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Finance boss leaves University Hospital of North Staffordshire amid debt crisis

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Saturday, December 01, 2012
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The Sentinel

THE finance director at Staffordshire's biggest hospital is to leave his job amid a financial crisis which has seen debts spiral to a reported £27 million.

John Maddison's shock departure comes just 11 months after he was appointed as the University Hospital of North Staffordshire's finance director.

  1. UniversityHospitalNorthStaffordshireGV

    John Maddison's shock departure comes just 11 months after he was appointed as the University Hospital of North Staffordshire's finance director.

Mr Maddison, pictured below, has warned of looming financial upheaval as the hospital's debts last month hit £16 million.

But sources close to the hospital now say that figure has risen to around £27 million.

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It is understood Department of Health officials are behind the departure of Mr Maddison, who leaves his post next week.

And other senior executives have been summoned to the region's strategic health authority this month to explain the reasons for the overspend.

Details of the hospital's current financial position – which should have been released yesterday – have now been held back until Tuesday.

The rising debts have been blamed on the cost of extra patients attending the accident unit, fines for failing to hit A&E targets, and the reopening of 80 beds which has already cost £7 million in six months.

The 1,100-bed hospital – which has a £400 million annual budget – must also pay £50 million-a-year in mortgage payments following the building of the super-hospital.

Union leaders and health campaigners have been left baffled by Mr Maddison's surprise departure.

Unison's hospital branch secretary Rob Irving said: "Although here for such a short time, John was highly respected and professional.

"He would share financial projections with us and seemed to be taking the trust in the right direction.

"That is why we are so surprised to hear about his departure and we would now like to know what the financial future is for the hospital."

Ian Syme, co-ordinator of campaign group North Staffordshire Healthwatch, said: "We are absolutely stunned by this.

"Counting the interims, it means the trust has had four finance directors in recent times. Yet with all the problems facing the University Hospital, it needs a stable regime and that stability should start at the top with chief executive Julia Bridgewater."

Mr Maddison arrived at the Hartshill complex from a hospital in North Tees and Hartlepool with impeccable credentials having served that area for 27 years.

The hospital will now install another interim executive before advertising for a permanent successor in the New Year.

The hospital today confirmed Mr Maddison was leaving to pursue other opportunities closer to his home in County Durham.

Mrs Bridgewater said: "Mr Maddison has worked extremely hard to manage a very challenging financial agenda."

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  • Profile image for cooljay

    by cooljay

    Thursday, December 20 2012, 9:35AM

    “As for the hospital Chief Ex pay its £130k plus £60k perks total £190k a year plus pension.
    Not bad for failing to run the service on budget and failing to plan to have enough beds and staff.If you sack staff with experience and then pay out mega££££ for deaths eg the poor 8 year old girl who died.What do you expect!!!!
    Poor management with not enough clinical staff and in simple easy words the hospital is too small under funded and badly managed like most PFI deals it will fail.
    Paying a Band 8 for a carparking manager when you have not enough clinical staff shows what the management think is important.
    Also giving Penalty charge notices to cancer patients is poor care and shows zero empathy.
    Sadly nothing new.
    The last annual reports said the Audit Commision gave a good report!!!!! what HOW AND WHY.
    The trust is bust and can not get out of this mess unless a bail out occurs.
    Time for new managers with the ability to manage not rocket science is it.”

  • Profile image for Robnoxious

    by Robnoxious

    Sunday, December 02 2012, 5:27PM

    “That is the big problem, no one knows who is responsible for what anymore,Bodies, Trusts and what other fancy names they have come up with. The truth is, within the names of change, we are having the wool pulled over our eyes of all the shortcomings that are prevalent. Why does anyone get fined? It can't be just a numbers game, if it is, somewhere along the system we are not going to get the care required. Because of ? BEDS. The very thing that they keep on cutting constantly, regarding of what Bodies, Trust, COUNCIL etc. They are all interlinked, all cogs within the system of care. If one of them make a decision to cut beds, it is not rocket science it will impact on the rest of the system. All the fines that they have been hit with, invest it in beds so they can move people on. It might ease the problem, but it won't cure it. THERE IS NO PLASTER BIG ENOUGH. We are looking at a bottomless pit regarding the ownership of buildings, bed cutting and the false concept of care in the community. We need a total rethink. with all the various groups working as one, and understanding the problems of needs. The first being, the council to , KEEP ST MICHAELS OPEN”

