Walsgrave Hospital performance

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  • PRESSURE is mounting on Coventry s Walsgrave Hospital after it emerged that junior doctors are working more than their contracted 56 hours per week. And documents leaked to the Advertiser discuss the imminent risk of the withdrawal of these posts from the Trust as early as December.  Rugby Advertiser 15 November 2001
  • A friend tells me (February 2002) that a successful triple bypass operation at Walsgrave Hospital in Coventry was marred when he picked up an MRSA infection that has not healed.  Hospital procedures need to eliminate all sources of infection.
  • A RUGBY mother has vowed never to return to the Walsgrave Hospital after she developed an infection following surgery.  Rugby Advertiser 07 August 2003
  • THE FAMILY of a Rugby man who was left lying in his own mess by nurses as he recovered from an operation have made grave claims that neglect at Walsgrave Hospital contributed to his death. Harold George Prestidge, 82, died on March 6, a month after a successful operation to remove bowel cancer. He developed septicaemia and died of bronchial pneumonia. His family has highlighted a series of major blunders and questions about the aftercare he received. Rugby Advertiser 29th April 2004.
  • A RUGBY family are desperately searching for answers after their mum mysteriously died following a routine operation. Care worker and mother-of-three Susan Furniss, 47, had no health problems when she went to Walsgrave Hospital for a standard hysterectomy but suddenly fell ill after the operation and died just two days later. The Furniss family, from New Bilton, have been told that her death is a complete mystery and an inquest verdict could take at least three months. Rugby Advertiser 23 June 2005
  • 'Teething problems' making nurses sick. More than 20 nurses have quit their jobs since the new University Hospital in Coventry opened a month ago. Stressed staff say they are leaving because of problems at the £400 million PFI hospital at Walsgrave. They claim there is a shortage of staff, morale is low, the building is too hot and there is nowhere for nurses to change. One nurse, who would only give her name as Louise, said: "The morale at the new hospital is terrible, the place is a shambles, and a lot of staff are leaving and not always being replaced." Summary by Keep our NHS Public of Coventry Evening Telegraph 10 August 2006
  • Ward shuts at new hospital. Bosses at Coventry's new University Hospital have announced plans to close a ward and axe 24 beds - just six months after it opened. Ward 33a is to close down under the plans, which will save the hospital trust about £400,000, and the staff and patients will be spread around other wards. But staff and union officials have accused hospital management of failing to think through the plans, which could come in to force as early as February 1. And they say mixing the wards is a potential disaster, as it could see cases of superbug MRSA rocket at University Hospital, which has until now had a good record for the bug. Charlie Sarrell, regional officer for Unison, said: "They're closing ward 33a and shunting everybody to 22 and 32, and one of our main concerns is that services will be lumped in together, and this could be dangerous. This is not good clinical practice. Management are taking the view that there can be fewer beds if there's a faster throughput of surgical patients, but surgical beds are used when there is an over-flow of clinical patients, so where will they go ? There are no redundancies indicated but we are concerned about the disruption to staff and the fact that the management seem to be rushing this through. There will be more pressure on staff, consultants will be expected to be more available and nurses could end up discharging patients, which is not their job." One nurse affected by the closure, who asked not to be named, said she was worried that nurses were being asked to reapply for their jobs. She said: " We've been told we have to reapply for our own jobs within a week. They told us there were going to be bed closures and it was for economic reasons." Acting director of nursing Dr Ann-Marie Cannaby said: "We are not making any nurses redundant. A small number of nurses will have to work on a different ward but they are being asked for their preference as to where they would like to work." Summary by Keep our NHS Public of Coventry Evening Telegraph 19 January 2007
  • NHS admits 17 trusts are mired in debt. The Department of Health last night named 17 NHS hospital trusts across England which are mired in debts worth hundreds of millions of pounds and cannot survive without a fundamental reorganisation. David Nicholson, the NHS chief executive, said 12 were not creditworthy enough to be lent money from government funds to cover an accumulated deficit at the end of the financial year last month. Five were permitted to take out loans, but acknowledged they could be repaid only over "a very extended timescale". His announcement was the first official confirmation of a Guardian inquiry in December which found at least a dozen trusts were technically bankrupt, with no prospect of repaying debts. The department removed Good Hope hospital in Sutton Coldfield, West Midlands, from its financial sick list after making arrangements in March for it to be taken over by Heart of England NHS foundation trust, with hospitals in east Birmingham and Solihull. The government hopes similar takeovers can be organised to rescue others on the list of 17, but they may not be suitable in every area and some facilities may have to close. The 13 trusts that could not afford to repay debts were: Hinchingbrooke Health Care in Huntingdon; Mid Yorkshire; Queen Mary's, Sidcup, Kent; Royal Cornwall; Royal Wolverhampton; Coventry & Warwickshire; West Middlesex; Weston Area Health, Weston-super-Mare; and three London trusts - Barking, Havering and Redbridge; Bromley; and Queen Elizabeth, Woolwich. The five that could not repay loans in the foreseeable future were: North Bristol; Royal United hospital, Bath; Surrey and Sussex Healthcare; the Royal West Sussex; and Whipps Cross, London. John Carvel, social affairs editor Thursday April 26, 2007 The Guardian
