Sunny

Sunny

max temp: 23°C

min temp: 15°C

ESTD 1874 Search

Poll: West Suffolk Hospital misses out on £3m of A&E funding

10:00 14 January 2014

A hospital missed out on more than £3million of funding last year due to a controversial rule governing A&E care.

shares

Bosses at West Suffolk Hospital in Bury St Edmunds have criticised the marginal rate rule after millions of pounds of cash was kept back under a Department of Health formula.

Under the rule, hospitals receive 100% of funding for treating A&E patients up to a baseline level, and then only 30% for any extra patients beyond the baseline figure.

The rest of the funding is handed to commissioners to invest in services to prevent patients attending A&E, such as GPs or primary care.

In 2012/13, the hospital was handed £1.4million for treating emergency admissions above the baseline, when it would have been awarded £4.5m under the full tariff. The equivalent figure was around £1m in the previous two years.

Craig Black, executive director of resources at the hospital, said: “Demand for our services is growing, with hospitals across the country treating increasing numbers of emergency patients every year. The marginal tariff, which is set nationally by the Department of Health, places us under additional pressure in what is already a challenging financial climate.”

The 30% marginal rate rule was introduced in 2010 over fears of the growing numbers attending A&E.

A poll by the Foundation Trust Network, which represents more than 200 NHS organisations, found that 96% of its members felt the money was not being reinvested effectively elsewhere.

NHS England and patient watchdog Monitor published a review of the rule last year and resolved to keep it for 2014/15, but with some changes. These include adjusting the baseline figures and asking for greater transparency and planning from commissioners on how the money is invested away from A&E.

Chris Hopson, chief executive of the Foundation Trust Network, said: “We are disappointed that this arbitrary penalty on hospitals remains. Monitor and NHS England are trying to have their cake and eat it – insisting that A&E targets are met, but requiring hospitals to treat increasing numbers of emergency admissions for just 30% of the cost of doing so.

“Paying hospitals for the full cost of all the patients they treat would have been the quickest, simplest and best way of solving these problems.”

Wendy Tankard, chief contracts officer for the NHS West Suffolk Clinical Commissioning Group, which commissions services and decides where money not spent in A&E is used, said: “The West Suffolk CCG follows national Department of Health guidance on payments made to West Suffolk Hospital for the treatment of emergency patients.”

shares

0 comments

New figures from the Health and Social Care Information Centre found that alcohol-related hospital admissions rose from 13,160 in 2012/13 to 13,250 in 2013/14 in the county.

The message comes despite a small rise in drink-related hospital admissions in the county last year.

The launch of the fundraising campaign for the Guildhall Heritage Centre in Bury. Mike Jackson (project director) speaking.

A fundraising campaign for £370,000 was launched last night to help bring what is widely believed to be the oldest complete civic building in England back into use.

Aerial shot of Clacton, Essex.

A man has been charged with three counts of sexual assault against three women in Clacton.

Tom Gondris with his wife Pat after getting the MBE in 2009.

As tributes flowed in to the “British Schindler”, a former Suffolk businessman who was on his last Kinder Transport train out of Prague has spoken of his gratitude to the man who saved his life.

File photo dated 25/09/02 of Sir Nicholas Winton as he gets a kiss on the cheek from Vera Gissingaged 74, who as an 11 year-old was helped by Sir Nicholas to escape Prague before the second World War.

Nicholas Winton was a 29-year-old stockbroker working in the City of London in 1938 when a friend in Prague told him about the fears being faced by opponents of the Nazis – mainly Jewish families.

Lemons Hill Bridge, Tattingstone

Calls for extra water safety measures have been made by villagers following the tragic death of a 22-year-old man at Alton Water.

The existing A14 in Cambridgeshire which is prone to congestion.

Suffolk MPs Therese Coffey and Jo Churchill have taken the case to upgrade the county’s busiest road to the Transport Department.

Work on new Market Field School building

The headteacher and Essex education chief have said work is progressing well on a new special needs school in north Essex.

Man caught driving at speeds up to 109mph in south Essex.

A driver was given 42 points on his licence and ordered to pay fines and costs of £1,070 after driving at speeds up to 109mph in south Essex.

Chelmsford Crown Court

Leg touching “was the norm” by a former boy racer facing historic sex charges, a court has heard.

Most read

Most commented

Topic pages