NHS experts at Southend Hospital to sort A&E crisis

Under scrutiny: Southend Hospital

Under scrutiny: Southend Hospital

First published in Southend Exclusive by

A TEAM of Government “intensive support” experts has been drafted in to try to improve the flagging performance of Southend Hospital.

Members of the NHS National Intensive Support Team have been brought in to find ways to tackle problems including overcrowding in the A&E department.

The move comes as the department continues to be inundated with patients, leading to the cancellation of nonurgent operations.

For the past three months, the hospital has failed to meet its target of seeing 95 per cent of all A&E patients within four hours – with chief executive Jacqueline Totterdell warning there is no quick fix.

She said: “Achieving the national A&E target has become increasingly challenging through the winter, with an extra 400 patients alone in both December and January.

“Last week, we were seeing about an extra 60 or 70 patients each day.

Southend Standard: New hospital chief  Jacqueline Totterdell

Help needed: Jacqueline Totterdell

“Although staff have been working extremely hard, we recognised we needed some external help to assure us we were doing all we could.

“The intensive support team will help identify areas where there is scope to make procedures more efficient throughout the emergency care department, based on best practice from other acute trusts.”

The team has already said the department needs a major expansion to allow for increased numbers of patients. It has also suggested other changes to the way patients are assessed.

Mrs Totterdell, who was last week named by the Health Service Journal as one of the UK’s top 50 NHS executives, claims some of the problems stem from the former management team, led by John Gilham. She recently told the trust board there had been a “struggle in changing the culture left as a legacy from the former management”.

The hospital’s poor performance and failure to meet targets has resulted in it being “fined” £969,000 by the clinical commissioning group.
Over the past three months, the hospital has been:
*Missing targets for the first treatment of cancer patients within 62 days over past three
months
*Not managing to give breast cancer sufferers treatment within the 14-day target
*Not referring all patients for treatment within 14 weeks, with the waits getting longer
*Logging a growing number of official complaints from patients – 172 in January and
February 
*Running short-staffed, with 8.8 per cent of posts at the hospital vacant in February.
This has contributed to problems, particularly in A&E

Southend Standard: Southend Hospital

Southend Hospital

However, A&E staff at Southend were praised by national NHS officials for the way patients
are discharged from the department. 
Members of the NHS Intensive Support team advising at Southend were so impressed with the discharge system they have flagged it up as “best practice” which other hospitals would do well to copy.
GPs who run Southend Clinical Commissioning Group have also been looking at the department’s operations.
As a result, a GP is now based in A&E to look at patients and send those not needing emergency care elsewhere.
Ms Totterdell said: “They recognised we were receiving a number of patients in A&E didn’t actually require hospital care.
“The group could see we were extremely busy and was concerned about patients not
being able to be taken out of ambulances as quickly as we would have liked.”

Comments (13)

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6:16am Wed 9 Apr 14

Keptquiettillnow says...

“They recognised we were receiving a number of patients in A&E didn’t actually require hospital care"

This is a smokescreen, there is something seriously wrong at SUH,
“They recognised we were receiving a number of patients in A&E didn’t actually require hospital care" This is a smokescreen, there is something seriously wrong at SUH, Keptquiettillnow
  • Score: -7

6:54am Wed 9 Apr 14

TrustMeIKnow says...

Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!!
Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!! TrustMeIKnow
  • Score: 19

7:55am Wed 9 Apr 14

TrustMeIKnow says...

That fine of £969,000 could have paid for 38 qualified nurses or 58 hca's!!! Just saying!
That fine of £969,000 could have paid for 38 qualified nurses or 58 hca's!!! Just saying! TrustMeIKnow
  • Score: 22

9:04am Wed 9 Apr 14

stopmoaning1 says...

What will the 'experts' see that the an ordinary sensible person won't.
There are two quick fixes Jacqueline Totterdell

1/ It's an 'accident and emergency' department. Send anybody who is there for any other reason away.
2/ Pay a decent wage and fill the vacancies

And what am I missing about the wonderful 'discharge process' Your fine, you can go home now.
What will the 'experts' see that the an ordinary sensible person won't. There are two quick fixes Jacqueline Totterdell 1/ It's an 'accident and emergency' department. Send anybody who is there for any other reason away. 2/ Pay a decent wage and fill the vacancies And what am I missing about the wonderful 'discharge process' Your fine, you can go home now. stopmoaning1
  • Score: 14

9:08am Wed 9 Apr 14

stopmoaning1 says...

stopmoaning1 wrote:
What will the 'experts' see that the an ordinary sensible person won't.
There are two quick fixes Jacqueline Totterdell

1/ It's an 'accident and emergency' department. Send anybody who is there for any other reason away.
2/ Pay a decent wage and fill the vacancies

And what am I missing about the wonderful 'discharge process' Your fine, you can go home now.
Should of course read 'you're fine'

Although, here's your fine for wasting our time, you can go home now does have a bit of a ring to it!
[quote][p][bold]stopmoaning1[/bold] wrote: What will the 'experts' see that the an ordinary sensible person won't. There are two quick fixes Jacqueline Totterdell 1/ It's an 'accident and emergency' department. Send anybody who is there for any other reason away. 2/ Pay a decent wage and fill the vacancies And what am I missing about the wonderful 'discharge process' Your fine, you can go home now.[/p][/quote]Should of course read 'you're fine' Although, here's your fine for wasting our time, you can go home now does have a bit of a ring to it! stopmoaning1
  • Score: 12

9:33am Wed 9 Apr 14

dhd says...

