Imperial College Healthcare NHS Trust

Imperial College Healthcare was formed on 1 October 2007 by the merger of Hammersmith Hospitals NHS Trust and St Mary's NHS Trust with Imperial College London Faculty of Medicine.{{cite news|url=http://www.thisislondon.co.uk/standard/article-23414567-super-trust-will-offer-quicker-cures.do|archive-url=https://archive.today/20130505115417/http://www.thisislondon.co.uk/standard/article-23414567-super-trust-will-offer-quicker-cures.do|url-status=dead|archive-date=5 May 2013|title=Super-trust will offer quicker cures|access-date=28 April 2011|work=London Evening Standard|date=1 October 2007}} In July 2008, Imperial College Healthcare announced that it would be launching a pilot scheme to reward medical teams with bonuses for successful operations.{{cite news|url=http://news.bbc.co.uk/1/hi/7516296.stm|title='Rewards for medics' excellence'|access-date=28 April 2011|publisher=BBC News|date=20 July 2008}}{{cite news|url=http://www.timesonline.co.uk/tol/news/uk/health/article4364439.ece|title=Surgeons set for pay bonuses if their operations are successful|access-date=28 April 2011|work=The Times|date=20 July 2008}}{{dead link|date=September 2024|bot=medic}}{{cbignore|bot=medic}} In January 2009, the results of a study were published in which researchers had successfully captured MRI images of bleeding inside the hearts of 15 Imperial College Healthcare patients who had suffered a heart attack.{{cite news|url=https://www.telegraph.co.uk/health/healthnews/4292153/First-pictures-inside-a-heart-attack.html|archive-url=https://web.archive.org/web/20090123095125/http://www.telegraph.co.uk/health/healthnews/4292153/First-pictures-inside-a-heart-attack.html|url-status=dead|archive-date=23 January 2009|title=First pictures inside a heart attack|access-date=28 April 2011|work=The Telegraph|date=20 January 2009}} In November 2009, a team led by Professor Paul Abel of Imperial College Healthcare performed the first removal of a rectal cancer using ultrasound.{{cite news|url=http://news.bbc.co.uk/1/hi/8380812.stm|title=Rectal cancer tumour destroyed by ultrasound is a first |access-date=28 April 2011|publisher=BBC News|date=26 November 2009}} In 2009, Imperial College Healthcare Trust and Imperial College London become an academic health science centre. In 2013, interventional radiologists at the Trust used the Magellan Robotic System to treat fibroids in a world first. The Trust was designated a Genomic Medicine Centre in 2014. The same year, Hammersmith Hospital became the first in Europe to use a new heart mapping system to treat patients with complicated heart rhythm disorders. In a UK first in 2016, focused ultrasound was used at Charing Cross Hospital to treat essential tremor without brain surgery. The Trust featured in the debut series of Hospital on BBC Two in 2017, and was selected as a global digital exemplar for acute care in partnership with Chelsea and Westminster the same year.{{Cite web|url=https://www.imperial.nhs.uk/about-us/who-we-are/our-achievements|title=Our achievements|website=www.imperial.nhs.uk|language=en|access-date=2019-04-23}} In 2019, a patient achieved a sustained remission from HIV-1 after ceasing antiretroviral treatment—becoming only the second in the world to do—after being treated with a stem cell transplant at Hammersmith Hospital. The treatment was offered to the so-called "London patient" as part of a collaboration by the stem cell transplant team at Imperial College London and HIV scientists at University College London.{{Cite web|url=https://www.itv.com/news/london/2019-03-05/london-patient-second-in-the-world-to-be-cleared-of-hiv-virus-say-researchers/|title=London patient second in the world 'to be cleared of HIV virus', say researchers|website=ITV News|language=en|access-date=2019-04-23}}

File:Hammersmith Hospital in 2009.jpg]]

