Ruislip Residents' Association

Board meeting of The Hillingdon Hospitals NHS FT on 27th April 2016

                                                                           National Items
1. A&E nationally: NHS England data shows that the number of patients waiting more than four hours in A&E departments nationally has risen more than 70% in the past year, with only 81.6% treated within target against the 95% standard.  Hillingdon Hospital is in line with this position.

2. Patients waiting over 18 weeks to start treatment: Latest NHS England data shows 63,580 patients waiting over the target of 18 weeks, the largest number ever.

3. Ambulance response times: In February the ten regional ambulance services reached only 68% of Red 1 patients, those with most serious need such as cardiac arrest, within 8 minutes instead of the 75% target, and for Red 2 calls, to less serious but still life threatening illnesses, only 60.3% were reached within 8 minutes, the lowest since records began and well below the 75% target.

4. Waits to see a GP: Research found 14.2m patients waited a week to see their doctor last year, around 500,000 more than the previous year. The research concluded that the number of GPs has not kept pace with the ageing population, more GPs opt for early retirement, and these factors combine with failure to attract graduate medics into GP careers.

5. Nurse training: According to the Dept of Health, two thirds of applicants for nurse training are currently rejected. 10,000 new training places are expected by 2020. Plans include a new nursing associate role, between care assistants and registered nurses, on which consultation is underway.

                                                                                    Local Items
1. Finance: Following Hillingdon CCG’s help, the Trust ended 2015-16 with a deficit of £1.5m, mainly due to pay costs – compared to March last year there is a net increase of 89 members of staff. It will submit a deficit plan for 2016-17 hoping to obtain additional funding to enable it to achieve a surplus at end of year, but its underlying deficit would still need to be addressed.
2. Junior doctors’ strike: The picket line at Hillingdon Hospital was good humoured. Consultants ensured that all urgent procedures were undertaken, although routine operations and outpatient appointments had to be postponed. The full impact will be assessed at next month’s Board Meeting.
3. Transfers from Ealing Hospital: Maternity services have transferred successfully. Paediatric services are expected to follow in June 2016. A business case has been put to Shaping a Healthier Future to fund seven additional paediatric consultants. An additional ten paediatric nurses have already been recruited.
4. A&E issues:
Hillingdon has 14 majors cubicles in A&E, making it the smallest A&E in North West London, so doctors may be available but with no cubicle free for them to see patients. An extension to A&E is being planned.
Hillingdon CCG is to fund two geriatricians for A&E for Monday to Friday presence. Interviews are scheduled for May 2016.
Blue light activity has increased by 53% over the last two years.
5. Over 65s non-elective admissions 3.5% down: This Better Care Fund target has been achieved. 
6. Car parking at Hillingdon Hospital: The Trust has worked with Hillingdon Council to combat cars queuing on the main road, so cars are to be allowed into the car park rather than holding them at the bar. Drivers will then have 15 minutes to find a parking space before having to pay to exit. An additional 48 car parking spaces are being introduced as agreed last December – staff criteria for permission to park is being increased from one mile to three miles, in line with other hospital trusts.
7. Pharmacy at Hillingdon Hospital: Expansion plans are expected to be in force in November 2016, funded by Hillingdon CCG, to provide separate dispensing points for in-patients and out patients, which should greatly reduce the time to dispense prescribed medications.

Published in Hillingdon Hospital FT on 18 May 2016. Updated on 28 May 2016
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