The long term of the world-renowned Papworth hospital is in doubt due to the fact it is getting prevented by the Treasury from moving to a new centre of health-related excellence in Cambridge.
Instead of consolidating its reputation as a pioneering heart and lung hospital at the forefront of healthcare innovation, Papworth could alternatively be forced into a shotgun partnership with the NHS’s most reduction-making basis trust.
Stephen Bridge, chief executive of Papworth – scene of the UK’s very first heart transplant and a host of other health-related breakthroughs – told the Guardian that his hospital could turn out to be a casualty of “NHS politics” and is “exasperated” at the Treasury’s eleventh-hour intervention.
“We could be forever caught up in NHS politics, get bogged down and be left with an uncertain long term,” stated Bridge.
Papworth has had to put on hold its lengthy-planned transfer to a state-of-the-artwork website outdoors Cambridge as a outcome of the Treasury’s intervention, despite the move getting widespread help in the NHS and academia and from the Department of Well being (DH).
The expert heart and lung hospital could now have to rather move some or all of its providers, including cardiac surgery and globe-top transplantation, to Peterborough as component of a rescue plan for Peterborough city hospital.
Peterborough and Stamford NHS Foundation Believe in, which runs it, is shedding hundreds of thousands of pounds a month, has acquired £44m in emergency funding from the DH to carry on working and was final year declared “not financially sustainable” by the NHS’s economic regulator Monitor.
Papworth, primarily based twelve miles west of Cambridge, has been planning for ten years to depart its ageing web site and relocate to a new £160m, 310-bed hospital in the Cambridge Biomedical Campus, a large new health care and science park next to the city’s Addenbrooke’s hospital, which will eventually employ thirty,000 individuals and be one particular of the world’s most significant centres of study and treatment.
The move is so advanced that Papworth has presently appointed construction company Skanska to develop its new facility. The DH authorized the move final October and has also arranged £70m in lower-interest loans to support Papworth meet the £160m all round price. The hospital has to borrow the remaining £90m from banks beneath the private finance initiative (PFI), with that deal needing the Treasury’s approval.
But in an unexpected intervention, the Treasury has ordered Check to undertake two critiques, which will take a number of months to complete, just before it will approve any move by Papworth.
The very first is a assessment of Papworth’s finances – the third such workout in three years – which it has commissioned regardless of Papworth currently being 1 of the NHS’s strongest performers financially and the two earlier testimonials having raised no worries.
The other, a quick clinical evaluation becoming undertaken by an independent leading NHS doctor, is examining the “arguments for and towards proposals to locate the facility as planned up coming to Addenbrooke’s hospital as well as a clinical evaluation of the feasibility of the utilisation of any extra capacity at Peterborough.” The Peterborough hospital, which is struggling to repay a controversial PFI debt, has vacant space which Papworth might assist to fill.
The Treasury’s move has raised issues that Papworth’s important position in the new biomedical campus, which will see its professionals pursue major innovations in remedy for a range of conditions, may be sacrificed simply because of a need to boost the finances of Peterborough hospital.
Bridge said he was “disappointed and exasperated” that “the Peterborough alternative” had been resurrected by the Treasury, even however a report by Keep track of final September ruled it out. Patients would benefit from Papworth going to Cambridge because it could then “build market place-foremost expert providers for the NHS in 1 spot”, the regulator concluded.
Individuals may drop out and the Papworth trust’s future be in question if some or all its solutions and two,000 staff finish up going to Peterborough rather than Cambridge, he added.
“Despite offering quite thorough economic and clinical evidence as to why Papworth ought to move to Cambridge, we have been informed by the Division of Health [in December] that the we now have to answer these questions, such as about why some of our perform could not move to Peterborough,” Bridge explained.
“I’m exasperated as only in May final year and yet again in September last yr I was officially told that there was no longer any suggestion that any of Papworth’s services should move to Peterborough hospital.”
The DH told Papworth about the Treasury-ordered reviews barely two months soon after overall health minister Earl Howe had accepted the move.
Bridge extra: “The clinical causes for us moving to Cambridge are overwhelming. We do heart and lung transplants and would be following door to Addenbrooke’s, which does liver and kidney transplants. We would develop a globe-top sound organ transplant centre. “
He is concerned that, with out ultimate approval quickly for the move to Cambridge, Papworth could be targeted beneath DH programs currently going through parliament to give government-appointed specific administrators the energy to push via alterations at worthwhile trusts located close to hospitals which have hit major economic troubles, this kind of as Peterborough.
NHS England, Cambridge University and key health care charities this kind of as the British Heart Basis and Cystic Fibrosis Trust strongly back Papworth moving to Cambridge.
Julian Huppert, the Liberal Democrat MP for Cambridge, warned that forcing Papworth to share with Peterborough city hospital was not sensible clinically and would in the long run value more money.
“The well-recognized troubles of PFI contracts that the final government was so keen on need to not trigger worse therapy now for yet another hospital. They need to not force Papworth to go to the wrong spot basically to patch up other troubles. It doesn’t make sense to devote much more income on a worse end result merely due to the fact of previous problems at Peterborough that are fully separate,” Huppert explained.
“Papworth moving to the Addenbrooke’s site is the appropriate issue clinically for the patient and the correct point in terms of analysis and creating new remedies,” added Huppert, a scientist.
The Treasury and DH declined to reply queries put to them about their involvement with Papworth and rather issued a joint statement through a government spokesman.
He insisted that “the Department of Well being is still thinking about the [Papworth] trust’s enterprise case”, even though it signed that off 4 months ago.
“A joint choice with the Treasury will be created soon. As is standard for major tasks this kind of as this one, the Department and the Treasury, drawing on the knowledge of Monitor, would anticipate assurance around the affordability of the scheme and regardless of whether it represents worth for money for the taxpayer,” he extra.
Check is seeking for “assurance” from the evaluations that “the proposed long term area of Papworth hospital … will be sustainable, is clinically and financially proper, and will supply good value for cash for the taxpayer.”
Papworth hospital"s potential in doubt after Treasury intervention