  • Jobs freeze remains at superhospital. Coventry's University Hospital at Walsgrave, which was funded through the Private Finance Initiative, is facing a £15m shortfall this year. As a result, a recruitment freeze is set to continue and a range of other savings is being investigated, partly to pay for the cost of building the hospital under PFI. The hospital is now planning to take a loan from the NHS to tide it over into the next financial year. Hospital trust chairman Phil Townshend said: "There is no point in us seeking a loan that we are unable to repay. It follows that we will have to make cost efficiencies in the region of £15 million but it needs to be borne in mind that this represents approximately less than five per cent of the trust's annual spend. There are areas that are costing us a lot of money where savings can and must be made." The trust is planning to make savings by modifying the way in which pathology and pharmacies are run across the area's hospitals and tackling the problem of bed blocking. Mr Townshend also promised to cut management costs. Summary by Keep our NHS Public of Coventry Evening Telegraph 1 June 2007
  • The 17 NHS trusts categorised as "financially challenged". Barking, Havering and Redbridge Hospitals; Bromley Hospitals; Hinchingbrooke Health Care; Mid Yorkshire Hospitals; North Bristol; Queen Elizabeth Hospital; Queen Mary's Sidcup; Royal Cornwall Hospitals; Royal United Hospital Bath; Royal Wolverhampton Hospital; The Royal West Sussex; University Hospitals Coventry & Warwickshire; West Middlesex University; Weston Area Health; Whipps Cross University Hospitals. Summary by Keep our NHS Public of Times 6 June 2007
  • Hospital calls in financial experts. Experts are to be called in to help new PFI built University Hospital at Walsgrave balance its books. The move comes as unions await news on whether more jobs will be lost as the trust battles to save £30m. 189 posts have been axed in the last 18 months. The trust is one of 18 described as "financially challenged" by the NHS's Director General of Finance and Investment, Richard Douglas. Despite apparently breaking even this year and last, the trust is one of 13 not considered credit worthy by the government. However, University Hospital can get "public dividend capital" - essentially a loan without a regular repayment schedule. Summary by Keep our NHS Public of Coventry Evening Telegraph 12 June 2007
  • Outrage. Moves to impose charges of up to £10 a day for parking at Coventry's University Hospital have sparked anger in Coventry and Warwickshire. Visitors and patients can currently park for 200 minutes for free. However this will be scrapped from September the 1st and prices will start from £3 for the first two hours, up to £10 for over six hours. Even disabled blue badge holders will now have to pay. Fees for the disabled were scrapped just nine months ago by chief executive David Roberts after a 6,000 strong petition. However his successor, Martin Lee, has persuaded board members let him impose new charges, saying medical services would have to be cut if he was not allowed to. All the money from parking goes to a private company as part of the private finance initiative deal to build the hospital. Summary by Keep our NHS Public of Coventry Evening Telegraph 8 August 2007
  • Charity steps in to parking battle. A Coventry charity has joined the battle against increased parking charges and the end of free parking for disabled people at University Hospital in Walsgrave. Coventry Carers' Centre, in City Arcade, is the latest organisation to slam the decision to charge patients and their relatives up to £10 a day and £3 for up to two hours to park from September 1. A petition has been launched calling for a U-turn on the charges. New hospital chief executive Martin Lee says he has to raise the money to meet requirements of a contract drawn up under a private finance initiative when the hospital was built. Summary by Keep our NHS Public of Coventry Evening Telegraph 17 August 2007
