A year in the life of Airedale General Hospital The Annual 2010/11 www.airedale-trust.nhs.urecordk Telehealth Unpaid heroes Links for health The volunteers Page 6 Page 8 Pool resources From left: new mum Leanne Jaques (who had a home birth Cheaper water births on offer using the birthing pool) with baby Sophia; Ruth Weston More new mums are “We are delighted with how the of Aquabirths at home; Ruth overjoyed with a new local mums and staff at Airedale Kitcher, Airedale mum with partnership scheme which Hospital are working so hard together baby Evangeline; and Jo Mellan, has given them the chance to provide the best opportunity matron community midwifery. to have an affordable possible for a lovely birth.” water birth at home. Leanne Jaques, the first new mother to use the new community birthing And a new birthing pool has also pool at her home in Menston, said: ‘Excellent‘ been installed on the Labour Ward “The birth pool helped me to stay so that expectant mums who prefer calm and relaxed, as getting in it was rating for to give birth in hospital can choose a bliss. I could stay mobile and upright, water birth and to labour in water. which was a better birthing position food and The community pool scheme is for me. When my daughter swam up a not-for-profit scheme to enable to me it was an amazing feeling.” privacy pregnant women to hire a birthing Around 1% to 2% of all babies INspECTORs rated Airedale pool from a Bradford based in the Airedale area are birthed at hospital’s provision of food company at a subsidised rate. home supported by community and its standards of privacy Airedale Mums, a group of local midwives and an increasing and dignity as "excellent" women campaigning for better number of these mothers are during a spot check conducted maternity services in the local area using a birthing pool, although the by the patient Environment together with Aquabirths at Home, numbers are still relatively small. Action Team (pEAT) this year. have raised funds to set up a pilot The subsidised cost for women And during a separate scheme. They are part-funding five is £50 – when it would normally unannounced visit on 13 April, uses of the birthing pool in the home cost them £195 to hire a pool. as part of a national inspection – and busy raising funds through The new static birthing pool programme carried out by a table-top sales, teddy bear picnics and was bought in April 2010 with team from the Care Quality other activities – to help fund more. help from the Friends of Airedale, Commission (CQC), Airedale The initiative is supported one of the hospital’s charities. NHs Foundation Trust was by community midwives from The maternity unit, which delivers found to meet the essential Airedale Hospital as water births around 2,600 babies every year, standards for quality and have benefits for new mums. worked with local members of safety for treating older people Kathryn Walsh, head of midwifery the National Childbirth Trust (NCT) during their stay in hospital. at Airedale Hospital said: “Water and representatives from their pEAT is a local body made Planning for the future immersion can reduce the need for maternity users’ group on the up of staff and patient Foundation trust members want to do, such as development drugs and intervention in the birth proposals to offer water births. representatives and they and governors had a say for the of services and new intiatives, process for women with a low risk, l Any pregnant women who would assessed Airedale's overall first time this year in developing and how we propose to do it. straight forward pregnancy and like more information on home birth environment and rated it as our blueprint for making sure all foundation trusts are labour as it helps women to relax.” or water labour and birth should “good”. Their conclusions the hospital is fit for the future. required to submit plans of this Ruth Weston of Aquabirths contact their community midwife. If were based on a national each year the hospital produces kind, which cover a three year said: “Our aim is to provide low you would like to book a pool using framework of standards. a forward plan called an ‘annual period from 2011/12 to 2013, cost water births in the home for the community pool scheme call Continued on page 3 Plan’ which describes what we to their regulator Monitor. women, but also make sure they 0845 230 1381. Find out more at are hassle free for the midwives. www.aquabirthsathome.co.uk 2 ANNUALReCORD Patient safety at the

News of an eventful year at heart of health care Airedale Hospital Patient safety will be at the heart of everything we do was the message of a week-long national campaign. The hospital took part in Patient Safety First Week 2010 in November, a national event to promote patient Small Trust safety and to celebrate the successes of more than 300 NHS trusts across the country, which have signed up of the Year to the Patient Safety First scheme. Since signing up to Patient Safety – again First in March 2010, the hospital has implemented a number of For the schemes to improve patient safety. fourth time The Foundation Trust received a in five years certificate after introducing a number of Airedale NHS initiatives, including full implementation Foundation of the World Health Organisation Trust won (WHO) surgical safety check list before the title of every operation, measurement of ‘Small Trust the use of preventative antibiotics of the Year’ in the 2010 Dr Foster prior to surgery, and monitoring Hospital Guide, in recognition venous thrombosis rates to help of our excellent delivery of reduce the risk of patients’ developing high quality patient care. the condition following surgery. The guide also names our hospital as one of the best performers Weekly checks across the country for the provision The hospital has also introduced weekly of orthopaedic care and says we checks and visits to wards and other we have signed up to.” They were shortlisted for two projects, can be used to reduce these across the have been recognised by the Stroke clinical areas by senior directors to talk “We’re pleased with the progress one in the data and information hospital and improve patient safety. Association as amongst the top 25% with staff and get feedback about we’ve made so far this year, but there management category for its ward real The second project – ‘surgical safety of hospitals for our stroke service. how standards can be improved. is always more that we can do.” time metrics and one in the safe surgery briefings’ – helps multidisciplinary The Hospital Guide analyses Bridget Fletcher, Chief Executive of Our safety conscious theatre and group for its surgical safety briefings. teams share potential safety problems a number of different Airedale NHS Foundation Trust, says: ward were among the finalists in The first project – ‘ward real time and concerns. The briefings criteria to assess hospital “By taking part in the National the Patient Safety Awards 2010, metrics’ – involves staff collecting data help increase staff awareness of standards of patient care. Patient Safety First Week campaign, organised by the Health Service on a daily basis to improve patient care safety and encourage more open The Hospital Guide 2010 we are reinforcing our commitment Journal and Nursing Times, which on the wards. The information collected, communication about safety issues. can be found at www. to the whole scheme and raising honour initiatives leading to safer for example, on infection rates for l For more information www. drfosterhealth.co.uk awareness of the key principles treatment in the health service. MRSA and C Difficile or details of falls, patientsafetyfirst.nhs.uk

Bowel cancer screening Feeling Unwell? Bradford and Airedale gave me more time with my It doesn’t have to be Accident and Emergency (A&E) Take care of yourself. Your local high-street chemist is qualified to give you Stomach upset, aches and sprains, expert and confidential advice and treatment, without having to wait for an family. Don't miss out on coughs and colds, sore throat appointment. To find your nearest chemist go to www.nhs.uk.

time with yours Unwell? Unsure? Need help? Phone NHS Direct on 0845 46 47 or visit www.nhs.uk.

Toothache? Gum problems? Phone your dentist or call 0845 1203 200 for an emergency appointment.

