The Trust have allocated £1,138,154 for improvements to surgeries across the Trust Cookstown Surgery will receive £184,234 in funding while Fairhill in Magherafelt will receive a very much needed £81,007.
GP Surgeries in Cookstown and Magherafelt is one of 9 surgeries to benefit from funding from the Northern Heath & Social Care Trust. The Trust have allocated £1,138,154 for improvements to surgeries across the Trust Cookstown Surgery will receive £184,234 in funding while Fairhill in Magherafelt will receive a very much needed £81,007. For full accounts contact Save The Mid
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The Northern Health & Social Care Trust are facing an end of year deficit of over £2 million despite savings already being made in reducing service provision. For the year 2012/12 the trust have already identified savings : According to the accounts £1.723 million of savings targets still to be achieved must be done so by the end of the year 2012/13.
£12.5 million pounds of savings were made during the year and Directors and Senior managers have been asked to find additional areas where savings can be made. KEY RISKS: The following areas have significant elements of estimation, and could thus impact on our year-end estimates. a) Agenda for Change: Whilst 400 leavers’ arrears have been calculated, the Trust currently is unable to progress these for payment as the leaver has still to confirm their National Insurance number for security clearance. In addition, approximately 1,200 staff successfully appealed their agenda for change banding. Some £3.6million of reviews have progressed onto their regionally approved new banding. There is a balance of £700,000 retained for outcomes still to be confirmed. b) Elective Care Reform: The financial position assumes that Elective Care Access work will break-even. c) SBA Volumes: HSCB correspondence with the Trust has emphasised the requirement to fully deliver on volumes (CORE work). Failure to achieve this may result in financial sanctions. d) Community Care Issues: PCCOPS and Mental Health/Disability Directorates have agreed the apportionment of the 2012/13 demography funding. Fifty percent of the target is to be matched by productivity. We are currently assessing the growth in activity volumes this year which are linked to demographic issues. e) Additional Medical Costs: The European Working Time Directive (EWTD) and new Specialist Doctors’ Contract will have a financial impact on the Trust. EWTD relates primarily to the Hospital at Night scheme in Antrim Hospital which is currently being reviewed by ISG (circa £260,000 FYE) The Specialist Doctor’s Contract was costed by DHSSPS; however the Trust has revisited these costs and believe that recurrent emerging revenue costs in the region of some £350,000 will impact on the Trust during 2012/13. DHSSPS have indicated that they would not be able to cover these additional costs. f) The balance of the 2011/12 Modernisation & Recovery Plans falling into 2012/13 amounted to £4.216million. The recurrent breakeven position requires these plans to be delivered in full. g) The final recurrent costs associated with any potential AFC Clustering issues are as yet unknown. HSCB have funded £1.1million recurrently in anticipation of the settlement of these requests. The Northern Trust is the only Trust in Northern Ireland to project a deficit, the trust board have failed in both performance and finance. The Short stay in Antrim Hospital seen 1,291 admissions throughout the year 2012.
This ward was developed as a holding ward for patients who attend the A&E at Antrim Area Hospital, in 2004 through developing Better Serives it was stated following the decision to downgrade Mid Ulster Hospital that (link): "5.2.10 The focus in both hospitals will be on optimising acute inpatient bed capacity by maximising day surgery as an alternative to elective inpatient care, using outpatient procedures as an alternative to day surgery, and improving the management of emergency inpatient admissions including the utilisation of a short stay ward." The short stay ward has been the center of controversy since it was created, at times patients are placed in trolleys at its doors for hours waiting to be admitted and other patients, including members of Save The Mid have sat on plastic chairs outside its doors for over 6 hours waiting to be admitted. The short stay ward is in most part of the Emergency Pathway is not recorded as actual emergency care waiting time, it is the view of Save The Mid these times should be included. A true picture of the emergency pathway will highlight more the issues facing Antrim Hospital, this ward is another example of the NHSCT manipulating waiting time figures, a target based exercise that has no clinical merit. On the 24th Jan 2012 a letter was read to the Trust Board, it was heard under section 4 of the Agenda "Accounts of Patients Experience", it was told to the board how a dementia patient spent 2 weeks int he short stay ward. His family had requested that he was moved form Holywell due to several issues they had with his care. While in the short stay ward the family described how his health had failed as he could not get the appropriate level of care £7,393,566 The Cost of Clinical Negligence in The Northern Health & SOcial Care Trust 2007-20121/30/2013 Northern Health and Social Care Trust provides a broad range of health and social care services for people across the local council areas of Antrim, Ballymena, Ballymoney, Carrickfergus, Coleraine, Cookstown, Larne, Magherafelt, Moyle and Newtownabbey.
