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.
29-559: North Bristol NHS Trust is a National Health Service trust that provides community healthcare and hospital services to Bristol , South Gloucestershire , and North Somerset , England. The trust employs over 8,000 staff and delivers healthcare through several medical institutions, including Southmead Hospital , Cossham Hospital , and the Bristol Centre for Enablement, as well as through various community-based clinics. In addition, medical teaching facilities are provided in association with
58-482: A National Award in 2016: The following buildings won a National Award in 2017: The following buildings won a National Award in 2018: The following buildings won a National Award in 2019: Due to the COVID-19 pandemic , the 2020 awards were postponed to 2021. The following buildings won a National Award in 2021: The following buildings won a National Award in 2022: The following buildings won
87-626: 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
116-741: A national basis, deal with NHS-wide issues. An example is NHS Blood and Transplant . RIBA National Award RIBA National Awards are part of an awards program operated by the Royal Institute of British Architects , also encompassing the Stirling Prize , the European Award and the International Award . The National Awards are given to buildings in the UK which are "recognised as significant contributions to architecture" which are chosen from
145-507: A structured preceptorship. 51°29′54″N 2°35′30″W / 51.4984°N 2.5916°W / 51.4984; -2.5916 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 was established by a statutory instrument . NHS trusts are not trusts in the legal sense but are in effect public sector corporations . Each trust
174-559: Is funded by their charity, Southmead Hospital Charity, and is made up of a range of physical, psychological and lifestyle support. This includes a free over-the-phone physiotherapy assessment service, bespoke psychological support sessions, Arts on Referral and the Mental Health First Aid network. Staff also have access to a 24/7 free, confidential helpline offering counselling about financial, legal, relationships and more, provided by partner organisation Health Assured. This programme
203-503: 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
232-575: Is located in the Brunel building at Southmead Hospital, the institute is the regional centre for neurological services serving the South West of England. The service receives patient referrals from across the South West, throughout the UK, and worldwide. Using the latest techniques, the Neurosciences team treat a wide range of conditions. Some examples include the use of deep brain stimulation techniques for
261-480: 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
290-555: The University of the West of England , Bristol University , and the University of Bath . North Bristol NHS Trust, located in South West England , is distinguished as a Centre of Excellence for Health Care in a number of medical disciplines, and is one of the largest hospital trusts in the UK. The Trust has earned national and international recognition for its advances in treatments and medical care. The Institute of Neurosciences
319-548: The 'atrium', is naturally lit and ventilated and provides cafes, winter gardens and artwork. Bedrooms have large areas of unobstructed glazing and are naturally ventilated, providing the patient with control of their own environment. The bedroom wings are located on the eastern side, naturally shaded from the afternoon sun by the mechanically ventilated clinical block which houses 24 state of the art operating theatres, intra-operative MRI suite, 48 critical care bedrooms, advanced imaging suites, cardiac catheter labs and endoscopy unit. Of
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#1732876914449348-521: 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
377-400: The 800 beds, 75% are single en-suite rooms, aiming to improve patient dignity and privacy. The trust's Brunel Building has been honoured with two RIBA awards , an internationally-recognised mark of excellence awarded by the Royal Institute of British Architects . The building, designed by BDP architects, won RIBA South West Award 2018 for its architecture, as well as RIBA South West Client of
406-686: The Year 2018. The hospital recruited a group of volunteers, known as 'Move Makers', to aid the transition from the Frenchay site. The volunteers proved useful, so it was decided to keep them on indefinitely. In 2019 were awarded the Queen's Award for Voluntary Service . Between July and September 2014, the trust had the third worst performance in the country against the requirement to treat and discharge or admit 95 per cent of A&E patients within four hours. It produced an operational resilience and capacity plan, envisaging
435-422: The buildings to receive an RIBA Regional award. The shortlist for each year's Stirling Prize is picked from recipients of that year's National Awards. The following buildings won a National Award in 2008: The following buildings won a National Award in 2013: The following buildings won a National Award in 2014: The following buildings won a National Award in 2015: The following buildings won
464-405: 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
493-553: The programme included releasing 50 beds, reducing length of stay by 13 per cent and enabling a 10.2 per cent increase in the four-hour performance. The trust received a HSJ Partnership Award in 2019 as a result of this programme. The trust has welcomed many expansions and successes in clinical services. Neuromuscular services at the trust and University Hospitals Bristol and Weston NHS Foundation Trust have been recognised by Muscular Dystrophy UK for providing outstanding care for people with muscle-wasting conditions. In September 2019,
