Maidstone And Tunbridge Wells NHS Trust
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Maidstone and Tunbridge Wells NHS Trust is a large
NHS Trust An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several ...
in the
English National Health Service The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the ...
that manages hospitals in
Kent Kent is a county in South East England and one of the home counties. It borders Greater London to the north-west, Surrey to the west and East Sussex to the south-west, and Essex to the north across the estuary of the River Thames; it faces ...
, primarily managing
Maidstone Hospital Maidstone Hospital is a hospital in Barming, Maidstone, England. It is managed by the Maidstone and Tunbridge Wells NHS Trust. History The hospital, which replaced the West Kent hospital in Marsham Street, was built on a Greenfield land, greenfi ...
and
Tunbridge Wells Hospital Tunbridge Wells Hospital is a large district general hospital in Pembury near Royal Tunbridge Wells, Kent, England, run by the Maidstone and Tunbridge Wells NHS Trust. The hospital is located on Tonbridge Road, around to the north-west of Pem ...
at Pembury. It took over the
Crowborough Crowborough is a town and civil parish in East Sussex, England, in the Weald at the edge of Ashdown Forest in the High Weald Area of Outstanding Natural Beauty, 7 miles (11 km) south-west of Royal Tunbridge Wells and 33 miles (53 ...
Birthing Centre, formerly run by
East Sussex Healthcare NHS Trust East Sussex Healthcare NHS Trust is an NHS trust which runs Conquest Hospital in St Leonards-on-Sea, Eastbourne District General Hospital, and Bexhill Hospital, all in East Sussex, England. History The trust was established as East Sussex Ho ...
in November 2015.


Management

The Trust, with
East Kent Hospitals University NHS Foundation Trust East Kent Hospitals University NHS Foundation Trust is one of the largest hospital trusts in England. It runs the Kent and Canterbury Hospital (Canterbury), William Harvey Hospital (Ashford), Queen Elizabeth The Queen Mother Hospital (Margate), ...
was jointly procuring an
electronic patient record An electronic health record (EHR) is the systematized collection of patient and population electronically stored health information in a digital format. These records can be shared across different health care settings. Records are shared throu ...
system in a contract worth £10m - £40m in December 2013. During 2014 the Trust paid Ian Miller more than £250,000 for five months’ work as an interim finance director. The funds were paid to The Maxentius Partnership, his own consultancy business. The Trust justified the expense by saying “The independent financial expertise was essential in helping the Trust achieve £23.5 million in efficiency savings last year without impacting on patient care.” The trust has accommodation for about 200 staff close to its hospitals. It anticipated an influx of overseas nurses in 2019/20 and planned to offer them this accommodation on a temporary basis.


