Southern Health NHS Foundation Trust

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Type of Trust
Mental health and community trust
Trust Details
Last annual budget £309.4 million
Employees 5925 (at Mar 2018)
Chair Lynne Hunt
Chief Executive Nick Broughton
Links
Website Southern Health
Care Quality Commission reports CQC
NHS Improvement (Monitor) NHS Improvement

Hampshire Partnership NHS Foundation Trust was renamed in 2011 Southern Health NHS Foundation Trust shortly after its acquisition of Hampshire Primary Care Trust's (PCT) community healthcare and hospital services, which had previously operated within the PCT under the name Hampshire Community Health Care. It merged with Oxfordshire Learning Disabilities Trust in 2012[1] although the learning disabilities services in Oxfordshire were subsequently transferred to Oxford Health NHS Foundation Trust. It is one of the largest mental health and learning disability trusts in England.

Operations[edit]

The trust runs Eastrop House and Parklands Hospital in Basingstoke, Hollybank and Elmleigh in Havant, Postern House in Marlborough, Melbury Lodge and Leigh House in Winchester, Crowlin House and Forest Lodge, Woodhaven, Western Community Hospital, Antelope House and Moorgreen Hospital in Southampton, Ravenswood House in Fareham, Jacobs Lodge in Hounsdown, Chase Community Hospital, Alton Community Hospital, Fordingbridge Hospital, Romsey Hospital, Petersfield Hospital and Gosport War Memorial Hospital.

The Trust is one of eight in a partnership of NHS mental health trusts to provide acute mental health inpatient services for military personnel.[2] The Trust retained the contract to provide mental health beds for military personnel in the South of England.[3]

In July 2016 it was announced that the trust would transfer community learning disability services in Oxfordshire to Oxford Health NHS Foundation Trust as part of a plan to reduce the area served and the disparate services provided.[4]

It took over five General practices in Gosport in 2016. The practices merged to form The Willow Group, which holds a general medical services contract jointly with the Trust.[5]

Performance[edit]

The Trust's Going Viral programme won the Leadership Innovation category at the first Guardian Healthcare Innovation Awards in November 2013.[6]

In November 2013 the Care Quality Commission issued an enforcement notice to the trust after inspection of the Headington site found it to be in breach of six essential standards. Slade House was found to be unsafe for patients.[7]

The trust was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 6662 full time equivalent staff and a sickness absence rate of 4.95%. 64% of staff recommend it as a place for treatment and 53% recommended it as a place to work.[8]

Oxfordshire County Council’s adult social care director and local Clinical commissioning groups decided that the trust’s contract to run specialist inpatient services and community teams in Oxfordshire should not be renewed when it expired on December 31 2015 after regulators and commissioners had raised “quality and performance concerns” about inpatient services. The Care Quality Commission rated the trust’s learning disability inpatient services as ‘requiring improvement’ in March 2015 though community learning disability services were rated as ‘good’.[9]

It is one of the Multispecialty community providers established under the Five Year Forward View and is setting up a contract with a GP practice whereby 10 practice employees - the non-clinical staff, the salaried GPs and two out of the four partners - will become trust employees. The two remaining doctors will continue to own the practice, which will be the joint owner, with the trust, of a company which will hold the General Medical Services Contract.[10]

It achieved an operating surplus of £0.2 million for 2017/18 but a deficit of £8.8 million after non-operating costs (financing costs and gain on asset sales) were taken in to account.[11]

A report by Mazars for NHS England looked at all 10,306 deaths at the trust between April 2011 and March 2015. According to a draft version of the report leaked to the BBC, 1,454 of these deaths were unexpected, and only 195 were treated as a serious incident requiring investigation. The reports were criticised for being late and of poor quality. Very few deaths of people with learning disability or dementia were investigated and there was little family involvement. Southern Health accepts that its investigations needed to improve, but disputes the report's interpretation of the data.[12] The trust maintains that it is not an outlier in respect of any mortality indicators and that it investigated the deaths which were its responsibility. 143 deaths were suicide or suspected suicide - comparable with other similar trusts. The vast majority of deaths were of patients for whose care the trust was not primarily responsible.[13]