An illness or injury that won’t Call your GP. To find your nearest GP call NHS Direct on 0845 46 47 go away? or visit www.nhs.uk. Need to see someone straightaway You may have a walk-in centre, urgent care centre or minor injuries unit, where you can get treatment without waiting for an appointment. for cuts and bruises, sprain or burn, To find your nearest service call NHS Direct on 0845 46 47 or 0845 1211024 infection or rash, or stomach upset 8am –8pm, West Yorkshire Urgent Care Services 0345 605 99 99 or visit www.nhs.uk. Please remember. A&E and 999 services are for serious and life-threatening conditions, such as heart attacks, strokes and serious accidents. Make sure you Choose Well Get the right treatment for you and help the NHS to manage its resources ENGLISH NOV 2010 New 111 service developed A new single point of access using the 0345 605 9999 (West Yorkshire to urgent care system to deliver three-digit number 111 is being piloted Urgent Care Out of Hours service). a 24/7 urgent care service that across the whole of England, which NHS 111 will make it easier for the ensures people receive the right Bowel cancer screening saves lives will make it easier for patients to get public to access local health services care, from the right person, in the If you receive the screening kit, use it and return it non-emergency health and social care when they need help quickly. right place, at the right time. wherever they are, 24 hours a day. In future if people need to contact The NHS 111 service will be available

&ŽƌĨƌĞĞĂŶĚĐŽŶĮĚĞŶƟĂůŝŶĨŽƌŵĂƟŽŶĂŶĚƐƵƉƉŽƌƚ This new service (and number) is the NHS for urgent care there 365 days a year, via the new free to call, ĐŽŶƚĂĐƚƚŚĞBowel Cancer Advisory Service expected to be in place by 1 April will only be three numbers; 999 easy to remember three-digit number. ĐĂůů0800 8 40 35 40 2013, and will replace existing for life-threatening emergencies; It is currently available in four ŽƌĞŵĂŝů[email protected] services that we currently use in their GP surgery; or 111. pilot areas – County Durham www.bowelcanceruk.org.uk West Yorkshire, i.e. 0845 4647 The introduction of the NHS 111 and Darlington, Nottingham ZĞŐŝƐƚĞƌĞĚŚĂƌŝƚLJEƵŵďĞƌ;ŶŐůĂŶĚĂŶĚtĂůĞƐͿϭϬϳϭϬϯϴ^ĐŽƫƐŚŚĂƌŝƚLJEƵŵďĞƌ^ϬϰϬϵϭϰ (NHS Direct national service) and service is part of the wider revisions City, Lincolnshire and Luton. annualReCORD 3 ‘Excellent’ rating for food and privacy