  • Profile image for stokieatheart

    by stokieatheart

    Sunday, December 02 2012, 3:36PM

    “I feel sorry for Mrs Bridgewater actually because this is an impossible situation for her and the Trust. The Primary Care Trust (or whoever they are now) were supposed to be treating more people in their homes and at community hospitals. This hasn't happened. The result being that more patients are being seen at UHNS, when in fact they should have been reducing beds and having less A&E activity. The commissioning groups, along with UHNS, should be facing the Department of Health and jointly resolving this problem, UHNS cant do it alone.

    And Mrs Bridgewater salary is nowhere near £140k, and to be honest I wouldn't do her job for £1m because the situation is impossible to resolve unless primary and acute care services work together. If she cuts services she'll face criticism, if she cuts jobs she'll face criticism, if she closes A&E she'll face criticism, and she can only work with the budget she's given, she cant magic money from nothing. If she walked the hospital would be in a dire state, can any of you remember what is was like before she arrived? The place was a crumbling, dirty mess and standards of care were very low. The turnaround has been fantastic with the nursing care having improved beyond recognition especially in the specialities of cancer and maternity.

    Lets just hope this article doesn't dishearten the good staff who work there and are all facing huge pressures. Keep up the good work.”

  • Profile image for OffMyChest

    by OffMyChest

    Saturday, December 01 2012, 10:04PM

    “This hospital faces a daily battle to safely care for the increasing number of patients turning up for treatment. Surely it is time for the abilities of the Clinical Commissioning Groups, formerly Primary Care Trusts, to be brought into question. This hospital is racking up a massive financial debt due to its attempts to care for patients by opening additional wards and paying for extra staff. The required community services which should have been developed have not materialised. Therefore patients are still being treated at the hospital. At the other end of the patient journey, there is once again failure to develop adequate services to discharge patients to free up beds. Does the focus actually need to be on primary care and its failure to deliver adequate community services to support the hospital. Good luck Mr Maddison. I hope the primary care colleagues in your new position deliver the requirements of a successful health economy.”

  • Profile image for stokemaveric

    by stokemaveric

    Saturday, December 01 2012, 8:35PM

    “watch this space!!!!!!!”

  • Profile image for dougalcross

    by dougalcross

    Saturday, December 01 2012, 8:27PM

    “Wonder what his Golden Goodbye cost us?”

  • Profile image for kilipo2001

    by kilipo2001

    Saturday, December 01 2012, 4:16PM

    “someone please tell me how does the chief exec keep her job, its said she gets £140,000 a year and nothing is ever her fault, the new hospital will be falling down before its ever paid for and as for bringing sodexo in to man manage the cleaning staff, porters & others what awaste thats turned out to be they are only acountable every 7 yrs,”

  • Profile image for Robnoxious

    by Robnoxious

    Saturday, December 01 2012, 2:42PM

    “All these buildings should have been funded by the government. get people back to work in this country. So the initial costs of these buildings would have been offset by keeping people in work,as why we should now be investing in our infrastructure . £50 million a year for a building they will never own. it beggars belief. Haywood hospital the same. rented buildings. with Sodexo running the show. There is only one outcome in all this. the collapse of the whole NHS . They are all profit making companies. the bottom line, money and profit. How will they achieve this? We the taxpayer will be held to ransom. no building no hospital. The reduction of staff they employ. which in turn leads to a reduction in the quality and care provided.which in turn leads to low morale within the staff, the downward spiral. The same ethos that exsists within the companies that the council tender out to, the so called care in the community. Its a sham. and we should fight for what services we have left. Be sure you will pay through the nose or it will eventually disappear.”

  • Profile image for Nezzer89

    by Nezzer89

    Saturday, December 01 2012, 2:10PM

    “Don't think you can blame one chap who inherited a financial mess; symptomatic of what this government inherited off the last one! Hope you labour voters from 2005 can sleep soundly in your beds”

  • Profile image for ravo1972

    by ravo1972

    Saturday, December 01 2012, 2:06PM

    “I hope the extra patients turning up are ready to apologise for being injured !”

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