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Isle of Wight NHS Trust

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Isle of Wight NHS Trust
TypeNHS trust
Established1 April 2012
HeadquartersNewport, Isle of Wight, England[1]
Region servedIsle of Wight
HospitalsSt Mary's Hospital
ChairMelloney Poole[2]
Chief executiveDarren Cattell[2]
Staff3,620 (2021/22)[3]
Websitewww.iow.nhs.uk Edit this at Wikidata

The Isle of Wight NHS Trust is an NHS trust which provides physical health, mental health and ambulance services for the Isle of Wight. The trust is unique in being the only integrated acute, community, mental health and ambulance health care provider in England.[4] It runs St Mary's Hospital and the Isle of Wight Ambulance Service.

History

The trust was established on 1 April 2012 following the separation of the provider and commissioning functions of the Isle of Wight Primary Care Trust.[5]

Hampshire and the Isle of Wight formed a sustainability and transformation plan area in March 2016 with Richard Samuel, the Chief Officer of Fareham and Gosport and South Eastern Hampshire clinical commissioning groups (CCG) as its leader[6]

Melloney Poole, chair of Portsmouth Hospitals University NHS Trust, also chaired this trust from October 2020. There are plans for a single acute service across the island and Portsmouth.[7]

In 2021, it was announced that the Ambulance Service will follow a new five year strategy that will see it having a closer working relationship and support from South Central Ambulance Service.[8]

Acute care

In January 2018, the CCG proposed that Isle of Wight patients needing high risk and complex emergency and elective surgery should in future be treated in Portsmouth and Southampton. Some outpatient appointments could be conducted remotely.[9] The trust has established an emergency care hub at the hospital where social workers have joined ambulance crews, mental health teams and district nurses are based together.[10] A helipad was installed in May 2013 to permit rapid transfer to specialist care on the mainland when necessary.[11] The social work service established in the A&E department has been held out as an example to follow, because it has significantly reduced the number of hospital admissions.[12]

It is using the South Central Ambulance Service's computer system for ambulance dispatches to improve the performance of the ambulance service on the island.[13]

The trust was one of the beneficiaries of Boris Johnson's announcement of capital funding for the NHS in August 2019, with an allocation of £48 million for redesign of acute services.[14]

Performance

The trust ended the financial year 2015/16 with a deficit of £8.4M.[15] In April 2017, it was put into special measures after a Care Quality Commission (CQC) inspection rated it inadequate,[16] finding "unsafe" mental health services, widespread understaffing and a "subtle culture of bullying".[17] Maggie Oldham, was appointed chief executive in May 2017, having performed the same role at Mid Staffordshire NHS Foundation Trust.[18]

It recorded 277 serious incidents in 2018 and 2019, compared to 143 in the previous two years. Delays in treatment accounted for 22%. This was after a new executive team in 2018 encouraged staff to report all incidents.[19]

In December 2019, it was the fourth worst performing trust in England against the four-hour A&E target, with only 48% of patients seen within four hours,[20] and had the longest waits for emergency ambulances.[21]

In 2021, it performed best on all of the main quality and safety-related questions in the mental health section of the annual NHS Staff Survey.[22] In September 2021, it was taken out of special measures (after four years).[23]

CQC performance rating

In its last inspection of the service in May 2019, the Care Quality Commission (CQC) gave the following ratings on a scale of outstanding (the service is performing exceptionally well), good (the service is performing well and meeting our expectations), requires improvement (the service isn't performing as well as it should) and inadequate (the service is performing badly):

Inspection Report: 4 September 2019[24]
Area Rating
Are services Safe? Good
Are services Effective? Requires improvement
Are services Caring Good
Are services Responsive Good
Are services Well-led Good
Overall rating Good

Mental health

The Sevenacres mental health unit was criticised by CQC inspectors in November 2013 because patients were unclear about their care plans and were not always involved in decisions about their care or treatment.[25]

In November 2014, the trust established a ‘strategic estates partnership’ with Ryhurst, a property management company in a deal which could be worth up to £25M. It is planned to rationalise the existing 21 sites over which the trust operates and have some community care hubs.[26]