The Trust's chief executive is Professor Tim Orchard.{{Cite web|url=https://www.imperial.nhs.uk/about-us/news/imperial-college-healthcare-nhs-trust-names-new-chief-executive|title=Imperial College Healthcare NHS Trust names new chief executive|website=www.imperial.nhs.uk|language=en|access-date=2019-04-23}} The chair of the Trust was Lord Tugendhat from its inception in October 2007 until December 2011 when he was succeeded by Sir Richard Sykes. The current chair of the Trust is Matthew Swindells, who took up his role at the beginning of April 2022. Matthew is the first joint chair for four acute trusts in north west London, including Chelsea and Westminster Hospital NHS Foundation Trust, The Hillingdon Hospitals NHS Foundation Trust, Imperial College Healthcare NHS Trust and London North West University Healthcare NHS Trust.{{Cite web|url=https://www.imperial.nhs.uk/about-us/blog/meet-matthew-swindells-the-first-joint-chair-for-all-four-acute-trusts-in-north-west-london|title=Meet Matthew Swindells, the first joint chair for all four acute trusts in north west London |website=www.imperial.nhs.uk|language=en|access-date=6 April 2022}}

The clinical services of Imperial College Healthcare are organised into three divisions:{{cite web|url=https://www.imperial.nhs.uk/about-us/who-we-are/how-we-are-organised|title=How we are organised|publisher=Imperial College Healthcare NHS Trust|access-date=23 April 2019}}

• Medicine and integrated care
• Surgery, cardiovascular and cancer division
• Women's, children's and clinical support division

File:Western Eye Hospital.jpeg]]

In 2012/13, Imperial College Healthcare achieved a year end adjusted surplus of £9.0 million with a total income of £971.30 million, of which £752.725 million was from patient care activities and £218.549 million was from other operating revenue. In the same year it had operating expenses of £939.70 million, capital expenditure of £25.0 million.{{cite web |title=Annual report 2012/13 |url=https://www.imperial.nhs.uk/~/media/website/about-us/publications/annual-report/annual-report-2012-13.pdf?la=en |website=Imperial College Healthcare NHS Trust |access-date=22 January 2020}}

As at 31 March 2013, it had total assets of £855.737 million, total assets less current liabilities of £687.395 million and total assets employed of £664.033 million.

Imperial College Healthcare ended 2015/16 in deficit of £47.9 million.{{cite news|title=Analysis: The trusts whose finances fell furthest despite 'urgent action'|url=http://www.hsj.co.uk/home/news/analysis-the-trusts-whose-finances-fell-furthest-despite-urgent-action/7005255.article|access-date=31 July 2016|publisher=Health Service Journal|date=2 June 2016}} This was partly as a result of changes to the NHS tariff.{{cite news|title=Rollover tariff trusts expect massive deficits|url=http://www.hsj.co.uk/news/finance/updated-rollover-tariff-trusts-expect-massive-deficits/5085199.article#.VYWQd4q4_eM|access-date=20 June 2015|publisher=Health Service Journal|date=26 May 2015}} It reported that vacancies had reached 1/6 of the nursing workforce in July 2015.{{cite news|title=NHS needs thousands of nurses as London wards are shut in 'perfect storm'|url=https://www.standard.co.uk/news/health/nhs-needs-thousands-of-nurses-as-london-wards-are-shut-in-perfect-storm-10426714.html|access-date=22 August 2015|work=Evening Standard|date=30 July 2015}}

In 2017/18, it predicted a deficit of £25.1 million and did not predict a full-year surplus until 2021/22. The total backlog maintenance bill had risen to £1.3 billion, the largest in the English NHS, and the trust had requested £131 million from NHS Improvement "to mitigate high and significant risk items".

