What are Financial Special Measures?

Financial Special Measures were introduced in July by NHS England and NHS Improvement to improve Trusts’ financial and operational performance. This is part of wider measures being taken nationally to ensure the financial sustainability of the NHS. Maidstone and Tunbridge Wells NHS Trust (MTW) is included in the first wave of (five) hospital trusts to be placed in Financial Special Measures.

Why is MTW in Financial Special Measures?

Trusts in Financial Special Measures have forecast significant and unsustainable financial deficits for 2016/17. We are forecasting a deficit of £23 million. Trusts in financial special measures must agree a financial recovery plan and show a reduction in their current spend and therefore an improvement in their overall financial position.

The Trust has been unable to agree a control total with NHS Improvement that sets an improved spending limit for 2016/17. We have also seen our pay bill growth exceed the national average over the last three years.

What are the deadlines MTW is working to?

MTW has four weeks to develop a robust high level financial recovery plan. This has to be agreed with NHS Improvement, and then implemented at pace to ensure sustained financial improvement.

NHS Improvement appoints Financial Improvement Director

NHS Improvement has appointed a Financial Improvement Director to work with Maidstone and Tunbridge Wells NHS Trust (MTW). His appointment follows the announcement that the Trust has been placed in financial special measures.

Simon Worthington started at MTW on 22nd August. Mr Worthington will be the Trust’s primary day to day contact for special measures. He will oversee on behalf of NHS Improvement the actions the Trust is taking to develop their financial recovery plan and reduce its financial deficit.

Mr Worthington is currently Deputy Chief Executive and Director of Finance at Bolton NHS Foundation Trust. Mr Worthington supported a similar financial turnaround at Bolton NHS Foundation Trust, which is now rated as Good by the Care Quality Commission and is in financial surplus.

The appointment is funded by NHS Improvement. MTW is working on a financial recovery plan to make its hospitals more efficient and reduce the Trust’s forecast deficit of £23 million in 2016/17.

Notes for Editors
Simon Worthington is a fellow of the Association of Chartered Accountants (ACCA). Mr Worthington joined Bolton NHS Foundation Trust in February 2013 from South London Healthcare NHS Trust where he was Deputy Director of Finance. He has held a number of Board level posts in the NHS, including eight years’ experience in Finance Director posts at Yorkshire Ambulance Service NHS Trust, Tees, East and North Yorkshire Ambulance Service NHS Trust and South Huddersfield Primary Care Trust. He has also operated successfully in the roles of Acting Chief Executive and Deputy Chief Executive whilst at previous NHS posts.