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Hinchingbrooke Hospital: Circle to withdraw from contract | Hinchingbrooke Hospital: Circle to withdraw from contract |
(about 1 hour later) | |
A company which became the first private firm to manage an NHS hospital says it wants to "withdraw from its contract". | A company which became the first private firm to manage an NHS hospital says it wants to "withdraw from its contract". |
Circle Holdings, which operates Hinchingbrooke Hospital in Cambridgeshire, said its franchise is "no longer viable under current terms". | Circle Holdings, which operates Hinchingbrooke Hospital in Cambridgeshire, said its franchise is "no longer viable under current terms". |
The move comes amid funding cuts and pressure on the casualty department, Circle said. | The move comes amid funding cuts and pressure on the casualty department, Circle said. |
The Department of Health said it was "disappointed" in the decision. | The Department of Health said it was "disappointed" in the decision. |
Circle took on Hinchingbrooke in early 2012, as it faced closure. | Circle took on Hinchingbrooke in early 2012, as it faced closure. |
'Unsustainable' | 'Unsustainable' |
It said there had been unprecedented increases in accident and emergency attendances, a lack of care places for patients awaiting discharge, and that funding had been cut by 10.1% this financial year. | It said there had been unprecedented increases in accident and emergency attendances, a lack of care places for patients awaiting discharge, and that funding had been cut by 10.1% this financial year. |
Circle has made payments to the trust totalling about £4.84m and could be required to make a final support payment of approximately £160,000, the firm said. | Circle has made payments to the trust totalling about £4.84m and could be required to make a final support payment of approximately £160,000, the firm said. |
Under the terms of its 10-year contract it has the right to end the franchise if the amount of money it has to put in to the trust exceeds £5m. | |
Chief Executive Steve Melton said: "This combination of factors means we have now reluctantly concluded that, in its existing form, Circle's involvement in Hinchingbrooke is unsustainable." | |
Circle chairman Michael Kirkwood said the decision had been made "with regret and after considerable thought". | Circle chairman Michael Kirkwood said the decision had been made "with regret and after considerable thought". |
Analysis | Analysis |
By Nick Triggle, BBC health correspondent | By Nick Triggle, BBC health correspondent |
Circle has quickly looked to place the blame on the way things have worked out with Hinchingbrooke Hospital on the current conditions in the NHS, citing rising A&E attendances and the squeeze on funding. | Circle has quickly looked to place the blame on the way things have worked out with Hinchingbrooke Hospital on the current conditions in the NHS, citing rising A&E attendances and the squeeze on funding. |
Those issues have almost certainly had a role to play in the decision to pull out of the contract. | Those issues have almost certainly had a role to play in the decision to pull out of the contract. |
But there is undoubtedly more to it than that - after all the current pressures have not just appeared from nowhere. They were building when the idea of the contract started being discussed in 2009. | But there is undoubtedly more to it than that - after all the current pressures have not just appeared from nowhere. They were building when the idea of the contract started being discussed in 2009. |
When Circle took over, there were question marks over whether the firm was being too ambitious in claiming it could turn the hospital around. | When Circle took over, there were question marks over whether the firm was being too ambitious in claiming it could turn the hospital around. |
Hinchingbrooke had been called a "basket case" with historic debts of nearly £40m. | Hinchingbrooke had been called a "basket case" with historic debts of nearly £40m. |
Within six months of Circle taking over, losses were twice what was forecast. However, as time went by improvements to services were made. | Within six months of Circle taking over, losses were twice what was forecast. However, as time went by improvements to services were made. |
But still they could not escape the past. The Care Quality Commission has just carried out an inspection of the hospital. | But still they could not escape the past. The Care Quality Commission has just carried out an inspection of the hospital. |
It is yet to be published, but Circle knows the contents. It is widely expected to be critical. | It is yet to be published, but Circle knows the contents. It is widely expected to be critical. |
The GMB Union said the Circle takeover had been the "disaster waiting to happen when you get the private sector involved in running a hospital". | The GMB Union said the Circle takeover had been the "disaster waiting to happen when you get the private sector involved in running a hospital". |
Spokesman Steve Sweeney said: "It's not overly surprising to see them try to pack their bags, cut loose and walk away. | Spokesman Steve Sweeney said: "It's not overly surprising to see them try to pack their bags, cut loose and walk away. |
"Obviously having the major backers walk away leaves [the hospital] in a very vulnerable position .... we're hoping that there's some planning in place to aid and assist that." | "Obviously having the major backers walk away leaves [the hospital] in a very vulnerable position .... we're hoping that there's some planning in place to aid and assist that." |
Circle chairman Mr Kirkwood said despite the issues at Hinchingbrooke, the company "remains a committed partner of the NHS at our elective treatment centres and independent hospitals". | |
A spokesman for the Department of Health said: "There will now be a "managed transfer of the running of the trust and patient care will not be affected." | A spokesman for the Department of Health said: "There will now be a "managed transfer of the running of the trust and patient care will not be affected." |
The company said it is in discussion with the NHS Trust Development Authority to ensure an "orderly withdrawal". | The company said it is in discussion with the NHS Trust Development Authority to ensure an "orderly withdrawal". |
Circle runs private hospitals in Bath and Reading, which both accept NHS patients, and it also has NHS treatment centres in Bedfordshire and Nottingham. |