Barts Health NHS Trust
Barts Health NHS Trust is an NHS trust which operates five hospitals throughout the City of London and East London. It provides district general hospital services for the London Boroughs of Tower Hamlets, Waltham Forest and Newham, and also provides specialist services to a wider region.
|Barts Health NHS Trust|
|Created||1 April 2012|
|Chief executive||Alwen Williams|
|Number of employees||16,365|
The trust was formed on 1 April 2012 by the merger of Barts and The London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust.
The Trust has the largest Private Finance Initiative contract in the UK, a £1bn scheme. Innisfree Ltd, Skanska, Carillion, Synergy Health, Siemens Medical Solutions and Varian Medical Systems are the partners. Paying back that PFI is costing the Trust £115m a year.
It is one of the biggest providers of specialised services in England, which generated an income of £316.1 million in 2014/5.
In January 2014 a Care Quality Commission inspection found that morale in the Trust was low and that "Too many members of staff of all levels and across all sites came to us to express their concerns about being bullied, and many only agreed to speak to us in confidence."
In September 2014 the local City and Hackney Clinical Commissioning Group complained that they had "significant evidence of failing administrative and support systems, which is reflected strongly and consistently in feedback received from local GPs”. There were concerns about waiting times performance, and levels of clinical harm.
The Trust spent £935,500 on a “turnaround” management consultant, Donald Muir, a director of Titanium Global Solutions who worked at the Trust from October 2013 to July 2014. The Trust spent more than £7m on five consultancy firms in the 14 months to December 2014:
- Burnett Re-Engineering, £312,056;
- Cairdeas Consulting, £202,030;
- JAT HR, £252,875;
- PwC, £4,857,833;
- Titanium Global Solutions, £1,376,937
The chief executive, Peter Morris, and chief nurse, Kay Riley, resigned their positions in February 2015, shortly after it was revealed that the Trust reported a £93m deficit. At the time, Mr Morris was the highest paid NHS Trust CEO in the country; receiving a salary of £275,000 per annum. In March 2015 the trust was placed into special measures following a CQC report into Whipps Cross Hospital. In May 2015 the CQC said it was seriously understaffed, focussed too little on safety and had cancelled operations on numerous occasions because there were too few beds, rating it inadequate.
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.
In June 2015 more than 80 doctors signed a letter highlighting “unsafe” bed occupancy rates, cuts impacting on staffing levels and overuse of agency nurses at the trust, and demanding that the private finance initiative contract should be bailed out. The trust reported 1200 vacancies - 1/5 of the nursing workforce in July 2015.
The trust spent £83.6 million on agency staff in 2014/5.
The trust was rated among the three worst nationally over care for women giving birth but disputes the rating.
In January 2019 an MRI scanner at Whipps Cross failed, leading to 220 patients needing to be rebooked and 172 MRI breaches. The trust board papers showed that NHS England's capital funding constraints prevented "adequate investment in medical equipment to support safe, effective and timely care". It has applied for a £14 million loan covering essential expenditure.
The trust runs five hospitals:
- "The Trust - Manchester University NHS Foundation Trust". Manchester University NHS Foundation Trust. Retrieved 2018-04-16.
- "When three hospital trusts become one". The Guardian. 3 April 2012. Retrieved 27 June 2012.
- "Barts Health NHS Trust calls in finance help squad". BBC News. 17 July 2013. Retrieved 5 October 2014.
- "Analysed: The biggest NHS providers of specialised services". Health Service Journal. 16 October 2015. Retrieved 16 November 2015.
- "Staff at Barts trust living in fear of bullying, says NHS watchdog". Evening Standard. 14 January 2014. Retrieved 14 January 2014.
- "Commissioners set out 'deep concerns' over East London trust". 2 October 2014. Retrieved 25 October 2014.
- "Barts pays one management consultant £1m". Hospital Dr. 6 October 2014. Retrieved 27 October 2014.
- "Exclusive: Barts Health turnaround consultancy spend revealed". Health Service Journal. 19 January 2015. Retrieved 22 February 2015.
- "Barts Health chief executive and chief nurse resign". Guardian. 19 February 2015. Retrieved 22 February 2015.
- NHS trust put into special measures
- "Biggest NHS trust is failing on safety and quality of care, says watchdog". Guardian. 22 May 2015. Retrieved 7 June 2015.
- "26 trusts responsible for half of national A&E target breach". Health Service Journal. 1 April 2015. Retrieved 3 May 2015.
- "Doctors call for bank-style intervention over £100m repayments due at Barts Health Trust". Evening Standard. 4 June 2015. Retrieved 10 June 2015.
- "NHS needs thousands of nurses as London wards are shut in 'perfect storm'". Evening Standard. 30 July 2015. Retrieved 22 August 2015.
- "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
- "Trusts ranked in 'learning from mistakes' league". Health Service Journal. 9 March 2016. Retrieved 2 May 2016.
- NHS leaves one in four mothers alone during labour or childbirth The Guardian
- "Major trust's 'historic underinvestment' causing equipment failure". Health Service Journal. 11 March 2019. Retrieved 16 April 2019.
- "Our hospitals". Barts Health NHS Trust. Retrieved 27 June 2012.