Continued from page 1 their care and treatment options Trust said: “ It is very important to us l all staff were pleasant and that our patients and their families are Our results for the food and respectful, they felt listened to and treated with dignity and respect when environment categories were the their needs were dealt with in a timely experiencing our care and services. same as in 2010, while privacy and manner We welcome the findings of both the dignity's rating was an improvement l the quality of food overall was good inspections, however we must never on last year's "good". Boosting and staff were always on hand to help become complacent and will continue the hospital environment result them if they needed it to listen to our patients and their from "good" to "excellent" will l staff always checked if they had families about what matters to them. be challenging in a hospital which enough to eat and often second “Through working together with our New Chief has 40-year-old buildings. helpings were offered. staff, patients, carers and our excellent The CQC review focused on whether Airedale Hospital was praised team of volunteers, we have introduced Executive older patient’s were treated with for piloting a new scheme to help a number of important measures to Bridget dignity and respect and whether their patients who have memory loss ensure that our patients are cared Fletcher, Audiologist Alan nutritional needs are being met. due to dementia which included for with dignity and compassion. pictured, has Most of the patients that were providing staff with practical advice “It is often the little things that make taken over wins top award spoken to by the team were very to make sure they were meeting their the biggest difference to patients and the helm of An audiologist who cares positive about their experiences of care. individual needs and carrying out their families and we will continue Airedale NHS for patients with hearing They said: audits on the quality of their care. to listen to their feedback and Foundation difficulties at Airedale Hospital, l they were kept informed and were Debra Fairley, deputy director of concerns so that we can constantly Trust. was highly commended in involved in making decisions about nursing at Airedale NHS Foundation improve our care and services”. She joined a national competition, for the hospital the second year running. as director of nursing in 2005 Alan Walshaw, received a and was previously interim certificate of commendation Chief Executive before her new in the UK Audiologist of appointment effective from 1 the Year 2010 awards. November 2010. Prior to this, The competition encourages she held senior posts at the patients across the UK to vote Paddy opens Royal Marsden NHS Foundation for hearing professionals who go Trust and West Middlesex above the call of duty to help. University Hospital NHS Trust. Alan, 43, who has worked Chairman Colin Millar praised at the hospital for five years, Bridget for her “visible and says: “It is a real honour for me new play area strong leadership style with to be thought of so fondly by an exciting and innovative those patients who I care for. approach to healthcare delivery, “Looking after someone’s patient safety and quality.” hearing is a major responsibility, Commenting on her new role and I am very proud to Bridget said: “I am very excited know that my support is about heading an organisation appreciated and respected.” that I believe has the potential There are over 1,000 audiologists to be one of the best. and hearing professionals in “My job is make sure that we the UK today, involved in the work together to offer the kind study of hearing and balance, of health care service that our assessment, management and families, friends and members therapeutic rehabilitation of of our communities need and hearing impaired patients. have a right to expect despite the very real challenges we will face over the next few years." Go direct to Previous Chief Executive, Adam Cairns, left the Trust at midwife, Airedale the end of June 2010 following his appointment as Chief women urged Executive at The Shrewsbury and Women are being encouraged Telford Hospital NHS Trust. as part of a new campaign to go direct to a midwife as soon as they know they are pregnant – as New text service the earlier they do this, the better. Mums-to-be don’t have reminds patients to go to their GP to book A new text service to their first appointment with remind patients to attend Airedale midwives, they can their appointments in their simply contact the service on outpatients’ clinics is being 01535 292120 to get their launched this summer. pregnancy care started sooner. In a drive to cut down on the The aim is to increase the Many more toddlers can had an opening ceremony in the Bridget Thompson, number of missed scheduled number of women who book now play outside safely playground to thank Paddy’s mum, physiotherapist, and Stavroulla appointments, patients will with a midwife by 12 weeks whilst receiving treatment Becci Gunning, of Thwaites Brow Pavlou, occupational therapist receive a text message reminder and six days. Direct contact with Road, Keighley, for the £2,000 they from Airedale Hospital, with from Airedale Hospital, three at the Child Development midwives can result in earlier had raised from various events held Paddy Stell in the newly days before their appointment. access to health information Centre at Airedale Hospital by local pubs and football teams. refurbished playground,at Christine Miles, director of and screening that can help the thanks to the success of During his visits to the the Child Development operations at Airedale NHS health and wellbeing of both a fundraising campaign centre, Paddy has received care Centre, Airedale Hospital. Foundation Trust, says: “More mum and baby. This can also inspired by a very and coaching in speech and than 13,500 patients didn’t attend help to reduce infant mortality special young patient. language therapy, physiotherapy their hospital appointments last by making sure mums-to-be get and occupational therapy. local charity and Friends of Airedale. year, that’s one in 10 people who the healthcare they need to give Paddy Stell, aged four, who Bridget Thompson, principal “It would have been very difficult missed their consultation, which their babies the best start in life. has Down’s syndrome, was paediatric physiotherapist at the for us in the current financial climate is a waste and costs money. But Pregnancy and birth are a regular visitor to the Child centre, said: “We are really grateful to replace the play equipment once for us the most important issue normal life events for most Development Centre over the to Paddy’s family and the local it became rotten– and yet these is that the appointments could women; however women past year and his family decided community for their generous effort extras really do matter to children be offered to other patients.” value advice and information to help others who use it by which will make such a difference to as they help make their visits The trial system will be piloted early in their pregnancy about replacing a condemned slide and the lives of so many of the children more enjoyable. We needed very in the outpatients department, lifestyle, nutrition, and a plan climbing frame in its playground. who visit us. We are also delighted specialist equipment to cater for the before being rolled out across of care for pregnancy. Staff who work at the centre with donations we received from a therapeutic needs of the children.” the hospital later this year. 4 aNNUALReCORD Telestroke technology New service for people with fragile bones Working in partnership with the West Yorkshire Stroke Network, Our local radiography team The new scans assess a and X-rays we currently provide Airedale Hospital is piloting the now offers a new service – person’s bone density and can will be great news, both for the pioneering technology - ‘Telestroke’. bone density scans – the most help prevent people, who are at hospital and the local community. This service will support local commonly used diagnostic high risk of fractures, breaking “People are often unaware stroke physicians across the technique for osteoporosis. bones in the first place. that they have fragile bones region and share expertise. They have taken part in extra Martin Cobley, head of radiology, until they break them. The Foundation Trust has won the training and development to says: “Being able to offer this “Being able to offer bone density bid to launch its joint regional stroke InBrief carry out the DXA scans thanks additional scanning facility for scans will mean people can change telemedicine service with suppliers Martin to a donation of more than people, to support the Computed their day to day life, such as diet and S Dawes after director of innovation Dr £1,000 by the local Osteoporosis Tomography (CT) and Magnetic exercise, as well as take treatments to Richard Pope, and executive medical Joining forces for Society support group. Resonance Imaging (MRI) scans reduce the likelihood of fractures.” director, Dr Andrew Catto made a new vascular service bid to a regional panel in Sheffield. Airedale NHS Foundation Trust has joined with Bradford Teaching Hospitals NHS Foundation Trust and Calderdale and Huddersfield NHS Foundation Trust to form a combined vascular centre. Student donates prize The centre will provide a complete range of surgical and interventional radiological procedures, 24 hours a day, seven days a week, for 990,000 patients money to hospital across the West Yorkshire region. The vascular network will consist Big-hearted Zak Kesic gave of 16 consultants working on a his winning prize from a school rota to ensure equal access to competition to benefit everyone the full range of vascular services in our children’s ward. for everyone in the region. The South Craven School student was admitted to the ward himself following an asthma attack. Trust scores high Zak says: “I was really nervous in stroke care about going to hospital but it In April and June 2010, the was fine once I was there. National Sentinel Stroke Audit was “When I felt better, I thought of carried out to give a clear picture all the other children - like me - who of how stroke care was being are nervous or scared when they go delivered across the country. to hospital and I decided to suggest Airedale Hospital was awarded an donating the prize money to the unit overall score of 83, placing us in the so it could be used for something that top end middle range of all eligible lots of children could benefit from.” hospitals across England, Wales As part of Zak’s winning idea, he and Northern Ireland. Airedale was suggested building links between the also placed in the top 25 percent hospital and the school, including for three of the areas, against the guest speakers from the hospital NICE quality standard for stroke. visiting the school to talk about The school competition was part £50 in order to benefit the school?’ to meet up with Zak to thank him The Trust’s latest audit, which is how the ward works and what of the national ‘My Money Week’ Sayma Mirza, ward manager for his donation and to discuss the last in the 12 year series, was children can expect if they ever challenge and students were asked of the Children’s Unit at Airedale how we can link up with his carried out by the Healthcare Quality have to go there themselves. to suggest ‘How would you spend Hospital, says: “We were delighted school and others in future.” Improvement Partnership (HQIP), on behalf of the Intercollegiate Stroke Working Party, by the Royal College of Physicians’ Shortage of organ Clinical Standards Department.

“I’d definitely take an “ The Organ Donor Register? Outstanding organ if I needed one.” Haven’t got round to joining.” donors is a problem achievement Every year thousands of lives are pledged to help others after their The Health Business magazine saved or transformed through the gift death by registering their wishes on nominated us for their Outstanding of a transplant - but there remains a the national organ donor register. Achievement in Healthcare critical shortage of donor organs. And yet in surveys, over 90% of Award in November 2010. Around 10,000 people are waiting the population in principle say they Senior matrons, Karen Walker and for a life saving transplant and 1,000 of have no objection to donation. Linda Beckett, represented the Trust them will die every year whilst waiting – In the past two years, 43% of at an award ceremony in London that’s three people every day - because all families approached by staff and we were the overall winner. there are not enough organs available. at Airedale Hospital consented to This is an annual award given Last year, 3,709 transplants were donation and six life-saving transplants to an NHS organisation that has performed in the UK thanks to the were performed as a result. achieved success in its role and generosity of 2,021 donors. This The plan now is to look at tissue brought benefits to the wider meant 978 lives were saved through donation (e.g. corneas, skin, NHS through the dedication heart, lung, liver and small bowel heart valves) within the Trust. and expertise of its staff. transplants; a further 2,703 lives Rachel Wiseman, appointed Over 100 NHS Trusts were were dramatically improved through specialist nurse in organ donation for evaluated for this award using kidney and pancreas transplants; and Airedale Hospital said: “We recognise a range of data (Care Quality 3,099 people had their sight restored and accept that organ donation Commission, Doctor Fosters Guides, through corneal transplants. may not be the wish of every family, Monitor, PEAT) along with further At Airedale Hospital we are but ultimately we want to ensure evidence of patient experiences implementing some of the Government’s that the option of organ donation and positive media reports. recommendations to try and improve becomes part of all end of life care The Foundation Trust was donation rates and help those discussions where appropriate so that shortlisted together with Royal people waiting for a transplant. every family is given that opportunity Wolverhampton Hospitals NHS Trust, Last year, every potential organ and patients wishes respected. The Christie NHS Foundation Trust, donor’s family was given information “We are working hard to raise Alder Hey Children's NHS Foundation and offered the opportunity to awareness of organ donation, Trust and University Hospital donate, and their wishes (whether not only within the Trust but also Birmingham NHS Foundation Trust. If you believe in organ donation, prove it. that be yes or no) were respected. in the community it serves and Register now at organdonation.nhs.uk 0300 123 23 23 There are currently 28 percent of encourage people to sign up to the population people who have the organ donor register.”

