Ruislip Residents' Association

Board meeting of The Hillingdon Hospitals NHS FT on 25th May 2016

Board meeting of The Hillingdon Hospitals NHS FT on 25th May 2016

National Items

1. National attendance at Accident & Emergency Departments: More than 2m patients visited A&E in March, the highest monthly figure on record.
2. Delays discharging patients from hospitals: These reached record levels with nearly 170,000 days of delays because of lack of support in the community.
3. Poor ambulance support times: Ambulances only responded to two in three of the most serious calls within 8 minutes, the 10th month in a row that this target has been missed.
4. Routine operations jumped by 4% year on year: But, by March 2016, 8.5% of patients had been waiting more than 18 weeks, the worst level since records began in 2012.
5. Poor achievement of A&E targets: Only four hospitals in England hit targets in  the period January - March 2016.
6. Junior doctors strike: NHS England says waiting times have grown as a result of the strikes.

Local Items

  1. Finance: At end of April the deficit was £1,303k, £660k behind plan, leading to risk ratings of 1 for every metric. The additional costs related to emergency activity and loss of income due to the junior doctors strikes contributed to this unhappy outcome.
  2. Births: 407 births in April were 57 higher than last year, due to increased births from Ealing following the reconfiguration of maternity services.
  3. Staffing levels and beds: Mount Vernon Hospital has no vacancies and no starters or leavers. In contrast Hillingdon Hospital has 107 qualified nurse vacancies, with 12 starters and 6 leavers, plus 32 Health Care Assistant vacancies with 5 starters and 2 leavers.

Compared to last year the Trust has 190 whole time equivalent substantive staff and 88 fewer non-substantive staff – and 7 fewer beds due to the closure of 29 beds on Edmunds ward and 8 additional beds open on Daniels ward plus 14 additional beds for emergency activity.

  1. GP outpatient referrals: In comparison with April last year, these rose to 540 this year (8.6%).
  2. Infections: There were no April cases of clostridium difficilel, but two cases of MRSA blood infection, within 48 hours of admission, for which responsibility will be decided by arbitration.
  3. Hospital acquired pressure ulcers: This was slightly above target in April. Enhanced training for nursing staff is starting in May at Bucks New University.
  4. Patient falls: The rate rose to 5.9 per 1000 bed days in April, the highest for many months, but is still lower than the national average published by the Royal College for 2015, which was 6.6.

Published in Hillingdon Hospital FT on 27 May 2016.
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