Isle of Wight NHS Trust

{{Use dmy dates|date=April 2022}}

{{Infobox NHS organisation

| name = Isle of Wight NHS Trust

| logo = Isle of Wight NHS Trust logo.svg

| logo_size =

| logo_caption =

| map = EnglandIsleWight.svg

| map_size =

| map_caption = Area served by the Isle of Wight NHS Trust

| former_name =

| type = NHS trust

| start_date = 1 April 2012

| end_date =

| headquarters = Newport, Isle of Wight, England{{cite web |title=Contact Us |url=https://www.iow.nhs.uk/contact-us/contact-us.htm |website=Isle of Wight NHS Trust |accessdate=4 January 2020}}

| hospitals = St Mary's Hospital

| region_served = Isle of Wight

| budget =

| chair = Melloney Poole{{cite web |url=https://www.iow.nhs.uk/about-us/our-trust-board/trust-board-profiles.htm |title=Trust Board Profiles |publisher=Isle of Wight NHS Trust |website=iow.nhs.uk |access-date=2022-10-01}}

| chief_exec = Penny Emerit

| staff = 3,887 (2023){{cite web |title=Annual Report and Accounts 2022/2023 |url=https://www.iow.nhs.uk/Downloads/Annual%20Report/Isle%20of%20Wight%20NHS%20Trust%20Annual%20Report%20and%20Accounts%202022.23.pdf |website=Isle of Wight NHS Trust |access-date=18 September 2023}}

| website = {{Official URL}}

}}

The Isle of Wight NHS Trust is an NHS trust which provides physical health, mental health and ambulance services for the Isle of Wight.

The trust is unique in being the only integrated acute, community, mental health and ambulance health care provider in England.{{cite web|url=https://www.iow.nhs.uk/about-us/|title=About us|publisher=Isle of Wight NHS Trust|website=iow.nhs.uk}}

It runs St Mary's Hospital and the Isle of Wight Ambulance Service.

History

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.{{cite web |title=The Isle of Wight National Health Service Trust (Establishment) Order 2012 |url=https://www.legislation.gov.uk/uksi/2012/786/made |website=legislation.gov.uk |access-date=9 April 2021}}

The trust formed a strategic partnership with Portsmouth Hospitals University NHS Trust in 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.{{cite web |title=Acute Services partnership between Isle of Wight NHS Trust and Portsmouth Hospitals University NHS Trust |url=https://www.porthosp.nhs.uk/news/acute-services-partnership-between-isle-of-wight-nhs-trust-and-portsmouth-hospitals-university-nhs-trust/628719 |website=Portsmouth Hospitals University NHS Trust |access-date=18 June 2023}}

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 from South Central Ambulance Service.{{Cite web|url=https://www.countypress.co.uk/news/19226892.isle-wight-ambulances-will-work-future/|title = How Isle of Wight ambulances will work in future}}

Acute care

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.{{cite news|title=Health economy to lose critical care services under CCG plans|url=https://www.hsj.co.uk/nhs-isle-of-wight-ccg/health-economy-to-lose-critical-care-services-under-ccg-plans/7021568.article|accessdate=1 February 2018|publisher=Health Service Journal|date=31 January 2018}} 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.{{cite news|title=Social workers join care hub|url=http://www.iwcp.co.uk/news/news/social-workers-join-care-hub-51646.aspx|accessdate=24 November 2013|newspaper=Isle of Wight County Press|date=8 November 2013}} 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.{{cite news |title=Christine's positive impact at Hospital cited as best practice in national CQC report |url=https://onthewight.com/christines-positive-impact-at-hospital-cited-as-best-practice-in-national-cqc-report/ |accessdate=5 July 2019 |publisher=On the Wight |date=3 July 2019}}

It is using the South Central Ambulance Service's computer system for ambulance dispatches to improve the performance of the ambulance service on the island.{{cite news |title='Inadequate' trust teams up with neighbour |url=https://www.hsj.co.uk/quality-and-performance/inadequate-trust-teams-up-with-neighbour-/7023251.article |accessdate=1 October 2018 |publisher=Health Service Journal |date=31 August 2018}}

The trust was one of the beneficiaries of Boris Johnson's announcement of capital funding for the NHS in August 2019, with an allocation of £48{{nbsp}}million for redesign of acute services.{{cite news |title=Revealed: The 20 capital projects promised by the PM |url=https://www.hsj.co.uk/finance-and-efficiency/revealed-the-20-capital-projects-promised-by-the-pm/7025689.article? |accessdate=9 September 2019 |publisher=Health Service Journal |date=5 August 2019}}