Page:1 ANNUALReCORD 5 The Weather Keep safe in doesn’t feel Brainwaves very hot. the sun The most TAKE care when out and about in the important thing sunshine during the summer months by is to protect covering up and rubbing in suncream. your skin to rewarded The main cause of malignant make sure you melanoma – a rare type of skin cancer do not burn. StaFF at airedale Hospital were up with the top suggestions. l put up a ‘I Did Not Know That!’ – is believed to be over-exposure top tips: rewarded for their brainwaves They will be presented with whiteboard in the Children’s Unit to to the sun or using sunbeds. It can l don’t stay which will lead to better care their prize in the Neonatal Unit share revelations and new ideas which start in an existing mole but also out in the sun for children and babies. by consultant paediatrician Ken help improve patient care with all staff develop in normal-looking skin. for extended periods of time For the first time this year, a Wilkinson who has worked at the and patients. You just need to take a few l stay in the shade when the sun is at competition was run as part of the Ken hospital for 32 years and was the philip Turner, deputy chief operating precautions to enjoy the sun with a its strongest (between 11am and 3pm Wilkinson Fellowship and staff were inspiration behind the competition. officer, from Airedale Hospital, said: minimal amount of risk warn health in the UK) invited to put forward their ideas to The two brainwaves are to:- “This is the first time we have run bosses. sun damage happens when l protect your eyes from the sun's improve the care of children and babies. l buy special pillows called ‘Loving the competition and we think it’s a the sun’s Uv rays penetrate into the ultraviolet (Uv) rays with good quality A trophy and a cheque for £250 Arms’ to wrap around babies born really good way of saying thank you skin and damage cells. It not only sun glasses were given to sister Kirsty Randell to regular drug-users who need to staff who come up with good increases the risk of skin cancer, but it l cover up with clothes, sunglasses from the Children’s Unit and health extra care. They often experience ideas to help us make sure that we also speeds up the skin's natural ageing and a hat, and applying sunscreen to care support worker Julie Laycock withdrawal symptoms when they are provide the best possible care for our process. You cannot feel it happening, exposed skin. from the Neonatal Unit, who came born patients who are so vulnerable.” and it can occur even when the sun From left, Julie Winter weather advice Laycock, Ken Wilkinson and KEEpING warm during the or boots and taking a walking pole Kirsty Randell winter months can help prevent or stick if you have one. If you’re colds, flu or more serious health travelling by car, remember to also problems like pneumonia. take warm clothing, water and Harsh weather conditions can have a well-charged mobile phone in a dramatic impact on every day life, case you become stranded.” particularly for people who are most tips for keeping well this winter are: vulnerable such as the elderly and those l heat your main living room to with a long term condition or disability. around 18-21°C (64-70°F) and the Dr paul Jennings, accident and rest of the house to at least 16°C emergency consultant says: “Keeping (61°F) during the day, and try to your home warm is a good way to keep the temperature above 18°C avoid illness. Also, wearing lots of (65°F) in your bedroom overnight layers of clothing and keeping active l wear plenty of thin layers, rather will raise your body temperature. than one thick one and at night “We normally see an increase in bed socks and thermal underwear the numbers of falls and other injuries can help during severe weather conditions. Our l eating regular meals will help keep advice to vulnerable people is only to your energy levels up during winter and go out if absolutely necessary whilst make sure you have plenty of hot food the pavements and roads are icy. and drinks “If you need to venture out, we l keep active and try to move around at recommend wearing sturdy shoes least once an hour. private ward – the facts DID you know we have a private Our facilities include: insured and want to know, prior to your ward at Airedale Hospital? l 11 single en-suite rooms, all with direct treatment, how much you will have to Besides all the clinical services you would dial telephone and flat screen Tv pay, we can give you a quotation. expect from an acute district general l two outpatient consulting rooms Just contact our private patients’ hospital, our private patient unit provides: l a lounge and patio garden office who will be pleased to help. Private Healthcare l a dedicated nursing team l extended visiting hours. How do i get an appointment? l medical support available 24-hours-a- Paying for your treatment: simply ask your Gp to refer you to day, seven-days-a-week We have price agreements with all the one of our consultants who sees l outstanding infection prevention major insurance companies but it is private patients at Airedale NHs l intensive care and high dependency always advisable to check your cover Foundation Trust. You can contact our units at the earliest opportunity. In most private patients’ office on tel: 01535 l choice of when to have your treatment. cases insurance companies will settle 292197, email: private.patients@ our invoices directly. If you are not anhst.nhs.uk for further details. Crucial milestone in developing services AIREDALE Hospital has greater benefits from a variety of new can bring for our staff, patients freedom to develop services for freedoms. It means we: and the people we serve.” If you’re thinking of patients and give local people l are free from central government patients, carers and local people much more say in decisions about control and can decide how to have the opportunity to get involved Private Treatment... its future since gaining NHs improve our services; by becoming members of the Foundation Trust (FT) status. l can retain any surpluses we Foundation Trust. Currently the Why not go to the award winning Hospital Monitor – the independent body generate to invest in new services, Trust has more than 8,000 public on your doorstep which regulates NHs Foundation and can borrow money to support members and more than 2,700 Trusts – awarded the trust FT status these investments; and staff and volunteer members. 1 June, 2010 after we demonstrated l are accountable to our local The Trust has also set up a Talk to your GP TODAY about being referred excellent performance on the communities – local people can Council of Governors representing privately to Airedale Hospital quality of services we provide and become members and governors. the whole of our local community, robust plans for our development. Airedale NHs Foundation Trust made up of elected local people, Contact Details: Becoming a Foundation Trust Chief Executive Bridget Fletcher says staff and representatives from Private Patients’ Office – c/o Ward 19, Airedale General Hospital, will give us greater influence and ”This was a crucial milestone. I partner organisations. Skipton Road, Steeton, Keighley BD20 6TD freedom to innovate and deliver would like to thank everyone who They will play an important role T: 01535 292197 F: 01535 292193 E: [email protected] healthcare most appropriate to worked so hard to help us succeed in the development of our future. www.airedale-trust.nhs.uk/Services/PrivatePatients.html our local circumstances, making us with this fantastic achievement and l To become a member, you responsive to the needs of patients. look forward to seeing the rewards can contact our Foundation Trust

