Isle of Wight NHS Trust
The Isle of Wight NHS Trust is an NHS trust which provides physical health, mental health and ambulance services for the Isle of Wight. It was established on 1 April 2012 following the separation of the provider and commissioner functions within the Isle of Wight Primary Care Trust. The trust is unique in being the only integrated acute, community, mental health and ambulance health care provider in England. It runs St Mary's Hospital, the Sevenacres mental health unit and the Isle of Wight Ambulance Service. History. The trust was established on 1 April 2012 . Hampshire and the Isle of Wight formed a sustainability and transformation plan area in March 2016 with Richard Samuel, the Chief Officer of Fareham and Gosport and South Eastern Hampshire clinical commissioning groups (CCG) as its leader Melloney Poole, chair of Portsmouth Hospitals University NHS Trust, will also chair this trust from October 2020. There are plans for a single acute service across the island and Portsmouth. In 2021, it was announced that the Ambulance Service will follow a new five year strategy that will see it having a closer working relationship and support from South Central Ambulance Service. Acute  care. In January 2018, the CCG proposed that Isle of Wight patients needing high risk and complex emergency and elective surgery should in future be treated in Portsmouth and Southampton. Some outpatient appointments could be conducted remotely. The trust has established an emergency care hub at the hospital where social workers have joined ambulance crews, mental health teams and district nurses are based together. A helipad was installed in May 2013 to permit rapid transfer to specialist care on the mainland when necessary. The social work service established in the A&E department has been held out as an example to  follow, because it has significantly reduced the number of hospital admissions. It is using the South Central Ambulance Service's computer system for ambulance dispatches to improve the performance of the ambulance service on the island. The trust was one of the beneficiaries of Boris Johnson's announcement of capital funding for the NHS in August 2019, with an allocation of £48million for redesign of acute services. Performance. The trust ended the financial year 2015/16 with a deficit of £8.4M. In April 2017, it was put into special measures after a Care Quality Commission (CQC) inspection rated it  inadequate, finding "unsafe" mental health services, widespread understaffing and a "subtle culture of bullying". Maggie Oldham, was appointed chief executive in May 2017, having performed the same role at Mid Staffordshire NHS Foundation Trust. It recorded 277 serious incidents in 2018 and 2019, compared to 143 in the previous two years. Delays in treatment accounted for 22%. This was after a new executive team in 2018 encouraged staff to report all incidents. In December 2019, it was the fourth worst performing trust in England against the four-hour A&E target, with only 48% of patients seen within four hours, and  had the longest waits for emergency ambulances. In 2021, it performed best on all of the main quality and safety-related questions in the mental health section of the annual NHS Staff Survey. In September 2021, it was taken out of special measures (after four years). CQC performance rating. In its last inspection of the service in May 2019, the Care Quality Commission (CQC) gave the following ratings on a scale of outstanding (the service is performing exceptionally well), good (the service is performing well and meeting our expectations), requires improvement (the service isn't performing as well as it  should) and inadequate (the service is performing badly): Mental health. The Sevenacres mental health unit was criticised by CQC inspectors in November 2013 because patients were unclear about their care plans and were not always involved in decisions about their care or treatment. In November 2014, the trust established a ‘strategic estates partnership’ with Ryhurst, a property management company in a deal which could be worth up to £25M. It is planned to rationalise the existing 21 sites over which the trust operates and have some community care hubs. Integration. The Isle of Wight NHS is one of the  areas selected to pilot Integrated primary and acute care systems under the Five Year Forward View. The scheme is entitled "My Life a Full Life" and involves the Isle of Wight Council, the Clinical Commissioning Group and the local GP collaborative One Wight Health. The trust's Discharge Facilitation Service was highly commended at the 2021 Municipal Journal Local Government Achievement Awards for its success in bringing people home sooner from hospital admissions.