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University College London Hospitals NHS Foundation Trust

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An NHS foundation trust is a semi-autonomous organisational unit within the National Health Service in England . They have a degree of independence from the Department of Health and Social Care (and, until the abolition of SHAs in 2013, their local strategic health authority ). As of March 2019 there were 151 foundation trusts.

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92-737: University College London Hospitals NHS Foundation Trust ( UCLH ) is an NHS foundation trust based in London , United Kingdom . It comprises University College Hospital , University College Hospital at Westmoreland Street , the UCH Macmillan Cancer Centre , the Royal National ENT and Eastman Dental Hospitals , the Hospital for Tropical Diseases , the National Hospital for Neurology and Neurosurgery ,

184-566: A Board of Directors and Chief Executive (currently David Probert) of the Trust. The role of the Board is to: UCLH also has a Governing Body which helps the Trust to develop and shape its services, to improve communication between the Trust's members, patients and local communities, and influences Trust decisions. The Governing Body is composed of 33 governors, 23 of whom are elected by the Trust's patient, public and staff members, of whom three represent

276-633: A HTA inspection and still give 100% care to our patients whilst having 50% staff. Patient first and always". The former Health Secretary, Jeremy Hunt , urged Great Ormond Street Hospital to examine a possible fundamental cultural problem amid claims it prioritizes reputation over patient care in March 2020. In March 2020, the BBC conducted an investigation into the death of a child and revealed that at least six children had died of invasive aspergillosis at Great Ormond Street since 2016. Several leaked emails from

368-402: A cap on the proportion of their income that can come from non-NHS treatments. It did not only apply to income derived from individual patients, it covered income from all non-NHS sources. This could include joint ventures to develop medical technologies, employers paying for counselling services or income from treating UK military personnel overseas. The Health and Social Care Act 2012 abolished

460-487: A link between the community and the board of directors. The size of the council of governors and its exact composition are determined by the constitution of the particular trust. Each trust adopts its own constitution subject to certain restrictions in legislation. These restrictions include that a majority of the council of governors must be elected governors and governors must be unpaid volunteers. Some trusts are more committed to co-operative principles and have even written

552-533: A long campaign by Dr Charles West , and was the first hospital in England to provide in-patient beds specifically for children . Despite opening with just 10 beds, it grew into one of the world's leading children's hospitals through the patronage of Queen Victoria , counting Charles Dickens , a personal friend of the Chief Physician Dr West, as one of its first fundraisers. The Nurses League

644-524: A major centre for research in neurology and allied clinical and basic neurosciences. The Royal National Throat, Nose and Ear Hospital and the UCL Ear Institute are located adjacent to each other on Gray's Inn Road and together form the largest centre for audiological research in Europe. UCL Medical School provides core medical education at three UCLH hospitals - University College Hospital,

736-607: A new clinical facility adjacent to University College Hospital to house the PBT facilities, and to also contain Europe’s largest haematological inpatient service and a short stay surgical centre. The facility is planned to open in 2019. The Trust opened the UCH Macmillan Cancer Centre in April 2012. In 2013 the Institute of Sport, Exercise and Health was opened on Tottenham Court Road ;

828-788: A new organisation – the NHS Trust Development Authority – was established by the Health and Social Care Act 2012 to supervise trusts which have not reached foundation status, of which there were 99 in April 2013, 47 of which were never expected to reach foundation status. The Health and Social Care Bill 2011 , overseen by Lansley, proposed that all NHS trusts become foundation trusts or part of an existing foundation trust by April 2014. The early foundation trusts were generally financially buoyant, but during 2013 and 2014 more faced financial difficulties. A foundation trust finance facility, managed by an advisory committee to

920-476: A partnership between the trust and Google 's artificial intelligence division, DeepMind , was announced, as part of which anonymised CT and MRI scans from former University College Hospital radiotherapy patients will be utilised to help develop an algorithm that can automatically differentiate between healthy and cancerous tissues. In October 2019 services from the Eastman Dental Hospital and

1012-495: A patient’s gender identity and know that patients benefit from medication. This recommendation has also been criticised, due to ethical concerns around the nature of an "exploratory" approach. Specifically, that it will result in biased clinicians carrying out conversion therapy . On 1 April 2024, despite opposition, the new Children and Young People's Gender Service (London) began delivering for children and young people experiencing gender related distress. Despite resistance to