Performance

It was heavily criticized in 2007 by the
Healthcare Commission The Healthcare Commission was a non-departmental public body sponsored by the Department of Health of the United Kingdom. It was set up to promote and drive improvement in the quality of health care and public health in England and Wales. It aimed ...
regarding its handling of a major outbreak of '' Clostridium difficile'' in its hospitals from April 2004 to September 2006. In its report, the Commission estimated that about 90 patients "definitely or probably" died as a result of the infection. The
Secretary of State for Health The secretary of state for health and social care, also referred to as the health secretary, is a secretary of state in the Government of the United Kingdom, responsible for the work of the Department of Health and Social Care. The incumbent ...
,
Alan Johnson Alan Arthur Johnson (born 17 May 1950) is a British politician who served as Secretary of State for Education and Skills from 2006 to 2007, Secretary of State for Health from 2007 to 2009, Home Secretary from 2009 to 2010, and Shadow Chancel ...
, described the 90 patients' deaths as "scandalous". In a subsequent investigation by the
Healthcare Commission The Healthcare Commission was a non-departmental public body sponsored by the Department of Health of the United Kingdom. It was set up to promote and drive improvement in the quality of health care and public health in England and Wales. It aimed ...
the outbreak was connected to the financial reorganisations that the hospital trust was undergoing, such as its
private finance initiative The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 199 ...
. In this regard, Richard James, Professor of
Microbiology Microbiology () is the scientific study of microorganisms, those being unicellular (single cell), multicellular (cell colony), or acellular (lacking cells). Microbiology encompasses numerous sub-disciplines including virology, bacteriology, prot ...
at the
University of Nottingham The University of Nottingham is a public university, public research university in Nottingham, United Kingdom. It was founded as University College Nottingham in 1881, and was granted a royal charter in 1948. The University of Nottingham belongs t ...
noted striking parallels with
Stoke Mandeville Stoke Mandeville is a village and civil parish in the Vale of Aylesbury in Buckinghamshire, England. It is located three miles (4.9 km) from Aylesbury and 3.4 miles (5.5 km) from the market town of Wendover. Although a separate civil p ...
hospital, which experienced a severe
C. difficile ''Clostridioides difficile'' ( syn. ''Clostridium difficile'') is a bacterium that is well known for causing serious diarrheal infections, and may also cause colon cancer. Also known as ''C. difficile'', or ''C. diff'' (), is Gram-positive spe ...
outbreak in 2003-5. In April 2015 the Trust was the first NHS trust to be charged with corporate manslaughter under the
Corporate Manslaughter and Corporate Homicide Act 2007 The Corporate Manslaughter and Corporate Homicide Act 2007 (c. 19) is an Act of the Parliament of the United Kingdom that seeks to broaden the law on corporate manslaughter in the United Kingdom. The Act created a new offence respectively named ...
after 30-year-old Frances Cappuccini died after giving birth by emergency caesarean section in October 2012 at Pembury Hospital. Two doctors involved were charged with gross negligence manslaughter. Errol Cornish, a locum consultant anaesthetist was charged. Dr Nadeem Azeez would have been charged, but left the country. The trial judge, Mr Justice Coulson, instructed the jury that there was no case to answer and the case was dismissed, after 2 weeks, in January 2016. He said evidence showed some of Cornish’s actions had been “about as far from a gross negligence manslaughter case as it is possible to be” and called some of the arguments against the trust “perverse”. He also criticised
Jeremy Hunt Jeremy Richard Streynsham Hunt (born 1 November 1966) is a British politician who has served as Chancellor of the Exchequer since 14 October 2022. He previously served in the Cabinet as Secretary of State for Culture, Olympics, Media and Sport ...
for sending a “highly inappropriate” tweet during the trial. It was named by the
Health Service Journal ''Health Service Journal'' (''HSJ'') is a news service that covers policy and management in the National Health Service (NHS) in England. History The '' Poor Law Officers' Journal'' was established in 1892. In 1930, it changed its name after ...
as one of the top hundred NHS trusts to work for in 2015. At that time it had 4964 full time equivalent staff and a sickness absence rate of 3.97%. 73% of staff recommend it as a place for treatment and 63% recommended it as a place to work. In February 2016 it was expecting a deficit of £23.5 million for the year.


David Fuller necrophilia scandal

In November 2021 MPs called for a
public inquiry A tribunal of inquiry is an official review of events or actions ordered by a government body. In many common law countries, such as the United Kingdom, Republic of Ireland, Ireland, Australia and Canada, such a public inquiry differs from a royal ...
when it was revealed that electrical supervisor David Fuller, who had unhindered access to hospital mortuaries, had sexually abused at least 100 bodies. During his trial for the murders of Wendy Knell and Caroline Pierce in 1987, it emerged that Fuller had sexually abused bodies in two Kent hospitals over 12 years. He was sentenced on 15 December 2021 to a whole life jail term. The NHS Trust commissioned an independent investigation, led by Sir
Jonathan Michael Sir Jonathan Michael is a British nephrologist and medical executive. From 2000 to 2007, he was the chief executive of Guy's and St Thomas' NHS Trust where he received his medical training, qualifying in 1970, before his 20-year career as a clini ...
, a fellow at the
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
, which will look into how the abuse happened and what could have been done to avoid it.


See also

*
Healthcare in Kent Healthcare in Kent has, from 1 July 2022, been mainly the responsibility of the Kent & Medway Integrated Care Board. Certain specialised services are directly commissioned by NHS England, coordinated through the South East integrated regional team. ...
*
List of NHS trusts This list of NHS trusts in England provides details of current and former English NHS trusts, NHS foundation trusts, acute hospital trusts, ambulance trusts, mental health trusts, and the unique Isle of Wight NHS Trust. , 217 extant trusts empl ...


References


External links

Healthcare Commission report: * Healthcare Commission press release
Healthcare watchdog finds significant failings in infection control at Maidstone and Tunbridge Wells NHS Trust
11 October 2007 * Healthcare Commission
Investigation into outbreaks of Clostridium difficile at Maidstone and Tunbridge Wells NHS Trust
October 2007
Maidstone and Tunbridge Wells NHS Trust Official Web Site
News reports: * Times Online
Superbug hospital may face criminal charges
11 October 2007 * Daily Telegraph
Health Secretary intervenes in superbug row
11 October 2007 * Channel 4 News
Hospital bug 'caused 90 deaths'
11 October 2007 {{Authority control Organisations based in Kent NHS hospital trusts Borough of Maidstone Health in Kent