About Isle of Wight NHS Trust
Isle of Wight NHS Trust is the only integrated acute, community, mental health and ambulance health care provider in England. Established in April 2012 following the separation of the provider and commissioner functions within the Isle of Wight Primary Care Trust (PCT), the Trust provides an extensive range of health services to an Island population. Providing this comprehensive range of services in a single organisation has provided a unique opportunity for the Trust to accelerate the development of high quality integrated models of care – where patients experience no organisational barriers to timely, high-quality services. The Trust aspires to be an integrated care exemplar to the NHS – where patients experience excellent well-coordinated, holistic care and support to manage their physical and mental health needs at home, in the community and in hospital. Fundamentally, the Trust believes that the integrated form is right for the Isle of Wight. It has already realised benefits and is a platform for performance and quality improvement. Examples of this include the urgent care hub which combines 999, 111, community nurses, pharmacy, community physiotherapy and occupational therapy, a local authority warden service, and the out of hours GP service; and the Beacon walk-in centre, the joint venture with GPs, which creates a seamless service with the emergency department.
The Trust’s turnover is around £170m (2015/16) and employs around 2,700 staff (full time equivalent). The Trust has a small catchment population (approximately 140,000) with one of the highest proportions of older people in the UK. Demand is greater than the English ‘norm’, but the population is below the level considered necessary to support a full range of district general hospital services. Delivery of health care on the Island is therefore different to the mainland. Travelling to mainland health care providers involves the use of a ferry or, when necessary, a helicopter. Moving patients by helicopter, or ambulance and ferry, is very resource intensive and weather dependent. Experience of extreme weather and emergency planning illustrates that the Island needs to be able to cope with minimal mainland support during difficult times. The Island is considered far enough in travelling time from mainland hospitals to require acute emergency care, maternity, NICU and other key services to be provided locally. This is why, for example, the Trust has been designated as a trauma unit.
The Trust has a vision to provide quality care for everyone, every time. It has developed five Trust Goals to underpin the vision and will achieve these goals through the deployment of a strategy of working “Beyond Boundaries” to be the preferred choice for sustainable integrated care for service users and commissioners.
The wider Health and Social Care Community has come together over the past years to develop the My Life a Full Life (MLAFL) programme. The MLAFL programme was initiated a number of years ago as a catalyst for change, bringing together the organisations to deliver a significant programme of changing cultures, attitudes and behaviours. The focus has been on person centred community response to ensure people receive co-ordinated care and support. Within the aspirations of NHS England’s Five Year Forward View (5YFV), MLAFL has become part of the national new models of care aimed at improving health, wellbeing and care of the island population, improving care and quality outcomes, delivering appropriate care at home and in the community and making health and wellbeing clinically and financially sustainable.
The Trust is keen to work with schools, colleges and education providers in particular to promote the local NHS and to encourage young people to consider careers in healthcare.
Isle of Wight NHS Trust representative
Mark has been an NHS manager for more than 30 years and worked in London and Lincolnshire before joining the Isle of Wight Healthcare NHS Trust as deputy chief executive in 1997. He was the first director to be jointly appointed by the Island’s Healthcare NHS Trust and Primary Care Trust in 2003 before spending a year on secondment to Portsmouth Hospitals Trust. He then returned to the Island to establish the Isle of Wight NHS Primary Care Trust, launched in October 2006. He now has the post of Company Secretary for the Isle of Wight NHS Trust.