Nottingham University Hospitals NHS Trust

Nottingham University Hospitals NHS Trust (NUH) is the UK’s fourth largest acute teaching trust. It was established on 1 April 2006 following the merger of Nottingham City Hospital and the Queen's Medical Centre. They provide acute and specialist services to 2.5 million people within Nottingham and surrounding communities from the Queen’s Medical Centre (QMC) and the City Hospital campuses. In 2009/10 it had an annual budget in excess of £687m of public sector funding and employed approximately 12,000 staff. The Trust has over 1,500 volunteers.

A merger with Sherwood Forest Hospitals NHS Foundation Trust is planned, and Peter Homa, Chief Executive of Nottingham has taken the same role at Sherwood Forest, but is refusing to accept responsibility for the trust's £2.5 billion private finance initiative contract.^[1] In 2016 Homa stepped down from the job at Sherwood Forest and in November 2016 it was announced that the merger would not proceed.^[2]

Departments

The Trust is the principal provider of acute general, specialist and tertiary hospital care to the population of Nottingham, with approximately 1,663 hospital beds. Activities include general hospital services for the local population and a wide range of specialist services for regional and national patients. They provide a range of general acute and specialist services across nine clinical directorates. These are:

• Acute Medicine • Cancer and Associated Specialties • Diabetic, Renal & Cardiovascular • Diagnostic & Clinical Support • Digestive Diseases and Thoracic • Family Health • Head and Neck • Musculoskeletal and Neurosciences • Specialist Support

Research

The Trust has a close partnership with The University of Nottingham across a vast range of research activities. This includes the three Biomedical Research Units in gastroenterology, hearing and respiratory medicine.

Nottingham University Hospitals was one of only two national pilots for a trust-wide programme called ‘Releasing Time to Care – the Productive Ward’. The aim of this is to release nurse time from unnecessary or ‘wasteful’ activity.

Bliss, the special care baby charity are currently funding research into the benefits to premature and sick babies of manuka honey dressings.

Campus

The City Hospital campus is the older of the two campuses, founded in 1903. It occupies a large 90-acre (360,000 m2) site on the ring road to the north of the city centre. It provides general medical and surgical services to the local population, and is the location for many specialties such as cardiology, cardiothoracic surgery, breast surgery, plastic surgery, nephrology, oncology, urology, and infectious diseases.

QMC campus was the first purpose built teaching hospital in the UK, and also contains The University of Nottingham Medical and Nursing Schools and Nottinghamshire Healthcare mental health wards. During the year 2008/09 a proportion of outpatient and day case patient care was transferred to the NHS Treatment Centre operated by Nations Healthcare. NUH staff have been seconded to provide a service to the organisation, but it operates independently of the Trust.

The two hospitals are connected by a link bus which provides a free service for patients and staff.

Dermatology

In 2013 Circle won a dermatology contract from the Nottinghamshire Clinical Commissioning Groups for services across the Trust and their Nottingham NHS Treatment Centre. Circle also runs the Nottingham Treatment Centre on the QMC site. Nottingham was previously regarded as a national centre of excellence for dermatology. In December 2014 it was announced that six of the eight consultants had left rather than transfer to Circle. It was suggested that the doctors were concerned over job stability at a private employer, and had fears that a profit-driven provider would not offer opportunities for academic research or training. The trust announced that it would stop providing acute dermatology services to new patients from February 2014. The President of the British Association of Dermatologists said this was "just one example of the many fires we are fighting across the UK to try to keep dermatology services open in the face of poorly thought-out commissioning decisions and the Government’s lack of understanding of the implications of pushing NHS services into unsustainable models provided by commercially driven private providers or enterprises,” ^[3] The exodus of doctors left a department with too few staff to function, and put Circle under "financial pressure" because they had to pay nearly £300,000 per year each for six locum doctors, some insufficiently qualified to be on the specialist register. A report, by Dr Chris Clough of Kings College Hospital, London, called for the trust, Circle and Rushcliffe Clinical Commissioning Group to work together to solve the problem.^[4] The handling of these changes by both commissioners and providers was described as an ‘unmitigated disaster'. The consultants had concerns about transferring “to an uncertain model at Circle”. The consultants said the company had no experience of the highly specialist work they provided and that this would “inevitably lead to a downscaling of their ability to deliver effective training and research”.^[5]

Radiology

The trust hosts the East Midlands Radiology Consortium which runs a shared system that stores and transmits patient radiology images across the region.^[6]

Performance

The trust was one of 26 responsible for half of the national growth in patients waiting more than four hours in accident and emergency over the 2014/5 winter.^[7]

The trust expects to finish 2015-16 with a deficit of more than £42 million as a result of changes to the NHS tariff.^[8]

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 11,557 full-time equivalent staff and a sickness absence rate of 3.39%. 78% of staff recommend it as a place for treatment and 69% recommended it as a place to work.^[9]

In November 2016 it was reported that the Trust planned to end its estates and facilities services contract with Carillion after nurses had been forced to clean the wards because of a shortage of 70 cleaning staff.^[10]

See also

• List of NHS trusts

External links

• Trust website

References