Special measures team called in to monitor finances of Isle of Wight NHS Trust (updated)

The Isle of Wight NHS Trust has been forced into working with the NHS Improvement Financial Special Measures team to ensure clinical services become financially sustainable.

maggie oldham - leeds em conference

NHS Improvement share this latest news announcing the Isle of Wight NHS Trust has been placed in financial special measures. Ed


NHS Improvement has decided to place Isle of Wight NHS Trust into special measures for financial reasons for financial under performance and an ongoing significant deficit.

For the current financial year, in January, the trust confirmed an increased deficit of £13m more than its original financial plan and has not yet been able to sufficiently explain the deterioration or how it will be addressed.

Special measures for quality
The trust is already in special measures for quality and while the trust has placed considerable focus on improving the quality of care for local patients, the trust has not placed equal focus on improving their finances.

The trust is now expected to develop a plan to make sustained improvements to both its quality and financial performance. Any improvements to its financial position must not have a negative impact on the quality of care.

Help provided to develop plan
Financial special measures is designed to help NHS trusts facing the biggest financial challenges. Under the integrated oversight of the Regional Director for the South East for both NHS Improvement and NHS England, support for the trust from both organisations will be aligned to help develop and implement this plan. This support will include:

  • Appointment of Financial Improvement Director to focus on improving financial rigour at the trust;
  • Review of the trust’s Cost Improvement Programme planning to maximise the opportunities for efficiency savings;
  • Streamlined oversight of delivery from NHS Improvement and NHS England creating a single improvement conversation.

Eden: Current financial position not sustainable
Confirming the decision today, Anne Eden, Regional Director South East, NHS Improvement and NHS England said:

“Despite the unique challenges faced by the Island’s geography and the efforts of staff at the trust, the current financial position at the trust is not sustainable.

“There is strong evidence to show that high quality care and financial grip go hand in hand and the trust must now drive improvements at pace to ensure local patients consistently receive high quality, safe and cost-effective care.”

Response from NHS Trust
Maggie Oldham, Chief Executive of the Isle of Wight NHS Trust, explains the worsening financial deficit at the Trust and why they have been forced into working with the NHS Improvement Financial Special Measures team to ensure clinical services become financially sustainable.

She said,

“Like many NHS organisations the IOW NHS Trust has for some time had a worsening financial deficit. This is because we have invested in necessary improvements, and have cared for an increased numbers of patients.

“Our costs have risen significantly, and we have not been able to deliver all the efficiency savings that we hoped to. Some of this is due to the specific costs related to our Island situation. Particularly the difficulty of recruiting enough permanent staff, which has resulted in us spending more on temporary staffing fees.”

Community and Mental Health services need more development
She went on to say,

“We also recognise that we need to continue to develop alternatives to treating people in hospital. Our Community and Mental Health services need more development. This will ensure that patients and service users are supported with a range of suitable care options tailored to their needs.

“We are working in partnership as a Health and Social Care System to plan and deliver improvements together, that will provide us with clinically sustainable services.

“Working with NHS Improvement Financial Special Measures team, will provide us with additional focus and support to ensure that our clinical services are also financially sustainable.”

Article edit
9.20am Information from NHS Improvement added

Thursday, 7th March, 2019 12:02am

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Filed under: Health, Island-wide, Isle of Wight News, Top story, Unexpected

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Alternative Perspective
No one wants to be in hospital, but occasionally that is the right place to be. St Mary’s deficit is a Government engineered one through years of continuous underfunding designed to apply pressure on the Trust to outsource services to the private sector, driven by the Governments privatisation agenda, and desire generally to reduce the availability of many services on the IW Maggie Oldham has the thankless… Read more »