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Maidstone and Tunbridge Wells NHS Trust

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Maidstone and Tunbridge Wells NHS Trust is a large NHS Trust in the English National Health Service that manages hospitals in Kent, primarily managing Maidstone Hospital and Tunbridge Wells Hospital at Pembury. It took over the Crowborough Birthing Centre, formerly run by East Sussex Healthcare NHS Trust in November 2015.[1]

Management

The Trust, with East Kent Hospitals University NHS Foundation Trust is jointly procuring an electronic patient record system in a contract worth £10m - £40m in December 2013.[2]

During 2014 the Trust paid Ian Miller more than £250,000 for five months’ work as an interim finance director. The funds were paid to The Maxentius Partnership, his own consultancy business. The Trust justified the expense by saying “The independent financial expertise was essential in helping the Trust achieve £23.5 million in efficiency savings last year without impacting on patient care.”[3]

The trust has accommodation for about 200 staff close to its hospitals. It anticipates an influx of overseas nurses in 2019/20 and plans to offer them this accommodation on a temporary basis. [4]

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/

It was heavily criticized in 2007 by the Healthcare Commission regarding its handling of a major outbreak of Clostridium difficile in its hospitals from April 2004 to September 2006. In its report, the Commission estimated that about 90 patients "definitely or probably" died as a result of the infection.

The Secretary of State for Health, Alan Johnson, described the 90 patients' deaths as "scandalous".

In a subsequent investigation by the Healthcare Commission the outbreak was connected to the financial reorganisations that the hospital trust was undergoing, such as its private finance initiative. In this regard, Richard James, Professor of Microbiology at the University of Nottingham noted striking parallels with Stoke Mandeville hospital, which experienced a severe C. difficile outbreak in 2003-5.[5]

In April 2015 the Trust was the first NHS trust to be charged with corporate manslaughter under the Corporate Manslaughter and Corporate Homicide Act 2007 after 30-year-old Frances Cappuccini died after giving birth by emergency caesarean section in October 2012 at Pembury Hospital. Two doctors involved were charged with gross negligence manslaughter.[6] Errol Cornish, a locum consultant anaesthetist was charged. Dr Nadeem Azeez would have been charged, but left the country. The trial judge, Mr Justice Coulson, instructed the jury that there was no case to answer and the case was dismissed, after 2 weeks, in January 2016. He said evidence showed some of Cornish’s actions had been “about as far from a gross negligence manslaughter case as it is possible to be” and called some of the arguments against the trust “perverse”. He also criticised Jeremy Hunt for sending a “highly inappropriate” tweet during the trial.[7]

It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 4964 full time equivalent staff and a sickness absence rate of 3.97%. 73% of staff recommend it as a place for treatment and 63% recommended it as a place to work.[8]

In February 2016 it was expecting a deficit of £23.5 million for the year.[9]

See also

References

  1. ^ "East Sussex maternity unit to switch to Kent trust's control". Health Service Journal. 12 November 2015. Retrieved 19 December 2015.
  2. ^ "Kent trusts issue £40m EPR tender". E Health Insider. 24 December 2013. Archived from the original on 12 January 2014. Retrieved 12 January 2014.
  3. ^ "NHS hospital pays finance chief rates of £600,000 a year". Daily Telegraph. 2 June 2014. Retrieved 2 June 2014.
  4. ^ "Staff told to leave hospital's flats to make way for new nurses". Health Service Journal. 9 December 2019. Retrieved 22 February 2020.
  5. ^ Timmins, Nicholas (October 13, 2007), "Hospitals overlook infection guidelines", Financial Times
  6. ^ Lintern, Shaun (21 April 2015). "First NHS trust charged with corporate manslaughter". Health Service Journal. Retrieved 21 April 2015.
  7. ^ "NHS caesarean death: landmark corporate manslaughter trial collapses". Guardian. 28 January 2016. Retrieved 28 January 2016.
  8. ^ "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
  9. ^ "One in four trusts plunge deeper into the red". Health Service Journal. 25 February 2016. Retrieved 22 March 2016.

Healthcare Commission report:

News reports:

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