RTT: The Highest Risk Organisations: August 2015

  |   MBI Perform

The latest waiting times have been released and its been another bad month at first glance. Another 23,500 patients have been added to the total waiting list with 9,500 more patients over 18 weeks and 116 more patients over 52 weeks. It’s not all bad news however, as we have four Trusts who have returned to reporting: Medway NHS Foundation Trust, Heart of England NHS Foundation Trust, Colchester Hospital University NHS Foundation Trust and Derby Teaching Hospitals NHS Foundation Trust. Sincere congratulations to all four organisations.


As expected with Trusts who return to reporting, all four have joined the list in pretty bad shape. Derby Teaching Hospitals NHS Foundation Trust enter at 15th most high risk, Colchester Hospital University NHS Foundation Trust at 11th, Heart of England NHS Foundation Trust 4th highest risk and Medway NHS Foundation Trust go straight in as the highest risk organisation in England.


Reading the Medway board papers, they are doing a huge amount of work to fix this – much to their credit but yet again they are faced with huge validation challenges due to their IT systems, in much the same way as we highlighted with Royal Free London last month. How many more times does this need to happen before Trusts take action? It is getting to the point where this is now a national scandal with the amount of taxpayer money being wasted correcting IT systems that do not handle 18 weeks appropriately. Given that every day we hear about the funding problem in the NHS this money could almost certainly be spent on the frontline. Both Trusts and the IT suppliers need to seriously up their game.


One other Trust deserves a mention as well: Hull and East Yorkshire Hospitals NHS Trust. Of the non-foundation Trusts Hull have moved up from 3rd worst to top of the list and seem to be in real trouble.


As usual our Trust rankings are compiled through statistical analysis of past and current performance to give organisations a risk-adjusted ranking and whether their performance is getting worse or better.


Again, we have looked at organisations in three ways:


  • The Shelford Group: the self-styled “leading group of hospitals” in the NHS;
  • Foundation Trusts: hospitals that have earned the right to more freedom from government policy;
  • Non-Foundation Trusts: all the rest of the hospitals.


Why not have a look and see where your local Trust comes in our league table. You can download the list for free HERE


If you work at any of the Trusts mentioned why not get in touch to see if MBI Health Group can help you. Email us now at