2019.
  17. "'System approach' helps trust boost A&E performance by 40 percentage points". Health Service Journal. 14 June 2018. Retrieved 31 August 2018.
  18. "Royal Cornwall Hospital on Opel 4 highest alert for 134 days". BBC News. 12 December 2018. Retrieved 12 December 2018.
  19. Royal Cornwall Hospitals NHS Trust
  20. "Prior: use of barcodes should be 'commonplace in the NHS'". Health Service Journal. 14 July 2020. Retrieved 30 August 2020.
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