The Trust has a long tradition of working with partners, both locally and further afield, sharing clinical knowledge and management expertise.
As a provider of specialist services we are a key partner in many clinical networks that span a range of specialities. These include children's, cardiovascular, kidney and cancer services. We are a regional genetics centre and are actively involved in the national 100,000 Genomes Project. We are delighted to host the national Cell and Gene Therapy Catapult which is co-located with our NIHR Biomedical Research centre at Guy's Hospital.
Delivering care in innovative ways
Our aim is to deliver care in innovative ways, centralising where necessary while offering care closer to home where possible. New dialysis services including radiotherapy and chemotherapy at Sidcup, and services for complex respiratory patients in Surrey (see below) highlight our work with both NHS and commercial partners.
Since welcoming community health services into the Trust in 2011, we have benefited from new opportunities to engage in creative partnerships beyond our hospitals, working with primary and social care colleagues as well as third sector organisations and local people. We are also the first NHS organisation in England to test a “radical” method of community nursing scheme which uses key elements of the Dutch nursing model known as Buurtzorg.
Through King's Health Partners, our academic health sciences centre, we have strengthened our academic and research activities and also benefited from stronger links with one of the UK's leading mental health trusts. We are ranked top in England for the number of trials open for patients to join and in the top ten for the number of patients recruited to research.
Our reputation for sound finances and high quality services, including operational performance, quality and safety, led to a 'buddying' arrangement with Medway NHS Foundation Trust for over two years.
Working in partnership
World-class care for heart and lung patients
King’s Health Partners (the Academic Health Sciences Centre comprising Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts and King’s College London) are working with Royal Brompton & Harefield NHS Foundation Trust on a new partnership to revolutionise cardiovascular and respiratory services for patients.
The partners have a united vision to create a global powerhouse for heart and lung medicine and research in London, providing the best possible patient care and experience.
This envisages the development of a new purpose-built clinical academic facility on the St Thomas’ Hospital and Evelina London Children’s Hospital site.
The partnership would also provide substantial investment to other sites within the organisations at King’s College Hospital and Harefield Hospital, to support the provision of high-quality care in a new network for patients across the south of England.
We would like to hear your views about the proposals to improve heart and lung care in London and southern England.
See A new partnership to deliver world-class care for heart and lung patients.
Cancer Centre at Queen Mary's Hospital Sidcup
The Trust opened a new Cancer Centre on the Queen Mary's Hospital site in Sidcup in May 2017, offering local people to access radiotherapy and chemotherapy treatment, as well as holistic support and advice from Dimbleby Cancer Care and Macmillan.
We are delighted to be able to reduce the need for patients to travel to the new Cancer Centre at Guy's for their treatment.
A further service at Sidcup – which opened in April 2017 – allows many of our kidney patients to receive their regular dialysis treatment and outpatient appointments at a more convenient location. This builds on existing satellite dialysis centres at Borough, Camberwell, Forest Hill, New Cross Gate, and Tunbridge Wells.
Lane Fox REMEO Respiratory Centre
We opened the first satellite of our renowned Lane Fox Unit in partnership with The Linde Group in the grounds of East Surrey Hospital in 2014.
The UK's first purpose-built weaning and home ventilation centre offers patients with complex respiratory needs access to highly specialist care, including virtual access to consultants, specialist nurses and technicians.
Through the integration of technology and healthcare we are enhancing the patient experience and improving outcomes.
Access to this specialist centre in Surrey allows more patients to leave intensive care, helps with recovery and speeds up their return home, while also freeing up intensive care beds for other acutely ill patients.
Buddying with Medway
Guy's and St Thomas' undertook a two-year 'buddying' arrangement with Medway NHS Foundation Trust. A range of senior clinicians and managers from Guy's and St Thomas' supported the trust to improve patient safety, performance, quality and staff engagement following a series of difficult CQC inspections.
We worked closely with the Trust's chief executive and board, with improvement work and mentoring focused on emergency care, the flow of patients through the hospital, nursing leadership and clinical engagement.
This is an early example of the work we are doing to help the wider health economy and is enabling us to create a unique offer of support that is firmly embedded in our values and emerging 'Guy's and St Thomas' Way', sharing practical solutions to help drive performance improvement and culture change.
Commenting on the partnership, Lesley Dwyer, Chief Executive of Medway NHS Foundation Trust said: "We would like to thank our colleagues at Guy's and St Thomas' NHS Foundation Trust with whom we have had a special relationship through our successful buddying arrangement. Their support has been critical to our improvement and we look forward to continuing an enduring partnership with them."
Integrating care in Southwark and Lambeth
Southwark and Lambeth Integrated Care (SLIC) was a three-year partnership in Lambeth and Southwark, supported by Guy's and St Thomas' Charity, working with a wide range of partners and local communities to improve care for elderly people and those with long-term conditions.
Building on the work of SLIC, our Adult Local Services Programme is working in collaboration with other trusts, primary care, social care, voluntary sector organisations and local people to better integrate and improve care. This includes working with our five Local Care Networks, as well as a new partnership with Buurtzorg in the Netherlands to test the role of self-managed nursing teams in caring for people in their own homes.
Our integrated children's hospital and community services, Evelina London Healthcare, is applying similar approaches to care for children and their families. This is supported by the Children and Young People's Health Partnership in Lambeth and Southwark
We work with many different organisations and services in order to bring about change for the benefit of patients.
Our Chief Executive led the development of Our Healthier South East London, the Sustainability and Transformation Partnership for our region, working closely with colleagues in local authorities, clinical commissioning groups and other partner organisations.
Trust staff continue to play an active role in the programmes of the STP as we seek to establish sustainable services for our local population through greater collaboration.
This builds on our considerable experience in supporting other organisations including in Medway and previously at the Christie NHS Foundation Trust and Queen Elizabeth Hospital in King's Lynn.
We are also working on the development of the Guy’s and St Thomas’ Healthcare Alliance, a partnership between Guy’s and St Thomas’ NHS Foundation Trust and Dartford and Gravesham NHS Trust.
The Healthcare Alliance allows us to work together formally on developing clinical services and pathways, as well as on areas including education, training and development and research.
We work closely with our partners in our academic health sciences centre (AHSC), King's Health Partners. As an AHSC, we are committed to broadening our work to include GPs and others working in primary care. This is demonstrated by the successful roll out of our Local Care Record which is providing joined up access to clinical records for the benefit of patients.
Vanguard with Dartford and Gravesham
Through the Vanguard Programme with Dartford and Gravesham, our clinical teams are exploring how closer working between our organisations can improve care for patients. We are testing this in three pilot areas – cardiology, vascular and children's services. Read the full report 'Foundations for change - The development of the Foundation Healthcare Group 2016/17' (PDF 4249Kb)
Following our accreditation by NHS Improvement, we are also using this opportunity to explore new ways of working and whether the collaboration with Dartford and Gravesham could be extended to other healthcare providers in the future.
We are currently focussing on how an effective hospital group might be governed and how we capture the ways of working and culture that we believe are the essential ingredients for success.
To find out more about the Foundation Healthcare Groups three 'clinical faculties' in cardiology, paediatrics and vascular services, read the report 'The vanguard of clinical collaboration'.
We have also received £3 million in funding for 2017-18 from NHS England to continue this partnership work.
We are working with the other accredited trusts – Northumbria Healthcare NHS Foundation Trust, the Royal Free NHS Foundation Trust and Salford Royal NHS Foundation Trust – to share our ideas and plans as we each explore different approaches to the concept of a hospital group.