Isle of Wight NHS Trust


The Isle of Wight NHS Trust is unique in England as it provides physical, mental and ambulance services for the Isle of Wight within the same organisation. It was created in April 2012 following the separation of the provider and commissioner functions within the Isle of Wight PCT.

It runs St Mary's Hospital, Isle of Wight and the Sevenacres mental health unit. Specialised services, such as neurology, are not available on the island.

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 as its leader[1]

Isle of Wight NHS Trust
CreatedApril 2012
HeadquartersNewport, Isle of Wight
NHS regionNHS England
TypeAll purpose NHS trust
Budget£160 million
ChairVaughan Thomas
Chief executiveMaggie Oldham
Websiteiow.nhs.uk

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.[2] 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.[3] A helipad was installed in May 2013 to permit rapid transfer to specialist care on the mainland when necessary.[4] 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.[5]

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.[6]

Performance

It ended 2015/6 in deficit of £8.4 million.[7] In April 2017 it was put into special measures after a Care Quality Commission inspection rated it inadequate, finding "unsafe" mental health services, widespread understaffing and a "subtle culture of bullying".[8] Maggie Oldham, was appointed Chief Executive in May 2017, having performed the same role at Mid Staffordshire NHS Foundation Trust.[9]

It was put in special measures in 2017.[10]

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.[11]

In November 2014 the Trust established a ‘strategic estates partnership’ with Ryhurst Ltd, 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.[12]

My Life a Full Life

The Isle of Wight NHS is one of the areas selected to pilot Integrated primary and acute care systems under the Five Year Forward View.[13] The scheme is entitled "My Life a Full Life" and involves the Isle of Wight Council, the Clinical Commissioning Group and the local GP collaborative One Wight Health.[14]

See also

References

  1. ^ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  2. ^ "Health economy to lose critical care services under CCG plans". Health Service Journal. 31 January 2018. Retrieved 1 February 2018.
  3. ^ "Social workers join care hub". Isle of Wight County Press. 8 November 2013. Retrieved 24 November 2013.
  4. ^ "ROYAL OPENING FOR VITAL HELIPAD". Island Echo. 10 November 2013. Retrieved 24 November 2013.
  5. ^ "Christine's positive impact at Hospital cited as best practice in national CQC report". On the Wight. 3 July 2019. Retrieved 5 July 2019.
  6. ^ "'Inadequate' trust teams up with neighbour". Health Service Journal. 31 August 2018. Retrieved 1 October 2018.
  7. ^ "Analysis: The trusts whose finances fell furthest despite 'urgent action'". Health Service Journal. 2 June 2016. Retrieved 31 July 2016.
  8. ^ "'Unsafe' Isle of Wight NHS Trust 'put patients at harm'". BBC. 12 April 2017. Retrieved 27 April 2017.
  9. ^ "New chief executive for recent special measures trust". Health Service Journal. 26 April 2017. Retrieved 27 April 2017.
  10. ^ "CCG to lose powers by joining commissioning partnership". Health Service Journal. 22 May 2018. Retrieved 16 August 2018.
  11. ^ "Report criticises mental health unit". Isle of Wight County Press. 10 November 2013. Retrieved 24 November 2013.
  12. ^ "Isle of Wight Trust signs estates partnership". Health Service Journal. 25 November 2014. Retrieved 15 December 2014.
  13. ^ "NHS chief unveils 29 'vanguard' areas in his new reforms". Independent. 10 March 2015. Retrieved 11 March 2015.
  14. ^ "Isle of Wight Trust drops FT bid". Health Service Journal. 7 March 2016. Retrieved 17 April 2016.

External links

Earl Mountbatten Hospice

The Earl Mountbatten Hospice is the only hospice on the Isle of Wight and lead provider of palliative care. It cares for people suffering from or affected by life-shortening illnesses and provides help and advice for their families, friends and carers.

The Kissypuppy charity founded by Aaron Rolf and Gemma Blamire has ensured the hospice now has facilities for dying children and facilitates visits from schools, to help remove the taboos around dying.

Emergency medical services in the United Kingdom

Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is free to everyone, regardless of immigration or visitor status.The NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK (11 in England, 1 each in the other three countries).

As with other emergency services, the public normally access emergency medical services through one of the valid emergency telephone numbers (either 999 or 112).In addition to ambulance services provided by NHS organisations, there are also some private and volunteer emergency medical services arrangements in place in the UK, the use of private or volunteer ambulances at public events or large private sites, and as part of community provision of services such as community first responders.

Air ambulance services in the UK are not part of the NHS and are funded through charitable donations. Paramedics are usually seconded from a local NHS ambulance service, with the exception of Great North Air Ambulance Service who employ their own paramedics. Doctors are provided by their home hospital and spend no more than 40% of their time with an air ambulance service.

Isle of Wight

The Isle of Wight (; also referred to informally as The Island or abbreviated to IoW) is a county and the largest and second-most populous island in England. It is in the English Channel, between 2 and 5 miles off the coast of Hampshire, separated by the Solent. The island has resorts that have been holiday destinations since Victorian times, and is known for its mild climate, coastal scenery, and verdant landscape of fields, downland and chines. The island is designated a UNESCO Biosphere Reserve.