The Northern Trust became operational on 1 April 2007, following the Review of Public Administration. They were created from the merger of 19 former trusts. The Northern Trust was established following the merger of three former trusts - Causeway, Homefirst and United. Despite the salary bill of the Trusts costing £4,535,000 Save The Mid can reveal that on top of this Health Trusts claimed £121,706.61 on travel and subsistence. For more information on health trust and other health bodies expenses see:http://savethemid.weebly.com/1/post/2013/01/executive-health-board-memberssalaries-pensions-201112.html ![]()
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Views of NHS changes from mainland UK - http://www.hospitaldr.co.uk/blogs/our-news/review-on-future-of-urgent-and-emergency-care-launched
A major review of urgent and emergency services has been launched by the NHS Commissioning Board to establish proposals for the best way to organise care in England. The review, led by Medical Director Sir Bruce Keogh, will work with clinical commissioning groups (CCGs) to develop a national framework offer to help them ensure high-quality, consistent standards of care across the country. Sir Bruce said: “The NHS is there for all of us and should offer appropriate, effective and rapid care whenever and wherever it is needed. “Treatments for many common conditions such as heart attacks and strokes have evolved considerably over the last decade and are now best treated in specialist centres. Yet we know people want their A&E nearby. “This makes me think we need to review the increasingly complex and fragmented system of urgent and emergency care, so that sick, anxious and often frightened people can get what they need when they need it.” The review comes as a number of hospital A&E departments are under threat of closure, provoking public outrage. The NHS Commissioning Board stresses that local commissioning will be at the heart of this review, which follows the Board’s commitment in its recent planning guidance. It aims to enable CCGs to shape services for the future and put in place arrangements that meet the needs of patients. It plans to publish emerging principles for consultation in the Spring. In its planning guidance, published late last year, the NHS Commissioning Board said it would review urgent and emergency care as part of plans for more seven-day services. As well as seven-day working, the review aims to help CCGs find the right balance between providing excellent clinical care in serious complex emergencies and maintaining or improving local access to services for less serious problems. It will set out the different levels and definitions of emergency care. These range from top-level trauma centres at major hospitals to local accident and emergency departments and facilities providing access to expert nurses and GPs for the treatment of more routine but urgent health problems. As well as looking at how emergency care is provided, the review will also assess transfer processes between these levels of emergency care. The NHS Commissioning Board also says it wants to improve public understanding of the best place to go for care. By helping the public to go to the right place first, both they - and those who have very serious illnesses and injuries - will be seen more quickly by specialist clinical teams with the right qualifications and facilities. It stresses that the pattern of urgent and emergency care, including the number and location of services, will continue to be de developed locally to meet the different needs of urban and rural communities. The review aims to provide a national framework so high quality, consistent standards are offered across the country. In future, planning reconfigurations should take account of the review’s conclusions, the emerging evidence and the national framework. The Foundation Trust Network recently published a briefing document summarising the results of their A&E 2012 benchmarking study. It found that the majority of trusts are losing money on their A&E services. It called on the Department of Health to re-examine the policy of paying for some emergency admissions at 30% of the standard tariff, and called on the risks and responsibility for avoiding emergency admissions should be more fairly shared between acute trusts and primary and community care. It also found that trusts with primary care or urgent care centres within their A&E departments have faster average treatment times. And trusts that use senior clinicians as part of a rapid assessment team have faster initial assessments for the most acute A&E patients Nearly half of all A&E attendances for older patients (75yrs+) end in admission. Multidisciplinary