Transforming quality and costs at Hinghingbrooke Hospital
1. Transforming quality and costs
at Hinchingbrooke Hospital
Nuffield Trust Summit, Thursday 7th March
Translating evidence into better care: the impact of clinical leadership and culture
Massoud Fouladi, Cofounder of Circle Partnership
Hisham Abdel-Rahman, Hinchingbrooke Clinical Chairman
2. âClinical and financial basket caseâ
Quality Financial
⢠âDysfunctionalâ colorectal ⢠£10 million deficit
service (RCS report) amounted to 10% of revenue
⢠A&E services rated ⢠£12 million backlog
poor by commissioners of capital repairs
⢠âRedâ PCT rating for ⢠Agency costs ÂŁ4 million pa
serious incidents due to inability to fill vacancies
management ⢠£40 million historic debt
⢠Small district general hospital serving 150,000 population
with 22 GP practices and approximately ÂŁ100 million budget
⢠235 beds, accident and emergency, maternity, intensive
treatment unit and full complement of secondary care services
⢠Innovative 10-year franchise arrangement in which Circle
operates the Trust and underwrites financial risks
3. Changing culture:
Creating a social movement through our partnership model
1,200 of the 1,700 strong workforce attended a four-hour
âpartnership sessionâ to agree collectively the business plan
6. You achieve excellence byâŚ
⢠Learning, adapting and improving at all levels of the organisation
⢠Developing four core capabilities
1. System designed for excellence, with the capacity to detect failure built-in
2. Problem solving to build new knowledge and drive improvement
3. Sharing new knowledge throughout the organisation
4. Leading by developing these skills in others
10. Early successes
Clinical results
⢠First of 46 hospitals in A&E
⢠60% drop in serious incidents
⢠Cancer target compliant
for first time
⢠CQC compliant for first time
since inspections commenced
Patient experience Financial
⢠Feedback up 852 to 24,000 ⢠7% annualised savings delivered
per annum ⢠Trust in financial balance
⢠Top 10 of 46 for patient at zero cost to taxpayer
experience ⢠£3.7 million Circle investment
⢠Food satisfaction up, parking in transformational change
fines scrapped, bedside
TVs installed