The island has been home to the poets Swinburne and Tennyson and to Queen Victoria, who built her much-loved summer residence and final home Osborne House at East Cowes. It has a maritime and industrial tradition including boat-building, sail-making, the manufacture of flying boats, the hovercraft, and Britain's space rockets. The island hosts annual music festivals including the Isle of Wight Festival, which in 1970 was the largest rock music event ever held. It has well-conserved wildlife and some of the richest cliffs and quarries for dinosaur fossils in Europe.

The isle was owned by a Norman family until 1293 and was earlier a kingdom in its own right. In common with the Crown dependencies, the British Crown was then represented on the island by the Governor of the Isle of Wight until 1995. The island has played an important part in the defence of the ports of Southampton and Portsmouth, and been near the front-line of conflicts through the ages, including the Spanish Armada and the Battle of Britain. Rural for most of its history, its Victorian fashionability and the growing affordability of holidays led to significant urban development during the late 19th and early 20th centuries. Historically part of Hampshire, the island became a separate administrative county in 1890. It continued to share the Lord Lieutenant of Hampshire until 1974, when it was made its own ceremonial county. Apart from a shared police force, there is now no administrative link with Hampshire, although a combined local authority with Portsmouth and Southampton was considered, this is now unlikely to proceed.The quickest public transport link to the mainland is the hovercraft from Ryde to Southsea; three vehicle ferry and two catamaran services cross the Solent to Southampton, Lymington and Portsmouth.

Isle of Wight Primary Care Trust

The Isle of Wight Primary Care Trust was the NHS primary care trust (PCT) covering the Isle of Wight.

The PCT also provided ambulance and community services from the island's only hospital, St Mary's Hospital.

It was abolished in April 2013 and its service provision taken over by the Isle of Wight NHS Trust.

List of NHS trusts

This is a list of NHS trusts established in England. It includes Acute Hospital Trusts, Ambulance Trusts, Mental Health Trusts, and the unique Isle of Wight NHS Trust. Many trusts have dissolved or have changed their name, and each is listed separately, under each significant name. If the same trust has continued with only a slight name change, it is only listed once, with the latest name.

Community Health NHS Trusts present particular difficulties. Like all the trusts they were originally established under the National Health Service and Community Care Act 1990. They have been frequently merged, split and reorganised, sometimes combined with hospital trusts or mental health trusts. After 2001 most of them were subsumed into Primary Care Trusts and under the Transforming Community Services programme they were then re-established in various organisational forms, not always within the NHS. A further wave of community trusts were established between 2010 and 2013 when PCTs were abolished, sometimes reusing a previous name.

There is a separate List of Primary Care Trusts in England which did not have the same legal status.

Dates of mergers and dissolutions are generally the date of legislation. The operational date may be different.

For the distinct system of NHS Health Boards in Scotland, see NHS Scotland

For the system in Northern Ireland, see Health and Social Care in Northern Ireland

For the system in Wales, see NHS WalesNHS Foundation Trusts were regulated by Monitor. Trusts that had not attained Foundation Trust status were supervised by the NHS Trust Development Authority. From 1 April 2016 they are all supervised by NHS Improvement.

Mental health trust

A mental health trust provides health and social care services for people with mental health disorders in England.There are 60 mental health trusts. They are commissioned and funded by clinical commissioning groups.

Patients usually access the services of mental health trusts through their GP (primary care medical doctor) or via a stay in hospital. Most of the services are for people who live in the region, although there may be specialist services for the whole of the UK or services that accept national referrals. Mental Health Trusts may or may not provide inpatient psychiatric hospital services themselves (they may form part of a general hospital run by an NHS Hospital Trust). The various trusts work together and with local authorities and voluntary organisations to provide care.

NHS ambulance services trust

NHS ambulance services trusts are organisations which provide ambulance services within the English National Health Service.

Ryhurst Ltd

Ryhurst Ltd is a specialist provider of health estate management services in England. The firm is based in Sussex.

Ryhurst formerly delivered new NHS facilities via the Private Finance Initiative. It built Lymington New Forest Hospital, which opened in 2007 for Southern Health NHS Foundation Trust but has now developed a strategic estates partnership model. The public sector contributes the land and the assets, and the private sector secures funding to an equivalent amount. Both have a 50-50 share in the resulting company. Stephen Collinson, the managing director of Ryhurst, is a former hospital chief executive.Partnerships have been formed with Cheshire and Wirral Partnership NHS Foundation Trust, Lancashire Care NHS Foundation Trust, and the Isle of Wight NHS Trust. Collinson claims that the company acts as a 50:50 partner with the trust and tries to help them deliver their clinical service plans and service change strategies by providing the most appropriate estate.Concerned residents on the Isle of Wight held a meeting about the future of the Isle of Wight NHS Trust and the partnership with Ryhurst, in December 2014. The deal was described by trade unions as a slippery slope towards privatisation. Isle of Wight Council scrutiny committee chairman Cllr Geoff Lumley questioned why health trust bosses failed to mention the deal when they met with councillors in November 2014.

St Mary's Hospital, Isle of Wight

St Mary's Hospital is a 477-bed hospital located on the outskirts of Newport on the Isle of Wight run by the Isle of Wight NHS Trust.

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