St George's Healthcare NHS Trust
Encyclopedia
St George's Healthcare NHS Trust is based in Tooting
Tooting
Tooting is a district in south London, England, located in the London Borough of Wandsworth. It is situated south south-west of Charing Cross. The area is identified in the London Plan as one of 35 major centres in Greater London.-History:...

 in the London Borough of Wandsworth
London Borough of Wandsworth
The London Borough of Wandsworth is a London borough in southwest London, England, and forms part of Inner London.-History:The borough was formed in 1965 from the former area of the Metropolitan Borough of Battersea and much of the former area of the Metropolitan Borough of Wandsworth, but...

, and serves a population of 1.3 million across southwest London
London
London is the capital city of :England and the :United Kingdom, the largest metropolitan area in the United Kingdom, and the largest urban zone in the European Union by most measures. Located on the River Thames, London has been a major settlement for two millennia, its history going back to its...

. A large number of services, such as cardiothoracic medicine and surgery
Cardiothoracic Surgery
Cardiothoracic surgery is the field of medicine involved in surgical treatment of diseases affecting organs inside the thorax —generally treatment of conditions of the heart and lungs .-Cardiac / Thoracic:...

, neuroscience
Neuroscience
Neuroscience is the scientific study of the nervous system. Traditionally, neuroscience has been seen as a branch of biology. However, it is currently an interdisciplinary science that collaborates with other fields such as chemistry, computer science, engineering, linguistics, mathematics,...

s and renal transplantation, also cover significant populations from Surrey
Surrey
Surrey is a county in the South East of England and is one of the Home Counties. The county borders Greater London, Kent, East Sussex, West Sussex, Hampshire and Berkshire. The historic county town is Guildford. Surrey County Council sits at Kingston upon Thames, although this has been part of...

 and Sussex
Sussex
Sussex , from the Old English Sūþsēaxe , is an historic county in South East England corresponding roughly in area to the ancient Kingdom of Sussex. It is bounded on the north by Surrey, east by Kent, south by the English Channel, and west by Hampshire, and is divided for local government into West...

, totalling about 3.5 million people.

St George’s Healthcare employs around 7,500 staff in a range of occupations and professions working together to provide healthcare services for patients.

On 1 October 2010 St George’s Healthcare integrated with Community Services
Care in the Community
Care in the Community is the British policy of deinstitutionalization, treating and caring for physically and mentally disabled people in their homes rather than in an institution...

 Wandsworth, formerly the provider arm of NHS Wandsworth. This integration saw Community Services Wandsworth become the Community Services Wandsworth division of St George’s Healthcare NHS Trust, with the 1,200 members of staff becoming employees of St George’s Healthcare under TUPE.

St George’s Healthcare incorporates St George’s Hospital
St George's Hospital
Founded in 1733, St George’s Hospital is one of the UK's largest teaching hospitals. It shares its main hospital site in Tooting, England with the St George's, University of London which trains NHS staff and carries out advanced medical research....

 in Tooting, the Wolfson Rehabilitation Centre
Wolfson Neurorehabilitation Centre
The Wolfson Neurorehabilitation Centre , also better known simply as The Wolfson, is a specialist neurorehabilitation centre based in Wimbledon, south west London. The WNRC is part of St. George's Healthcare NHS Trust.-History:...

 in Wimbledon
Wimbledon, London
Wimbledon is a district in the south west area of London, England, located south of Wandsworth, and east of Kingston upon Thames. It is situated within Greater London. It is home to the Wimbledon Tennis Championships and New Wimbledon Theatre, and contains Wimbledon Common, one of the largest areas...

 and a full range of community services provided at Queen Mary’s Hospital
Queen Mary's Hospital
Queen Mary's Hospital Roehampton is a hospital in the United Kingdom. It was founded in 1915 to provide care for wounded soldiers, it became a world renowned limb fitting and amputee rehabilitation centre. Recently rebuilt and modernized it has become a unit of the Wandsworth Primary Care Trust...

 in Roehampton
Roehampton
Roehampton is a district in south-west London, forming the western end of the London Borough of Wandsworth. It lies between the town of Barnes to the north, Putney to the east and Wimbledon Common to the south. The Richmond Park golf courses are west of the neighbourhood, and just south of these is...

