Board meeting of The Hillingdon Hospitals NHS FT on 31st August 2016
- 1. NHS Improvement Single Oversight Framework: This replaces earlier monitoring plans for NHS providers. It will go live in September/October 2016 and will rate all organisations on a score of 1 to 4 (1 being best) to identify potential support needs for NHS providers. It will have five themes:
- Quality of Care: Related to CQC assessment and implementing 7 day services
- Finance and Use of Resources: Control totals and the Carter Review recommendations.
- Operational Performance: A&E, 18 weeks, 62 day cancer waits and other targets.
- Strategic Change: New models of care and devolution
- Leadership / improvement capability: Building on existing tools / working with CQC
- Deficits in the NHS: According to the latest figures by NHS Improvement, the NHS providers had a deficit of £2.45 billion for 2015/16, around £650million more than was planned and nearly three times higher than in 2014/15. Nearly two-thirds of all providers reported a deficit last year, but mental health, community and specialist providers collectively reported a surplus for the year.
NW London Items
- NHS NW London: The NHS in North West London delivers care to a population of 2 million people spanning 8 London boroughs and over 400 GP practices. The Shaping a Healthier Future (SaHF) programme is led by the 8 North West London CCGs through their Strategy and Transformation team. The team’s provisional Strategy and Transformation Plan (STP) was submitted to NHS England, as required, on 30th June. That plan is now available to view on the Healthier NW London website. The final STP is required by 21st October and the team is asking for feedback from partners – staff, health services, local government and the public by Friday 9th September.
Hillingdon Hospital Items
- Infections: One case of clostridium difficile in July brought the year total to 2 cases, well within the target of maximum 8 cases. Only one of the seven reported pre-48 hour MRSA bacteraemia cases has been assigned to the trust, and that one was a true contaminant, meaning that the blood sample was contaminated, not that the patient had a blood stream infection. The Trust’s only true bacteraemia case since July 2014 arose in June 2016.
- Pressure ulcers: The rate in July was 0.8 per 1000 bed days, well within target; the all day training events for Registered Nurses continue to be well attended.
- Falls: The year to date position is 4.3 per 1000 bed days which is lower than national averages published in 2010 and 2015. The July rate was 3.6 per 1000 bed days.
The Trust is developing a three year recruitment and retention strategy, with input from staff across the organisation, to address short term staffing pressures and to develop mechanisms to improve retention and support the shift to new roles and ways of working in the longer term.
- Finances: The Trust ended July with an in month deficit of £152k, £130k behind plan but the year to date deficit was £148k, £47k better than plan, due to receipt of Sustainability and Transformation funding. Substantive, bank and agency expenditure have all increased compared to April and May. Medical pay costs continue to rise.