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The trust opened the doors of its new building, Brunel, at Southmead Hospital, in 2014.
At the heart of the 800 bed hospital is a public concourse which simplifies access to the medical wards and departments. The concourse, known as the 'atrium', is naturally lit and ventilated and provides cafes, winter gardens and artwork. Bedrooms have large areas of unobstructed glazing and are naturally ventilated, providing the patient with control of their own environment. The bedroom wings are located on the eastern side, naturally shaded from the afternoon sun by the mechanically ventilated clinical block which houses 24 state of the art operating theatres, intra-operative MRI suite, 48 critical care bedrooms, advanced imaging suites, cardiac catheter labs and endoscopy unit. Of the 800 beds, 75% are single en-suite rooms, aiming to improve patient dignity and privacy.
The trust's Brunel Building has been honoured with two RIBA awards, an internationally-recognised mark of excellence awarded by the
Between July and September 2014, the trust had the third worst performance in the country against the requirement to treat and discharge or admit 95 per cent of A&E patients within four hours. It produced an operational resilience and capacity plan, envisaging the trust would achieve performance of 92 per cent against the A&E four-hour standard by April which was rejected. The biggest reason for avoidable breaches of the target was said to be the availability of suitable beds to admit patients. The trust had a deficit of £20.1million at the end of August, £6.7M worse than planned. An unnamed whistleblower claimed a lack of beds was putting patient safety at risk because small rooms designed for minor procedures, such as injections, were being used to keep patients in overnight. The trust claimed these single rooms were entirely appropriate for safe and dignified patient care.
In February 2015, it was reported that the trust had 247 patients who had waited more than a year for elective treatment, 201 of them waiting for spinal surgery. It spent £20.8M, 7.1% of its total turnover, on agency staff in 20142015.
In February 2016, it was expecting a deficit of £33.7M for the year 20152016.
It ended 20152016 in deficit of £51.6M.
In December 2017, the trust reported 122 breaches of the 12-hour target in A&E the worst performance in England and only 70.3 per cent of patients were seen within the four-hour target.
122 people at Southmead Hospital were left on trolleys in corridors for more than 12 hours during December.
In 2017-18, only 77.1% of A&E patients were seen within four hours.
North Bristol NHS Trust is a National Health Service trust that provides community healthcare and hospital services to
documentary filmed over six years, ''The Parkinson's Drug Trial: A Miracle Cure'' followed a group of volunteers with Parkinson's disease as they take part in a groundbreaking medical trial. The trial was funded by Bristol
Bristol () is a city, ceremonial county and unitary authority in England. Situated on the River Avon, it is bordered by the ceremonial counties of Gloucestershire to the north and Somerset to the south. Bristol is the most populous city in ...
, South Gloucestershire
South Gloucestershire is a unitary authority area in the ceremonial county of Gloucestershire, South West England. Towns in the area include Yate, Chipping Sodbury, Thornbury, Filton, Patchway and Bradley Stoke, the latter three forming part ...
, and North Somerset
North Somerset is a unitary authorities of England, unitary district in Somerset, South West England. Whilst its area covers part of the Ceremonial counties of England, ceremonial county of Somerset, it is administered independently of the non ...
, England. The trust employs over 8,000 staff delivering healthcare across Southmead Hospital
Southmead Hospital is a large public National Health Service hospital, situated in the area of Southmead, though in Horfield ward, in the northern suburbs of Bristol, England. It is part of the North Bristol NHS Trust. The 800-bed Brunel Buildi ...
, Cossham Hospital
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
, and the Bristol Centre for Enablement, as well as the local communities. Medical teaching facilities are provided in association with the University of the West of England
The University of the West of England (also known as UWE Bristol) is a public research university, located in and around Bristol, England.
The institution was know as the Bristol Polytechnic in 1970; it received university status in 1992 and ...
, Bristol University, and the University of Bath
(Virgil, Georgics II)
, mottoeng = Learn the culture proper to each after its kind
, established = 1886 (Merchant Venturers Technical College) 1960 (Bristol College of Science and Technology) 1966 (Bath University of Technology) 1971 (univ ...
.
Healthcare and clinical specialties
North Bristol NHS trust is a centre of excellence for health care in theSouth West
The points of the compass are a set of horizontal, radially arrayed compass directions (or azimuths) used in navigation and cartography. A compass rose is primarily composed of four cardinal directions—north, east, south, and west—each se ...
in a number of fields, as well as one of the largest hospital trusts in the UK. The trust's treatments and advances in care have won national and international recognition.
Neurosciences
The Institute of Neurosciences is located in the Brunel building at Southmead Hospital. The institute is the regional centre for neurological services serving the South West of England. The service receives patient referrals from across the South West, throughout the UK, and worldwide. Using the latest techniques, theNeuroscience
Neuroscience is the scientific study of the nervous system (the brain, spinal cord, and peripheral nervous system), its functions and disorders. It is a multidisciplinary science that combines physiology, anatomy, molecular biology, development ...
s team treat a wide range of conditions. Some examples include the use of deep brain stimulation techniques for the treatment of functional disorders such as Parkinson’s disease
Parkinson's disease (PD), or simply Parkinson's, is a chronic condition, long-term neurodegeneration, degenerative disorder of the central nervous system that mainly affects the motor system. The symptoms usually emerge slowly, and as the disea ...