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1104-523: A range of disorders including cancers , hearing and speech disorders , snoring and related sleep disorders . The Elizabeth Garrett Anderson and Obstetric Hospital was a maternity and neonatal services hospital in Bloomsbury. The hospital was closed in November 2008 when its services moved to the newly constructed University College Hospital Elizabeth Garrett Anderson Wing. The Middlesex Hospital

1196-579: A redevelopment programme which is budgeted at £343 million and the next phase of which was scheduled to be complete by the end of 2016. In July 2012, Great Ormond Street Hospital was featured in the opening ceremony of the London Summer Olympics . In 2017 Great Ormond Street Hospital was subject to international attention regarding the Charlie Gard treatment controversy . The hospital's archives are available for research under

1288-591: A shared services solution". By the end of 2013–14, foundation trusts collectively had built up cash reserves of £4.3 billion and it was suggested in the NHS Five Year Forward View that the government would "support" foundation trusts to spend this money "to help local service transformation". In response, the chief executive of the Foundation Trust Network, Chris Hopson, said: "The responsibility for these surpluses lies with

1380-773: A variety of tests, which have changed over time. In 2003 only trusts with three stars from the Commission for Health Improvement were eligible for foundation status. In that year Aintree Hospitals, Essex Rivers Healthcare, Newcastle upon Tyne Hospitals and Walsall Hospitals were all downgraded to two stars and so did not make the first wave of foundation trusts. Formerly referred to as foundation trust equivalent (FTe) instead of Equivalent Foundation Trusts , this designation applies only to trusts providing high secure psychiatric services, of which there are three: Nottinghamshire Healthcare NHS Trust , West London Mental Health NHS Trust and Mersey Care NHS Trust . These trusts abide by

1472-529: A wealth screening company and using email and birthdays to find out extra information about more than 311,000 supporters". In 2024 Fundraisers working on behalf of Great Ormond Street Hospital Children's Charity have found themselves embroiled in controversy due to allegations of employing "pressure-selling techniques". These door-to-door fundraisers have been accused of coercing people into signing up for donations. An undercover investigation exposed some concerning practices such as: Great Ormond Street Hospital

1564-468: A year. The original developer, Amec Foster Wheeler sold their 35% stake to Land Securities and their interest passed to Semperian in 2010. The other interests are held by Interserve and Credit Suisse . The PFI holding company made a profit of £19 million in 2014/5. The trust expected to finish 2015-16 with a deficit of more than £22 million as a result of changes to the NHS tariff. In February 2016 it

1656-405: Is contracted out to a private company, and exempt from many of the rules normally imposed on state-owned hospitals, and in particular, that hospital was allowed to negotiate its own contracts with workers. The governance of that hospital includes local government, trade unions, health workers and community groups. Foundation trusts were announced by Health Secretary Alan Milburn in 2002, and

1748-500: Is a hospital which provides thoracic surgery and urology services. Prior to 2015 the hospital was a specialist cardiology hospital; all cardiac services moved to one site at St Bartholomew’s Hospital following agreement by UCLH and Barts Health NHS Trust to combine their specialist cardiovascular services at the one site. UCH Macmillan Cancer Centre is a specialist cancer hospital located adjacent to University College Hospital. The Centre opened in April 2012, with significant support from

1840-645: Is a major teaching hospital located on Euston Road in the Fitzrovia area of the London Borough of Camden , adjacent to the main campus of UCL. The hospital has 665 in-patient beds, 12 operating theatres and houses the largest single critical care unit in the NHS . It is a major teaching hospital and a key location for the UCL Medical School . University College Hospital at Westmoreland Street

1932-566: Is a neurological hospital located on Queen Square in Bloomsbury. It was the first hospital to be established in England dedicated exclusively to treating the diseases of the nervous system . In partnership with the UCL Institute of Neurology , which occupies the same site, the hospital is a major centre for neuroscience research. It supports the Sir William Gowers Epilepsy Assessment Unit at

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2024-421: Is a specialist tropical disease hospital located in central London. It is the only NHS hospital dedicated to the prevention, diagnosis and treatment of tropical diseases and travel-related infections . In addition to specialists in major tropical diseases such as Malaria , Leprosy and tuberculosis. It also provides an infectious disease treatment service. The National Hospital for Neurology and Neurosurgery

