Tuesday, 22 April 2014 The Foundation Trust Experiment and UCLH Presentation to Civitas 22nd October...
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Transcript of Tuesday, 22 April 2014 The Foundation Trust Experiment and UCLH Presentation to Civitas 22nd October...
Tuesday 18 April 2023
The Foundation Trust Experiment and UCLH
Presentation to Civitas
22nd October 2007
Tuesday 18 April 2023
UCLH context– 7 central London hospitals – Acute local services– Five major tertiary services
• Neurosciences• Cardiac• Cancer• Women's Health• Gastrointestinal
– Biomedical Research Centre• 1,200 R&D projects• R&D budget = £300m
– Attendances 600k p.a.– Turnover c£600m:
Tuesday 18 April 2023
UCLH Hospitals University College Hospital, Eastman Dental Hospital, The Heart Hospital, Hospital for Tropical Diseases, Elizabeth Garrett Anderson & Obstetric Hospital,
National Hospital for Neurology and Neurosurgery, Royal London Homoeopathic Hospital
Tuesday 18 April 2023
Our vision
“UCLH is committed to delivering:• top quality patient care• excellent education• world class research
Can this vision be better delivered
as a Foundation Trust?
Tuesday 18 April 2023
Foundation Trusts
Political Context
Tuesday 18 April 2023
Political comment - Milburn
• “The challenge over this next decade is to move power irrevocably outwards and downwards to those using public services…”
Alan Milburn
Secretary of State for Health (1997-2002)
Tuesday 18 April 2023
What are Foundation Trusts?
• NHS plan ‘earned autonomy’ & ‘funding for reform’ • Public benefit corporations, but part of the NHS
• A membership of local people and staff
• A Board of Governors of patients, staff, and local people (elected by members) + local stakeholders
• Freedom to borrow & use surplus cash to reinvest in new services and innovation
• Not centrally managed, but regulated by Monitor
Source: Foundation Trust Network – The story so far (2007)
Tuesday 18 April 2023
Progress Towards FT Status
• April 2004 – 20 First wave FT’s
• April 2007 – 70 FT’s– 200,000 staff– 600,00 members– 1,000 Governors
• April 2008 – 100+ FT’s
- 100 non-FT’s
Tuesday 18 April 2023
Foundation Trusts
Are they delivering benefits?
Tuesday 18 April 2023
Delivering Benefits
• Better governance, enhanced accountability to patients and the public
• Greater focus on patients’ (customers) needs• Strong financial management, improved efficiency
and productivity• Freedom to innovate in health care• Higher staff and patient satisfaction
Source: Foundation Trust Network – The story so far (2007)
Tuesday 18 April 2023
Insider Views “We have to stand or fall by
our own decisions. The buck
really does stop here.”Alan Whittle,
CEO, Basildon Hospitals FT
“We have transformed our drive towards financial efficiency.”
Dr Mary Archer,
Chair, Cambridge Hospitals FT
“We have championed the need for the Trust to listen to and learn from patients.”
Veronica Beechey,
Governor, UCLH FT
“It’s a different world. It’s about developing services to our own prescription.”
Chris Burke,
CEO, Stockport FT
Tuesday 18 April 2023
Foundation Trusts
How do they compare?
Tuesday 18 April 2023
Foundation TrustsDelivering improved efficiency
EBITDA margin
Percent
AP FY 07/08
Quarters 2-4
06/07
Quarter 1
07/08
•6.8 7.6
6.76.56.5
3
2006/07
2007/08
Achieved CIP
PbR efficiency assumption
Planned CIP
PbR efficiency assumption
2.9%
2.5%
% COST BASE
3.0%
2.5%
1 2 3
Tuesday 18 April 2023
I&E Surplus - 2007/08 Plan
Tuesday 18 April 2023
NHS Trusts and Foundation Trusts Use of Resources 2006/7
1%
34%
32%
33%
ExcellentGood Fair Weak
NHS Trusts
Tuesday 18 April 2023
NHS Trusts and Foundation Trusts Use of Resources 2006/7
1%
34%
32%
33%
ExcellentGood Fair Weak
Foundation TrustsNHS Trusts
87%
10% 3% 0%
Tuesday 18 April 2023
Foundation Trusts Only Use of Resources 20005/6 – 2006/7
53%34%
13% 0%
Excellent
Good
Fair
Weak
FT’s 2005/06
Tuesday 18 April 2023
Foundation Trusts Only Use of Resources 20005/6 – 2006/7
87%
10% 3% 0%
FT’s 2006/07
53%34%
13% 0%
Excellent
Good
Fair
Weak
FT’s 2005/06
Tuesday 18 April 2023
NHS Trusts and Foundation Trusts HCC Quality Standards - 2006/7
NHS Trusts 2006/7
25%
36%
35%
7%
Excellent
Good
Fair
Weak
Tuesday 18 April 2023
NHS Trusts and Foundation Trusts HCC Quality Standards - 2006/7
Foundation Trusts 2006/7NHS Trusts 2006/7
25%
36%
35%
7%
Excellent
Good
Fair
Weak
37%
37%
2%
24%
Tuesday 18 April 2023
Foundation Trusts Only HCC Quality Standards
Foundation Trusts 2005/6
13%
59%
25%
3%
Excellent
Good
Fair
Weak
Tuesday 18 April 2023
Foundation Trusts Only HCC Quality Standards
Foundation Trusts 2006/7Foundation Trusts 2005/6
37%
37%
2%
24%
13%
59%
25%
3%
Excellent
Good
Fair
Weak
Tuesday 18 April 2023
“These results endorse our view that with strong leadership and the right freedoms, NHS foundation trusts will deliver improvements for their patients.”
Bill Moyes, Monitor 17th October 2007
Tuesday 18 April 2023
Foundation Trusts – Should we go further?
• FT’s now ‘model of choice’
• Mergers and acquisitions - will FT’s acquire failing NHS Trusts?
- who represents customers & shareholders?
• Extension of public/private partnerships?• Commerciality and franchising• Will FT’s become a “holding company” with
internal/external contracts and JV’s• What can UCLH do???
Tuesday 18 April 2023
Ambulatory cancer centre
• New patient focused cancer care
• Designed for each cancer specialty
• Building planned to start next year
Tuesday 18 April 2023
The UCLH campus of the future