Peterborough And Stamford Hospitals Nhs Foundation Trust
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Peterborough And Stamford Hospitals Nhs Foundation Trust
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2012-11-29
Peterborough And Stamford Hospitals Nhs Foundation Trust written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-11-29 with Medical categories.
The board of Peterborough and Stamford NHS Trust failed to recognize in 2007 that a PFI scheme to build a new hospital, Peterborough City Hospital, would place considerable strain on its finances for years to come. The then board compounded the decision to proceed with the scheme, which it could not afford, with a failure to monitor other changes affecting its income and costs between 2007 and 2011. In 2011-12, the in-year deficit was £46 million and the Trust is predicting an in-year deficit of more than £50 million in 2012-13. Monitor, the regulator of foundation trusts, raised well-founded concerns about the scheme's affordability with the Trust Board and the Department, however neither addressed these concerns fully before approval of the business case. Despite its earlier views, the regulator rated the Trust as a very low financial risk, reflecting its reported financial position but this risk rating did not reflect the future impact of the PFI development. Monitor had a number of opportunities to intervene before finally placing the Trust in breach of its terms in October 2011 but concluded that an intervention would not necessarily improve or change the outcome positively. The level of healthcare undertaken by the Trust is also greater than envisaged in the PFI business case, which assumed a 14 per cent drop in outpatient activity whereas this increased by 21 per cent. In addition, NHS Peterborough, the Trust's main commissioner, which has been in financial difficulty itself, has used national and local performance indicators to withhold payments for activity undertaken by the Trust
Peterborough And Stamford Hospitals Nhs Foundation Trust
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Author :
language : en
Publisher:
Release Date : 2013
Peterborough And Stamford Hospitals Nhs Foundation Trust written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Peterborough And Stamford Hospitals Nhs Foundation Trust
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Author :
language : en
Publisher:
Release Date : 2013
Peterborough And Stamford Hospitals Nhs Foundation Trust written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Department Of Health
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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2013-02-07
Department Of Health written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-02-07 with Medical categories.
The strategic management of health resources across the East of England Strategic Health Authority has failed. Ultimate responsibility for this rests with the Department of Health. For many years to come, the local community as well as the NHS and taxpayers will have to live with the consequences of separate decisions to build a new PFI hospital at Peterborough and to award a franchise to a private company to run the nearby Hinchingbrooke hospital. These decisions were taken separately despite the fact that the two hospitals are only 24 miles apart in an area where the NHS has long acknowledged that healthcare provision is running ahead of local needs. The reality is that there is not enough funding there for both Trusts to thrive as currently configured. Their financial viability will be further eroded if more people are treated outside hospitals, in line with present and past government policy. Circle Healthcare, the franchisee of Hinchingbrooke, has not achieved its expected savings in its first few months and its Chief Executive has already left. The bid was not properly risk-assessed and the successful bidder was encouraged to submit over-optimistic savings projections. The PFI deal for Peterborough and Stamford PFI hospital has proved catastrophic, with the Department now being forced to pay out nearly £1 million a week of taxpayers' money to keep the Trust afloat. Both Trusts will have to make unprecedented levels of savings to become viable. In Peterborough and Stamford's case, this won't be enough
Securing The Future Financial Sustainability Of The Nhs
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2012-07-05
Securing The Future Financial Sustainability Of The Nhs written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-07-05 with Medical categories.
Although in 2011-12 there was a surplus of £2.1 billion across the NHS as a whole, there is also some financial distress, particularly in some hospital trusts. In the long term, achieving financially sustainable healthcare is likely to mean changes to how and where people access services, and some local commissioners are already consulting on and developing plans to do this. Currently, some organisations have relied on additional financial support from within the NHS. 10 NHS trusts, 21 NHS foundation trusts, and three Primary Care Trusts (PCTs) have reported a combined deficit of £356 million. There are four foundation trusts and 17 NHS trusts which between 2006-07 and 2011-12 needed injections of working capital from the Department of Health totalling £1 billion. The Department anticipates that NHS trusts and NHS foundation trusts are likely to need around £300 million more public dividend capital in 2012-13. 51 per cent of PCTs reported concern about the financial sustainability of their healthcare providers. Previously, PCTs and Strategic Health Authorities (SHAs) have been able to support otherwise weak providers. It is not yet clear whether clinical commissioning groups and the NHS Commissioning Board will agree to provide financial support to providers in this way. The NAO concludes that it is hard to see how continuing to give financial support to organisations in difficulty will be a sustainable way of reconciling growing demand for healthcare with the size of efficiency gains required within the NHS
Hc 971 An Update On Hinchingbrooke Health Care Nhs Trust
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Author : Great Britain. Parliament. House of Commons. Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2015
Hc 971 An Update On Hinchingbrooke Health Care Nhs Trust written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with Law categories.
