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Hinchingbrooke Hospital is a small district general hospital in Hinchingbrooke near Huntingdon, Cambridgeshire. Opened in 1983, it serves the Huntingdonshire area, and has a range of specialities as well as an Accident and Emergency.〔(hinchingbrooke.nhs.uk ), accessed 25 November 2010〕 It had 310 acute beds in 2007, now reduced to 223, including 24 specifically for day cases. It was formerly administered by Hinchingbrooke Health Care NHS Trust which had long standing financial problems. It was obliged to borrow £27.3 million in Public Dividend Capital in 2006-7. In 2011 it became the first NHS hospital to be run by a private company, Circle Health. Although the hospital is managed privately, the buildings are still under public ownership by the NHS. This process was widely criticised as a significant step in the privatisation of the NHS in England. ==Circle Health franchise== The franchise winner was announced to be Circle Health on 25 November 2010.〔Nick Triggle, (Private firm becomes first to run NHS hospital ), BBC News, 25 November 2010〕 The project has been conducted by the NHS East of England Strategic Projects Team.〔(NHS East of England Strategic Projects Team ), accessed 10 December 2010〕 On 10 November 2011 it was confirmed that Hinchingbrooke Hospital would be administered by Circle Health from February 2012. Circle has a ten-year contract to manage the hospital, which has heavy financial debts. In 2012 losses doubled, and Circle obtained a £4 million advance on fees to ease cash flow problems at the hospital. BBC Newsnight produced a programme about the hospital in August 2012 where Ali Parsa showed how “reactive, motivated staff treat patients better; happy, well-fed patients heal better”. In November 2012 a National Audit Office (NAO) report into the franchise was published. It found that while Circle had made early improvements in some clinical areas, the in-year deficit was already £2.2 million higher than planned. Circle will have to generate unprecedented levels of savings to pay the deficit and most of the savings are expected in the later years of the ten-year franchise, so the value for money of the project cannot easily be assessed for some time. The NAO found that while NHS East of England had assessed bidders’ savings proposals, the relative risks had not been fully considered, which had the potential to encourage over-optimistic bids. According to The Daily Mail in February 2013, patient satisfaction has risen dramatically to 85% and waiting times have been cut significantly. Jim O’Connell, the Chief Executive was quoted as saying "We put more of the decision-making in the hands of the doctors and nurses ... There are still a lot of inefficiencies in the NHS because it is the bureaucracy that has built up over all these years, and we have to change that." However in the 2013 NHS staff survey of 28 Key Findings, Hinchingbrooke comes out worse than the NHS average on two thirds (19), and is in the lowest 20% of trusts in almost half (13). In April 2014 it was reported that the hospital was likely to record a year end deficit in the region of £600,000 to £700,000 for 2013-14. In July 2014 Hinchingbrooke Hospital was referred to the SoS for failure to meet their statutory break-even duty 〔http://www.audit-commission.gov.uk/2014/07/nhs-audited-accounts-true-and-fair-but-disclose-significant-financial-stress/〕 The hospital made an offer to pay local GPs a £50 ‘administrative fee’ for surgery referrals in an email - signed by Hinchingbrooke chief executive Hisham Abdel-Rahman which was rapidly withdrawn when the company was accused of bribery. September 2014 BBC news reports CQC visit highlights severe issues with patient care where inspectors its team observed "staff treat patients in an undignified and emotionally abusive manner" In November 2014 Jenny Raine the chief financial officer left. UNISON called for Circle to be ‘sacked’, claiming that papers tabled for the Board meeting in October - which did not include a financial report - showed the organisation faced potential penalties of up to £200,000 per month for failure to meet targets for patients waiting longer than four hours in the accident and emergency department, and more penalties for failing to reach electronic discharge summary targets which already stand at £138,000 and a further £150,000 for failing to increase the number of patients discharged at weekends. The Union said staff turnover was more than 13 per cent. In response Circle said: "We are a bit bemused as we haven't changed out financial forecasts for the year and Hinchingbrooke's clinical outcomes remain very strong." In December 2014, Deputy Prime Minister Nick Clegg referred to the hospital as the only NHS hospital privatised in the country (by the Labour Health Secretary Andy Burnham).〔http://www.publications.parliament.uk/pa/cm201415/cmhansrd/chan78.pdf p. 866〕 The Trust made a profit in 2014-15 from charging patients, mostly in its seven-bed private unit, which offers individual rooms, better food, and Sky TV. Private-patient income at the hospital increased from £439,676 in 2013-14 to £1,150,697 in 2014-15. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Hinchingbrooke Hospital」の詳細全文を読む スポンサード リンク
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