| 词条 | King's College Hospital NHS Foundation Trust |
| 释义 |
| name = King's College Hospital NHS Foundation Trust | native_name = | native_name_lang = | former_name = | logo = King's College Hospital NHS Foundation Trust logo.svg | logo_alt = | logo_size = | logo_caption = | logo_padding = | image = | image_alt = | image_size = | image_caption = | map = | map_size = | map_alt = | map_caption = | start_date = 1993 | foundation_date = | end_date = | headquarters = | coords = | region_served = | nhs_region = | area = | population = | establishments = | type = NHS foundation trust | budget = | hospitals = {{plainlist|
}} | beds = | chair = | chief_exec = | employees = 12,750 | cqc = | website = {{URL|https://www.kch.nhs.uk/}} }} King's College Hospital NHS Foundation Trust is an NHS trust in London, England. HistoryThe newly-formed King's Healthcare Trust took over management of the King's College Hospital in 1993.[1] After being awarded foundation trust status, it became the King's College Hospital NHS Foundation Trust in 2006.[2] PerformanceIn March 2015 it had a very large backlog of patients waiting more than 18 weeks for treatment. Monitor launched an investigation into the trust because of 'long standing problems' at Princess Royal University Hospital in March 2015. Financial problems are attributed to urgent improvements to the quality of care there, including increasing the nurse-to-patient ratio by recruiting 260 new nurses.[4] In March 2018 it was the eleventh worst performer in A&E in England, with only 61.8% of patients in the main A&E seen within 4 hours.[5] In February 2019 it had 331 patients waiting more than 52 weeks for treatment, mostly in orthopaedics and bariatric surgery, twice as many as any other trust in England. It plans to outsource some of the bariatric work to Princess Grace Hospital, run by HCA Healthcare and some to Chelsea and Westminster Hospital NHS Foundation Trust.[6] FinanceThe trust expected to finish 2015–16 with a deficit of more than £65 million partly as a result of changes to the NHS tariff.[7] It was said to be the least efficient hospital in England according to Lord Carter's review of NHS efficiency, with potential savings of £154 million a year.[8] In December 2017 it was placed in financial special measures and Lord Bob Kerslake, Chair of the trust, resigned. The organisation’s chief operating officer and finance director had resigned in November. [9] The Chief Executive resigned in March 2018 at a point when the annual forecast deficit is expected to worsen to more than £100 million. The trust is carrying underlying debts of more than £600 million.[10] It forecast a deficit of £156 million for 2018-19 - the largest of any NHS trust. The chief executive, chair, finance director and chief operating officer all resigned in 2017-8.[11] Commercial venturesThe trust used its commercial arm, KCH Management, to open a clinic in Abu Dhabi in November 2014.[12] It is working with investment management company Ashmore Group to set up a hospital in Dubai due to open in 2018. It has an agreement with Indo UK Healthcare Private to create an institute of health in New Chandigarh where a 500-bed hospital, trauma centre and day surgery centre will also be built. The trust will be paid by a fixed fee, profit share arrangements, equity stakes and consultancy work and hopes to generate £40m over 15 years.[13] The trust is a partner in Viapath a London-based provider of pathology services jointly owned with Serco, and Guy's and St Thomas' NHS Foundation Trust.[14] In 2011 it was reported that the trust was paid around £1m for the sale of NHS donor livers to overseas private patients. Controversy arose around this practice after a 2009 review by the Organ Donations Taskforce, commissioned by the UK government's Department of Health had already recommended a ban on the practice and stated that 'Financial gain from the transplant of donated organs feels morally wrong'.