Proposed merger with
Sherwood Forest
Hospitals: update
Peter Homa, Chief Executive
Louise Scull, Chair
To cover:
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The story so far
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Why NUH is the preferred partner for SFH
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Rationale for proposed merger: recap
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Progress since announcement & next steps
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Question & Answer session
Story so far
Time
Action
July 2013
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SFH one of 14 hospital trusts placed in Special Measures
following the Keogh Review
June 2014
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CQC inspection – Trust rated as ‘Requires Improvement’
October 2015
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Results of June 2015 CQC inspection published. Trust rated as
‘Inadequate’ and remains in Special Measures
Trust, Monitor and CQC agree that a Long-Term Partnership
(‘LTP’) is in best interests of patients and staff
November 2015
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Action taken to strengthen leadership
LTP process commenced
January 2016
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Shortlisted trusts (Nottingham & Derby) submit proposals and
present to evaluation panel
February 2016
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NUH announced as preferred partner for SFH
March-April
2016
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On-the-ground clinical support deployed from NUH to SFH
Working groups formed to determine what needs to be done to
merge both organisations
Governance arrangements finalised for how NUH and SFH Trust
Boards (and regulators) will oversee the merger
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3
Why NUH is the preferred partner for SFH
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A clear strategic fit
Strong senior clinician support
Long-standing regular patient flows between the trusts
An experienced and committed leadership
Clear vision for future services across the new combined
Trust
Good ability to release staff to support SFH for
immediate improvement
Strong intent to work collaboratively – take best of both
organisations to create a new one
Rationale for merger: recap (1)
Better for patients
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Clinical outcomes
Safety
Patient experience & access
Governance & leadership
Substantive and empowered workforce
Benefit from enhanced research opportunities
Rationale for merger: recap (2)
Better for staff
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Greater career, development & education opportunities
Strong culture of staff engagement
Stable, experienced leadership
Enhanced research opportunities
Rationale for merger: recap (3)
Better for Nottinghamshire system
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Existing joint working & pathways
Clinical quality & financial sustainability for the health and social
care system in Nottinghamshire
Five Year Forward View, ‘Better Together’ & other Vanguards
Estate optimisation
Next steps (1)
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More ‘on the ground’ clinical support to SFH to accelerate &
embed recent improvements in the areas highlighted by the
CQC (from April 2016)
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NUH & SFH remain as legally independent
organisations/Trust Boards until the transaction
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Both Trusts working with Competition & Markets Authority
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Joint workstreams with SFH/NUH representatives
established in key areas to drive the merger in 16/17
Next steps (2)
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Collaborative approach to designing the new
organisation (taking the best of both)
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Joint senior governance of the programme of work
between SFH & NUH, including monthly stakeholder
engagement with CCGs, Healthwatch, local authorities
and other providers
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Joint management arrangements phased in closer to
merger
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Single Trust Board & Executive Team
(date TBC for merger & transaction)
Ambition for new Trust
• Our first goal is to create a new organisation
with services that are consistently rated ‘Good’
by the CQC
• Longer-term ambition is to be an ‘Outstanding’
Trust
Day 1, 100, year 1+ … plans
• No early changes to NUH’s organisational
structure (new Divisions are still being
embedded following recent restructure)
• No early reconfigurations of clinical services
• In the coming months, we will explore back
office synergies
• Longer-term, some services may change in
scope and location
The money
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Merger will not cause deterioration in NUH’s finances
We still have to address our deficit and return to
balance as quickly as possible
We are also developing a plan to get the new
organisation into financial balance over the coming
years
NUH will not inherit SFH’s PFI debt
Legal form
• Options are a Foundation Trust or an NHS Trust
• We are seeking legal advice and working
through the impact of both outcomes
• Our preference is an outcome that enables the
merger to happen as quickly as possible
• Public members will remain a valuable part of
the new organisation (regardless of its form)
Name of new organisation
• We will seek the views of patients, members
and staff in the coming months
• Names of the hospitals will remain the same
• Any name change is not without cost
Keeping you informed
• Developing a dedicated merger website
• Frequent sessions/updates for members and the local
community
• Send your questions to:
[email protected]
• Monthly merger e-bulletin update
Your Q&As