Tag Archives: Cambridgeshire

First hospital takes advantage of Health Bill

Well – it’s happened …..

Hospital

Money transfusion needed Flickr

 

Circle, a company which is part-listed on the London Stock Exchange and has many ex-Goldman Sachs etc. employees, is to take over Hinchingbrooke hospital in Huntingdon, Cambridgeshire, from 1 February 2012.

So do we welcome this – or not?

Will Circle provide American-style efficiency

  • offering diagnostics such as MRI scans 24/7?
  • 2nd opinions as a matter of course?
  • Patient-centred medicine?

And all the other good elements of healthcare that are taken for granted abroad?

Or is this going to be another watered down contract where firms cherry-pick the best and most profitable parts, NHS administrators who haven’t a clue pass contracts, and the PBP  (poor bxxxxy patient) is left picking up the pieces?

Looking at a Circle hospital video, it all looks brilliant:

http://www.circlepartnership.co.uk/about-circle/circle-tv/circlebath-osteoporosis-diagnosis-and-care

However, promising us Michelin-starred food and Mandarin Oriental hotel services is going a bit OTT, particularly as the Mandarin’s flagship hotel, the Hyde Park, has been transformed to look like an undertaker’s parlour.   And although the company has signed a contract to maintain services, unions fear staff numbers could be cut.

What’s the deal?

Hinchingbrooke hospital faced an uncertain future, and the possibility of closure, because of long-term financial problems. With about £40m of debt, its financial status has been given a high risk red rating by the NHS.

The franchise deal with Circle was developed after concerns that the hospital had become unviable, and a local campaign to maintain services.  Now, will that debt be repaid to the NHS, or will Circle come in with a clear balance sheet?

Circle describes itself as a social enterprise because 49.9% is owned by a partnership of employees. Others see it as a private business as the rest is owned by its parent company, Circle Holdings, which is listed on the stock market.

Dr Stephen Dunn, from the NHS in the East of England, says the hospital will continue to be paid at NHS rates for its work while it is being run by Circle.  For those of us who watch the way the NHS can waste money, having tight budgetary control could mean NHS money being spent where it was needed, rather than on grandiose schemes.

But for anyone living in the Huntingdon area, this must be worrying times, and it would be well that as many patients as possible get involved.

For the moment this deal is a one off, but other hospitals are struggling financially. About 20 in England have been named by ministers as being unviable in their current form.

If Circle manages to maintain the range and standards of care at Hinchingbrooke, but cut costs, that in itself could put pressure on NHS managers at other hospitals to do the same.

Circle might just suceed and they certainly seemed to have grasped the concept that many hospital services are under-utilised. Saying they are trying to use assets like the operating theatres more effectively, they are following what Gerry Robinson and so many others advocate, but NHS won’t put in place.

“It’s a hugely original deal – we’ve managed to avoid the possibility of closing the hospital. We’ve got a solution to the debt – and have plans that allow us to meet the efficiency challenges the NHS faces.”

Any significant changes in services at the hospital will have to be agreed with the local NHS and the public will have to be consulted.  So if you live locally, make sure you are involved.

Circle chief executive Ali Parsa says  “We want to create a John Lewis-style model with everyone who works there in charge of the hospital, letting them own the problems and solve them. We will try everything we can to make this small hospital viable – if we can how fantastic would that be?”

Local GPs, now in a group getting ready to plan and buy services for the area, have been pressing for the deal to be signed off. They wrote to the prime minister to express concerns about the delay.

The deal is potentially politically controversial and not all are convinced this is the only solution to keeping Hinchingbrooke open.

Public sector union Unison’s head of health, Christina McAnea, said a new management team could have been found without putting a contract out to tender.

Future

If Circle can pull this off, it could see the start of more efficient patient care – if they can’t …. it doesn’t bear thinking about.

But the way the NHS is currently crumbling, any company with basic good management has got to be able to offer a better service than patients get currently.  Every time I go past a silent department at weekends, or see theatres closed on a Friday for the weekend shut-down, I shudder at the waste.

 

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Working after Cancer

Cancer Woman’s Business

Sustained By Home Working

Jacqui Burke, who runs Flourishing People from her home/office in West Wratting in Cambridgeshire, has entered the BT Home Business category of the 2010 Remote Worker Awards, in association with BT Business, and hopes to achieve national recognition if they win.

Flourishing People, an HR and training consultancy business which has been trading since 2001, has faced huge challenges recently, when Jacqui Burke, Managing Director of Flourishing People, was diagnosed with breast cancer and faced many months of grueling treatment.

Recently, Macmillan has been engaged in trying to ensure that anyone with cancer doesn’t find difficulties if they want to return to full-time work.  Having seen the proposals, they are excellent as far as the patient’s needs, but sadly the charity haven’t taken on board that the majority of companies in the UK are small businesses – and however much they want to be helpful, the capital often isn’t there to fund someone who isn’t able to work full time.  Added to which, there is a limit to co-workers’ goodwill when they constantly have to cover for someone who can’t give 100%.  Harsh, but in these days of credit crunch this has to be faced.

Jacqui’s way of working – Remote or Home Working – although it might not work for everyone, is an inspiration to anyone faced with health problems, who has wondered if they can cope.

Yes, you can.  and as Jacqui says, “I was determined to continue working throughout my treatment on the days when I felt well enough to do so, not just for financial reasons but also for my own sanity. Being home based enabled me to do this. On days when I felt ok I could come into my office and do just a couple of hours work and then go and rest when I felt tired, with no need to try to cover up how lousy I looked and don the horrible wig!”

Entering for the BT Home Business Award helps to raise awareness of how  home working arrangements can benefit workers who face health and other personal challenges, such as caring responsibilities.

These people might otherwise be unable to work if they have to travel to   an employer’s premises every day.

Flourishing People work with businesses to advise them on how best to support their staff, and how using flexible working practices such as home working can be hugely beneficial to employers as well as to their staff.

Jacqui acknowledges,  “I strongly believe that Flourishing People would not have survived if we hadn’t been home based. The likelihood is that I would have had to shut up shop completely whilst undergoing treatment and then try to reignite the business again from scratch.”

Flourishing People provide HR and people development support to businesses throughout the East of England. For more information please contact:  0845 0945 400   http://www.flourishingpeople.co.uk

The Remote Worker Awards highlight how remote and home working benefits the environment, business productivity and employees’ quality of work life.  0844 800 8355  paula@remoteworkerawards.com

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