{{cite news|title=Shelford Group trust will run deficit for 'at least three more years'|url=https://www.hsj.co.uk/news/shelford-group-trust-will-run-deficit-for-at-least-three-more-years/7022042.article|access-date=27 May 2018|publisher=Health Service Journal|date=27 March 2018}} In 2022 although the outstanding maintenance bill had fallen to £736 million it was still the largest in the English NHS.{{cite news |last1=Appleby |first1=John |title=Chart of the week: The cost of NHS backlog maintenance hits an all-time high |url=https://www.nuffieldtrust.org.uk/resource/the-cost-of-nhs-backlog-maintenance-hits-an-all-time-high |access-date=11 November 2022 |publisher=Nuffield Trust |date=11 November 2022}}

The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £6.7 million in 2018/19, but only collected £2.4 million.{{cite news |title=Trusts missing out on tens of millions from overseas patients |url=https://www.hsj.co.uk/finance-and-efficiency/trusts-missing-out-on-tens-of-millions-from-overseas-patients/7026384.article |access-date=9 January 2020 |publisher=Health Service Journal |date=19 November 2019}}

The trust has opened a clinic in Dubai. It is one of the most commercial NHS trusts, increasing private income, mostly from general and maternity care, by 19% from 2014 to 2016. About 25% of patients using private services came from overseas.{{cite news|title=NHS expands private care to help fill £20bn funding gap|url=https://www.ft.com/content/4d3d8364-da3f-11e5-98fd-06d75973fe09|access-date=26 January 2017|work=Financial Times|date=2 March 2016}}

During 2019/20 the trust employed an average of 13,000 people:

• Doctors—2,800
• Nurses and midwives—5,100
• Allied health professionals—800
• Scientists and technicians—1,200
• Pharmacists—150
• Medical students—2,000
• Nurses in education, pre-registration—640

Imperial College Healthcare 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 8,919 full-time equivalent staff and a sickness absence rate of 3.06%. 71% of staff recommended it as a place for treatment and 62% recommended it as a place to work.{{cite news|title=HSJ reveals the best places to work in 2015|url=http://www.hsj.co.uk/leadership/best-places-to-work/hsj-reveals-the-best-places-to-work-in-2015/5087434.article#.VgJD8ejkJv4|access-date=23 September 2015|publisher=Health Service Journal|date=7 July 2015}}

In April 2020, over 1,000 Sodexo cleaners, caterers and porters working at the Trust's five hospitals were made NHS employees after months of campaigning by UVW union. They had been severely underpaid in comparison to the NHS pay structure, and denied the sick pay, annual leave and pensions given to all NHS staff.{{Cite web|title=St Mary's Testimonials Jan 2020 on Vimeo|url=https://vimeo.com/user/36633893/folder/1304756|access-date=2020-07-30|website=vimeo.com}} Ten days of strike action and protests at St. Mary's Hospital in October and November 2019 led to negotiations and the non-renewal of Sodexo's contract.{{Cite news|last=Gayle|first=Damien|date=2020-01-30|title=Cleaners win big pay rise as NHS trust drops outsourcing deal|language=en-GB|work=The Guardian|url=https://www.theguardian.com/society/2020/jan/30/cleaners-win-big-pay-rise-as-nhs-trust-drops-outsourcing-deal|access-date=2020-07-30|issn=0261-3077}} A year later the trust board decided the services, previously run by Sodexo, would remain in-house. The trust had already decided to spend an extra £4 million a year bringing hotel services staff up to the London living wage of £10.55 an hour.{{cite news |title=Major trust extends insourcing of catering, cleaning and portering staff |url=https://www.hsj.co.uk/acute-care/major-trust-extends-insourcing-of-catering-cleaning-and-portering-staff/7029855.article |access-date=5 June 2021 |publisher=Health Service Journal |date=8 April 2021}}

Imperial College Healthcare was one of the first trusts to introduce a comprehensive public Wi-Fi service, in 2015. The basic service is free for patients, visitors and staff. There is also a premium service which enables video and audio streaming.{{cite news|title=Supplement: Can I watch Netflix from my hospital bed?|url=http://www.hsj.co.uk/topics/technology-and-innovation/supplement-can-i-watch-netflix-from-my-hospital-bed/5091380.article|access-date=29 November 2015|publisher=Health Service Journal|date=28 October 2015}}

On 1 June 2019, the Trust began a new five-year contract with Falck UK Ambulance Service to provide non-emergency patient transport services. Falck, who took over from DHL, were anticipated to complete 330,000 patient journeys in their first year.

