Northern Lincolnshire and Goole Hospitals NHS Foundation Trust

Population 400,000
Beds 458
Income £280,879k
Comprehensive Surplus £2,609k
Operating Surplus £7,436k
EBITDA £18,300k
PPI Cap 2.0%
PPI £711k
Public Members 5,276

The trust has a private patient unit called the Lindsey Suite [1].

The Annual Report [2] says that the trust provides pathology services for other trusts and this provides extra, non-patient income:

The Trust’s significant non healthcare income includes £9.4mil relating to the provision of pathology services offered by Path Links division of the trust.

The Accounts lists £50k income from a joint venture. The venture delivers NHS and independent care:

The Foundation Trust has entered into a co-operation agreement with the Brain Injuries Rehabilitation Trust (BIRT) to form a separate entity Goole Neuro Rehabilitation Centre (GNRC) which operates from Ward 4 at Goole District Hospitals. The joint venture provides both NHS Care and care independent to the NHS but within an NHS location. The Commissioners, Social Services and other agencies commission services from the joint venture and the Joint venture is managed on a day to day basis by BIRT. The joint venture accesses support services and have access to NHS facilities from Northern Lincolnshire and Goole Hospitals NHS Foundation Trust which are governed by appropriate Service Level Agreements.

In the Forward Plan [3], the trust states that the last year has seen new private sector and social enterprise competitiors in the region:

Competitive climate – With National Policy steering Commissioners towards plurality of providers, Northern Lincolnshire has seen a number of private healthcare organisations and social enterprises enter the local market within the last 12 months. This can bring opportunities as well as threats.

The trust indicates that it is worried about AQP, with the commissioners’ intention to “test the market”:

the Trust is significantly the largest health provider in the local community. However, in the past our local commissioners have tested the market for a number of services which the Trust provides. Their plans for 2012 and beyond also include this intention. The Trust’s plans therefore need to be alert to this; as the outcome of these exercises remain unknown and as a consequence the Trust’s plans will need to evolve in accordance with the changing climate.

AQP, in particular is highlighted as a potential threat:

The plans for the local health economy highlight the prospect of the diversion of specialist activity to tertiary centres, most notably Hull, which, when combined with the potential for the tendering of acute services under the “Any Qualified Provider” process, brings significant competitive pressures which the Trust’s plans need to be alert to.

The trust lists the AQP services, and says that if they do not get the tender for one of these services (unplanned care services) it will have a “significant detrimental impact”:

Commissioning discussions held have indicated that the following services are likely to be tendered during 2012/13:

– Unplanned care services across NHS North Lincolnshire encompassing A&E and MAU services currently delivered at Scunthorpe General hospital;

– A variety of services tendered through the Any Qualified Provider route including wheelchairs within North East Lincolnshire, Obstetric Ultrasound within North Lincolnshire and East Riding and Chronic Pain within East Riding;

– Sexual health services provided across Northern Lincolnshire.

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[1] www.nlg.nhs.uk/lindseysuite/

[2] www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=13291

[3] www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=10601