[15] In 2016 the trust established a subsidiary company, King’s Interventional Facilities Management LLP, jointly owned by the trust and its subsidiary Kings Commercial Services Ltd, to which 99 estates and facilities staff were transferred. The intention was to achieve VAT benefits, as well as pay bill savings, by recruiting new staff on less expensive non-NHS contracts. VAT benefits arise because NHS trusts can only claim VAT back on a small subset of goods and services they buy. The Value Added Tax Act 1994 provides a mechanism through which NHS trusts can qualify for refunds on contracted out services.[16] The trust expanded its private patient unit from 21 to 46 beds in 2017. About 45% of the revenue comes from overseas, mainly from liver transplants.[17] It sold its assisted conception unit to the Fetal Medicine Foundation and a company called King's Fertility for a total of £26 million in June 2017. Kypros Nicolaides, a foetal medicine consultant at the trust, is a director of both organisations.[18] Tertiary care specialitiesIt is one of the biggest provider of specialised services in England, which generated an income of £308.8 million in 2014/5.[19] King's Liver Unit is the most comprehensive service of its kind in the world, with a strong interest in paediatric liver cancers. King's also operates the largest liver transplantion programme in Europe.[20] There is a great deal of expertise within King's Department of Neurology/Neurosciences. There is a large outpatient movement disorder clinic, specialising in multidisciplinary team management of Parkinson's disease, dystonia, progressive supranuclear palsy, and related diseases. It is one of only five centres in the European Union designated a "Centre of Excellence" by the National Parkinson Foundation. In 1995 the hospital established the UK's first specialist Motor Neurone Disease Care & Research Centre, a model of care which has since been reproduced at other centres throughout the United Kingdom.[21] The hospital is also home to the only dedicated diverticular disease clinic.[22] References1. ^{{cite web|url=https://ezitis.myzen.co.uk/kchdenmarkhill.html|title=King's College Hospital|publisher=Lost Hospitals of London|accessdate=29 June 2018}} 2. ^{{cite web|url=https://www.kch.nhs.uk/about/the-kings-story/foundation-trust|title=Foundation Trust|publisher=King's College Hospital NHS Foundation Trust|accessdate=29 June 2018}} 3. ^{{cite web|url=https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/|title=A&E Waiting Times|publisher=NHS|accessdate=1 August 2018}} 4. ^{{cite news|title=Monitor investigates major London trust|url=http://www.hsj.co.uk/hsj-local/acute-trusts/kings-college-hospital-nhs-foundation-trust/monitor-investigates-major-london-trust/5082981.article#.VRcQH_msVyU|accessdate=28 March 2015|work=Health Service Journal|date=5 March 2015}} 5. ^{{cite news|title=Trusts' A&E performance goes sub 50 per cent as NHS hits new low|url=https://www.hsj.co.uk/quality-and-performance/trusts-aande-performance-goes-sub-50-per-cent-as-nhs-hits-new-low/7022147.article|accessdate=13 April 2018|publisher=Health Service Journal|date=12 April 2018}} 6. ^{{cite news |title=Worst waiting list trust looks to outsourcing |url=https://www.hsj.co.uk/quality-and-performance/worst-waiting-list-trust-looks-to-outsourcing/7024377.article? |accessdate=17 March 2019 |publisher=Health Service Journal |date=8 February 2019}} 7. ^{{cite news|title=Rollover tariff trusts expect massive deficits|url=http://www.hsj.co.uk/news/finance/updated-rollover-tariff-trusts-expect-massive-deficits/5085199.article#.VYWQd4q4_eM|accessdate=20 June 2015|work=Health Service Journal|date=26 May 2015}} 8. ^{{cite news|title=Least efficient hospital trusts according to headline measure|url=http://www.hsj.co.uk/topics/finance-and-efficiency/revealed-trusts-estimated-savings-potential/7001364.article|accessdate=28 