Integration

The Isle of Wight NHS was one of the areas selected to pilot Integrated primary and acute care systems under the Five Year Forward View in 2015.[27] The scheme was entitled "My Life a Full Life" and involved the Isle of Wight Council, the Clinical Commissioning Group and the local GP collaborative One Wight Health.[28]

The trust's Discharge Facilitation Service was highly commended at the 2021 Municipal Journal Local Government Achievement Awards for its success in bringing people home sooner from hospital admissions.[29]

See also

References

  1. ^ "Contact Us". Isle of Wight NHS Trust. Retrieved 4 January 2020.
  2. ^ a b "Trust Board Profiles". iow.nhs.uk. Isle of Wight NHS Trust. Retrieved 1 October 2022.
  3. ^ "Annual Report and Accounts 2021/2022" (PDF). Isle of Wight NHS Trust. Retrieved 29 August 2022.
  4. ^ "About us". iow.nhs.uk. Isle of Wight NHS Trust.
  5. ^ "The Isle of Wight National Health Service Trust (Establishment) Order 2012". legislation.gov.uk. Retrieved 9 April 2021.
  6. ^ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  7. ^ West, Dave (2 September 2020). "Troubled trust to share chair with neighbour". Health Service Journal. Retrieved 25 October 2020.
  8. ^ "How Isle of Wight ambulances will work in future".
  9. ^ "Health economy to lose critical care services under CCG plans". Health Service Journal. 31 January 2018. Retrieved 1 February 2018.
  10. ^ "Social workers join care hub". Isle of Wight County Press. 8 November 2013. Retrieved 24 November 2013.
  11. ^ "ROYAL OPENING FOR VITAL HELIPAD". Island Echo. 10 November 2013. Retrieved 24 November 2013.
  12. ^ "Christine's positive impact at Hospital cited as best practice in national CQC report". On the Wight. 3 July 2019. Retrieved 5 July 2019.
  13. ^ "'Inadequate' trust teams up with neighbour". Health Service Journal. 31 August 2018. Retrieved 1 October 2018.
  14. ^ "Revealed: The 20 capital projects promised by the PM". Health Service Journal. 5 August 2019. Retrieved 9 September 2019.
  15. ^ "Analysis: The trusts whose finances fell furthest despite 'urgent action'". Health Service Journal. 2 June 2016. Retrieved 31 July 2016.
  16. ^ "CCG to lose powers by joining commissioning partnership". Health Service Journal. 22 May 2018. Retrieved 16 August 2018.
  17. ^ "'Unsafe' Isle of Wight NHS Trust 'put patients at harm'". BBC. 12 April 2017. Retrieved 27 April 2017.
  18. ^ "New chief executive for recent special measures trust". Health Service Journal. 26 April 2017. Retrieved 27 April 2017.
  19. ^ "Hundreds of serious incidents recorded at struggling small trust". Health Service Journal. 22 January 2020. Retrieved 12 March 2020.
  20. ^ "Five trusts fail four-hour target in more than half of A&E cases". Health Service Journal. 10 January 2020. Retrieved 24 February 2020.
  21. ^ "The areas with the longest waits for emergency ambulances". Health Service Journal. 3 February 2020. Retrieved 23 March 2020.
  22. ^ "Mental Health Matters: What the staff survey said about quality and safety". Health Service Journal. 12 March 2021. Retrieved 10 May 2021.
  23. ^ "Trust taken out of special measures after four years". Health Service Journal. 24 September 2021. Retrieved 8 November 2021.
  24. ^ "Provider: Isle of Wight NHS Trust: Ambulance Service". Care Quality Commission. Retrieved 22 January 2022.
  25. ^ "Report criticises mental health unit". Isle of Wight County Press. 10 November 2013. Retrieved 24 November 2013.
  26. ^ "Isle of Wight Trust signs estates partnership". Health Service Journal. 25 November 2014. Retrieved 15 December 2014.
  27. ^ "NHS chief unveils 29 'vanguard' areas in his new reforms". Independent. 10 March 2015. Retrieved 11 March 2015.
  28. ^ "Isle of Wight Trust drops FT bid". Health Service Journal. 7 March 2016. Retrieved 17 April 2016.
  29. ^ "National recognition for Isle of Wight's pioneering approach to providing integrated health and social care". On the Wight. 27 September 2021. Retrieved 28 September 2021.
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