, led by Professor Gill, and developing the use of robotic surgery to deliver drugs directly into the brain.
In February 2019, a BBC #REDIRECT BBC #REDIRECT BBC
Here i going to introduce about the best teacher of my life b BALAJI sir. He is the precious gift that I got befor 2yrs . How has helped and thought all the concept and made my success in the 10th board exam. ...
...Parkinson's UK
Parkinson's UK is a Parkinson's research and support charity in the United Kingdom. In April 2010, the Parkinson's Disease Society changed its name to become Parkinson's UK. Its aims are to improve the quality of life for people affected by Park ...
with support from The Cure Parkinson's Trust and in association with the trust.
Orthopaedics
The Avon Orthopaedic Centre delivers services such aship
In vertebrate anatomy, hip (or "coxa"Latin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) in medical terminology) refers to either an anatomical region or a joint.
The hip region is ...
and knee surgery, carrying out 1,000 knee replacements a year.
Severn Major Trauma Network
The Severn Major Trauma Network was set up to manage and influence care for seriously injured patients from injury to rehabilitation. The network serves both adult and children's major trauma and has an adult population of around 2.3million and children's population of approximately 810,000.Facilities and services
Until 2014, both Southmead and Frenchay were large hospitals with majorAccident and Emergency
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of pa ...
(A&E) facilities, but the trust decided to centralise activities at Southmead. From April to December 2014, Frenchay Hospital
Frenchay Hospital was a large hospital situated in Frenchay, South Gloucestershire, on the north east outskirts of Bristol, England, which is now closed. In 2014, it contracted to a few brain and head injuries services. It was managed by North B ...
was progressively closed, with the majority of services moving to a new building at Southmead. A&E was transferred on 19 May 2014. A few services relating to brain and head injuries remain at Frenchay after December 2014. The first patients moved into the new Brunel building at Southmead in May 2014.
The trust ran inpatient geriatric services at Blackberry Hill Hospital
Blackberry Hill Hospital is an NHS psychiatric hospital in Fishponds, Bristol, England, specialising in forensic mental health services, operated by the Avon and Wiltshire Mental Health Partnership NHS Trust. The hospital also offers drug and a ...
until 2005, when it closed activities at the site transferring most services to Frenchay and Southmead, and eventually selling the trust's part of the site.
In August 2015, the trust announced that they were not bidding for the contract to continue providing their current Children's Community Health Partnership services which they won in 2009, because of the "non-core nature of the service", a "lack of management capacity" and "financial pressure".
It was scheduled to be the first trust to go live with Lorenzo patient record systems
Lorenzo patient record systems are a type of Electronic health record provided by DXC Technology, originally as part of the United Kingdom government’s National Programme for IT (NHS Connecting for Health) in the NHS.
There is a long history of ...
, but are experiencing problems in transitioning from the old Cerner
Cerner Corporation is an American supplier of health information technology (HIT) services, devices, and hardware. As of February 2018, its products were in use at more than 27,000 facilities around the world. The company had more than 29,000 emp ...
system.
Brunel Building, Southmead Hospital
The trust opened the doors of its new building, Brunel, at Southmead Hospital, in 2014.
At the heart of the 800 bed hospital is a public concourse which simplifies access to the medical wards and departments. The concourse, known as the 'atrium', is naturally lit and ventilated and provides cafes, winter gardens and artwork. Bedrooms have large areas of unobstructed glazing and are naturally ventilated, providing the patient with control of their own environment. The bedroom wings are located on the eastern side, naturally shaded from the afternoon sun by the mechanically ventilated clinical block which houses 24 state of the art operating theatres, intra-operative MRI suite, 48 critical care bedrooms, advanced imaging suites, cardiac catheter labs and endoscopy unit. Of the 800 beds, 75% are single en-suite rooms, aiming to improve patient dignity and privacy.
The trust's Brunel Building has been honoured with two RIBA awards, an internationally-recognised mark of excellence awarded by the Royal Institute of British Architects
The Royal Institute of British Architects (RIBA) is a professional body for architects primarily in the United Kingdom, but also internationally, founded for the advancement of architecture under its royal charter granted in 1837, three suppl ...
. The building, designed by BDP architects, won RIBA South West Award 2018 for its architecture, as well as RIBA South West Client of the Year 2018.
The hospital recruited a group of volunteers, known as 'Move Makers', to aid the transition from the Frenchay site. The volunteers proved useful, so it was decided to keep them on indefinitely. In 2019 were awarded the Queen's Award for Voluntary Service
The Queen's Award for Voluntary Service, also known as The Queen's Golden Jubilee Award for Voluntary Service by Groups in the Community and The Queen's Diamond Jubilee Volunteering Award is an annual award given to groups in the voluntary sect ...
.