YOUR HOSPITAL for Private Healthcare The organisation now that NHs Foundation Trust status Membership Office on 01535 292727. 6 ANNUALReCORD

Pioneering innovative health care the benefits of the new service TELEHEALTH technologies are used to be. This should help us to tackle some widely to help manage patients with of the challenges faced by an ageing l convenient, closer to your home And for clinicians the service:- Special long-term conditions such as diabetes, population and help solve some of the l saves time as you no longer have l is quicker and more efficient Feature chronic chest disease and heart failure. public health issues and health inequalities to travel to hospital or wait for - it frees time up for them Telemedicine The idea is to provide a more convenient present in the UK today. Airedale NHs passenger transport to take you to see more patients service to patients closer to their homes, Foundation Trust is an enterprise hub for l improves your access l reduces the need for patients saving them time and money as they the Yorkshire and Humber region and to specialist care to be admitted to hospital no longer have to travel to hospital. the Grassington venture has been an l saves money as you no longer as they can easily have The electronic systems allow more important milestone for us. We have plans have to pay for transport check-ups closer to home patients to be cared for in their own homes to extend the approach into other locations to hospital or parking. l reduces the cost of safely and reduce the number of people and for other conditions in the future. providing a service. being taken into hospital who don’t need Future plans l We are the first in the country to use video technology to provide a hospital consultant service to inmates in prisons. this is provided to around 20 prisons nationally. l a programme to offer hospital consultations by video link in local nursing homes is underway. l our latest project is to work with our technology partners red embedded Ltd, based in Shipley, to develop set top boxes that link to patients’ televisions so we can quickly and easily deliver care into their own living rooms.

there will still be occasions when you need to be seen face-to-face, but our work has shown us that in many cases it is perfectly possible to use telemedicine to deliver safe clinical care. We can speak to our patients, see them clearly to carry Airedale hospital out some examinations, discuss consultant Dr options and make decisions - just Richard Pope using as we would do in hospital. Telemedicine l For more information about equipment. telemedicine email: [email protected] or contact 01535 2932760. Screen-ing launch Diabetes Many patients living in grassington can use a video camera to zoom in which is an enterprise hub for Yorkshire doesn’t can now see a hospital consultant in and examine my foot as the images and Humber region, has been innovative their local community centre thanks are so clear – it’s amazing.” in the provision of remote patient care to the wonders of video technology. “It’s so much easier to come to for more than five years. Through the They will no longer have to travel Grassington rather than having use of video technology, the hospital to Airedale Hospital in steeton for to trek to the hospital which is has been providing clinical services their regular clinical appointments as almost a 50 mile round trip.” to people in their homes, inmates part of a new telemedicine outpatient During his last telemedicine in prisons throughout the country service offered in the Dales village consultation in Grassington the and residents of nursing homes. - as they will be able to discuss consultant was able to discuss Dr Richard pope, a consultant and discri their long-term condition with a Doug’s blood test results, assess his director of innovation research and consultant on screen by video link. medication, and his blood pressure. development at Airedale Hospital, said: Airedale NHs Foundation Trust has “As a practising consultant I am really placed telemedicine equipment in a ❝In many clinical situa- excited about how technologies will private room within the village's newly tions it is perfectly pos- help change the way care is delivered opened community hub; this will be used sible to deliver safe clinical in the future and offer better and young e to carry out follow up consultations with more personal care to patients. minat ❞ old people who have a range of long term care using telemedicine I have seen first hand how my poor conditions, beginning with diabetes. diabetic patients can benefit from rich The new facility, is based at the Telehealth technologies are being telemedicine and live independently Grassington hub, at 2 Garrs Lane. It has used widely to manage patients with and safely, whilst effectively managing man been successfully piloted with diabetic long-term conditions such as diabetes, their health and wellbeing. woman patients and the long-term plan is to chronic chest disease and heart “We are able to see blood test and develop clinics in other key locations such failure. The technologies involve using X-ray results as well as being able to as Colne, Bingley, Ilkley and Keighley. electronic systems to deliver clinical see and speak with our patients; this Diabetes patient Doug McLellan, care and enable patients to be cared means we can discuss options and make ACT ON DIABETES. NOW. aged 59, who has had diabetes Type for in their own homes safely whilst decisions in very much the same way 1 for the past 36 years and needs reducing avoidable hospital admissions. as we would do in a hospital setting. at least a regular six month check- The idea is to provide a more “There will still be occasions when up with a consultant from Airedale convenient service to patients it is essential for people to be seen WWW.WORLDDIABETESDAY.ORG hospital, praised the new service. closer to their homes, saving them face-to-face, but our work in this area Doug, of Kettlewell, said: “I think time and money as they no longer has shown us that in many clinical it’s a brilliant service and it’s very easy have to travel to hospital. situations it is perfectly possible to deliver for the patient to use. The consultant The Airedale NHs Foundation Trust, safe clinical care using telemedicine.” annualReCORD 7