2116-432: Is a staff constituency, a patient constituency, and a "public member" constituency, consisting of members who are neither patients nor staff but live in a defined geographical area. In addition, there are governors appointed by bodies with whom the trust works in partnership. So, for example, appointments may be made by local councils, local medical schools, and local voluntary organisations. Governors are intended to act as

2208-479: Is also home to a specialist library for complementary and alternative medicine. The Royal National Throat, Nose and Ear Hospital is a specialist otolaryngologic hospital located on the Gray's Inn Road in Bloomsbury. The hospital specialises in the diagnosis and treatment of ear, nose and throat disorders. Departments within the hospital include an allergy clinic, rhinology and audiology / otology , and it treats

2300-585: Is described in Schedule 7 of the National Health Service Act 2006 , with the formal corporate form being called a "public benefit corporation". Each foundation trust has a council of governors. This is made up of elected governors and appointed governors. Elected governors are chosen by a secret postal ballot of the membership, which is open to the general public. The elections are usually held in separate constituencies. Typically there

2392-535: Is the largest public sector provider of complementary medicine in Europe. The Royal London Hospital for Integrated Medicine offers clinical services including complementary cancer treatments, allergy services, acupuncture , homeopathy , rheumatology , weight loss management, sleep management , musculoskeletal medicine and stress management , and has access to conventional medicine. It has an education department which offers full and part-time courses in complementary medicine for registered health professionals. It

2484-745: The Hospital for Sick Children ) is a children's hospital located in the Bloomsbury area of the London Borough of Camden , and a part of Great Ormond Street Hospital for Children NHS Foundation Trust . The hospital is the largest centre for child heart surgery in Britain and one of the largest centres for heart transplantation in the world. In 1962 it developed the first heart and lung bypass machine for children. With children's book author Roald Dahl , it developed an improved shunt valve for children with hydrocephalus , and non-invasive (percutaneous) heart valve replacements. Great Ormond Street performed

2576-565: The National Institute for Health and Care Research for the five years from April 2017. UCLH is a founding member of UCL Partners , the largest academic health science partnership in Europe; other members include UCL, Barts Health NHS Trust , Great Ormond Street Hospital for Children NHS Foundation Trust , Moorfields Eye Hospital NHS Foundation Trust and the Royal Free Hampstead NHS Trust . Each of

2668-579: The National Society for Epilepsy Centre at Chalfont St Peter , Buckinghamshire . The NHNN also runs The National Brain Appeal, a charity dedicated to supporting the Hospital for the funding of equipment, buildings and research. The Royal London Hospital for Integrated Medicine is a specialist alternative medicine hospital located in Bloomsbury, adjacent to Great Ormond Street Hospital . It

2760-679: The Rochdale Principles into their constitution; they aspire to work closely and in partnership with other mutual and local organisations. At first, foundation trusts were authorised and regulated by Monitor , a non-executive body under the Department of Health. Monitor was merged into NHS Improvement in 2016. The trade body for foundation trusts is NHS Providers , formerly known as the Foundation Trust Network, which has 95% of all acute, ambulance, community and mental health foundation trusts in its membership. A 2014 report by

2852-679: The Royal London Hospital for Integrated Medicine and the Royal National Throat, Nose and Ear Hospital . The Trust has an annual turnover of around £1.6bn and employs approximately 11,000 staff. Each year its hospitals treat over 1,000,000 outpatients appointments and admit over 100,000 patients. In partnership with University College London , UCLH has major research activities as part of the UCLH/UCL Biomedical Research Centre and

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2944-553: The Socialist Health Association said that on the whole after 10 years, "Foundation Trusts [had]... not deepened in terms of democratic practice and participation". The independence of Foundation Trust governors was challenged in 2021 when the governors of Queen Victoria Hospital , a small specialist trust, called for a pause to plans for it to merge with University Hospitals Sussex NHS Foundation Trust . NHS Improvement were said to have effectively ordered

3036-583: The UCL Partners academic health science centre . Its hospitals are also major teaching centres and offer training for nurses, doctors and other health care professionals in partnership with City, University of London , King's College London , London South Bank University and UCL Medical School . The hospitals which now form part of UCLH or which contributed to its development were all originally established as charities which relied on public donations and subscriptions for their income. The oldest of these

3128-564: The Department of Health definition of a foundation trust, but the Secretary of State for Health maintains a direct line of communication and accountability with them because he or she has the responsibility to provide healthcare to patients who have been detained under the Mental Health Act , and have been judged to pose a grave and immediate danger to the public. Unlike full foundation trusts, governors have no statutory role, and

