Chelsea and Westminster Hospital NHS Foundation Trust

Population 820,500
Beds 522
Income £342,805k
Comprehensive Surplus £7,404k
Operating Surplus £23,803k
EBITDA £34,000k
PPI Cap 3.7%
PPI £11,264k
Public Members 5,942

The trust has three private patient facilities called The Chelsea Wing, The Kensington Wing and The Westminster Wing. The trust’s website says about The Chelsea Wing [1]:

The Chelsea Wing is a leading private patient facility situated within Chelsea and Westminster Hospital. This private unit is a dedicated facility managed by the NHS and has 15 ensuite rooms.

The Kensington Wing is a 6 bed maternity unit [2] and The Westminster Wing is outpatients [3]:

The Westminster Wing comprises four consulting rooms within the Private Patients Unit, and several other consulting rooms located within specialist departments in the main hospital—this means that the appropriate test equipment is always close to hand.

In addition, the trust provides private fertility services [4]:

If you are not eligible for funding from the NHS, you can ‘self-fund’ the cost of your treatment and drugs. You are charged the same cost as the NHS. Patients self-funding their treatment receive exactly the same care as patients funded by the NHS. Self-funded patients are liable for all associated costs for treatment and investigations.

The Chelsea Wing also has amenity rooms at £576 per night.

The trust has a clear ambition to grow, as given in their Forward Plan [5]:

We aim to grow our income base to £500m within the next 5 to 10 years, while maintaining current profitability at >9% to generate free cash flow for capital reinvestment and minimise our gearing.

To do this they expect to do more private work, and expect to be an AQP provider. On private work they say they will:

Grow private patient income through short-term and long-term opportunities

The trust says that they will do this by:

growing specialist and private patient services and through developing an integrated out of hospital approach to general services which delivers care in the most economic setting in partnership with our commissioners

(In the previous year’s Forward Plan the trust says that it intends: “increasing private maternity capacity from 67% to 100% of total physical capacity and market specialist private work in bariatrics, plastics and paediatric surgery”.)

The trust are ambitious about their ability to increase private patient income:

In addition, the Trust considers that it has considerable scope to ramp up its private patient work in new areas over and above the plans herewith, which would be mobilised to mitigate if external uncertainties reduce our income projections.

Although they suggest that there will have to be capital investment:

Capital investment and estate reconfiguration to establish a Midwifery-Led Unit (£2.5m): This development will create a midwifery led unit co-located on the same floor as the birthing unit and the private maternity unit.

The trust also says they will use AQP themselves and via a partner:

establishing a partnership to bid for a locally tendered community MSK contract and, in a different geography, local MSK activity under AQP