1. QMC Residents’ Forum meeting
Peter Homa, NUH Chief Executive
13 September 2017

2. Performance – Emergency access & money
Winter plan
Tomorrow’s NUH
Tram bridge
Parking enforcement
Leadership Changes
BBC 2’s ‘Hospital’ documentary
Questions & Answers

3. System performance Standard: 95% through ED in <4hrs 16/17: 76.6%
2017/18 Q1: 81.69%
July 2017: 83.8%
August 2017: 85.5%

4. External viewpoint
CQC urgent & emergency care inspection (2016) – ‘requires improvement’
‘Good’ for Caring
Described improvements were required notably:
Streaming at front door
Named nurses for patients in middle of Blue Area
Tackling overcrowding in ED
Emergency Care Improvement Programme (ECIP)

5. System winter plan
Discharge to Assess (including additional community capacity)
Flu campaign & infection prevention
Focus on staff health and wellbeing
30 additional respiratory beds
Reducing elective programme during Q3 and Q4

6. Ongoing challenges System Demand vs Capacity
Staffing (ED) - particularly medical staff
Environmental constraints (overcrowding)
Consistency of internal processes
Delays stepping down medically fit patients

7. Tomorrow’s NUH: the future
Emergency Department at QMC that was designed for 350 patients daily, now sees 550 daily (sometimes 600+)
Need an ED & urgent care facilities that are the right size and design to meet demand now and that we anticipate in the future
We are developing a series of business cases, and will prioritise the case for a new urgent and emergency care centre

8. Money Year 1of 3-year path to financial recovery
£10.7m forecast year-end deficit
£41m savings (4.5%)
Response:
Recovery plan & Recovery Director
Tighter controls
Trust-wide priorities include: Paperless Hospital, Outpatient Review and Administrative Redesign
Sustainability and Transformation Partnership

9. Tram bridge Opened 28 July (on QMC’s 40th birthday)
Providing direct access from the tram platform into QMC (B Floor) and the Treatment Centre
Dedicated volunteer desk
Positive passenger feedback

12. Parking enforcement
Introduced Penalty Charge Notices on 1 August to tackle unsafe & inconsiderate parking
Circa 1,000 PCNs issued in 1st month; ½ of which were appealed
Mindful that some parking has spilled into streets in & around our hospitals as a consequence
We are exploring whether we can increase car parking capacity at QMC and City

13. Leadership Changes Medical Director – Dr Keith Girling
Chair – Eric Morton
Chief Executive – Tracy Taylor (from 30 Oct)

14. BBC 2’s ‘Hospital’ documentary
Series 3 is coming to Nottingham
Filming January & February 2018
6 episodes broadcast Spring 2018

15. Questions