3220-410: The Department of Health was promoting "A new type of NHS hospital". In 2011, the 116 trusts then in the pipeline to make applications were required to sign a formal agreement, with a deadline for the application to be made. Board members at a number of trusts which missed the deadline were sacked. It was accepted by Andrew Lansley that a number of trusts would never reach foundation trust status, and

3312-484: The Department of Health, was established to process loans for capital developments, but during 2014 applications were made by trusts which had trouble paying utility bills or replacing medical equipment. Guidance issued under the tenure of Jeremy Hunt in October 2014 said that conditions could be set which could include: reductions in the use of temporary staff, "use of collaborative procurement routes" or "the adoption of

3404-642: The Disney Appeal at Great Ormond Street Hospital. In 2018, celebrity supergroup The Celebs formed at Metropolis Studios to record an original Christmas song called " Rock With Rudolph ", written and produced by Grahame and Jack Corbyn. The song was in aid of Great Ormond Street Hospital. It was released digitally through independent record label Saga Entertainment in November 2018. The music video debuted exclusively with The Sun on 29 November 2018 and had its first TV showing on Good Morning Britain on 30 November 2018. The song peaked at number two on

3496-461: The FTs; any attempt by the statutory bodies to make a grab for them will be furiously resisted". By 2016, the distinction between foundation trusts and other NHS trusts was widely regarded as eroded, and in that year the two regulators were combined into a new body, NHS Improvement . The notion that every trust should become a foundation trust was abandoned, and the widespread financial crisis undermined

3588-493: The Foundation Trust Network it was raised to 1.5%. These caps disappeared on 1 October 2012. Collective earnings from private patients increased 14%, from £346.1 million in 2012–13 to £395.9 million for 2014–15. Private earning is concentrated on specialist hospitals in London who see many patients from other countries. Most trusts have negligible private income. In order to achieve foundation trust status, NHS trusts have to pass

3680-540: The Information Commissioner's Office over potential breaches of data protection law in February 2017. The Great Ormond Street Hospital Charity was fined "£11,000 for sharing 910,283 records with other charities, sending on average 795,000 records per month to a wealth screening company and using email and birthdays to find out extra information about more than 311,000 supporters". In April 2018, it

3772-788: The Institute is a partnership between the Trust, UCL, the British Olympic Association , the English Institute of Sport , and the HCA private hospital group. In 2015, UCLH completed the transfer of cardiac services to Barts Health NHS Trust , with services moving to the new purpose built Bart's Heart Center. The Heart Hospital was renamed University College Hospital at Westmoreland Street and refurbished to provide thoracic and urology services including operation theaters, lithotripsy and cystoscopy . In August 2016

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3864-496: The NHS meets the day-to-day running costs of the hospital, the fundraising income allows Great Ormond Street Hospital to remain at the forefront of child healthcare. The charity aims to raise over £50 million every year to complete the next two phases of redevelopment, as well as provide substantially more fundraising directly for research. The charity also purchases up-to-date equipment, and provides accommodation for families and staff. Great Ormond Street Hospital Children's Charity

3956-532: The NHS to reconsider "whether the model of foundation trusts is sensible", arguing "If one-third of the hospital system is permanently not demonstrating good viability and good governance, is that telling you something about actually how the system should run as opposed to how we thought it should run?". In January 2022 Sajid Javid , writing in The Times said he was planning a “revolution” that would allow “well-run hospitals more freedom”. Foundation trusts had

4048-491: The National Hospital for Neurology and Neurosurgery and University College Hospital at Westmoreland Street. UCLH also has close training and education links for nursing, midwifery and other allied health professionals with City University London , London South Bank University and King's College London . The trust entered into a £292 million Private Finance Initiative scheme in 2000 for which it pays £55 million

4140-707: The National Hospital for Neurology and Neurosurgery joined the UCLH NHS Trust. In August 2001 the private Heart Hospital was acquired by UCLH and became the new home for all of the Trust's cardiac services, which had previously been housed in the Middlesex Hospital. In 2002 the Royal London Homeopathic Hospital joined UCLH and in July 2004 UCLH was one of the first NHS trusts to be granted foundation trust status. In 2005

