The Trust's chief executive is Professor Tim Orchard. The chair of the Trust was
Lord Tugendhat from its inception in October 2007 until December 2011 when he was succeeded by
Sir Richard Sykes. The current chair of the Trust is Matthew Swindells, who took up his role at the beginning of April 2022. Matthew is the first joint chair for four acute trusts in north west London, including Chelsea and Westminster Hospital NHS Foundation Trust, The Hillingdon Hospitals NHS Foundation Trust, Imperial College Healthcare NHS Trust and London North West University Healthcare NHS Trust.
Clinical structure The clinical services of Imperial College Healthcare are organised into three divisions: • Medicine and integrated care • Surgery, cardiovascular and cancer division • Women's, children's and clinical support division
Finances In 2012/13, Imperial College Healthcare achieved a year end adjusted surplus of £9.0 million with a total income of £971.30 million, of which £752.725 million was from patient care activities and £218.549 million was from other operating revenue. In the same year it had operating expenses of £939.70 million, capital expenditure of £25.0 million. As at 31 March 2013, it had total assets of £855.737 million, total assets less current liabilities of £687.395 million and total assets employed of £664.033 million. This was partly as a result of changes to the NHS tariff. It reported that vacancies had reached 1/6 of the nursing workforce in July 2015. In 2017/18, it predicted a deficit of £25.1 million and did not predict a full-year surplus until 2021/22. The total backlog maintenance bill had risen to £1.3 billion, the largest in the English NHS, and the trust had requested £131 million from
NHS Improvement "to mitigate high and significant risk items". In 2022 although the outstanding maintenance bill had fallen to £736 million it was still the largest in the English NHS.
Overseas patients The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £6.7 million in 2018/19, but only collected £2.4 million.
Private income The trust has opened a clinic in Dubai. It is one of the most commercial NHS trusts, increasing private income, mostly from general and maternity care, by 19% from 2014 to 2016. About 25% of patients using private services came from overseas.
Staff During 2019/20 the trust employed an average of 13,000 people:
Outsourcing dispute In April 2020, over 1,000
Sodexo cleaners, caterers and porters working at the Trust's five hospitals were made NHS employees after months of campaigning by
UVW union. They had been severely underpaid in comparison to the NHS pay structure, and denied the sick pay, annual leave and pensions given to all NHS staff. Ten days of
strike action and protests at St. Mary's Hospital in October and November 2019 led to negotiations and the non-renewal of Sodexo's contract. A year later the trust board decided the services, previously run by Sodexo, would remain in-house. The trust had already decided to spend an extra £4 million a year bringing hotel services staff up to the
London living wage of £10.55 an hour.
Facilities Imperial College Healthcare was one of the first trusts to introduce a comprehensive public
Wi-Fi service, in 2015. The basic service is free for patients, visitors and staff. There is also a premium service which enables video and audio streaming. On 1 June 2019, the Trust began a new five-year contract with Falck UK Ambulance Service to provide non-emergency patient transport services. Falck, who took over from
DHL, were anticipated to complete 330,000 patient journeys in their first year. ==Research==