In April 2020 the Trust became the first NHS Trust to start using the Concentric digital informed consent application to support patients undergoing surgical treatment.{{cite web|url=https://academic.oup.com/bjs/advance-article-abstract/doi/10.1093/bjs/znaa119/6202973|title=Assessment of the introduction of semi-digital consent into surgical practice|access-date=10 Apr 2021|publisher=BJS}}

In partnership with Imperial College London, Imperial College Healthcare is a major centre for medical research.{{cite web|url=http://www.imperial.nhs.uk/research/about/index.htm|title=Imperial College Healthcare Research|access-date=28 April 2011|publisher=Imperial College Healthcare NHS Trust}} It is also part of one of eleven National Institute for Health and Care Research Biomedical Research Centres.{{cite web |url=http://www.nihr.ac.uk/infrastructure/Pages/infrastructure_biomedical_research_centres.aspx |publisher=National Institute for Health Research |title=Biomedical Research Centres |access-date=1 September 2013}}{{cite news|url=http://www.timeshighereducation.co.uk/207821.article |title=South secures research cash |publisher=Times Higher Education |date=16 February 2007 |access-date=1 September 2013}} The trust has one of the 11 Genomics Medicines Centres associated with Genomics England which opened across England in 2014. All the data produced in the 100,000 Genomes project will be made available to drugs companies and researchers to help them create precision drugs for future generations.{{cite news|title=NHS DNA scheme to fight cancer and genetic diseases|url=https://www.bbc.co.uk/news/health-30558112|access-date=22 December 2014|publisher=BBC News|date=22 December 2014}}

In 2016, Imperial College Healthcare set up a project with DeepMind to develop new clinical mobile apps linked to electronic patient records.{{cite news|title=DeepMind announces second NHS partnership|url=http://www.itpro.co.uk/public-sector/27833/deepmind-announces-second-nhs-partnership|access-date=23 December 2016|publisher=IR Pro|date=23 December 2016}}

In 2018, researchers led by Professor George Hanna at St Mary's Hospital found that a simple breath test has been able to detect pancreatic cancer.{{Cite web|url=https://www.imperial.nhs.uk/about-us/news/breath-test-shows-promising-results|title=Breath test shows promising results in diagnosing pancreatic cancer at an earlier stage|website=www.imperial.nhs.uk|language=en|access-date=2019-04-23}}

Imperial College Healthcare is one of the few NHS Trusts in England to have a Public Health Directorate (headed by Professor Azeem Majeed). The Directorate carries out research in collaboration with the Imperial College School of Public Health.

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 2014/15 winter.{{cite news|title=26 trusts responsible for half of national A&E target breach|url=http://www.hsj.co.uk/acute-care/exclusive-26-trusts-responsible-for-half-of-national-ae-target-breach/5083848.article#.VUX1Oak2MYA|access-date=3 May 2015|publisher=Health Service Journal|date=1 April 2015}}

At the end of March 2017, the trust was confirmed as one of four additional NHS Global Digital Exemplars; joining the twelve announced in September 2016.{{cite news|last1=Stevens|first1=Laura|title=Four more acute global digital exemplars confirmed by NHS England|url=https://www.digitalhealth.net/2017/03/four-more-acute-global-digital-exemplars-confirmed-by-nhs-england/|access-date=12 May 2017|publisher=Digital Health|date=31 March 2017}} The trust shares its GDE status with Chelsea and Westminster Hospital NHS Foundation Trust as a "joint Exemplar".{{cite web |last1=England |first1=NHS |title=Acute Global Digital Exemplars |url=https://www.england.nhs.uk/digitaltechnology/info-revolution/exemplars/acute-global-digital-exemplars/ |website=NHS England |access-date=20 July 2018}}

In 2019/20, the Trust performed 38,000 operations and saw 305,000 emergency attendees.

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• [https://www.ahsc.org.uk/ Imperial College Academic Health Science Centre website]

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Category:NHS trusts