, St John’s Therapy Centre in Battersea
Battersea
Battersea is an area of the London Borough of Wandsworth, England. It is an inner-city district of South London, situated on the south side of the River Thames, 2.9 miles south-west of Charing Cross. Battersea spans from Fairfield in the west to Queenstown in the east...

, HMP Wandsworth, health centres and clinics, GP surgeries, schools and in people’s homes throughout Wandsworth.

St George's Hospital

St George’s Hospital
St George's Hospital
Founded in 1733, St George’s Hospital is one of the UK's largest teaching hospitals. It shares its main hospital site in Tooting, England with the St George's, University of London which trains NHS staff and carries out advanced medical research....

 is one of the UK's largest teaching hospitals. It shares its main hospital site in Tooting
Tooting
Tooting is a district in south London, England, located in the London Borough of Wandsworth. It is situated south south-west of Charing Cross. The area is identified in the London Plan as one of 35 major centres in Greater London.-History:...

, England
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...

 with the renowned St George's, University of London
St George's, University of London
St George's, University of London is a medical school located in London, United Kingdom and a constituent college of the federal University of London...

 which trains NHS
National Health Service
The National Health Service is the shared name of three of the four publicly funded healthcare systems in the United Kingdom. They provide a comprehensive range of health services, the vast majority of which are free at the point of use to residents of the United Kingdom...

 staff and carries out advanced medical research.

The hospital has around 1,000 beds and provides all the usual care you would expect from a local NHS hospital, such as accident and emergency, maternity services and care for older people
Geriatrics
Geriatrics is a sub-specialty of internal medicine and family medicine that focuses on health care of elderly people. It aims to promote health by preventing and treating diseases and disabilities in older adults. There is no set age at which patients may be under the care of a geriatrician, or...

 and children. However, as a major acute hospital
Acute (medicine)
In medicine, an acute disease is a disease with either or both of:# a rapid onset, as in acute infection# a short course ....

, St George's Hospital also offers very specialist care for the most complex of injuries and illnesses, including trauma
Trauma (medicine)
Trauma refers to "a body wound or shock produced by sudden physical injury, as from violence or accident." It can also be described as "a physical wound or injury, such as a fracture or blow." Major trauma can result in secondary complications such as circulatory shock, respiratory failure and death...

, neurology
Neurology
Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue,...

, cardiac care
Heart
The heart is a myogenic muscular organ found in all animals with a circulatory system , that is responsible for pumping blood throughout the blood vessels by repeated, rhythmic contractions...

, renal transplantation, cancer care
Oncology
Oncology is a branch of medicine that deals with cancer...

 and stroke
Stroke
A stroke, previously known medically as a cerebrovascular accident , is the rapidly developing loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia caused by blockage , or a hemorrhage...

. It is also home to one of four major trauma centres and one of eight hyper-acute stroke units for London.

St George's Hospital also provides care for patients from a larger catchment area in the South East of England
South East England
South East England is one of the nine official regions of England, designated in 1994 and adopted for statistical purposes in 1999. It consists of Berkshire, Buckinghamshire, East Sussex, Hampshire, Isle of Wight, Kent, Oxfordshire, Surrey and West Sussex...

, for specialties such as complex pelvic trauma
Pelvis
In human anatomy, the pelvis is the lower part of the trunk, between the abdomen and the lower limbs .The pelvis includes several structures:...

