An NHS trust is an organisational unit within the National Health Services of England and Wales , generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. As of April 2020 , there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff.
20-601: Ealing Hospital is a district general NHS hospital, part of London North West University Healthcare NHS Trust , located in the Southall district of the London Borough of Ealing , West London , England. It lies on the south side of the Uxbridge Road 8.5 miles west of central London. It sits between Southall town centre to the west and Hanwell to the east. It is built on land that was once part of St Bernard's Hospital which
40-617: A deficit of £55.9 million. In October and November 2014 it had the worst performance in the country on the Four-hour target in emergency departments after the two smaller casualty units at Central Middlesex and Hammersmith hospitals were closed in September. The trust was rated 'worse than expected' over care for women giving birth. The trust had a deficit of £75 million in 2015/6 and had to borrow £105 million in December 2015. In March 2018 it
60-575: A duty to act on signals of poor performance on quality and safety data, and yet many of the papers presented to them have been found to be lacking good data visualisations. The High Court of Justice decided in December 2019 that NHS trusts were not charities for the purposes of the Local Government Finance Act 1988 , so they have to pay business rates at the full rate. A study by the University of Exeter in 2020 found that in 70 out of
80-487: A merger process that saw acute services distributed between itself, Northwick Park and St Mark's Hospital, and Central Middlesex Hospital . It is anticipated that there will be a phased removal of acute care services from Ealing Hospital in the medium to long-term. The original NHS provision for births was Perivale Maternity Hospital, Greenford . With a total of 67 beds and ten cots in a special care baby unit, Ealing residents 'chose' to have 33.5% of their births here at
100-404: A rate of 1,800 per annum. (Queen Charlotte's Hospital came second with 23.5%). Various working committees agreed that for various reasons it would be better to move the facilities at Perivale to a new maternity unit located on the same site as Ealing General. Thus, on 1 March 1985, a proposal was submitted outlining a number of options together with assessments of relative costs and benefits. The aim
120-596: Is run by West London Mental Health (NHS) Trust . The Ealing Hospital Interchange bus station is adjacent to the hospital. The original hospital in the area was the Ealing Cottage Hospital which opened at Minton Lodge in Ealing Dene in 1871. This was replaced by the King Edward Memorial Hospital, named in memory of King Edward VII which was opened by Princess Helena in 1911. The hospital joined
140-480: The Care Quality Commission . Board members are, from November 2014, subject to a fit and proper person test . All trust boards are required to have an audit committee consisting only of non-executive directors, on which the chair may not sit. This committee is entrusted not only with the supervision of financial audit , but of systems of corporate governance within the trust. Hospital board members have
160-724: The National Health Service in 1948 and came under the management of the North West Metropolitan Regional Hospital Board. The present Ealing District Hospital was built in the late 1970s and opened 5 November 1979. Occupying part of St. Bernard's Hospital former grounds, the whole complex was renamed Ealing Hospital. At the same time, the King Edward Memorial was closed along with the nearby Hanwell Cottage Hospital in Green Lane and many of
180-521: The 213 trusts all the board members were white. Overall BAME representation at board level was 8.9%. Medical directors of BAME ethnicity accounted for 19.4%, about the same as the overall percentage of BAME doctors. In September 2015 Jeremy Hunt was reported as saying "I think we do have too many trusts as independent organisations" in a context where mergers between trusts and the establishment of chains of hospitals were being discussed. Subsequently Simon Stevens made it clear that he did not expect
200-516: The closure of nearby Emergency Departments at Central Middlesex and Hammersmith Hospitals, there was a significant increase in pressure on surrounding departments, including at Ealing Hospital, where the percentage of patients being seen under 4 hours fell to 67.8%. An independent review is ongoing about the impact the decision to close these departments has had on emergency care in the North West London area. Care UK runs an urgent care centre on
220-405: The community and the hospital trusts are generally planning to follow these initiatives. Foundation trust status may be applied for by the above categories of NHS trust. Successive governments have announced that all NHS trusts should become foundation trusts, and deadlines have been set for this transformation, which have repeatedly been missed. Several special health authorities , organised on
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#1732855009990240-497: The remaining NHS trusts to become foundation trusts, saying "We are frankly kidding ourselves if we think the non-FTs are going to pass the kinds of criteria that have been set by Monitor ." There are several types of NHS trusts: Over time the distinction between different types has eroded, and both hospital and mental health trusts have taken on responsibility for various community services. Sustainability and transformation plans all propose to move services out of hospitals into
260-517: The services provided by the Southall-Norwood Hospital on The Green were transferred to the new hospital. The adjacent St. Bernard's Hospital regaining its old identity to provide mental health services once more. In October 2014, as part of a drive towards efficiency savings in the NHS, Ealing Hospital NHS Trust merged with The North West London Hospitals NHS Trust . Ealing Hospital underwent
280-475: The services. Ultimately three bidders participated in the procurement and the services were awarded to a consortium led by West London Mental Health NHS Trust. In 2019 it set up a service combining vascular surgery, endovascular surgery and interventional radiology at Northwick Park Hospital, challenging the dominance of the London teaching hospitals in specialist services. It finished the financial year 2014/5 with
300-1282: The site which was investigated by ITV's Exposure programme in July 2015. 51°30′25″N 0°20′44″W / 51.50694°N 0.34556°W / 51.50694; -0.34556 London North West University Healthcare NHS Trust London North West University Healthcare NHS Trust is an NHS trust based in London , United Kingdom. The trust was formed by the merger of North West London Hospitals NHS Trust and Ealing Hospital NHS Trusts in October 2014. The trust runs Northwick Park Hospital and St Mark's Hospital in Harrow, Central Middlesex Hospital in Park Royal, and Ealing Hospital in Southall. It also runs 4 community hospitals in addition to providing community services in Brent, Ealing and Harrow. The trust employs 8,590 staff across all its sites, and in 2016/17 had 141,355 attendances to its Emergency Department, and 80,756 elective inpatient and day case admissions. In 2018
320-399: The trust decided not to submit a bid for a 10-year contract to provide most “out of hospital services” to Ealing Clinical Commissioning Group – services which they had been providing. The chief executive told staff that it was not possible to provide a quality service for the money on offer, despite the sum being offered being higher than the sum the trust was already receiving for delivering
340-610: Was established by a statutory instrument . NHS trusts are not trusts in the legal sense but are in effect public sector corporations . Each trust is headed by a board consisting of executive and non-executive directors , and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. Non-executive directors are recruited by open advertisement. All trusts ( foundation trusts and those which have yet to reach foundation trust status) are regulated by NHS England and
360-532: Was for a 60 beds unit to be able to reach 2,500 deliveries per annum. The new Ealing Maternity Unit opened in March 1988 on the south-west corner of Ealing General. Due to the centralisation of maternity units in North West London, in May 2015, the decision was made for the maternity unit at Ealing Hospital to be closed. From 31 June 2015, women were no longer able to give birth at Ealing Hospital. In 2008 Ealing Hospital Trust
380-489: Was listed last out of the 165 trusts in England in a survey of patients' ratings of the level of care. Director of Nursing Paul Reeves said that the data was collected in August 2007 and the trust was addressing the issues with a series of action plans. In 2008/09 Ealing Hospital did well in a Dr Foster patient safety enquiry achieving a band 4 – better than many other hospitals in the surrounding area. In September 2014, following
400-539: Was the eighteenth worst performer in A&;E in England, with only 60.2% of patients in the main A&E seen within 4 hours. It forecast a year-end deficit of £92 million for 2019–20 after reducing the elective waiting list from 53,600 in February 2019 to 51,170 in December 2019. NHS trust NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one
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