University Hospital of South Manchester NHS Foundation Trust

University Hospital of South Manchester
University Hospital of South Manchester NHS Foundation Trust
Geography
Location	Wythenshawe Hospital, Baguley, Wythenshawe, M23 9LT, Manchester, England
Organisation
Care system	NHS & South Manchester Healthcare Limited
Hospital type	General
Affiliated university	University of Manchester
Services
Emergency department	Level 1 Trauma Centre
Beds	950 [1]
Links
Website	http://www.uhsm.nhs.uk/
Lists	Hospitals in England

The University Hospital of South Manchester NHS Foundation Trust (UHSM) or Wythenshawe Hospital runs a major acute teaching hospital in Wythenshawe, south Manchester, England.^[2] Many of the services and facilities previously at Withington Hospital were transferred to Wythenshawe in 2004. It provides services for adults and children at Wythenshawe Hospital and Withington Community Hospital (the latter formerly owned by Manchester PCT). It runs Buccleuch Lodge Intermediate Care Unit and the Dermot Murphy Centre in Withington, and the Specialised Ability Centre in Sharston.

Wythenshawe Hospital is a founding member of the Manchester Academic Health Science Centre ^[3] and a teaching hospital of Manchester Medical School. It is a recognised centre of clinical and research excellence.^[4][5][6][7]

Description

Its fields of specialist expertise include cutting edge cardiac services based in the new North West Heart Centre .
The hospital has occupied a leading position in UK interventional cardiology, cardiac imaging, cardiac electrophysiology and cardiothoracic surgery for over four decades. One of only six UK heart and lung transplantation centres, it is now developing a rapidly evolving Ventricular Assist Device programme. Further nationally recognised departments include respiratory medicine, burns and plastics, as well as cancer and breast care services. The hospital is also recognised in the region and nationally for the quality of its teaching, research and development.^[8] Major research programmes focus on cancer, lung disease, wound management and medical education.

It runs a specialist service for patients with Cystic Fibrosis across the North West,^[9] a regional Long Term Ventilation Unit and the National Aspergillosis Centre.

UHSM has approximately 5,500 staff, including those employed by its private finance initiative partner South Manchester Healthcare Limited. It was the first hospital in the NHS to go from 0 ratings to 3 stars, after the introduction of a new system rating hospitals.^[2] UHSM is top in the North West when it comes to patient satisfaction, and 6th best in the country. In October 2010 it got the best ratings in Greater Manchester in a survey conducted by the Manchester Evening News.^[10]

2008 assessment

According to the Healthcare Commission assessment in 2008, it was one of a few trusts in the North West to achieve 'excellent' ratings for both parts of the study, both use of resources and quality of services.^[11] It also scored as follows in other parts of the report:

• 12/13 for safety and cleanliness
• 10/13 for waiting to be seen
• 5/5 for keeping the public healthy
• 9/9 for standard of care
• 9/10 for dignity and respect
• 17/17 for good management

Private finance initiative

The 35 year private finance initiative contract for Wythenshawe Hospital, signed in 1998, was one of the earliest in the NHS and provided for stepped payments - charges were low initially but rise steeply between 2015 and 2023 falling again in the last 10 years of the contract. This has put the Trust under considerable financial pressure and a financial recovery plan has been imposed by Monitor.^[12] In June 2014 the Trust was forced to borrow £25 million from the Department of Health in order to meet the increased repayment.^[13]

The parties to the PFI contract are Alfred McAlpine (builders), WS Atkins (maintenance), Sodexho (hotel services) and Innisfree Ltd (equity).^[14]

Relationship with private sector

The Trust uses BMI Healthcare's Alexandra Hospital in Cheadle, Greater Manchester to help with elective surgery capacity problems, usually in the winter. This often involves the same surgeon working on a Sunday. It also uses spare capacity in their Cath lab.^[15]

Buildings

The present Wythenshawe Hospital developed on the site of the former Baguley Sanatorium^[16] which opened on October 4, 1902. It became a 150-bed sanatorium for the sole treatment of TB patients in 1912. The idea of Wythenshawe Hospital was initially discussed in 1939. An Emergency Medical Services hospital - consisting of rows of wooden huts - was constructed and used to treat soldiers who had been injured or burned.^[17] This was the foundation of the hospital's specialisation in burns and plastic surgery. The hospital was substantially developed in the 1960s as part of Enoch Powell's 1962 Hospital Plan^[18] and further after the closure of Withington Hospital.

Performance

It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 5318 full-time equivalent staff and a sickness absence rate of 4.39%. 79% of staff recommend it as a place for treatment and 71% recommended it as a place to work.^[19]

Electronic health record

The trust is implementing an Electronic health record which is intended to be implemented from January 2017. The contract has been awarded to Allscripts. The will require the building of a new datacentre. The trust will continue to use the Greater Manchester picture archiving and communications system. The trust's Chief Information Officer Mark Hutchinson has successfully implemented an electronic patient record using Allscripts at Salford Royal NHS Foundation Trust.^[20]

Future plans

Following a prolonged consultion process called "Healthier Together" it was agreed by the Greater Manchester Clinical Commissioning Groups in July 2015 that Stepping Hill Hospital, Manchester Royal Infirmary, Salford Royal Hospital and Royal Oldham Hospital would be the “specialists” in emergency and high risk general surgery.^[21] This decision was challenged by consultants at the trust who launched a campaign under the banner "Keep Wythenshawe Special" and an action for judicial review, claiming the decision was unlawfully based on the impact on travel times for patients outside Greater Manchester.^[22] A march and rally in support of the campaign in November 2015 was addressed by Ted Robbins whose heart surgery was performed at the hospital.^[23] Dr Attila Vegh, the Chief Executive, resigned shortly before the announcement that the judicial review decision had been unsuccessful.^[24]

It is planned that the hospital will eventually be served by its own dedicated Manchester Metrolink stop (Wythenshawe Hospital Metrolink station).^[25]

See also

• Manchester Medical School
• Manchester Academic Health Science Centre
• Healthcare in Greater Manchester
• List of hospitals in England
• List of NHS trusts

References

External links

• University Hospital of South Manchester NHS Foundation Trust
• Faculty of Medical and Human Sciences, The University of Manchester

Coordinates: 53°23′19″N 2°17′31″W / 53.3887°N 2.2919°W / 53.3887; -2.2919