Performance
Between July and September 2014, the trust had the third worst performance in the country against the requirement to treat and discharge or admit 95 per cent of A&E patients within four hours. It produced an operational resilience and capacity plan, envisaging the trust would achieve performance of 92 per cent against the A&E four-hour standard by April which was rejected. The biggest reason for avoidable breaches of the target was said to be the availability of suitable beds to admit patients. The trust had a deficit of £20.1million at the end of August, £6.7M worse than planned. An unnamed whistleblower claimed a lack of beds was putting patient safety at risk because small rooms designed for minor procedures, such as injections, were being used to keep patients in overnight. The trust claimed these single rooms were entirely appropriate for safe and dignified patient care.
In February 2015, it was reported that the trust had 247 patients who had waited more than a year for elective treatment, 201 of them waiting for spinal surgery. It spent £20.8M, 7.1% of its total turnover, on agency staff in 20142015.
In February 2016, it was expecting a deficit of £33.7M for the year 20152016.
It ended 20152016 in deficit of £51.6M.
In December 2017, the trust reported 122 breaches of the 12-hour target in A&E the worst performance in England and only 70.3 per cent of patients were seen within the four-hour target.
122 people at Southmead Hospital were left on trolleys in corridors for more than 12 hours during December.
In 2017-18, only 77.1% of A&E patients were seen within four hours.
PwC
PricewaterhouseCoopers is an international professional services brand of firms, operating as partnerships under the PwC brand. It is the second-largest professional services network in the world and is considered one of the Big Four accounting ...
partnered with the trust to introduce Perform, a behavioural change methodology to reduce outliers, bed occupancy and rising demand. They deployed patient flow transformation discharge teams to help staff at all levels. The impact of the programme included releasing 50 beds, reducing length of stay by 13 per cent and enabling a 10.2 per cent increase in the four-hour performance. The trust received a HSJ Partnership Award in 2019 as a result of this programme.
The trust has welcomed many expansions and successes in clinical services. Neuromuscular services at the trust and University Hospitals Bristol and Weston NHS Foundation Trust
The University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is a National Health Service foundation trust in Bristol and Weston-super-Mare, England. The trust runs Bristol Royal Infirmary, Bristol Heart Institute, Bristol Royal Hosp ...
have been recognised by Muscular Dystrophy UK for providing outstanding care for people with muscle-wasting conditions.
In September 2019, the trust was rated by the Care Quality Commission
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England.
I ...
(CQC) as outstanding for caring, and good overall. The trust was also rated outstanding for well-led.
Overseas patients
The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £1.2M in 201819, but only collected £0.2M.Working for the trust
The trust employs around 8,000 medical and non-medical professionals, supported by volunteers. It takes a progressive approach to staff wellbeing. The Wellbeing Programme is funded by their charity, Southmead Hospital Charity, and is made up of a range of physical, psychological and lifestyle support. This includes a free over-the-phone physiotherapy assessment service, bespoke psychological support sessions, Arts on Referral and the Mental Health First Aid network. Staff also have access to a 24/7 free, confidential helpline offering counselling about financial, legal, relationships and more, provided by partner organisation Health Assured. This programme was recognised by the NHS Parliamentary Awards in 2019.Professional development and healthcare careers
Learning and development at the trust is based in the Learning and Research Centre at Southmead Hospital. The trust has links withUniversity of the West of England
The University of the West of England (also known as UWE Bristol) is a public research university, located in and around Bristol, England.
The institution was know as the Bristol Polytechnic in 1970; it received university status in 1992 and ...
and University of Bristol
, mottoeng = earningpromotes one's innate power (from Horace, ''Ode 4.4'')
, established = 1595 – Merchant Venturers School1876 – University College, Bristol1909 – received royal charter
, type ...
who support undergraduate and postgraduate education and work placements across many professions.
Nursing recruitment
Southmead Hospital is host to regular engagement days and study days. Nurses across the region are welcomed into the trust for professional development seminars, and clinical teams provide an insight into clinical developments, give attendees a chance to network with senior and staff nurses and access to complimentary CPD hours towards revalidation. This continues on appointment to a role at the trust, as the trust offers a wide range of benefits. This includes bespoke rotations, wellbeing support, personalised travel plans, and a structured preceptorship.See also
*Healthcare in Bristol
Healthcare in the city of Bristol, England and the surrounding area is largely provided by the National Health Service (NHS). Until July 2022, this was provided through the Bristol, North Somerset and South Gloucestershire clinical commissioning ...
* Healthcare in Somerset
Healthcare in Somerset, England was the responsibility of three clinical commissioning groups (CCGs) until July 2022. These covered the ceremonial county of Somerset, which comprises the areas governed by Somerset County Council and the unitary ...
* Healthcare in Gloucestershire
Healthcare in Gloucestershire was the responsibility of two clinical commissioning groups, covering Gloucestershire and South Gloucestershire, until July 2022. The health economy of Gloucestershire has always been linked with that of Bristol.
S ...
* 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 ...
References
External links
* {{Coord, 51.4984, N, 2.5916, W, source:wikidata, display=title NHS hospital trusts Health in Bristol Health in Gloucestershire Health in Somerset