Happy 40th birthday Airedale Hospital was officially 40 years old in December 2010 and to mark the occasion a display was created as part of our Annual Open event. It featured memorabilia Special events and photographs from the 1970s through the decades – hosted by the to show how the hospital has changed through the years. hospital The hospital was opened on 11 December 1970, by Prince Charles. Members of the public were invited to join staff in their Keeping you birthday celebrations both at the Trust’s annual general meeting informed and during the open event held in its Education Centre and a As part of our efforts to keep marquee in the grounds on Foundation Trust members Thursday 2 September 2010, informed and involved in our they had the chance to take a work at Airedale Hospital, we closer look behind the scenes run a programme of events to see how things are done. Open day at Airedale Hospital on a wide range of topics. These include: l focus events for large groups of people in our lecture theatre in the education centre which tend to offer health advice and Get your flu jab reminder information about a specific topic. Members are asked to Vulnerable people are being sneezes with a tissue, disposing of a flu-like illness should stay at home counter remedies such as paracetamol. make suggestions for themes encouraged to get their free the tissue after one use, and cleaning and contact NHS Direct or their GP. If you have flu-like symptoms and we then do our best to meet seasonal flu jab to protect hands as soon as possible with soap “Of course, we will deal with including: a sudden fever, cough their needs. themselves this winter. and water or an alcohol hand gel. accident and emergencies as normal or shortness of breath or have a l ‘meet the chairman’ events for At-risk groups include people with An appeal is being made by whether people have flu or not, headache, sore throat, tiredness, smaller groups of people which asthma, chronic kidney disease, hospital chiefs for people not but it is not the right place to visit aching muscles, chills, sneezing, runny cover strategies and policies diabetes, those with lowered immunity to go to hospital Accident and if someone’s only problem is flu. nose or loss of appetite, you should: and offer an opportunity for due to cancer or other causes, people Emergency (A&E) departments if “Turning up at A&E with minor l go online and check your symptoms members to ask questions. over 65 and those suffering from they have flu-like symptoms. injuries or illnesses such as flu, on www.nhsdirect.nhs.uk All our members receive chronic heart or chest complaints. Last Philip Turner, deputy chief operating colds, diarrhoea and vomiting puts l call NHS Direct on 0845 46 47 personal invitations to book a year, pregnant women were included. If officer at Airedale NHS Foundation additional pressure on the NHS l ask a friend or family member to visit place at all these events, which are you are unusure whether you are in an Trust, said: “We are seeing an increase and means staff cannot look after your local pharmacist for flu medicine so also advertised in the local media. at-risk group, then check with your GP. in the number of people with flu- the people with urgent medical that you can take good care of yourself If you need to know more The best way to avoid flu is to get like symptoms coming to Airedale conditions who really need them.” at home about the programme contact immunised, but also, people can Hospital’s A&E department. For most healthy people, flu remains l contact your GP. the Foundation Trust membership protect themselves by practising “However, a visit to A&E is only an unpleasant but mild illness and If you need urgent advice or office at: good hand hygiene with the ‘catch necessary for people who are seriously generally they will recover in a few treatment, day or night, contact Telephone: 01535 292727 it, bin it, kill it’ technique. This means ill; the vast majority of people who are days after getting lots of rest, drinking 0345 605 99 99 (West Yorkshire Email: [email protected] carrying tissues, covering coughs and worried they may have swine flu or plenty of fluids and using over-the- Urgent Care Services). Focus events – April Lymphoedema and oedema team celebrates first birthday 2010 to March 2011 These covered: A service that helps people manage From left: Pat Gardner, lead l the medical school experience their chronic swelling due to problems lymphoedema nurse; Shirley l maternity services with their lymph drainage system is Rainford, patient; and Lorraine l paediatric first aid celebrating its first birthday this month. Brown, senior health care l X-rays uncovered: MRI and Airedale NHS Foundation Trust was support worker at Canalside CT scanning successfully awarded the lymphoedema health centre, Bingley. l mental health contract commissioned by NHS l coping in an emergency Bradford and Airedale. The small team The team also welcomes enquiries l accident and emergency of five have more than 350 patients and are available to discuss any l bowel cancer and across the district and hold weekly special needs for their patients. l Irritable bowel syndrome. clinics at Westbourne Green Health Pat Gardner, lead lymphoedema Centre, Undercliffe Health Centre and nurse said: “Our role is to teach patients Canalside Health Centre in Bingley. how to manage their own condition. Meet the Chairman Lymphoedema and chronic oedema Encouraging a daily routine is essential events – April 2010 mainly affects arms and legs but can to put all the aspects of treatment into affect other parts of the body including practice which makes a huge difference to March 2011 the head and neck. It develops because developing the condition and are of infection; exercise to propel lymph to the outcome of their condition. These covered: of a build-up of fluid in the body’s tissues. becoming a growing cause of concern. fluid and improve mobility; and massage “Although we cannot cure the l an overview of medical For some people it can be very distressing, Oedema can affect people at any to help drainage and compression, condition we can help patients to staffing and specialties to give an especially if it restricts their mobility. age including children, although most usually in the form of stockings and greatly improve and control oedema understanding of how medical It is a long-term progressive condition of the patients in the service are over arm sleeves. Treatment may also include over time making a difference staff work and decision making that can be controlled, particularly when 60 years old and some have complex a course of bandaging and manual to the quality of their lives. in the Trust detected early, but may require life-long health problems. Each patient has an lymphatic drainage if needed. “Without our help, some of our l Choose and Book and treatment. Any trauma that disrupts the individual assessment and specialist Providing support to improve wellbeing patients would need a huge amount patient choice lymphatic system can result in oedema nurse Pat Gardner and her team look and quality of life is an important of care from district nurses and hospital l the work of the governors and in this country is usually as a result closely at the patient’s whole history aspect of the service. A local support services as their condition would l GP Referrals – from referral of cancer and its treatment. Many other - including their medication, current group meets at Windhill Community deteriorate and they would suffer from to treatment types of surgery or accidental injury level of social care, responsibilities in the Centre with a new one starting in skin breakdown, leg ulcers, recurrent l telemedicine – how we use put a person at risk and there is also home, and entitlement to benefits. September 2011 at Cancer Support, cellulitis – which is a skin infection. new technologies to diagnose a genetic cause which can sometimes Treatment is mainly a self-care near Bradford Royal Infirmary. For more information please contact and treat patients from their own be hereditary. People with increasing programme involving skin care Referral to the service is by your GP the team on 01535 292712 between home. weight and poor mobility are increasingly promoting hygiene to reduce the risk or other specialist doctor or nurse. 8.30am to 4pm Monday to Friday. 8 annualReCORD Reappointments ❝ Some people have been volunteering for over 40 years. It may be that David Adam and Ronald the meeting in January 2011. Drake were re-appointed as non David is the senior independent they want to give something back executive directors for another director and Ron is chair of to society, appreciate having some three years. They were appointed the clinical quality, safety and by the Council of Governors at assurance committee. company or want to learn skills ❞ People …who make the Trust what it is

