East Sussex Healthcare NHS Trust

East Sussex Healthcare NHS Trust is an NHS trust which runs Conquest Hospital in St Leonards-on-Sea, Eastbourne District General Hospital, Bexhill Hospital, all in East Sussex, England.

East Sussex Healthcare NHS Trust
TypeNHS trust
Established1 April 2002
Headquarters729 The Ridge
St Leonards-on-Sea
TN37 7PT[1]
Hospitals
Staff6,726 (2018/19)[2]
Websitewww.esht.nhs.uk

History

The trust was established as East Sussex Hospitals NHS Trust on 1 April 2002, taking its current name on 13 May 2011.[3][4]

Overview

East Sussex Healthcare NHS Trust provide acute hospital and community health services for people living in East Sussex and surrounding areas.

Their services are mainly provided from two district general hospitals, Conquest Hospital and Eastbourne DGH both of which have Emergency Departments and provide care 24 hours a day. They offer a comprehensive range of surgical, medical and maternity services supported by a full range of diagnostic and therapy services.

At Bexhill Hospital they provide outpatients, ophthalmology, rehabilitation and intermediate care services. At Rye, Winchelsea and District Memorial Hospital they provide Outpatient and inpatient intermediate care services. They also provide some services at Uckfield Community Hospital. Their community teams also provide care in the patient’s own home and from a number of clinics and GP surgeries in East Sussex.

There are around 525,000 people who live in East Sussex and the Trust is one of the largest organisations in the county. They employ over 6,000 dedicated staff with an annual turnover of £380 million.[5]

The Trust has been given £5.05 million to work up detailed plans to develop Bexhill Hospital, Conquest Hospital and Eastbourne DGH over the next decade, as part of the second wave funding round earmarked for 2025-2030 in the government’s Health Infrastructure Plan which includes 40 hospitals across England.[6]

Performance
Four-hour target in the emergency department quarterly figures from NHS England Data from https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/

In December 2013 the Trust was one of thirteen hospital trusts named by Dr Foster Intelligence as having higher than expected higher mortality indicator scores for the period April 2012 to March 2013 in their Hospital Guide 2013.[7]

The Trust predicts a deficit of £19.4m in 2013-14.[8]

In April 2014 High Weald Lewes Havens Clinical Commissioning Group served 12 months’ notice on their £18m a year community services contract with the Trust because of concerns about “the access to and consistency of NHS community services”. A report to the commissioner’s March board meeting mentioned “ad hoc and unnotified” closures of the trust’s minor injury service, “inequitable access” to district nursing, and “intermittent closure” of a midwifery-led unit. The CCG says the financial problems of the Trust could mean “there is a risk that the provider may seek to take short term decisions that reduce the equitable provision of community services to save cost. Equally, there is a risk that services could be deemed, ‘unsafe’ because of staffing issues.”[9] The CCGs in Eastbourne and Hastings are continuing their contracts with the Trust, but High Weald are putting their community services contract out to tender.[10]

The Care Quality Commission raised concerns over outpatient records and surgical practices at Eastbourne District General Hospital after an inspection in September 2014. It also found that safety and leadership was inadequate.[11] The leaders of the trust were subsequently urged to resign by the East Sussex County Council health overview and scrutiny committee and by Hastings Borough Council.[12]

After a further CQC inspection which found a “void” between the “board perception” and “reality of working at the trust” the trust was put into special measures [13] and Stuart Welling, the Chair, resigned.[14] The trust paid a firm called Prederi £45,000 to help with its recovery plan.[15]

In February 2016 it was expecting a deficit of £48.7 million for the year.[16]

In March 2016 the Trust was ranked bottom in the Learning from Mistakes League.[17] It was put into special measures in October 2016.[18]

In February 2018 it was predicting a deficit of over £56 million - just less than 15% of its total income.[19]

In November 2018 the Trust to receive £1.7 million funding to implement electronic prescribing. It is anticipated this new electronic prescribing and medicines administration (ePMA) system will be rolled out across the Trust during 2020/2021.[20]