. Other services treat patients from all over the country, such as family HIV
HIV
Human immunodeficiency virus is a lentivirus that causes acquired immunodeficiency syndrome , a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive...

 care and bone marrow transplantation for non-cancer diseases. The trust also provides a nationwide state-of-the-art endoscopy
Endoscopy
Endoscopy means looking inside and typically refers to looking inside the body for medical reasons using an endoscope , an instrument used to examine the interior of a hollow organ or cavity of the body. Unlike most other medical imaging devices, endoscopes are inserted directly into the organ...

 training centre.

The Wolfson Neurorehabilitation Centre

St George’s Healthcare NHS Trust runs the Wolfson Neurorehabilitation Centre
Wolfson Neurorehabilitation Centre
The Wolfson Neurorehabilitation Centre , also better known simply as The Wolfson, is a specialist neurorehabilitation centre based in Wimbledon, south west London. The WNRC is part of St. George's Healthcare NHS Trust.-History:...

 in Wimbledon
Wimbledon, London
Wimbledon is a district in the south west area of London, England, located south of Wandsworth, and east of Kingston upon Thames. It is situated within Greater London. It is home to the Wimbledon Tennis Championships and New Wimbledon Theatre, and contains Wimbledon Common, one of the largest areas...

, which cares for patients with acquired neurological
Neurology
Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue,...

 conditions, such as stroke
Stroke
A stroke, previously known medically as a cerebrovascular accident , is the rapidly developing loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia caused by blockage , or a hemorrhage...

 and spinal injuries.

The centre takes referrals from across south west London
South West London
South West London could refer to:*SW postcode area*South West *Western part of South London*South West...

 and the Home Counties
Home Counties
The home counties is a term which refers to the counties of South East England and the East of England which border London, but do not include the capital city itself...

. The Centre was established in a purpose-built rehabilitation facility with funds from the Wolfson Foundation and has a wide range of treatment facilities.

It provides rehabilitation to patients who require intensive therapy following acquired neurological conditions resulting in physical
Physical disability
A physical disability is any impairment which limits the physical function of one or more limbs or fine or gross motor ability. Other physical disabilities include impairments which limit other facets of daily living, such as respiratory disorders and epilepsy....

 or psychological disabilities. This includes patients who have had strokes, traumatic injuries to the brain or spine, anoxic brain damage, diseases or infections of the nervous system, and long-term conditions like multiple sclerosis
Multiple sclerosis
Multiple sclerosis is an inflammatory disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms...

.

Services are provided on an inpatient or day patient basis. It also provides a range of assessment and diagnostic clinics.

St John's Therapy Centre

Opened in February 2007 on the same site as its predecessor building, St John's Therapy Centre in Battersea
Battersea
Battersea is an area of the London Borough of Wandsworth, England. It is an inner-city district of South London, situated on the south side of the River Thames, 2.9 miles south-west of Charing Cross. Battersea spans from Fairfield in the west to Queenstown in the east...

 brings together community-based therapy services, a mental health
Mental health
Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...

 unit and two GP practices, bringing a range of multi-disciplinary professionals closer together. In December 2008, all St George's Healthcare services formerly provided at the Bolingbroke Hospital in Battersea, were relocated to St John's.

St John’s Therapy Centre was officially opened on Thursday 2 July 2009 by Professor Ann Keen MP
Ann Keen
Ann Lloyd Keen is a British Labour Party politician, who was the Member of Parliament for Brentford and Isleworth from 1997, until she was defeated by Conservative candidate Mary Macleod in 2010.-Early life:...

, Parliamentary Undersecretary of State for Health.

A modern flexible building, the new centre is much larger than its predecessor and allows patients to access a variety of services under one roof. The success of the building’s architectural design was praised when it was awarded a Wandsworth Design Award in 2007. The awards, which are presented by Wandsworth Borough Council, recognise buildings that have made a positive contribution to the local environment.

Queen Mary's Hospital, Roehampton

Queen Mary's Hospital
Queen Mary's Hospital
Queen Mary's Hospital Roehampton is a hospital in the United Kingdom. It was founded in 1915 to provide care for wounded soldiers, it became a world renowned limb fitting and amputee rehabilitation centre. Recently rebuilt and modernized it has become a unit of the Wandsworth Primary Care Trust...

 is a large community hospital housed in a state of the art, four-storey building containing all the modern equipment needed to offer the local population and its patients from around the world the latest treatment techniques.