teams in A&E reduce admissions of elderly patients, and trusts have reduced reattendance rates by providing comprehensive information and follow up advice. Dr Clive Peedell, a clinical oncologist and co-leader of the National Health Action Party, said A&E closure was often the “death knell” for a hospital. He said: “Once you lose A&E, you lose all your acute admissions. It’s like dominoes. It’s a way to close a hospital. There seems to be a drive to close hospitals on an ad hoc and financially-driven basis. There’s a definite agenda to treat more people in the community - but the capacity isn’t there. “We welcome the review but it needs to be open to debate. It should not be a central diktat.” Mr Poots was speaking following the publication of the Deaths in Northern Ireland 2011 statistics report by NISRA, which showed a the total number of deaths has fallen to its lowest level ever. He said: “The report shows that people are living an average of six years longer (age 75.8) than they were 30 years ago and there has been a 40% increase in those aged over 75. “This is good news and to be welcomed, however it poses a major challenge for health and social care services in providing care in the future. As we need to plan for this change in the population demographic, so it is equally important that people aim to maintain a healthy lifestyle – and add life to years not just years to life.” However 3 months into the statistics in 2012 we are beginning to see an increase in deaths across all Health Trust Areas. Points Of Interest:
More localised death rates will be publish in due course Annual Accounts can be found on this link: http://savethemid.weebly.com/references-transforming-your-care-response.html BHSCT:
NHSCT:
SHSCT: Highest Paid Board Member :
SEHSCT:
WHSCT:
Public Health Authority:
Health & Social Care Board:
DHSSPS
A more detailed insight of each board member will be available soon.
What is a Pension Cash Equivalent Transfer Value/ Cash Equivalent Benefit statement? A CETV or CEB statement reflects the capital value of the pension benefits (i.e income and/or potential lump sum) that have been accrued to date, or which are in payment. With a money purchase scheme, the CETV is purely the transfer value of the funds that have accrued to date. The transfer value may be different to the actual fund values, depending on scheme penalties. The CETV of final salary schemes rarely reflects the true value of the accumulated pension rights. If the scheme is short of money, the transfer value may be reduced to reflect the underfunding position. This is a complex area and proper financial advice should be sought. 14. Cash Equivalent Transfer Values A Cash Equivalent Transfer Value (CETV) is the actuarially assessed capitalised value of the pension scheme benefits accrued by a member at a particular point in time. The benefits valued are the member’s accrued benefits and any contingent spouse’s pension payable from the scheme. A CETV is a payment made by a pension scheme or arrangement to secure pension benefits in another pension scheme or arrangement when the member leaves a scheme and chooses to transfer the benefits accrued in their former scheme. The pension figures shown relate to the benefits that the individual has accrued as a consequence of their total membership of the pension scheme, not just their service in a senior capacity to which disclosure applies. The CETV figures, and from 2003-04 the other pension details, include the value of any pension benefit in another scheme or arrangement which the individual has transferred to the CSP arrangements. They also include any additional pension benefit accrued to the member as a result of their purchasing additional years of pension service in the scheme at their own cost. CETVs are calculated in accordance with The Occupational Pension Schemes (Transfer Values) (Amendment) Regulations and do not take account of any actual or potential benefits resulting from Lifetime Allowance Tax which may be due when pension benefits are taken. The actuarial factors that are used in the CETV calculation were changed during 2011, due to changes in demographic assumptions. This means that the CETV in this year’s report for 31 March 2011 will not be the same as corresponding figure shown in last year’s report. 15. Real increase in CETV This reflects the increase in CETV effectively funded by the employer. It does not include the increase in accrued pension due to inflation, contributions paid by the employee (including the value of any benefits transferred from another pension scheme or arrangement) and uses common market valuation factors for the start and end of the period. |
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