4232-548: The Nativity, the childhood of Christ and biblical scenes related to children. The dome depicts a pelican pecking at her breast in order to feed her young with drops of her own blood, a traditional symbol of Christ's sacrifice for humanity. When the old hospital was being demolished in the late 1980s, the chapel was moved to its present location via a "concrete raft" to prevent any damage en route. The stained glass and furniture were temporarily removed for restoration and repair. It

4324-620: The Royal National Throat Nose and Ear Hospital moved to a new facility, the Royal National ENT and Eastman Dental Hospitals on Huntley Street, WC1E 6DG. The Eastman Dental Hospital site closed to patients. The Royal National Throat Nose and Ear Hospital on Gray's Inn Road remains open for wards, theatres, sleep diagnostics and allergy day case services. The trust was rated 'worse than expected' over care for women giving birth. University College Hospital (UCH)

4416-584: The Trust formed the UCLH/UCL National Institute for Health Research Comprehensive Biomedical Research Centre in partnership with UCL and the National Institute for Health and Care Research . In August 2008 the Trust announced its intention to form the UCL Partners academic health science centre with UCL, Great Ormond Street Hospital for Children NHS Trust , Moorfields Eye Hospital NHS Foundation Trust and Royal Free Hampstead NHS Trust . In February 2009 Professor Sir Cyril Chantler

4508-628: The UCL Hospitals Charitable Foundation. The Eastman Dental Hospital is a specialist hospital for dental treatment located on Gray's Inn Road in the Bloomsbury area of Central London . In partnership with the UCL Eastman Dental Institute , which occupies the same site, the hospital is a major centre for dental research and the largest provider of postgraduate teaching and training in dentistry in Europe. The Hospital for Tropical Diseases

4600-587: The UCLH hospitals has close research links with the UCL School of Life & Medical Sciences and its institutes and centres. The Eastman Dental Hospital is closely associated with the UCL Eastman Dental Institute , which occupies the same site. The National Hospital for Neurology and Neurosurgery is closely allied with the UCL Institute of Neurology , both are based in Queen Square and together they form

4692-749: The University College Hospital building on Euston Road, which is managed as part of the trust’s PFI deal or the trust headquarters. NHS foundation trust Alan Milburn 's trip in 2001 to the Hospital Universitario Fundación Alcorcón in Spain is thought to have been influential in developing ideas around foundation status. That hospital was built by the Spanish National Health System , but its operational management

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4784-512: The architect Sir Charles Barry who designed the Houses of Parliament) and built in 1875, it is dedicated to the memory of Caroline Barry, the architect's sister-in-law, who provided the £40,000 required to build the chapel and a stipend for the chaplain. It was built in "elaborate Franco-Italianate style". As the chapel exists to provide pastoral care to ill children and their families, many of its details refer to childhood. The stained glass depicts

4876-479: The author's life plus 70 years by a European Union directive in 1996 , Great Ormond Street revived its full copyright claim on the work. After the copyright expired again in 2007, the terms of the Copyright, Designs and Patents Act again applied. The hospital has relied on charitable support since it first opened. One of the main sources for this support is Great Ormond Street Hospital Children's Charity. Whilst

4968-426: The board of directors have no statutory duty towards the governors. The governors cannot, without the board of directors' permission, have any control over the direction of the trust, and cannot appoint or remove trust auditors. The chair and directors are not appointed by their board of governors. Great Ormond Street Hospital for Children NHS Trust Great Ormond Street Hospital (informally GOSH , formerly

5060-554: The charity, reaching No.1 in the UK Charts. On 30 March 2010, Channel 4 staged the first Channel 4's Comedy Gala at the O2 Arena in London, in aid of the charity. The event has been repeated every year since, raising money for Great Ormond Street Hospital Children's Charity each time. In 2011, Daniel Boys recorded a charity single called "The World Is Something You Can Imagine". It was also released as with proceeds going to

5152-474: The company in exchange for patient data. Sensyne has since been delisted from the London Stock Exchange leading to a loss to the hospital of around £2 million. Following a lawsuit against Great Ormond Street Hospital for Children NHS Foundation Trust, a family received up to £7 million after the boy was left disabled, in July 2022. In February 2023, the mother of a sick child with cancer

5244-408: The consultant ortopedic surgeon Yaser Jabbar . In 2013 a survey of more than 1,300 health units revealed Great Ormond Street Hospital had the second worst score in London and the 13th lowest score overall. The hospital that treats some of the country's most severely ill children and teenagers said it was surprised by the results of the first patient-led assessment of non-clinical issues. According to