The taxpayer has been left exposed by the failure of the Hinchingbrooke franchise according to the Public Accounts Committee's report. In February 2012, Circle took operational control of Hinchingbrooke Health Care NHS Trust, becoming the first private company to run an NHS hospital. In January 2013, the Committee expressed concerns that Circle's bid to run Hinchingbrooke had not been properly risk assessed and was based on overly optimistic and unachievable savings projections. The Department of Health responded that the NHS Trust Development Authority would monitor progress and take action if the Trust was failing to deliver on its plans to make the hospital financially sustainable. In the event, Circle was not able to make the Trust sustainable and the NHS Trust Development Authority did not take effective action to protect the taxpayer. In January 2015, Circle announced that it intended to withdraw from the contract, just three years into the 10-year franchise. It was clear at the time the franchise was let that the Trust would only survive if it secured substantial savings. The Comptroller and Auditor General's 2012 report highlighted that the savings projected in Circle's bid were unprecedented as a percentage of annual turnover in the NHS.
2012 Accountability Hearing With Monitor
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2013-03-05
2012 Accountability Hearing With Monitor written by Great Britain: Parliament: House of Commons: Health Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-05 with Medical categories.
This is the second annual accountability hearing with Monitor from the Health Committee. The parallel roles of Monitor and CQC were criticised in the Francis report on the Mid Staffordshire Foundation Trust (HC 898, session 2012-13, ISBN 9780102981469) because they created significant opportunities for confusion. The Health Committee concurs and stresses that it needs to be addressed urgently to avoid the twin dangers of gaps in regulation and duplication of regulation. This report concludes that the proposal to use a combination of transitional powers and licensing provisions (designed to apply to all providers of NHS care) to provide the framework for the long-term regulation of Foundation Trusts is profoundly unsatisfactory. The role of Monitor in relation to competition in the NHS remains unclear, and the respective roles of Monitor and the Competition Commission in the market for health and care services need urgent clarification. Monitor's positive approach towards the commissioning of integrated care pathways is welcome. Monitor should use its role in setting the tariff paid for certain NHS services (alongside the NHS Commissioning Board) to encourage system redesign and the integration of service provision, as well as to discourage "cherry-picking" of the most economically attractive patients. The establishment of a provider failure regime is welcome, but a number of important elements in that regime are not yet fully developed and further progress is needed over the coming months.
Listening And Learning
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Author : Great Britain: Parliamentary and Health Service Ombudsman
language : en
Publisher: The Stationery Office
Release Date : 2011-10-18
Listening And Learning written by Great Britain: Parliamentary and Health Service Ombudsman and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-10-18 with Medical categories.
The Health Ombudsman resolved a total of 15,186 complaints about the NHS in England in 2010-11. This report shows how, at a local level, the NHS is still not dealing adequately with the most straightforward matters. As the case studies illustrate, minor disputes over unanswered telephones or mix-ups over appointments can end up with the Ombudsman because of knee-jerk responses by NHS staff and poor complaint handling. While these matters may seem insignificant alongside complex clinical judgments and treatment, they contribute to a patient's overall experience of NHS care. The escalation of such small, everyday incidents represents a hidden cost, adding to the burden on clinical practitioners and taking up time for health service managers, while causing added difficulty for people struggling with illness or caring responsibilities. Two particular themes stand out this year. Poor communication - one of the most common reasons for complaints in the last year - can have a serious, direct impact on patients' care and can unnecessarily exclude their families from a full awareness of the patient's condition or prognosis. Secondly, in a small but increasing number of cases, a failure to resolve disagreements between patients and their GP has led to their removal from the GP's patient list - often without the required warning or the opportunity for both sides to talk about what happened. As GPs prepare to take on greater responsibility for commissioning patient services, this report provides an early warning that some are failing to handle even the most basic complaints appropriately.
Nhs Charges
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2006-07-18
Nhs Charges written by Great Britain: Parliament: House of Commons: Health Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-07-18 with Political Science categories.
NHS Charges : Third report of session 2005-06, Vol. 3: Oral and written Evidence
Nhs Deficits
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Author : Great Britain: Parliament: House of Commons: Health Committee
language : en
Publisher: The Stationery Office
Release Date : 2006-07-03
Nhs Deficits written by Great Britain: Parliament: House of Commons: Health Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-07-03 with Political Science categories.
NHS Deficits : Sixth report of session 2005-06, Vol. 2: Written Evidence