Victoria is victorous in apprentice competition Young heating engineer Victoria Hardy won a top regional apprentice award at the age of 21. The member of our maintenance team from Cullingworth beat off 1,300 contenders from across Yorkshire and Humberside for the prestigious JTL best apprentice title and was the only woman out of nine finalists. She received a trophy and a cheque for £700 in a ceremony at the Royal Armouries, Leeds. JTL is a training provider to the building services engineering sector and offers advanced apprenticeships in electrical installation, plumbing, heating and ventilating and engineering maintenance. There are 8,000 apprentices across England and Wales. Your hospital in your hands Meet our unpaid Why become a Foundation Trust member? This is your chance to influence how Airedale Hospital works and gives you a say in our future. It will mean that you: l receive information about the hospital throughout the year heroes and heroines l can elect someone to represent you as a Council governor l are asked to contribute ideas about the way the Foundation Trust runs, David Adamson, aged 69, loves can also bring health benefits to the and make suggestions for improvements. getting up every morning to Thanks people who actually volunteer. l are invited to talks about particular departments or topics. work on the wards and would Some volunteers help at the For more information contact our membership team on highly recommend it to others Airedale NHS Foundation hospital several times a week, others 01535 292727 or a email [email protected] who are retired as an enjoyable Trust would like to thank perhaps once a month, but all Please detach below and send to Airedale NHS Foundation way of keeping active. all volunteers for the vital contributions made by volunteers, Trust, Freepost NAT149321, Steeton, Keighley BD20 6BR. He is one of a whole army of 400 work they do to support whether large or small, are invaluable ✂ volunteers who are vital to helping us patients, staff and visitors. to the patient experience. Name: to improve our services to patients. If you are interested in Gurmit Jauhal, new voluntary services Formerly employed in engineering, volunteering contact 01535 manager said: “Our volunteers are Address: the army and in weaving mills, David, 295317 or email Gurmit.jauhal@ all ages right up to 90. Some are Post code: of Silsden, has been giving up three anhst.nhs.uk. We still need unemployed, others are retired or are Phone nos: hours a day for the past three years people to help with feeding young people wanting something doing whatever he can to support patients, carrying out surveys to do before they go to college. E-mail: the nursing team. This includes and running car boot sales. Date of birth: helping to feed patients, make beds, 40 years Ethnic group (tick box) fetching and carrying equipment. “Some people have been volunteering “I’m a general dogsbody and I Saturday social events for patients; for over 40 years. It may be that ❏ White British ❏ White Other ❏ Black British really enjoy it,” he said. “I go to bed driving patients to appointments; they want to give something back at night thinking I’ve a worthwhile running a hospital radio station to to society, appreciate having some ❏ Black Other ❏ Mixed Background ❏ Indian job to do the next day.” keep patients entertained; producing company or want to learn skills.” ❏ Pakistani ❏ Other Asian background ❏ Chinese flower arrangements; helping patients A lot of work has been done at Charities take part in religious services and Airedale Hospital to ensure that ❏ Other (please state) The hospital volunteers belong to providing therapeutic massages. patients get the right nutritional two charities - the Friends of Airedale Last year the two charities raised care to support a speedy recovery. Do you consider yourself to have a disability? ❏ yes ❏ no and Airedale New Venture. They over £235,000 to benefit the hospital A feeding buddy initiative was As a member, would you like to? take part in diverse activities, which through the two shops, the car boot developed and trialled by the hospital (please tick the box that applies to you) include: helping our patients to eat sale that is held on the grounds of on ward 6 during 2010/11. and drink during meal times; staffing the hospital and public donations. This involved training hospital staff ❏ receive regular information the volunteer shops; helping patients The money was used to buy a range so that they could then help ward to complete surveys to improve their of new equipment for the hospital staff assist patients to eat and drink ❏ attend events and focus groups care; taking the shop and library including 13 patient trolleys and two at meal times. Our current volunteers ❏ consider standing for election as a council member. trollies to patients on the ward; new monitors for the endoscopy unit. provide excellent support to nurses acting as guides for patients and As well as contributing to the care and ward hostesses on the wards visitors around the hospital; running and welfare of patients, volunteering to help patients eat and drink. ANNUALReCORD 9

If you are interested in New clinicians appointed to the Trust becoming a governor or just want to know more, contact THE TRUsT has recently employed l Dr Christine Corrin, has been full time tissue viability nurse and her the membership office on a number of new clinicians across appointed as a colposcopy (examination role will be to provide expert advice, 01535 292727 or e mail a range of specialties, including: of the bowel and colon) hospital assessment and education for complex [email protected] for a l Dr Juhi siddiqui, joined the trust in practitioner, and joined the gynaecology wounds that are not progressing in governor information pack. July, as a consultant obstetrician and team on a part time basis in June. a timely manner, including pressure gynaecologist. l Janine Ashton, is the Trust’s new ulcers, diabetic foot ulcers and cellulitis. valuing our Governors – who are they diversity – amongst staff and what do they do…? and patients We HaVe 36 governors who sit into their community – we hope they example, at Bingley show and in l holding the Board of directors to AT AIREDALE Hospital we are on the Council of governors: – will continue to play an important Keighley town centre account at the Council of Governor committed to providing high l 20 are elected public governors, part in the future of our hospital. l holding governor drop-ins before meetings quality, appropriate services that all who each represent a local area, based Their role is to make sure the events for Foundation Trust members l meeting community groups at Gp our population can access fairly. on local authority constituencies Board of directors are doing their l planning the annual open day and surgeries to create a direct link to the We recognise and value the l six staff governors – who each job properly and they spend time other member events Council of Governors. diversity within our communities represent a staff group considering reports on how the l getting involved by joining and have a responsibility to tackle l 10 appointed governors – who Trust is working. They represent committees and groups such as inequality and discrimination on represent other partner organisations patient, public and staff views the patient and public Involvement l If you are interested in becoming a different levels: in our provision such as local councils. and so need to devote time to Group, the patient / Carer Condition governor or just want to know more, of healthcare services, as an They are elected by our Foundation finding out what they think. Management Group and the Organ contact the membership office on employer and through our duty Trust Members each year. Most Here are just some of the things Donation Group 01535 292727 or e mail members@ to tackle inequalities and improve people become governors as they are that our governors have been doing: l approving the appointment of the anhst.nhs.uk for a governor health within our community. interested in putting something back l recruiting new members, for Chief Executive information pack. Our aim is to deliver healthcare services in a way that is fair to everyone regardless of age, disability, race, ethnicity or national GOVERNOR PROFILE: BARBARA PAVILIONIS origin, gender, religious belief, sexual orientation, domestic BarBara PaViLioniS became a and tHe WorSt tHing? circumstances, trade union governor to give something back the paperwork, there is reams and membership (or non membership), to airedale Hospital after being a reams of it, i shudder to think how social or employment status. regular patient for a long time. many trees we have cut down. Our Equality and Human Rights She was an out-patient at the strategy contains a detailed haematology department and anyone wanting to become a action plan outlining key priorities wanted to acknowledge the care governor can come along to any which guides our work. and treatment she received. of the member events to meet some of the key recent Barbara said: “i see my role the governors and chat about developments in helping to as working with the other what they do or take part in a ensure equality and diversity governors to make sure that ‘meet the chairman’ event to within Airedale Hospital are: the trust is doing its best for the gain a insight into their role. l introduced a single point of patients and families who come contact to help people with to the hospital daily – especially Barbara and her husband live in learning disabilities who are afraid during these trying times.” embsay, Skipton, and have three of needles and need an operation grown- up children who have in theatre WHat iS tHe BeSt tHing now moved away from home. l run sessions for staff, including aBout your roLe? She works for herself as a the hospital pharmacist, to help Finding out more about the qualifed holistic therapist, has them understand more about what hospital and it’s staff, meeting just completed her nVQ level 2 in different faiths mean to patients in all the other governors - beauty therapy and is finishing an a bid to provide an equitable and including stakeholders, staff and iteC beauty specialist diploma. culturally appropriate service. For public governors - who are all Her hobbies include volunteering example, guidance on medicines wanting the best for the trust for the hospital, reading, knitting and alternatives to gelatine and and meeting with friends. wigs for patients that lose their hair after chemotherapy that are not made from pigs hair l provide Halal meal options on the wards ❝ l developed tools and action plans i see my role as working with for the Equality Impact Assessment the other governors to make sure process. All new policies are that the trust is doing its best for now assessed to see if there is the patients and families who any potential to treat people differently and to make sure they come to the hospital daily ❞ show respect for a person’s faith, disability and race l introduced an e-learning equality and diversity session to help staff learn at their own pace National award for Airedale collaborative care team l set up an equality, diversity and inclusion working group with A TEAM which helps to keep Airedale and its role is to work together These include nurses, physiotherapists, Our success has been down to team representatives from across the people out of hospital has scooped to prevent people from being occupational therapists, social workers work and working together across all Trust, including governors a prestigious national award. taken into hospital and provide and mental health workers. agencies. We have had very positive l liaison with members of a local The multi-disciplinary Airedale an opportunity for them to be They provide care in beds at two feedback from our patients. Our Black and Minority Ethnic Group collaborative care team scooped an discharged as soon as possible. nursing homes – Troutbeck in Ilkley ultimate aim is to provide people with around issues such as accessibility award for partnership working at the They offer integrated care from teams and Currergate in steeton – and quality care within their own homes of services Health service Journal Awards held at Airedale NHs Foundation Trust, for people in their own homes. – and if not, in an environment which l introduced a faith calendar for at Grosvenor House Hotel, London. primary care, and the local authority’s stephanie Lawrence, team leader is as near as possible to this. Hopefully staff. The team was set up in July 2008, adult social services and voluntary sector. said: “This is a fantastic achievement. we now have a platform to build on.” 10 ANNUALReCORD