5336-470: The copyright first expired in the UK at the end of 1987 – 50 years after Barrie's death – the government's Copyright, Designs and Patents Act of 1988 granted the hospital a perpetual right to collect royalties for public performances and commercial publication of the work within the UK. This did not grant the hospital full copyright control over the work, however. When British copyright terms were later extended to

5428-550: The council of governors to work towards a merger. A study undertaken in 2005 by the King's Fund of Homerton University Hospital NHS Foundation Trust found some governors disappointed and disillusioned. Another report in 2005, funded by the Nuffield Foundation , found that it was too easy to invite members to sit on sub-committees, where they quickly became bogged down in the minutiae of operational planning, whilst

5520-436: The first UK clinical trials of the rubella vaccine , and the first bone marrow transplant and gene therapy for severe combined immunodeficiency . The hospital is the largest centre for research and postgraduate teaching in children's health in Europe. In 1929, J. M. Barrie donated the copyright to Peter Pan to the hospital. The Hospital for Sick Children, Great Ormond Street was founded on 14 February 1852 after

5612-542: The head of Great Ormond Street Hospital, released in November 2020, suggested that the hospital had become accustomed to some "bad behaviours" and that more needed to be done to ensure staff feel safe. In June 2021, the mother of a baby questioned why action was not taken sooner for her son who died at Great Ormond Street Hospital. Great Ormond Street Hospital entered into an agreement with Sensyne, an AI company, in September 2021. The hospital received 1,428,571 shares in

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5704-554: The hospital as Chairman of the Board of Governors from 1968 to 1972 and then as Chairman of the Special Trustees from 1983 until her final retirement in 1990. Diana, Princess of Wales , served as president of the hospital from 1989 until her death. A plaque at the entrance of the hospital commemorates her services. The Charles West School of Nursing transferred from Great Ormond Street to London South Bank University in 1995. In 2002 Great Ormond Street Hospital commenced

5796-710: The iTunes pop chart. At various times, Great Ormond Street has been involved in legal disputes in the United States, where the copyright term is based on date of publication, putting the 1911 novel in the public domain since the 1960s. The hospital asserted that the play, first published in 1928, was still under copyright in the US until the end of 2023. In January 2024 it was revealed that proposed gender service "has been hit by revolt before it has opened after several experts quit over apparent concerns with staff training" and that "The resignations included experts who believed

5888-534: The legislative basis was the Health and Social Care (Community Health and Standards) Act 2003 . The first ten NHS hospitals to become foundation trusts were announced in 2004. Gordon Brown prevented plans by Alan Milburn that they should be financially autonomous in 2002. By 2012, the Monitor website listed 145 foundation trusts. Successive governments set target dates by which all NHS trusts were supposed to have reached foundation status. For example, by 2009

5980-547: The local public, 14 represent patients and six represent Trust staff. 10 other governors are appointed by local partner organisations including the primary care trust and UCL. Elections to the Governing Body are held each year. In partnership with UCL, UCLH has major research activities and they are partners in the UCLH/UCL Biomedical Research Centre . In September 2016 the Centre was awarded £111 million in funding from

6072-524: The main decisions were taken at meetings that they only heard about after they took place. The public's perception of foundation trust status implying a high standard of clinical care was changed by the Mid Staffordshire NHS Foundation Trust scandal of the late 2000s ( Stafford Hospital Scandal ) and the ensuing Francis inquiry , published in 2013. At the outset, some critics claimed that foundation trusts went against

6164-701: The new University College Hospital building was opened and all activities from the Middlesex Hospital were moved into the new building. The Middlesex Hospital was closed in December 2005 and the site sold to developers. In November 2009 the University College Hospital Elizabeth Garrett Anderson Wing was opened and most activities from the Elizabeth Garrett Anderson Hospital were moved into the new building. In April 2007

6256-434: The play and derivative works. Innumerable performances of the play and its various adaptations have been staged, several theatrical and television adaptations have also been produced, and numerous editions of the novel have been published, all under licence from the hospital. The hospital's trustees further commissioned a sequel novel, Peter Pan in Scarlet , written by Geraldine McCaughrean and published in 2006. After

