University College London Hospitals NHS Foundation Trust

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University College London Hospitals NHS Foundation Trust
University College Hospital - New Building - London - 020504.jpg
Geography
Location London, United Kingdom
Organisation
Care system NHS
Hospital type NHS foundation trust
History
Founded 1994
Links
Website http://www.uclh.nhs.uk/Pages/home.aspx

University College London Hospitals NHS Foundation Trust (UCLH) is an NHS foundation trust based in London, United Kingdom. It comprises the University College Hospital, University College Hospital at Westmoreland Street, the UCH Macmillan Cancer Centre, the National Hospital for Neurology and Neurosurgery, the Hospital for Tropical Diseases, the Royal London Hospital for Integrated Medicine, the Royal National Throat, Nose and Ear Hospital, and the Eastman Dental Hospital. Trust has an annual turnover of around £630 million and employs approximately 6,000 staff.[1] Each year its hospitals treat over 500,000 outpatients appointments and admit over 100,000 patients.[1] In partnership with University College London, UCLH has major research activities is part of the UCLH/UCL Comprehensive Biomedical Research Centre and the UCL Partners academic health science centre.[1] Its hospitals are also major teaching centres and offer training for nurses, doctors and other health care professionals in partnership with City University London, London South Bank University, Kings College London and UCL Medical School.[1]

History

The hospitals which now form part of UCLH or which contributed to its development were all originally established as charities which relied on public donations and subscriptions for their income. The oldest of these was the Middlesex Hospital, which was founded in 1745 and was one of the five voluntary general hospitals which were established in London during the 18th century (the others being Westminster Hospital (1719), Guy's Hospital (1721), St George's Hospital (1733), and the Royal London Hospital (1740).[2]

20th century

In 1948 the National Health Service was established, making most hospitals in the UK directly controlled by Government and funded by public taxation. Hospitals were grouped together into regional hospital management committees or teaching hospital groups. Following major NHS reforms UCL Hospitals NHS Trust was established in 1994, comprising the Middlesex Hospital, the Elizabeth Garrett Anderson Hospital, the Hospital for Tropical Diseases and University College Hospital.[2] In 1996 The Eastman Dental Hospital and the National Hospital for Neurology and Neurosurgery joined the UCLH NHS Trust.

21st century

In August 2001 the private Heart Hospital was acquired by UCLH and became the new home for all of the Trust's cardiac services, which had previously been housed in the Middlesex Hospital.[2] In 2002 the Royal London Homeopathic Hospital joined UCLH and in July 2004 UCLH was one of the first NHS trusts to be granted foundation trust status.[2]

In 2005 the new University College Hospital building was opened and all activities from the Middlesex Hospital were moved into the new building.[3] The Middlesex Hospital was closed in December 2005 and the site sold to developers.

In November 2009 the University College Hospital Elizabeth Garrett Anderson Wing was opened and most activities from the Elizabeth Garrett Anderson Hospital were moved into the new building.[4]

In April 2007 the Trust formed the UCLH/UCL National Institute for Health Research Comprehensive Biomedical Research Centre in partnership with UCL and the National Institute for Health Research.[5]

In August 2008 the Trust announced its intention to form the UCL Partners academic health science centre with UCL, Great Ormond Street Hospital for Children NHS Trust, Moorfields Eye Hospital NHS Foundation Trust and Royal Free Hampstead NHS Trust.[6]

In February 2009 Professor Sir Cyril Chantler was appointed as the first Chair of UCL Partners and it was officially designated as an academic health science centre by the UK Department of Health in March 2009.[6]

In 2015, UCLH completed its transfer of cardiac services to Barts Health NHS Trust, to the new purpose built Bart's Heart Center [7] and The Heart Hospital refurbished and renames University College Hospital at Westmoreland Street. The hospital now provides thoracic and urology services, including operation theaters, lithotripsy and cytoscopy.[8]

Also in 2015, the trust began construction on its new clinical facility located between University College Hospital and the UCH Macmillan Cancer Center, which will house Europe’s largest haematological inpatient service and a short stay surgical centre.[9] The new facility will also provide Proton Beam Therapy (PBT). Due to open in 2019, it will be one of only two NHS hospitals in the UK to provide PBT, the other currently under construction at The Christie in Manchester.[10]

Performance

The trust entered into a £292 million Private Finance Initiative scheme in 2000 for which it pays £55 million a year. The original developer, Amec Foster Wheeler sold their 35% stake to Land Securities and their interest passed to Semperian in 2010. The other interests are held by Interserve and Credit Suisse. The PFI holding company made a profit of £19 million in 2014/5.[11]

The trust expected to finish 2015-16 with a deficit of more than £22 million as a result of changes to the NHS tariff.[12] In February 2016 it was expecting a deficit of £32.5 million for the year 2015/6.[13]

The trust complained in June 2015 that commissioners outside England use a “burdensome” prior approval process, where a funding agreement is needed before each stage of treatment. At the end of 2014-15 the trust was owed more than £2.3m for treating patients from outside England.[14]

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 7657 full-time equivalent staff and a sickness absence rate of 3.38%. 83% of staff recommend it as a place for treatment and 70% recommended it as a place to work.[15]

Organisation

UCLH has a Board of Directors comprising twelve statutory members including the Chairman (currently Richard Murley) and Chief Executive (currently Sir Robert Naylor) of the Trust.[16] The role of the Board is to:

  • set the overall policy and strategic direction for the Trust;
  • approve and monitor the Trust's business plans, budgets and major capital expenditure;
  • monitor performance against objectives; and
  • provide members of the Trust's committees such as the remuneration committee and audit committee.[16]

UCLH also has a Governing Body which helps the Trust to develop and shape its services, to improve communication between the Trust's members, patients and local communities, and influences Trust decisions.[17] The Governing Body is composed of 33 governors, 23 of whom are elected by the Trust's patient, public and staff members, of whom three represent the local public, 14 represent patients and six represent Trust staff.[17] 10 other governors are appointed by local partner organisations including the Primary Care Trust and UCL.[17] Elections to the Governing Body are held each year.[17]

Research

In partnership with University College London, UCLH has major research activities and is part of the UCLH/UCL Comprehensive Biomedical Research Centre.

UCLH is also a founding member of UCL Partners, the largest academic health science partnership in Europe, which comprises University College London, Great Ormond Street Hospital for Children NHS Trust, Moorfields Eye Hospital NHS Foundation Trust, the Royal Free Hampstead NHS Trust and UCLH.[18]

Each of the UCLH hospitals has close research links with the UCL School of Life & Medical Sciences and its institutes and centres.

Teaching

UCL Medical School provides core medical education at three UCLH hospitals - University College Hospital, the National Hospital for Neurology and Neurosurgery and University College Hospital at Westmoreland Street.[19] UCLH also has close training and education links for nursing, midwifery and other allied health professionals with City University London, London South Bank University and Kings College London. [1]

References

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  2. ↑ 2.0 2.1 2.2 2.3 Lua error in package.lua at line 80: module 'strict' not found.
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  16. ↑ 16.0 16.1 Lua error in package.lua at line 80: module 'strict' not found.
  17. ↑ 17.0 17.1 17.2 17.3 Lua error in package.lua at line 80: module 'strict' not found.
  18. ↑ Lua error in package.lua at line 80: module 'strict' not found.
  19. ↑ Lua error in package.lua at line 80: module 'strict' not found.

External links

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