London NW Healthcare Trust (LNWHT) June 2016
In December, LNWHT received £105 million from ITFF, consisting of £69 million to cover a revenue deficit, £21 million to improve liquidity and £8.8 million to boost its bed base. The trust, formed from the merger of Ealing Hospital Trust and LNWHT in October 2014, saw its financial performance deteriorate “significantly” in 2015, documents revealed.
The organisation had been predicting a £19.1 million deficit after “synergy savings” from the merger of £15 million. Instead the trust has a deficit of £75 million. The ITFF criticised trust governance and the NHS Trust Development Authority for allowing the situation to worsen.
The ITFF committee minutes from December said: “While steps are being taken now, the committee questioned why intervention is seemingly so delayed. At the time of the merger, the committee recommended that additional board strength would be required. It would appear that delays in rectifying this issue, as well as seemingly poor due diligence, have led to significant problems that have in turn been allowed to worsen for a significant period of time.”
A trust spokeswoman said: “The trust recruited a new chief executive and executive team that were in place by the second half of last year. In addition, an improvement director and team were appointed midway through the year.
“With the new team, the trust was successful in halting a further deterioration in financial performance and ended the year achieving the planned deficit. Pay costs were reduced by an average of £2 million a month in the second half of the year, compared to the first six months, and this improvement has continued.”
From the Evening Standard—21 June. More parents will be forced to rely on Northwick Park Hospital (NPH) when Ealing’s paediatric ward is closed from June 30. However, the recent Care Quality Commission (CQC) report for NPH reported “examples of poor infection control practice, leading to higher infection rates for C. difficile and MRSA than expected.” Stricter infection controls procedures have been ordered.
The report reveals inspectors were so concerned at some aspects of care that they served a warning notice on NWHNT after their visits last October and November, ordering significant improvements. This was because there was “sparse” medical cover on its high dependency unit at the weekend and “frequently no doctor”.
The trust, was rated as “requires improvement”, but received a “good” score for its services’ caring nature.
Professor Sir Mike Richards, the CQC’s chief inspector of hospitals, said: “We found all staff at the hospitals were dedicated, caring and supportive of each other within their ward and locality. However, we had significant concerns about the provision of expert support for consultant radiologists at weekends.”