Performance

The trust ended the financial year 2015/16 with a deficit of £8.4M.{{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|accessdate=31 July 2016|publisher=Health Service Journal|date=2 June 2016}} In April 2017, it was put into special measures after a Care Quality Commission (CQC) inspection rated it inadequate,{{cite news |title=CCG to lose powers by joining commissioning partnership |url=https://www.hsj.co.uk/nhs-isle-of-wight-ccg/ccg-to-lose-powers-by-joining-commissioning-partnership/7022462.article |accessdate=16 August 2018 |publisher=Health Service Journal |date=22 May 2018}} finding "unsafe" mental health services, widespread understaffing and a "subtle culture of bullying".{{cite news|title='Unsafe' Isle of Wight NHS Trust 'put patients at harm'|url=https://www.bbc.co.uk/news/uk-england-hampshire-39566485|accessdate=27 April 2017|publisher=BBC|date=12 April 2017}} Maggie Oldham, was appointed chief executive in May 2017, having performed the same role at Mid Staffordshire NHS Foundation Trust.{{cite news|title=New chief executive for recent special measures trust|url=https://www.hsj.co.uk/hsj-local/providers/isle-of-wight-nhs-trust/new-chief-executive-for-recent-special-measures-trust/7017533.article|accessdate=27 April 2017|publisher=Health Service Journal|date=26 April 2017}}

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.{{cite news |title=Hundreds of serious incidents recorded at struggling small trust |url=https://www.hsj.co.uk/quality-and-performance/hundreds-of-serious-incidents-recorded-at-struggling-small-trust/7026742.article? |accessdate=12 March 2020 |publisher=Health Service Journal |date=22 January 2020}}

In December 2019, it was the fourth worst performing trust in England against the four-hour A&E target, with only 48% of patients seen within four hours,{{cite news |title=Five trusts fail four-hour target in more than half of A&E cases |url=https://www.hsj.co.uk/quality-and-performance/five-trusts-fail-four-hour-target-in-more-than-half-of-aande-cases/7026662.article |accessdate=24 February 2020 |publisher=Health Service Journal |date=10 January 2020}} and had the longest waits for emergency ambulances.{{cite news |title=The areas with the longest waits for emergency ambulances |url=https://www.hsj.co.uk/quality-and-performance/revealed-the-areas-with-the-longest-waits-for-emergency-ambulances/7026791.article? |accessdate=23 March 2020 |publisher=Health Service Journal |date=3 February 2020}}

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.{{cite news |title=Mental Health Matters: What the staff survey said about quality and safety |url=https://www.hsj.co.uk/mental-health-matters-what-the-staff-survey-said-about-quality-and-safety/7029710.article |access-date=10 May 2021 |publisher=Health Service Journal |date=12 March 2021}}

In September 2021 the trust was rated "good" following an inspection by the CQC and taken out of special measures after four years.{{cite web |title=Care Quality Commission welcomes improvements at Isle of Wight NHS Trust |url=https://www.cqc.org.uk/news/releases/care-quality-commission-welcomes-improvements-isle-wight-nhs-trust-0 |website=Care Quality Commission |access-date=18 June 2023}}

Mental health

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.{{cite news|title=Report criticises mental health unit|url=http://www.iwcp.co.uk/news/news/report-criticises-mental-health-unit-51632.aspx|accessdate=24 November 2013|newspaper=Isle of Wight County Press|date=10 November 2013}}

In November 2014, the trust established a ‘strategic estates partnership’ with Ryhurst, 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.{{cite news|title=Isle of Wight Trust signs estates partnership|url=http://www.hsj.co.uk/hsj-local/pcts/isle-of-wight-nhs-pct/isle-of-wight-trust-signs-estates-partnership/5077076.article#.VI8FySusUk4|accessdate=15 December 2014|publisher=Health Service Journal|date=25 November 2014}}

Integration

The Isle of Wight NHS was one of the areas selected to pilot Integrated primary and acute care systems under the Five Year Forward View in 2015.{{cite news|title=NHS chief unveils 29 'vanguard' areas in his new reforms|url=https://www.independent.co.uk/life-style/health-and-families/health-news/nhs-chief-unveils-29-vanguard-areas-in-his-new-reforms-10099148.html|accessdate=11 March 2015|publisher=Independent|date=10 March 2015}} The scheme was entitled "My Life a Full Life" and involved the Isle of Wight Council, the Clinical Commissioning Group and the local GP collaborative One Wight Health.{{cite news|title=Isle of Wight Trust drops FT bid|url=http://www.hsj.co.uk/hsj-local/providers/isle-of-wight-nhs-trust/isle-of-wight-trust-drops-ft-bid/7003039.article|accessdate=17 April 2016|publisher=Health Service Journal|date=7 March 2016}}

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.{{cite news |title=National recognition for Isle of Wight's pioneering approach to providing integrated health and social care |url=https://onthewight.com/national-recognition-for-isle-of-wights-pioneering-approach-to-providing-integrated-health-and-social-care/ |access-date=28 September 2021 |publisher=On the Wight |date=27 September 2021}}

See also

References

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