York and Scarborough Teaching Hospitals NHS Foundation Trust explained

York and Scarborough Teaching Hospitals NHS Foundation Trust provides services for a population of around 800,000 people living in and around York, North Yorkshire, North East Yorkshire and Ryedale, United Kingdom.[1]

Facilities

The trust runs:

History

The York Hospital NHS Foundation Trust was established on 1 April 2007, and renamed York Teaching Hospital NHS Foundation Trust in 2010, following its links with Hull York Medical School (HYMS).

In October 2010, Scarborough and North East Yorkshire NHS Trust approached the trust, seeking assistance due to their financial misfortunes.[2] On 1 July 2012 this deal was complete and Scarborough General Hospital became part of the York trust.[3] With many departments merging between hospitals. This new larger organisation employs over 8,500 people.

From April 2011, with community-based services moving away from the primary care trust, the trust took over the management of some of the community nursing and specialist services in Selby, York, Scarborough, Whitby and Ryedale.

In 2021 Rachael Maskell and Keep York Urgent Care Public, a staff group, denounced plans by the trust to outsource initial assessment, streaming and minor injury care in the A&E department to Vocare as privatisation.[4]

On 1 April 2021 the trust changed its name to York and Scarborough Teaching Hospitals NHS Foundation Trust.[5] The name was chosen to better reflect the geographical area covered by the trust and to be more inclusive of all staff.

Performance

During 2010/11 the annual turnover for the hospital was £247m. More than 92% of the trust’s clinical income came from contracts with the Primary Care Trust.

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.[6]

The trust broke from the national pay agreement in August 2015 by giving a 1% pay rise to its senior non-clinical staff - those earning above £57,069 - in line with the award for the rest of the staff.[7] It spent £11.8m on agency staff in 2014/15.[8]

In January 2016 the trust announced that it was expecting an unprecedented deficit of £11m on an annual budget of about £450m. All spending was to be deferred until April if possible.[9]

In a survey of 242 hospitals in England it had the slowest responding telephone switchboard, with an average response time of 278 seconds.[10]

In October 2017 it reported a £17.6m deficit and was reported to be "on the verge" of financial special measures as it expected to be unable to pay its bills by November 2017.[11]

In 2022 the Care Quality Commission found there were “significant safety concerns about fundamental standards of patient care” at York hospital because “The service didn’t have enough nursing staff with the right skills, training and experience to keep patients safe and to provide the right care and treatment”.[12]

Notes and References

  1. Web site: About our Trust . 2021-08-28 . York and Scarborough Teaching Hospitals NHS Foundation Trust . yorkhospitals.nhs.uk.
  2. News: Scarborough approach York for help . 28 October 2010. 9 November 2014. BBC. BBC News.
  3. News: Scarborough and York hospital merger goes ahead . 1 July 2012. 9 November 2014. BBC. BBC News.
  4. News: Plans drawn up to partially privatise York A&E, say MP and staff . 2 March 2021 . York Press . 2 March 2021.
  5. Web site: New name for hospital trust . 2021-04-01 . 2021-08-28 . York and Scarborough Teaching Hospitals NHS Foundation Trust . yorkhospitals.nhs.uk.
  6. News: 26 trusts responsible for half of national A&E target breach. 3 May 2015. Health Service Journal. 1 April 2015.
  7. News: Three more trusts snub national pay agreement. 20 October 2015. Health Service Journal. 3 September 2015.
  8. News: Agency spending: the real picture. 23 December 2015. Health Service Journal. 26 November 2015.
  9. News: York Hospital faces "unprecedented" £11m crisis - Vacancies left unfilled - all non-essential expenses to be blocked. 29 January 2016. York Press. 28 January 2016.
  10. News: The call must go out to improve hospital switchboard services. 2 July 2016. Health Service Journal. 20 April 2016.
  11. News: Teaching trust 'on the verge' of special measures. 23 December 2017. Health Service Journal. 3 October 2017.
  12. News: Patients unwashed ‘for three days’ at trust under ‘extreme pressure’ . 25 July 2022 . Health Service Journal . 9 June 2022.