Patient engagement Listening to and responding to the community We are listening… Patients have been urged to give section of the local population and their views on their care during who have recently been patients national award three national surveys over the or carers. The panel is an excellent Airedale NHs Foundation Trust past year. these have covered ❝ the nurse explained resource for the Trust, as it provides was a finalist in a national maternity services; adult in- very clearly to my wife a patient and carer perspective when awards scheme for its success patients; and cancer services. sitting on a range of groups and with providing patients with In all three surveys there were and i, the implications committees and also when reviewing personal care and making sure some very positive results. However, of my condition and all Trust policies. they are treated with dignity. hospital bosses have drawn up action the range of treatments During the past year, the panel’s work The patient Experience Network plans to tackle certain areas where programme focused on communication; National Awards (pENN Awards) improvements could lead to greater and procedures that the appointments system; our meals aims to recognise, celebrate patient satisfaction next year. i might undergo. ❞ service; services for dementia patients; and share examples of initiatives and patient falls. An annual report in patient experience. We asked: “Was there is being produced to highlight their Winners are chosen from anything particularly good activities and outcomes during 2010/11. all healthcare settings and our about your hospital care?” l patient stories - A staff Nurse Forum entry was in the ‘personalisation took place in september 2010 which of Care’ category. you said: included three presentations focusing We focused on our ‘Dignity “The nurse explained very clearly to the experience of being a patient Room’, which supports patients my wife and I, the implications of my and a relative. A similar event took who have no day clothes when condition and the range of treatments place in June 2010 for sisters and they arrive in hospital, or who and procedures that I might undergo.” charge nurses. They both received very receive none during their stay. Making sure you have a good staff are following good practice. As positive feedback. The entry highlights how our “My husband is severely disabled… experience of Airedale NHs Foundation part of these two initiatives, patients, l Quality Accounts – Members of the hospital volunteers worked with the and requires total care, i.e. feeding, Trust is a top priority. There is evidence carers and relatives are asked about patient and Carer panel, three Local Trust’s charities to develop a stock of chewing and using the toilet, to show one of the best ways to their experiences. If an issue is identified, Involvement Networks (LINks); the new clothing including underwear, the staff were very patient.” achieve this is to involve patients and action is taken as soon as possible. Overview and scrutiny Committee slippers, shoes and toiletries, to members of the public in decisions l ‘real time in-patient survey’ – This (OsC), alongside Trust governors and be used for those vulnerable “Being given printed medical about care and treatment and in survey is carried out by volunteers who Foundation Trust members, were patients across the hospital. information sheets, as one does not take the way services are delivered. visit every medical and surgical ward on invited to an event on 10 January As a finalist, we showcased everything in, during a conversation.” During the past 12 months there a daily basis (except sunday) and help 2011. The aim was to give feedback this unique initiative which have been many initiatives to engage patients who are due to be discharged, on progress made on priorities set out has generated a great deal of “The food was lovely. I heard complaints with our patients and the public to complete a questionnaire on a in the 2010/2011 Quality Account. interest from other hospitals but I thought it was excellent.” in a bid to improve the patient portable computer about their experience It was also to involve more people in throughout the country. experience. some of these were: of being in hospital. discussing future priorities. “The ladies who brought the tea l ‘butterfly scheme’ - The Trust has The information gathered from these l patient and public Engagement and trolley and menus were lovely and been trialling the ‘butterfly scheme’ satisfaction surveys provides a valuable Experience (ppEE) steering Group – This brightened up everyone’s day.” to help identify and improve care for insight into what patients think of their group meets quarterly to discuss and patients with dementia on acute wards. care and treatment and the service we plan patient engagement activities for We encourage relatives and carers to provide. The information is gathered the Trust. We also asked: “Was there anything contribute to these patients’ care plans to ‘real time’, while the experience is still that could be improved?” highlight their preferences and dislikes. fresh in patients’ minds. It is also valuable This often leads to staff learning about because the surveys are carried out you said: the patient’s life history which helps them by volunteers rather than staff, which “I often felt nurses were running to offer more personal care. We have encourages patients to be more open. around as if they had too much received very positive feedback from staff During 2010/11, 2,796 patients ❝ to do, or they were short of staff and the public about this scheme. completed the survey compared the ladies who - but they were excellent.” l the ‘patient tracking project’ - This to 690 during 2009/10. This is 8.6 brought the tea trolley project helps us to keep track of per cent of all patients discharged and menus were lovely “some staff are a little abrasive and vulnerable patients who may have a from the participating wards. and brightened up prickly in manner. Others are excellent.” tendency to wander. By attaching radio As a result of the survey, one ward frequency identification tags on to their now makes use of a relatives’ room everyone’s day ