Robert Jones and Agnes Hunt Orthopaedic Hospital

Coordinates: 52°53′03″N 3°01′56″W / 52.8842°N 3.0323°W / 52.8842; -3.0323

Robert Jones and Agnes Hunt Orthopaedic Hospital
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Geography
Location Oswestry, Shropshire, England, United Kingdom
Organisation
Care system Public NHS
Hospital type Specialist
Services
Emergency department No Accident & Emergency
Speciality Orthopaedics
History
Founded 1900
Links
Website http://www.rjah.nhs.uk/
Lists Hospitals in England
Other links Agnes Hunt

The Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH) in Oswestry, Shropshire, England is a specialist orthopaedic hospital which provides elective orthopaedic surgery. A specialist hospital with a reputation for innovation, the Trust provides a range of musculoskeletal (bone, joint and tissue) surgical, medical and rehabilitation services; locally, regionally and nationally. The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust is a single site trust based in Oswestry, Shropshire, close to the border with Wales. It serves the people of both England and Wales, as well as acting as a national healthcare provider. It also hosts some local services which support the communities in and around Oswestry.

Facilities

The hospital has nine inpatient wards, including a private patient ward, ten operating theatres, as well as extensive outpatient and diagnostic facilities. Outreach clinics are held in neighbouring healthcare facilities to ensure that specialist services are provided as close to people’s homes as possible.

History

It was originally established by Miss Agnes Hunt as the Baschurch Children's hospital.[1]

The Orthopaedic Hospital has been in existence as an independent hospital since 1900 and has occupied its present site since 1921.[2] It is named after Robert Jones and Dame Agnes Hunt. It was taken into the NHS in 1948 and achieved NHS Trust status in 1994. The hospital was awarded NHS Foundation Trust status in August 2011. John Charnley worked in the hospital for six months in 1946.

Seven-day working

It is a pioneer of seven-day working. Weekend work began with surgeons carrying out waiting list initiatives to deal with the problem of access times for the NHS. Researchers at the Dr Foster Intelligence Unit at Imperial College London looked at more than 4 million elective procedures across the UK in 2008-11. They found that the risk of death was 44 per cent higher if the patient was operated on a Friday and 82 per cent higher if operated on over the weekend. The Trust carries out about 10,000 procedures a year and in 2000-12 recorded 33 deaths after elective orthopaedic procedures. They found there was a lower mortality risk on Friday and on Saturday; at 0.008 per cent for Friday and 0.014 per cent on Saturday, with an average mortality rate for the trust at 0.023 per cent.[3]

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 1101 full-time equivalent staff and a sickness absence rate of 3.23%. 93% of staff recommend it as a place for treatment and 71% recommended it as a place to work.[4]

Wendy Farrington Chadd, the chief executive, resigned in September 2015, citing a desire for a new challenge after eight years in the job. Under Mrs Farrington Chadd's leadership, the Trust got on a secure financial footing and invested in a number of significant capital projects. It was also investigated by Deloitte, a report commissioned by the trust itself, after an alert from a Whistleblower found that from December 2013 to January 2015 an average of 424 patients had been excluded from the waiting list for surgery. The effect was that the trust "improved the performance above the 92 per cent national target. As such, it is clear to see that without the removal of these, the trust would not have met the national target for this indicator.”[5]

The Trust has estimated it could to lose up to £8m in income, 16% of its turnover, during 2016-17 under changes to the NHS tariff which are set to affect all specialist orthopaedic hospitals, though discussions are ongoing with Monitor and NHS England to find a solution.[6]

See also

References

  1. ↑ Abel-Smith, Brian (1960). A History of the Nursing Profession. London: Heinemann. p. 30.
  2. ↑ "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
  3. ↑ "Hundreds of patients 'excluded' from specialist trust's waiting list". Health Service Journal. 6 August 2015. Retrieved 5 October 2015.
  4. ↑ "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
  5. ↑ "Hundreds of patients 'excluded' from specialist trust's waiting list". Health Service Journal. 6 August 2015. Retrieved 5 October 2015.
  6. ↑ "NHS orthopaedic hospitals warn of funding crisis due to payment changes". Guardian. 29 October 2015. Retrieved 30 October 2015.
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