522-452: The region are welcomed into the trust for professional development seminars, and clinical teams provide an insight into clinical developments, give attendees a chance to network with senior and staff nurses and access to complimentary CPD hours towards revalidation. This continues on appointment to a role at the trust, as the trust offers a wide range of benefits. This includes bespoke rotations, wellbeing support, personalised travel plans, and
551-497: 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
580-418: The site transferring most services to Frenchay and Southmead, and eventually selling the trust's part of the site. In August 2015, the trust announced that they were not bidding for the contract to continue providing their current Children's Community Health Partnership services which they won in 2009, because of the "non-core nature of the service", a "lack of management capacity" and "financial pressure". It
609-402: The treatment of functional disorders such as Parkinson's disease , led by Professor Gill, and developing the use of robotic surgery to deliver drugs directly into the brain. In February 2019, a BBC documentary filmed over six years, The Parkinson's Drug Trial: A Miracle Cure followed a group of volunteers with Parkinson's disease as they take part in a groundbreaking medical trial. The trial
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#1732876914449638-575: The trust decided to centralise activities at Southmead. From April to December 2014, Frenchay Hospital was progressively closed, with the majority of services moving to a new building at Southmead. A&E was transferred on 19 May 2014. A few services relating to brain and head injuries remain at Frenchay after December 2014. The first patients moved into the new Brunel building at Southmead in May 2014. The trust ran inpatient geriatric services at Blackberry Hill Hospital until 2005, when it closed activities at
667-464: The trust was rated by the Care Quality Commission (CQC) as outstanding for caring, and good overall. The trust was also rated outstanding for well-led. The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £1.2M in 2018–19, but only collected £0.2M. The trust employs around 8,000 medical and non-medical professionals, supported by volunteers. It takes a progressive approach to staff wellbeing. The Wellbeing Programme
696-711: The trust would achieve performance of 92 per cent against the A&;E four-hour standard by April which was rejected. The biggest reason for avoidable breaches of the target was said to be the availability of suitable beds to admit patients. The trust had a deficit of £20.1 million at the end of August, £6.7M worse than planned. An unnamed whistleblower claimed a lack of beds was putting patient safety at risk because small rooms designed for minor procedures, such as injections, were being used to keep patients in overnight. The trust claimed these single rooms were entirely appropriate for safe and dignified patient care. In February 2015, it
725-532: The worst performance in England and only 70.3 per cent of patients were seen within the four-hour target. 122 people at Southmead Hospital were left on trolleys in corridors for more than 12 hours during December. In 2017-18, only 77.1% of A&E patients were seen within four hours. PwC partnered with the trust to introduce Perform, a behavioural change methodology to reduce outliers, bed occupancy and rising demand. They deployed patient flow transformation discharge teams to help staff at all levels. The impact of
754-674: Was funded by Parkinson's UK with support from The Cure Parkinson's Trust and in association with the trust. The Avon Orthopaedic Centre delivers such as hip and knee surgeries, carrying out 1,000+ knee replacements a year. The Severn Major Trauma Network was set up to manage and influence care for seriously injured patients from injury to rehabilitation. The network serves both adult, and children's major trauma. They have an adult population of around 2.3 million, and children's population of approximately 810,000. Until 2014, both Southmead and Frenchay were large hospitals with major Accident and Emergency (A&E) facilities, but
783-554: Was recognised by the NHS Parliamentary Awards in 2019. Learning and development at the trust is based in the Learning and Research Centre at Southmead Hospital. The trust has links with University of the West of England and University of Bristol who support undergraduate and postgraduate education and work placements across many professions. Southmead Hospital is host to regular engagement days and study days. Nurses across
812-425: Was reported that the trust had 247 patients who had waited more than a year for elective treatment, 201 of them waiting for spinal surgery. It spent £20.8M, 7.1% of its total turnover, on agency staff in 2014–2015. In February 2016, it was expecting a deficit of £33.7M for the year 2015–2016. It ended 2015–2016 in deficit of £51.6M. In December 2017, the trust reported 122 breaches of the 12-hour target in A&E –
841-423: Was scheduled to be the first trust to go live with Lorenzo patient record systems , but as of November 2015 are experiencing problems in transitioning from the old Cerner system. The trust opened the doors of its new building, Brunel, at Southmead Hospital, in 2014. At the heart of the 800 bed hospital is a public concourse which simplifies access to the medical wards and departments. The concourse, known as
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