The rebuilt hospital was opened in the grounds of the original hospital in February 2006. Services continued to be delivered in the old hospital whilst the new building was developed. The development of Queen Mary's Hospital, Roehampton
Roehampton
Roehampton is a district in south-west London, forming the western end of the London Borough of Wandsworth. It lies between the town of Barnes to the north, Putney to the east and Wimbledon Common to the south. The Richmond Park golf courses are west of the neighbourhood, and just south of these is...

 was funded as a PFI scheme.

Queen Mary’s Hospital provides outpatient rapid diagnostic and treatment facilities, mental health community services, a minor injuries unit, burns dressing clinic, limb fitting services, a sexual health clinic, 69 mental healthcare beds, 50 elderly and intermediate care beds and 20 rehabilitation beds.

Queen Mary’s sees over 130,000 patients a year. In 2009 the hospital’s Minor Injuries Unit saw 16,500 people come through its doors to be treated by an emergency nurse practitioner. The unit is open every day of the year offering treatment and advice on a wide range of injuries and illnesses.

Douglas Bader Unit

Perhaps the hospital’s best known set of services are its amputee rehabilitation ones which come together in the world famous Douglas Bader Unit, located on the lower ground floor of the hospital. The unit is an established international centre of excellence and a national leader in the field of research and development of rehabilitation techniques.

History

Originally a 200 bed military hospital, Queen Mary’s opened its doors to its first 25 patients in 1915. It was founded by Mary Eleanor Gwynne Halford whose vision was to provide a place for people who had lost a limb to come and be rehabilitated and be fitted with the most scientifically advanced limbs possible.

Throughout the First World War the reputation of the hospital grew so that it quickly became known as one of the world’s leading limb fitting and amputee rehabilitation centres, which provided not only treatment but also training opportunities so that patients could find employment. This made the demand for Queen Mary’s services so high that just three years after it first opened, it already had 900 beds and a waiting list of over 4,000 people.

By 1922, the hospital had started admitting limb patients other than war casualties, like rail employees and congenitally deformed children. As the range of patients the hospital was treating was expanding so rapidly, a fully equipped hospital was built on the Roehampton site, with services such as x-ray, electro-therapy and a gymnasium.

Queen Mary’s continued to see developments right up to the opening of the new hospital, a state of the art four storey development set in the grounds of the old hospital but containing all the modern equipment needed to offer both the local population and patients from across the globe with complex health needs the latest treatment techniques. The new hospital opened to the public in February 2006 and was officially opened by His Royal Highness the Duke of Gloucester on 1 November 2006.

Community services

Integration with Community Services Wandsworth means that the trust is now responsible for providing a range of services across the borough. The Community Services Wandsworth division provides a wide variety of specialist and community hospital based services as well as providing a full range of community services to children, adults and older people.

Services include district nursing
District nurse
District Nurses are senior nurses who manage care within the community, leading teams of community nurses and support workers. Typically much of their work involves visiting house-bound patients to provide advice and care, for example, palliative care, wound management, catheter and continence...

, health visiting, specialist nursing, school nursing
School nursing
School nursing is a specialized practice of professional nursing that advances the well being, academic success, and lifelong achievement of students...

, family planning
Family planning
Family planning is the planning of when to have children, and the use of birth control and other techniques to implement such plans. Other techniques commonly used include sexuality education, prevention and management of sexually transmitted infections, pre-conception counseling and...

, sexual health, HIV
HIV
Human immunodeficiency virus is a lentivirus that causes acquired immunodeficiency syndrome , a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive...

 services, haemoglobinopathies, community dentistry
Dentistry
Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered...