6348-533: The private patient income cap but FTs have to do the majority of their work for the NHS. This restriction was kept to reassure those concerned about future developments that FTs would continue to have NHS work as their central concern. Previously each FT had its own cap, set at the level of its private activity when the first FTs were established in 2003/4. About three-quarters of all FTs had a cap of 1.5% or less. Until 2010 all mental health trusts were completely barred from undertaking non-NHS work, but after lobbying from

6440-417: The public sector and funded by public taxation. Hospitals were grouped together into regional hospital management committees or teaching hospital groups. Following major NHS reforms UCL Hospitals NHS Trust was established in 1994, comprising the Middlesex Hospital, the Elizabeth Garrett Anderson Hospital , the Hospital for Tropical Diseases and University College Hospital. In 1996 The Eastman Dental Hospital and

6532-412: The public sector and less autonomous than was originally expected. By March 2013 there were 145 foundation trusts, of which 41 were mental health trusts and three were ambulance trusts. They included acute trusts, mental health, community and ambulance trusts. By March 2019, the number of foundation trusts had shown a small increase to 151. The basic governance structure and form of foundation trusts

6624-501: The recommendations made by Dr Hilary Cass by "resulting in a holistic approach to care". One of the last acts of government in 2024 was to bring in an emergency ban on puberty blockers. The hospital's charity faced an investigation by the Information Commissioner's Office over potential breaches of data protection law in February 2017. The Great Ormond Street Hospital Charity was fined "£11,000 for sharing 910,283 records with other charities, sending on average 795,000 records per month to

6716-463: The service, the hospital has assured the public that their aim "is to develop a robust training and education programme that is underpinned by the latest evidence that can enable clinicians and support staff to deliver the very best care for the children and young people who urgently need this new service" In March 2024 NHS England confirmed children attending the regional centres will no longer receive puberty blockers and will be supported in line with

6808-620: The spirit of the principles laid out by Aneurin Bevan , the founder of the NHS. Others feared that it would lead to a two-tier system. Others doubted whether foundation trust members would succeed in having any effective influence over hospital management. In 2011, some argued in a report financed by the Nuffield Foundation that the success associated with foundation trusts had been due to other factors than governance. In June 2014, Bill Moyes, former Monitor executive chair, urged

6900-588: The stairs and broke several bones after learning what happened to her son. Ryan was found again after someone needed to use the trolley he was in, around 11 hours later. A spokesperson from the hospital said that there was a situation on the day of Ryan’s arrival and that they had half the number of staff that were due to be on duty. Hospital cleaners have made allegations of institutional racism at Great Ormond Street Hospital in March 2023. Hospital cleaners from minority ethnic groups say they were denied NHS contracts and paid less than white NHS employees. A court hearing

6992-476: The supposed autonomy when almost all had to rely on money borrowed from the Department of Health, to which strings were attached. Foundation trusts have some managerial and financial freedom when compared to NHS trusts . The introduction of foundation trusts represented a change in the history of the National Health Service and the way in which hospital services are managed and provided. At

7084-707: The terms of the Public Records Act 1958 and a catalogue is available on request. Admission records from 1852 to 1914 have been made available online on the Historic Hospital Admission Records Project. St Christopher's Chapel is a chapel decorated in the Byzantine style and Grade II* listed building located in the Variety Club Building of the hospital. Designed by Edward Middleton Barry (son of

7176-606: The time of introduction, they were described "as a sort of halfway house between the public and private sectors". This form of NHS trust is an important part of the United Kingdom government's programme to create a "patient-led" NHS with an internal market . The stated purpose is to devolve decision-making from a centralised NHS to local communities, in an effort to be more responsive to their needs and wishes. But after Gordon Brown prevented plans by Alan Milburn to make them financially autonomous they have been much more in

7268-462: The top hundred NHS trusts to work for in 2015. At that time it had 7657 full-time equivalent staff and a sickness absence rate of 3.38%. 83% of staff recommend it as a place for treatment and 70% recommended it as a place to work. In 2020 it signed a hard facilities management contract with CBRE Group , worth £85 million over five years and a soft facilities management contract with Medirest also for five years, for £151 million. These do not include

7360-475: The training materials were not following the independent recommendations made by Dr Hilary Cass, former president of the Royal College of Paediatrics and Child Health. Namely, that the service should provide an "exploratory" rather than "affirmative" approach to the child's health". Some clinicians working on the new training materials and who did not resign are understood to have felt it important to affirm