  • 200 hospital jobs to go to save £10m. A further 200 administrative jobs are to be axed at Coventry's University Hospital to save £10m, in addition to the 116 posts shed over the last 18 months. Human resources, IT and finance, will be affected, as will directors. The trust which runs the hospital and the Hospital of St Cross in Rugby is struggling to make savings of £30m by the end of the financial year, and has already identified £20m of savings through more efficient working practises and a renegotiating the price of supplies. Chief executive Martin Lee said: "This is not a position I wanted us to be in and every endeavour has been, and will continue to be, made to find the savings from elsewhere. But it is clear that, with the exception of cutting services, the only major area left within which to make significant savings towards the £10 million, within the timescale, is post reduction. We had thought we might be looking at as many as 375 posts but after considerable work to explore other savings, we are now hopeful we will be able to reduce this figure to around 200.Patients can be reassured that our priority is to ensure we continue to deliver safe clinical services for our patients. That is why we will be looking primarily to reduce managerial, corporate and administrative jobs." Trust bosses said they hoped to avoid compulsory redundancies, but that they could not be ruled out. Mr Lee added: "if we are to avoid cutting our core healthcare services, we have no choice but to resolve our financial situation." Summary by Keep our NHS Public of Coventry Evening Telegraph 23 August 2007
  • Hospital staff told: help slash the wage bill. Hospital bosses at the NHS trust responsible for University Hospital in Coventry and St Cross in Rugby have launched a last ditch attempt to save £30m. The trust has given almost all of its 6,000 staff four options. These are voluntary redundancy; early retirement; a cut in hours; or up to weeks extra unpaid holiday. The choice has been included in the wage slip of every worker with a September 14th deadline. The letter, from the trust's director of human resources, Kate Bradley, reads: "You are all aware of the trust's financial position, in that we have to make £30 million savings by March 2008. With every-one's help and support we have already identified £15 million of cost savings which are on target to be delivered. Another £5 million in additional income has been secured, which leaves us with £10 million to deliver. We are still exploring every possible avenue to make savings. But it is clear that, with the exception of cutting services, the only major area to make significant savings within the timescale is staffing costs, as this is our biggest area of expenditure." Despite the offer, management is likely to target specific areas, and some requests may be deemed inappropriate. The trust has already proposed increasing parking charges and cutting 200 white-collar jobs. Union leaders fear another 175 post may be lost to cut the trust's deficit. Summary by Keep our NHS Public of Coventry Evening Telegraph 30 August 2007
  • Union's fears over a leaner workforce. Unison representatives have spoken of their fears that moves to slash the wage bill at Coventry University Hospital, which is struggling with a £10m deficit, will place remaining staff under additional pressure. Unison regional officer Charlie Sorrell said: "The trade unions recognise there is a financial problem at the trust and we have been in discussions with the trust for all of this year, if not longer. We know something has to be done to get the trust's finances on an even keel. What we are concerned about is that nobody is forced into doing something they don't want to do. If people want to take up the option of voluntary redundancy or early retirement, we will not object to that but we will be watching those that remain working for the trust to make sure they are not expected to pick up extra work." In a letter to staff the trust offered options including voluntary redundancy, unpaid leave and early retirement in a bid to slash its £17m per month wage bill. Mr Sorrell added: "If you have a department of 50 people and one person decides to take two weeks off, it is a problem that can probably be coped with. But if there is a department of 10 then it is a very different picture. We are concerned that people are not faced with undue work pressures as a result of this." Summary by Keep our NHS Public of Coventry Evening Telegraph 12 September 2007
  • Surgeons operate on wrong hip. A PATIENT from Rugby woke up after a routine operation to discover that surgeons had started to operate on the wrong hip. After being admitted for a hip operation, medical staff opened up the woman's healthy hip on the operating table. They then quickly realised that they were meant to treat the other hip. They were able to patch up their mistake and complete the operation. But the woman, who we cannot name for legal reasons, has been left with scars from the blunder. Representatives from the University Hospital in Coventry have met with the family and apologised for the mistake, which they said was down to 'human error'. Rugby Advertiser 15 November 2007

     

Hospitals funded through PFI are clearly unaffordable [see also Mark Hellowell and Allyson Pollock Wednesday September 12, 2007 Guardian]. This is illustrated by the University Hospital Coventry and Warwickshire, funded through PFI, which was fully open for most of 2006/07.  See also  George Monbiot Tuesday September 4, 2007 The Guardian. While the Hospital Trust moved from break even in 2005/06 to an insignificant surplus of £0.1m, the Coventry and Warwickshire PCTs increased their aggregate deficits from £3.2m to £14.4m according to annex 5 of NHS financial performance 4th quarter 2006 07 DH_075228 (pdf).  A complication is that the other Warwickshire hospital trusts (which provide about a third by value of the hospital services in Coventry and Warwickshire) moved from an aggregate deficit of £21.1m to an aggregate surplus of £1.5m, but this was associated with severe cutbacks in services.

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Sheila Porter-Williams
Campaign for Health Service Democracy
Green Haven, Halfway Lane
Dunchurch
Rugby, Warwickshire CV22 6RD
sheilaCHSD@porter-williams.freeserve.co.uk