Wikipedia

Isle of Wight NHS Trust

TheIsle of Wight NHS Trustis anNHS trustwhich provides physical health, mental health and ambulance services for theIsle of Wight. The trust is unique in being the only integrated acute, community, mental health and ambulance health care provider in England.[4] It runsSt Mary's Hospitaland theIsle of Wight Ambulance Service.

Isle of Wight NHS Trust
TypeNHS trust
Established1 April 2012
HeadquartersNewport,Isle of Wight,England[1]
Region servedIsle of Wight
HospitalsSt Mary's Hospital
ChairMelloney Poole[2]
Chief executivePenny Emerit[2]
Staff3,887 (2023)[3]
Websitewww.iow.nhs.ukEdit this at Wikidata

History

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The trust was established on 1 April 2012 following the separation of the provider and commissioning functions of the Isle of Wight Primary Care Trust.[5]

The trust formed a strategic partnership withPortsmouth Hospitals University NHS Trustin 2019, aimed at addressing the sustainability of certain small-scale acute services on the Isle of Wight and, as of June 2023, the two trusts share a chair and chief executive.[6]

In 2021, it was announced that the Ambulance Service will follow a new five year strategy that will see it having a closer working relationship and support fromSouth Central Ambulance Service.[7]

Acute care

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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.[8]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.[9]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.[10]

It is using theSouth Central Ambulance Service's computer system for ambulance dispatches to improve the performance of the ambulance service on the island.[11]

The trust was one of the beneficiaries ofBoris Johnson's announcement of capital funding for the NHS in August 2019, with an allocation of £48million for redesign of acute services.[12]

Performance

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The trust ended the financial year 2015/16 with a deficit of £8.4M.[13]In April 2017, it was put intospecial measuresafter aCare Quality Commission(CQC) inspection rated it inadequate,[14]finding "unsafe" mental health services, widespread understaffing and a "subtle culture of bullying".[15]Maggie Oldham, was appointed chief executive in May 2017, having performed the same role atMid Staffordshire NHS Foundation Trust.[16]

It recorded 277 serious incidents in 2018 and 2019, compared to 143 in the previous two years. Delays in treatment accounted for 22%. This was after a new executive team in 2018 encouraged staff to report all incidents.[17]

In December 2019, it was the fourth worst performing trust in England against the four-hourA&E target,with only 48% of patients seen within four hours,[18]and had the longest waits for emergency ambulances.[19]

In 2021, it performed best on all of the main quality and safety-related questions in the mental health section of the annual NHS Staff Survey.[20]

In September 2021 the trust was rated "good" following an inspection by the CQC and taken out of special measures after four years.[21]

Mental health

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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.[22]

In November 2014, the trust established a ‘strategic estates partnership’ withRyhurst,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.[23]

Integration

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The Isle of Wight NHS was one of the areas selected to pilot Integrated primary and acute care systems under theFive Year Forward Viewin 2015.[24]The scheme was entitled "My Life a Full Life" and involved theIsle of Wight Council,theClinical Commissioning Groupand the local GP collaborative One Wight Health.[25]

The trust's Discharge Facilitation Service was highly commended at the 2021 Municipal Journal Local Government Achievement Awards for its success in bringing people home sooner from hospital admissions.[26]

See also

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References

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  1. ^"Contact Us".Isle of Wight NHS Trust.Retrieved4 January2020.
  2. ^ab"Trust Board Profiles".iow.nhs.uk.Isle of Wight NHS Trust.Retrieved1 October2022.
  3. ^"Annual Report and Accounts 2022/2023"(PDF).Isle of Wight NHS Trust.Retrieved18 September2023.
  4. ^"About us".iow.nhs.uk.Isle of Wight NHS Trust.
  5. ^"The Isle of Wight National Health Service Trust (Establishment) Order 2012".legislation.gov.uk.Retrieved9 April2021.
  6. ^"Acute Services partnership between Isle of Wight NHS Trust and Portsmouth Hospitals University NHS Trust".Portsmouth Hospitals University NHS Trust.Retrieved18 June2023.
  7. ^"How Isle of Wight ambulances will work in future".
  8. ^"Health economy to lose critical care services under CCG plans".Health Service Journal. 31 January 2018.Retrieved1 February2018.
  9. ^"Social workers join care hub".Isle of Wight County Press.8 November 2013.Retrieved24 November2013.
  10. ^"Christine's positive impact at Hospital cited as best practice in national CQC report".On the Wight. 3 July 2019.Retrieved5 July2019.
  11. ^"'Inadequate' trust teams up with neighbour ".Health Service Journal. 31 August 2018.Retrieved1 October2018.
  12. ^"Revealed: The 20 capital projects promised by the PM".Health Service Journal. 5 August 2019.Retrieved9 September2019.
  13. ^"Analysis: The trusts whose finances fell furthest despite 'urgent action'".Health Service Journal. 2 June 2016.Retrieved31 July2016.
  14. ^"CCG to lose powers by joining commissioning partnership".Health Service Journal. 22 May 2018.Retrieved16 August2018.
  15. ^"'Unsafe' Isle of Wight NHS Trust 'put patients at harm'".BBC. 12 April 2017.Retrieved27 April2017.
  16. ^"New chief executive for recent special measures trust".Health Service Journal. 26 April 2017.Retrieved27 April2017.
  17. ^"Hundreds of serious incidents recorded at struggling small trust".Health Service Journal. 22 January 2020.Retrieved12 March2020.
  18. ^"Five trusts fail four-hour target in more than half of A&E cases".Health Service Journal. 10 January 2020.Retrieved24 February2020.
  19. ^"The areas with the longest waits for emergency ambulances".Health Service Journal. 3 February 2020.Retrieved23 March2020.
  20. ^"Mental Health Matters: What the staff survey said about quality and safety".Health Service Journal. 12 March 2021.Retrieved10 May2021.
  21. ^"Care Quality Commission welcomes improvements at Isle of Wight NHS Trust".Care Quality Commission.Retrieved18 June2023.
  22. ^"Report criticises mental health unit".Isle of Wight County Press.10 November 2013.Retrieved24 November2013.
  23. ^"Isle of Wight Trust signs estates partnership".Health Service Journal. 25 November 2014.Retrieved15 December2014.
  24. ^"NHS chief unveils 29 'vanguard' areas in his new reforms".Independent. 10 March 2015.Retrieved11 March2015.
  25. ^"Isle of Wight Trust drops FT bid".Health Service Journal. 7 March 2016.Retrieved17 April2016.
  26. ^"National recognition for Isle of Wight's pioneering approach to providing integrated health and social care".On the Wight. 27 September 2021.Retrieved28 September2021.
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