Hull and East Yorkshire Hospitals NHS Trust
The Hull and East Yorkshire Hospitals NHS Trust operates in the city of Hull and the East Riding of Yorkshire, England.
It is based on two sites (Hull Royal Infirmary and Castle Hill Hospital). The Trust is in the top 5 largest trusts in England and provides acute care for a local population of 600,000 and over 1.2 million people for tertiary services.
The Trust employs over 6,000 people and has an annual turnover of over £500 million.[1]
Management
Phil Morley was appointed Chief Executive in October 2010. He was offered a salary of up to £190,000 a year but accepted £170,000 instead. His focus on targets produced widespread reports of managers bullying staff to improve performance. Seven neurologists wrote to Morley concerned at the merger of a neurology ward with a stroke ward. Some consultants left. In 2014 he left to take up a post as chief executive of Princess Alexandra Hospital NHS Trust. He was replaced by Chris Long, former boss of Hull Primary Care Trust.[2]
Computerisation
The Trust is one of a small number implementing the Lorenzo patient record systems[3] having accepted a controversial financial support package. The Trust’s risk register in May 2014 said plans to deploy Lorenzo patient record systems might be “unrealistic”, and that it had “insufficient capacity and insufficient funding” to support the project.[4]
Performance
In November 2013 Diabetes UK complained that the diabetes-related amputation rate in Hull and the East Riding is one of the highest in the country and that only 30.4 per cent of inpatients with diabetes at the Trust have their feet assessed.[5]
The Care Quality Commission published an extensive report on the Trust in May 2014 which found shortage of staff in several areas, “Some staff felt pressure to meet performance targets and spoke of a bullying culture in some areas.”.[6] A report by Acas in October 2014 recounted that employees interviewed reported “aggressive behaviour”, including being “pushed and prodded”, having staff put a hand in their face to stop them speaking, and being called “incompetent, underperforming, useless, thick and dopey”. Examples were also produced of staff being refused compassionate leave to be with their sick or dying close relatives, and many staff said that the sickness policy was “used as a weapon”.[7]
The trust was the biggest single contributor to the national growth in patients waiting more than four hours in accident and emergency over the 2014/5 winter. It missed the target for 20,400 patients up from 6,000 in 2013–14. This meant its performance against the target to treat or discharge 95 per cent of patients within four hours of attendance fell from 95% to 84%.[8] The trust cancelled 526 operations at the last minute for non-clinical reasons between January and March 2015 – the second highest number of any trust in England.[9]
In the last quarter of 2015 it had one of the worst performances of any hospital in England against the four hour waiting target.[10]
See also
References
- ↑ "Hull and East Yorkshire Hospitals NHS Trust Annual Report 2013-14" (PDF). Retrieved 19 July 2015.
- ↑ "Anger, anxiety, cuts and credit cards – the reign in Hull of self-proclaimed NHS Superman Phil Morley". Hull Daily Mail. 22 December 2014. Retrieved 1 September 2015.
- ↑ "Second trust takes financial help from DH for IT system". Health Service Journal. 15 January 2013. Retrieved 8 December 2013.
- ↑ "Lorenzo implementation linked to data delays". Health Service Journal. 11 June 2014. Retrieved 14 July 2014.
- ↑ "Diabetes UK calls for action on high amputation rates in Hull and East Riding". Hull Daily Mail. 2 November 2013. Retrieved 8 December 2013.
- ↑ "Highlights of Care Quality Commission report on Hull and East Yorkshire Hospitals NHS Trust". Hull Daily Mail. 7 May 2014. Retrieved 31 May 2014.
- ↑ "Yorkshire trust has 'culture of bullying', report claims". Health Service Journal. 10 October 2014. Retrieved 12 October 2014.
- ↑ "26 trusts responsible for half of national A&E target breach". Health Service Journal. 1 April 2015. Retrieved 3 May 2015.
- ↑ "Surge in cancelled NHS operations". Daily Telegraph. 15 May 2015. Retrieved 15 May 2015.
- ↑ "Thirty worst A&E trusts called to London summit". Health Service Journal. 4 March 2016. Retrieved 17 April 2016.