February 2016|work=Health Service Journal|date=5 January 2015}} 9. ^{{cite news|title=Major London trust chair resigns as trust put into financial special measures|url=https://www.hsj.co.uk/updated-major-london-trust-chair-resigns-as-trust-put-into-financial-special-measures/7021267.article|accessdate=1 February 2018|publisher=Health Service Journal|date=10 December 2017}} 10. ^{{cite news|title=Shelford Group trust chief executive resigns|url=https://www.hsj.co.uk/7021880.article|accessdate=12 April 2018|publisher=Health Service Journal|date=8 March 2018}} 11. ^{{cite news |title=Trust with worst financial performance aims for £156m deficit this year |url=https://www.hsj.co.uk/finance-and-efficiency/updated-trust-with-worst-financial-performance-aims-for-156m-deficit-this-year/7022597.article |accessdate=29 August 2018 |publisher=Health Service Journal |date=7 June 2018}} 12. ^{{cite news|title=The NHS underplays how valuable its expertise is internationally|url=http://www.hsj.co.uk/comment/the-nhs-underplays-how-valuable-its-expertise-is-internationally/5085041.article#.VYW9kIq4_eM|accessdate=20 June 2015|work=Health Service Journal|date=21 May 2015}} 13. ^{{cite news|title=Leading London trust to open India and Dubai hospitals|url=http://www.hsj.co.uk/hsj-local/providers/kings-college-hospital-nhs-foundation-trust/leading-london-trust-to-open-india-and-dubai-hospitals/7000398.article|accessdate=19 December 2015|work=Health Service Journal|date=20 November 2015}} 14. ^{{cite news|title=Viapath – a New Brand, Same Commitment to Transform Pathology Services|url=http://www.selectscience.net/product-news/viapath---a-new-brand,-same-commitment-to-transform-pathology-services/?&artID=32533|accessdate=28 May 2014|newspaper=Select Science|date=9 May 2014}} 15. ^{{cite news|url=http://www.dailymail.co.uk/news/article-2298331/Foreign-private-patients-pay-tens-thousands-pounds-livers-donated-NHS.html|title=Foreign private patients pay tens of thousands of pounds for livers donated to the NHS|work= Daily Mail|last1=Borland|first1=Sophie|date=March 24, 2013|accessdate= February 1, 2018}} 16. ^{{cite news|title=In full: Trusts with staff transfer plans|url=https://www.hsj.co.uk/7021681.article|accessdate=15 February 2018|publisher=Health Service Journal|date=14 February 2017}} 17. ^{{cite news|title=NHS expands private care to help fill £20bn funding gap|url=https://www.ft.com/content/4d3d8364-da3f-11e5-98fd-06d75973fe09|accessdate=26 January 2017|work=Financial Times|date=2 March 2016}} 18. ^{{cite news|title=Cash-strapped trust sells specialist unit to private company and charity|url=https://www.hsj.co.uk/7019128.article|accessdate=19 July 2017|work=Health Service Journal|date=4 July 2017}} 19. ^{{cite news|title=Analysed: The biggest NHS providers of specialised services|url=http://www.hsj.co.uk/home/analysed-the-biggest-nhs-providers-of-specialised-services/5091147.article|accessdate=16 November 2015|work=Health Service Journal|date=16 October 2015}} 20. ^{{cite web|url=https://www.kch.nhs.uk/news/public/news/view/21668|title=King’s world-leading liver service expands|publisher=King's College Hospital|accessdate=20 April 2018}} 21. ^{{cite web|url=https://web.archive.org/web/20070206083300/http://www.mndassociation.org/for_professionals/contactssupport/care_centres/index.html|title=Care Centre contacts|publisher=Motor Neurone Disease Association|accessdate=20 April 2018}} 22. ^{{cite journal|last1=Kvasnovsky|first1=Charlotte L.|last2=Adams|first2=Katie|last3=Papagrigoriadis|first3=Savvas|title=Diverticular disease as a chronic gastrointestinal condition|journal=European Journal of Gastroenterology & Hepatology|date=April 2015|volume=27|issue=4|pages=442–448|doi=10.1097/MEG.0000000000000304|pmid=25874519}} External links
2 : NHS foundation trusts|Health in London |
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