In February 2020 The Care Quality Commission (CQC) has rated the Trust as ‘Good’ overall and ‘Outstanding’ for providing both ‘Caring’ and ‘Effective’ services following their inspection in November and December 2019.[21]

In June 2020 the Trust ended the 2019/20 financial year with a small surplus of £50k by exceeding the year-end target that it set itself.[22]

gollark: It's the language's fault if it makes doing unsafe things very easy.
gollark: It's good for some low level stuff, but for regular application code good type and memory safety is very good.
gollark: It is very unsafe.
gollark: Or, well, C bad for most applications.
gollark: C bad.

See also

References
  1. "Contact details - East Sussex Healthcare NHS Trust". Care Quality Commission. Retrieved 6 January 2020.
  2. "Annual Report 2018-2019" (PDF). East Sussex Healthcare NHS Trust. Retrieved 6 January 2020.
  3. "The East Sussex Hospitals National Health Service Trust (Establishment) and the Eastbourne Hospitals National Health Service Trust and Hastings and Rother National Health Service Trust (Dissolution) Order 2002". legislation.gov.uk. Retrieved 6 January 2020.
  4. "The East Sussex Hospitals National Health Service Trust (Establishment) and the Eastbourne Hospitals National Health Service Trust and Hastings and Rother National Health Service Trust (Dissolution) Amendment Order 2011". legislation.gov.uk. Retrieved 6 January 2020.
  5. Rob Toth, ESHT Communications Manager
  6. Toth, Rob (6 February 2020). "Trust gets go ahead to work up plans to develop local hospitals". East Sussex Healthcare NHS Trust. Retrieved 10 August 2020.
  7. "Dr Foster identifies 13 trusts with high mortality ratios". Health Service Journal. 6 December 2013. Retrieved 7 December 2013.
  8. "More than a third of trusts predict year-end deficit". Local Government Chronicle. 13 March 2014. Retrieved 16 March 2014.
  9. "Commissioner serves notice on East Sussex contract over quality concerns". Health Service Journal. 3 April 2014. Retrieved 20 April 2014.
  10. "Huge changes to Crowborough and Uckfield hospitals could be on the way". Kent and Sussex Courier. 14 October 2014. Retrieved 16 November 2014.
  11. "CQC: Eastbourne District General Hospital 'inadequate'". BBC News. 27 March 2015. Retrieved 27 March 2015.
  12. "Renewed calls for East Sussex Healthcare NHS Trust bosses to resign". Bognor regis Observer. 17 June 2015. Retrieved 20 June 2015.
  13. "East Sussex put in special measures after concerns of bullying culture". National Health Executive. 23 September 2015. Retrieved 1 November 2015.
  14. "East Sussex Chair resigns following critical CQC report". Health Service Journal. 30 September 2015. Retrieved 1 November 2015.
  15. "Private company brought in to help East Sussex Healthcare NHS Trust". Argus. 5 December 2015. Retrieved 6 September 2016.
  16. "One in four trusts plunge deeper into the red". Health Service Journal. 25 February 2016. Retrieved 22 March 2016.
  17. "Trusts ranked in 'learning from mistakes' league". Health Service Journal. 9 March 2016. Retrieved 2 May 2016.
  18. "More trusts put into financial special measures". Health Service Journal. 17 October 2016. Retrieved 20 December 2016.
  19. "Trust expects to miss control total deficit by £30m". Health Service Journal. 5 February 2018. Retrieved 2 April 2018.
  20. Farre, Ruth (29 November 2018). "Trust to receive £1.7 million funding to implement electronic..." East Sussex Healthcare NHS Trust. Retrieved 10 August 2020.
  21. Toth, Rob (27 February 2020). "Trust rated Good by CQC – Outstanding for 'Care' and 'Effective'". East Sussex Healthcare NHS Trust. Retrieved 10 August 2020.
  22. Toth, Rob (4 June 2020). "Trust breaks even". East Sussex Healthcare NHS Trust. Retrieved 10 August 2020.

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