Royal United Hospitals Bath NHS Foundation Trust

The Royal United Hospitals Bath NHS Foundation Trust runs the Royal United Hospital (RUH) and, since January 2015, the Royal National Hospital for Rheumatic Diseases.[1] In 2011, the RUH applied to become authorised as an NHS foundation trust from late Spring 2012,[2] however this was postponed after issues were raised by the Care Quality Commission about aspects of patient care. The process was restarted in 2014.[3] It was authorised as a Foundation Trust in October 2014.[4]

Accident and Emergency department

Redevelopment

In 2008, plans were revealed for a £100 million redevelopment of the pre-World War II RUH North buildings, which would include an increase in single-occupancy rooms in line with Government targets.[5] The first stage of this work was originally planned to start in 2012.[6] In 2014, a five-year development plan, incorporating a new cancer centre, was confirmed.[7]

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/

By 2010, the rates of hospital acquired MRSA and Clostridium difficile infection were below the national average.[8][9] In 2010, Dr Foster Hospital Guide reported that RUH mortality rates give no cause for concern.[10]

In 2010, Which? judged that the RUH had the best hospital car parking regime in England.[11]

It 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 3,852 full time equivalent staff and a sickness absence rate of 3.85%. It was recommend it as a place for treatment by 75% of staff and as a place to work by 68%.[12]

The Consultant Connect service, established at the trust in July 2015, allows GPs to speak directly with a consultant to get specialist advice in real time. It is now widely used across the NHS and has meant that at least 18,500 patients have been spared an outpatient hospital visit.[13]

Maternity services

Maternity services at the RUH were operated under contract, and had not been run by the Royal United Hospital Bath NHS Trust since its foundation in 1992 until 1 June 2014, after the contract had been retendered for three years by the NHS Wiltshire Clinical Commissioning Group. The Great Western Hospitals NHS Foundation Trust had run the service immediately prior to 2014.[14][15]

Criticism

The trust ran a deficit most years from 1992 to 2009, with very large deficits from 2002 to 2006,[16] creating an historic debt of £38M by 2008.[17] It also received a critical Commission for Health Improvement report and zero-star rating in 2002 after a determination of "deliberate manipulation" of waiting lists.[18][19] Following this the trust terminated the Chief Executive's contract, but in a subsequent employment tribunal case the former Chief Executive was awarded £218,439 for unfair dismissal with the tribunal rejecting allegations of neglect over misreporting waiting list numbers.[20] Progress has been made since 2006 on a plan to repay historic debt by 2013.[17] In February 2008, Conservative peer Lord Mancroft made a scathing attack on nursing staff at the hospital, claiming that many nurses who looked after him were "promiscuous, lazy and grubby".[21]

See also

References
  1. "Takeover at Bath Royal National Hospital for Rheumatic Diseases". BBC News. 28 January 2015. Retrieved 31 January 2015.
  2. "Royal United Hospital is setting out to become an NHS Foundation Trust hospital" (PDF) (Press release). Royal United Hospital. 16 March 2011. Retrieved 24 May 2011.
  3. "New Royal United Hospital bid to achieve trust status". Bath Chronicle. 11 May 2014. Retrieved 11 May 2014.
  4. "Three more trusts achieve foundation trust status". Nursing Times. 31 October 2014. Retrieved 31 October 2014.
  5. "Hospital chief reveals £100m revamp of Bath hospital". Bristol Evening Post. 25 September 2008. Retrieved 13 October 2011.
  6. "Planning bid for £40m RUH facelift". Bath Chronicle. 20 October 2011. Retrieved 10 November 2011.
  7. "£110m transformation to bring Bath's Royal United Hospital into the 21st century". Bath Chronicle. 8 May 2014. Retrieved 10 May 2014.
  8. "Results from the mandatory surveillance of MRSA bacteraemia". Health Protection Agency. 3 August 2011. Archived from the original on 8 November 2011. Retrieved 12 October 2011. MRSA bacteraemia rate per 100,000 bed days (year RUH:national average): 2008/9 6.8:4.3, 2009/10 2.6:2.7, 2010/11 0.9:1.8
  9. "Results of the mandatory Clostridium difficile reporting scheme". Health Protection Agency. 3 August 2011. Archived from the original on 8 November 2011. Retrieved 12 October 2011. C. difficile Trust apportioned case rate per 100,000 bed days (year RUH:national average): 2007/8 129.7:93.3, 2008/9 94.6:54.9, 2009/10 50.2:36.7, 2010/11 23.5:28.9
  10. "Clean bill of health for RUH in survey of patient safety". Bath Chronicle. 29 November 2010. Retrieved 12 October 2011.
  11. Michelle Roberts (9 June 2010). "'Best and worst' English NHS hospital car parks named". BBC News. Retrieved 12 October 2011.
  12. "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
  13. "Service linking GPs with consultants prevents thousands of hospital visits". GP Online. 14 September 2017. Retrieved 10 October 2017.
  14. Paul Wiltshire (21 January 2014). "RUH to run its own maternity services for first time in 22 years". Bath Chronicle. Retrieved 1 June 2014.
  15. Sirkka Huish (1 June 2014). "Maternity services are transferred back to the RUH". Bath Chronicle. Retrieved 1 June 2014.
  16. "Annual Report 2008/09" (PDF). Royal United Hospital. September 2009. Retrieved 25 February 2010. Cite journal requires |journal= (help)
  17. "Trust's Historic Debt Resolved" (PDF) (Press release). Royal United Hospital. 19 March 2008. Retrieved 25 February 2010.
  18. Tash Shifrin (27 February 2003). "RUH Bath report pushes reputation aside". Health Service Journal. Retrieved 25 February 2010.
  19. Lorna Duckworth (25 July 2002). "Best hospitals rewarded with bonuses of up to £1m". The Independent. Retrieved 25 February 2010.
  20. Tash Shifrin (25 June 2003). "Hospital chief awarded £200k for unfair dismissal". The Guardian. Retrieved 13 October 2011.
  21. "Anger over grubby nurses 'slur'". BBC. 29 February 2008. Retrieved 25 February 2010.

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