, occupational therapy
Occupational therapy
Occupational therapy is a discipline that aims to promote health by enabling people to perform meaningful and purposeful activities. Occupational therapists work with individuals who suffer from a mentally, physically, developmentally, and/or emotionally disabling condition by utilizing treatments...

, physiotherapy, speech and language therapy, dietetics, rehabilitation services and services for people with learning disabilities.

These services are provided from Queen Mary’s Hospital in Roehampton, Dawes House intermediate care unit, Tooting Walk-in centre, St John’s Therapy Centre, Balham Health Centre, Bridge Lane Health Centre, Brocklebank Health Centre, Doddington Health Centre, Eileen Lecky Health Centre, Joan Bicknell Centre, Mapleton Centre, St Christopher’s Health Clinic, Stormont Health Centre, Tooting Health Clinic, Tudor Lodge Health Centre, Westmoor Health Clinic, GP surgeries, schools, in people’s homes and at Wandsworth Prison.

HMP Wandsworth

HMP Wandsworth is the largest prison in the UK, with up to 1,665 inmates at any time. St George’s Healthcare is responsible for providing a full range of health services at the prison.

In September 2009 Community Services Wandsworth took over the running of health services at HMP Wandsworth after Secure Healthcare, who previously provided health services there, went into voluntary liquidation and ceased to trade. Community Services Wandsworth integrated with St George’s Healthcare NHS Trust on 1 October 2010.

Large Trust of the Year

St George’s Healthcare was named 2009 Large Trust of the Year by the independent Dr Foster Intelligence
Dr Foster
Dr Foster is a provider of healthcare information in the United Kingdom, monitoring the performance of the National Health Service and providing information to the public...

, publisher of the Hospital Guide.

Researchers studied data supplied by hospitals across the UK, and awarded St George’s one of the top scores and the top Band 5 rating across 13 safety indicators, leading to a fantastic score of 97.26 out of 100.

St George’s was joint third out of all trusts taking part, and top of the large trusts.

Financial summary

In 2009/10 St George’s Healthcare achieved a surplus on income and expenditure of £10.6m meeting its financial duty to break-even during the year. This is the third successive year the trust has made a surplus after incurring deficits between 2003 and 2007.

With regard to its other financial duties, the trust stayed within its external financing limit (EFL) – using slightly less cash to fund its services and to meet its obligations than the allowance set by the Department of Health
Department of Health (United Kingdom)
The Department of Health is a department of the United Kingdom government with responsibility for government policy for health and social care matters and for the National Health Service in England along with a few elements of the same matters which are not otherwise devolved to the Scottish,...

.

The trust also met its capital cost absorption duty earning a return of at least 3.5 per cent on its assets (land, buildings, equipment etc) for the year and stayed within the Capital Resource Limit (CRL) approved by the Department of Health.

In 2007 the trust received loans from the Department of Health totalling £34m to finance the deficits it had accumulated in the four year period 2003/04 – 2006/07.The loans are repayable in full by March 2012.

Since the trust has stabilised its financial position it has been able to repay £18m of these loans over the last three financial years - £2m in 2007/08, £8m in 2008/09 and a further £8m last year. Under the terms of the loan agreement the trust is scheduled to make two further repayments of £8m each year in the next two years.

In 2010/11 the trust must do even better financially. The trust is planning to maintain a modest surplus to build a solid financial basis for its application to become a Foundation Trust and to fund the next loan repayment due in 2010/11.

This will be very challenging as the St George’s continues to change. The trust has stabilised its finances over the last three years and built a stronger foundation to meet the challenges – both financial and clinical – that lie ahead in the next few years.

External links

  • Trust website, including sections on its history, current news, mortality data and other patient information.
  • Report from the BBC
    BBC
    The British Broadcasting Corporation is a British public service broadcaster. Its headquarters is at Broadcasting House in the City of Westminster, London. It is the largest broadcaster in the world, with about 23,000 staff...

    on the Trust publication of mortality statistics across specialties.
  • Dr Foster, information on St George's.
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