7452-429: Was a teaching hospital located in the Fitzrovia area of central London. The hospital was opened by surgeon Charles Bell in 1745 on Windmill Street and moved to Mortimer Street in 1757. The hospital was closed in 2005 when its staff and services were transferred to various sites within UCLH. The Middlesex Hospital Medical School, with a history dating back to 1746, merged with the medical school of UCL in 1987. UCLH has

7544-675: Was appointed as the first Chair of UCL Partners and it was officially designated as an academic health science centre by the UK Department of Health in March 2009. In April 2012 it was announced that UCLH had been selected by the UK Government as one of two sites in England for the provision of Proton Beam Therapy (PBT) (the other being the Christie Hospital in Manchester). In 2015 the Trust began construction of

7636-477: Was concluded in 2023. Each cleaner could receive between £80,000 and £190,000 if the claims are successful. In August 2023 it was revealed a child began to experience lung complications with an invasive aspergillosis infection which led to his death. In 2024 it was revealed that hundreds of children at Great Ormond Street Hospital (GOSH) have suffered life-altering injuries, including amputations, permanent deformities, and chronic pain, following their treatment by

7728-527: Was expecting a deficit of £32.5 million for the year 2015/6. The trust complained in June 2015 that commissioners outside England use a "burdensome" prior approval process, where a funding agreement is needed before each stage of treatment. At the end of 2014-15 the trust was owed more than £2.3m for treating patients from outside England. It was named by the Health Service Journal as one of

7820-422: Was formed in February 1937. Great Ormond Street Hospital was nationalised in 1948, becoming part of the National Health Service. During the early years of the NHS, private fundraising for the hospital was heavily restricted, though the hospital was permitted to continue to receive pre-existing legacies. Audrey Callaghan , wife of James Callaghan (prime minister of the United Kingdom from 1976 to 1979), served

7912-558: Was involved in a scandal regarding the removal of live tissue and organs from children during surgery and onward sale to pharmaceutical companies without the knowledge of parents in 2001. In January 2014, it was revealed that as a result of an accidental injection of glue into her brain, Maisha Najeeb brought a claim for compensation against the Great Ormond Street Hospital leading to a payment of up to £24million. The hospital's charity faced an investigation by

8004-509: Was one of the charities that benefited from the national Jeans for Genes campaign, which encourages people across Britain to wear their jeans and make a donation to help children affected by genetic disorders. All Great Ormond Street Hospital Charity's proceeds from the campaign went to its research partner, the UCL Institute of Child Health. On 6 August 2009, Arsenal F.C. confirmed that Great Ormond Street Hospital Children's Charity

8096-433: Was reopened along with the new Variety Club Building on 14 February 1994 by Diana, Princess of Wales , then president of the hospital. In April 1929 J. M. Barrie gave the copyright to his Peter Pan works to the hospital, with the request that the income from this source not be disclosed. This gave the institution control of the rights to these works, and entitled it to royalties from any performance or publication of

8188-563: Was revealed children were put at risk by being given potentially dangerous drugs. In April 2019, following an inquiry into the death of Amy Allan, the coroner criticised the hospital for not providing a proper plan for the teenager's recovery after surgery. In 2019 the Great Ormond Street mortuary manager made the senior leadership aware of staffing issues. "Since April 2019 GOSH mortuary has been very short staffed but somehow we have managed to keep our standards up, get through

8280-435: Was shocked after hearing Great Ormond Street hospital workers making jokes about his likely death. In March 2023, it was revealed trainee dentist doctors at Great Ormond Street Hospital NHS Foundation Trust were going unsupervised. In May 2023, newspapers highlighted the case of Ryan, left unattended in a lift by a Great Ormond Street hospital worker. His mother Catherine suffered a stress-induced seizure as she fell down

8372-487: Was the Middlesex Hospital , which was founded in 1745 and was one of the five voluntary general hospitals which were established in London during the 18th century (the others being Westminster Hospital (1719), Guy's Hospital (1721), St George's Hospital (1733), and the Royal London Hospital (1740). In 1948 the National Health Service was established, making most hospitals in the UK directly controlled by

8464-446: Was to be their "charity of the season" for the 2009–10 season. They raised over £800,000 for a new lung function unit at the hospital. Two charity singles have been released in aid of the hospital. In 1987, " The Wishing Well ", recorded by an ensemble line-up including Boy George , Peter Cox and Dollar amongst others became a top 30 hit. In 2009, The X Factor finalists covered Michael Jackson 's " You Are Not Alone " in aid of

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