Trust chairman Mike Petter and Mark Aspinall one of the public governors resigned in April 2016 shortly before the trust was condemned by the Care Quality Commission for “continuing to put patients at risk” and failing to put in place “robust governance” to investigate incidents, including deaths, and to respond to concerns raised by patients, their carers and staff. Aspinall said the Council of Governors ought to regard itself, as part of the leadership of the Trust, equally culpable.[14] John Green another public governor resigned in July 2016 citing the board's "farcical" response to last year's Mazars report [15]

The Trust has been subject over the last year to a number of Enforcement Undertakings required by Monitor, the latest being issued on 30 June 2016.[16]

The learning disability services in Oxfordshire were transferred to Oxford Health NHS Foundation Trust. Some specialist learning disability services are to be transferred to Hertfordshire Partnership University NHS Foundation Trust.[17]

Katrina Percy, the chief executive, resigned in 2016. In March 2017 all four non-executive directors resigned.[18]

After the deaths of Connor Sparrowhawk and Teresa Colvin the trust was fined £2 million for “serious systematic” management failings in proceedings under the Health and Safety at Work Act 1974.[19]

534 patients were injured in 2016-17 through use of restraints on psychiatric patients in Southern Health NHS Foundation Trust. This was the largest number in England. Critics say restraints are potentially traumatic even life threatening for patients.[20]

See also[edit]

References[edit]

  1. ^ "Proposed merger of Southern Health NHS Foundation Trust with Oxfordshire Learning Disability NHS Trust". Co-operation and Competition Panel. Archived from the original on 13 May 2013. Retrieved 2 November 2013.
  2. ^ "Forces mental health contract awarded to NHS consortium". Health Service Journal. 9 January 2013. Retrieved 2 November 2013.
  3. ^ Mental Health Beds for Serving Military set to stay in Basingstoke, 2 November 2017, retrieved 9 September 2018
  4. ^ "Southern Health to be split up but chief executive stays on". Health Service Journal. 30 June 2016. Retrieved 5 July 2016.
  5. ^ "Five GP practices merge with hospital trusts to shore up their finances". Pulse. 26 April 2017. Retrieved 28 April 2017.
  6. ^ "Hampshire NHS team scoop leadership innovation training award". Southern Daily Echo. 7 November 2013. Retrieved 9 November 2013.
  7. ^ "CQC finds failings at community mental health FT". Health Service Journal. 29 November 2013. Retrieved 7 December 2013.
  8. ^ "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
  9. ^ "Southern Health set to lose £5m learning disability contract after 'significant concerns' over care". Community Care. 13 March 2015. Retrieved 28 March 2015.
  10. ^ "Vanguard FT to take on GP practice staff". Health Service Journal. 5 August 2015. Retrieved 5 October 2015.
  11. ^ Southern Health NHS Foundation Trust Annual Report and Accounts 2017 - 2018, Southern Health NHS FT, retrieved 9 September 2018
  12. ^ "NHS trust 'failed to investigate hundreds of deaths'". BBC News. 9 December 2015. Retrieved 9 December 2015.
  13. ^ "Briefing Note – Mazars Report" (PDF). Southern Health. Retrieved 17 December 2015.
  14. ^ "Mark Aspinall launches stinging attack on Southern Health NHS Foundation Trust". Southern Daily Echo. 30 April 2016. Retrieved 14 May 2016.
  15. ^ "Governor John Green resigns from Southern Health over "farcical" treatment of warnings". The Oxford Times. 15 July 2016. Retrieved 3 Sep 2016.
  16. ^ "Entry on gov.uk website". Retrieved 3 Sep 2016.
  17. ^ "Deep South: The Southern Health carve-up continues". Health Ser.vice Journal. 24 August 2016. Retrieved 19 September 2016.
  18. ^ "All Southern Health non-executive directors resign". BBC News. 16 March 2017. Retrieved 20 March 2017.
  19. ^ "Trust fined £2m for failings leading to two patient deaths". Health Service Journal. 26 March 2018. Retrieved 27 May 2018.
  20. ^ Figures reveal ‘alarming’ rise in injuries at mental health units The Observer