It doesn't help that there is an approx 3 week waiting list to get an appointment at our GP so many end up going to the hospital as there is nowhere else to turn to. Sort out the GP surgeries first and then see what happens..
It doesn't help that there is an approx 3 week waiting list to get an appointment at our GP so many end up going to the hospital as there is nowhere else to turn to. Sort out the GP surgeries first and then see what happens.. dhd
  • Score: 9

10:19am Wed 9 Apr 14

Keptquiettillnow says...

TrustMeIKnow wrote:
Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!!
Really?
Can you remind me if Basildon hospital pays more than Southend?
Didn't seem to have done tham any favours paying more wages.
[quote][p][bold]TrustMeIKnow[/bold] wrote: Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!![/p][/quote]Really? Can you remind me if Basildon hospital pays more than Southend? Didn't seem to have done tham any favours paying more wages. Keptquiettillnow
  • Score: -4

10:29am Wed 9 Apr 14

TrustMeIKnow says...

Keptquiettillnow wrote:
TrustMeIKnow wrote:
Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!!
Really?
Can you remind me if Basildon hospital pays more than Southend?
Didn't seem to have done tham any favours paying more wages.
Yep Southend is now losing staff to Basildon!!! More pay and I am told basildon get London waiting aswell!
[quote][p][bold]Keptquiettillnow[/bold] wrote: [quote][p][bold]TrustMeIKnow[/bold] wrote: Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!![/p][/quote]Really? Can you remind me if Basildon hospital pays more than Southend? Didn't seem to have done tham any favours paying more wages.[/p][/quote]Yep Southend is now losing staff to Basildon!!! More pay and I am told basildon get London waiting aswell! TrustMeIKnow
  • Score: 11

12:18pm Wed 9 Apr 14

Keptquiettillnow says...

TrustMeIKnow wrote:
Keptquiettillnow wrote:
TrustMeIKnow wrote: Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!!
Really? Can you remind me if Basildon hospital pays more than Southend? Didn't seem to have done tham any favours paying more wages.
Yep Southend is now losing staff to Basildon!!! More pay and I am told basildon get London waiting aswell!
Basildon has always paid more than Southend, but Basildon was on the verge of closing down.
More money doe not always mean better people.
[quote][p][bold]TrustMeIKnow[/bold] wrote: [quote][p][bold]Keptquiettillnow[/bold] wrote: [quote][p][bold]TrustMeIKnow[/bold] wrote: Something seriously wrong?! Yes as a foundation trust the pay banding is less than national NHS pay! This means people that would work in Southend are going to London or even Basildon instead, because it's better pay! Not serious problem, pay decent wages, get decent staff. Dont pay decent wages and get constant fines for not meeting targets, not to mention the ever increasing agency bill!!![/p][/quote]Really? Can you remind me if Basildon hospital pays more than Southend? Didn't seem to have done tham any favours paying more wages.[/p][/quote]Yep Southend is now losing staff to Basildon!!! More pay and I am told basildon get London waiting aswell![/p][/quote]Basildon has always paid more than Southend, but Basildon was on the verge of closing down. More money doe not always mean better people. Keptquiettillnow
  • Score: 0

2:10pm Wed 9 Apr 14

Nebs says...

Less than a week ago we were told that Southend Hospital boss Jacqueline Totterdell was in the top 50 of NHS executives in the country.
http://www.echo-news
.co.uk/news/11121741
.Southend_Hospital_b
oss_at_the_top_of_he
r_game/

If you've got all these problems in AandE then god help us if we had suffered a bad winter with snow and ice.
Less than a week ago we were told that Southend Hospital boss Jacqueline Totterdell was in the top 50 of NHS executives in the country. http://www.echo-news .co.uk/news/11121741 .Southend_Hospital_b oss_at_the_top_of_he r_game/ If you've got all these problems in AandE then god help us if we had suffered a bad winter with snow and ice. Nebs
  • Score: 7

5:12pm Wed 9 Apr 14

jolllyboy says...

At last the truth emerges.
Good at the discharge end - yes - too quickly,not always with the correct medication etc etc.
At last the truth emerges. Good at the discharge end - yes - too quickly,not always with the correct medication etc etc. jolllyboy
  • Score: 5

5:15pm Wed 9 Apr 14

libralady says...

As a past employee of SUH, simple solution stop employing managers, team leaders etc etc and start employing more frontline staff that actually work for a living!!!
As a past employee of SUH, simple solution stop employing managers, team leaders etc etc and start employing more frontline staff that actually work for a living!!! libralady
  • Score: 20

11:54am Mon 14 Apr 14

essexjack07 says...

Bit rich of the chief executive to try and blame previous chief executive John Gilham and his team, ( some of which are still employed at Southend ) she has been in post long enough to have averted this problem. She has now cost the hospital nearly 1 million pounds in a fine which will further effect patient care. Why on earth are the directors being paid large sums of money if they have to bring in outside help to tell them how to do their jobs? As a previous above comment said paying "more money does not always mean better people" well the large sums paid to the directors backs up that theory.
Bit rich of the chief executive to try and blame previous chief executive John Gilham and his team, ( some of which are still employed at Southend ) she has been in post long enough to have averted this problem. She has now cost the hospital nearly 1 million pounds in a fine which will further effect patient care. Why on earth are the directors being paid large sums of money if they have to bring in outside help to tell them how to do their jobs? As a previous above comment said paying "more money does not always mean better people" well the large sums paid to the directors backs up that theory. essexjack07
  • Score: 2

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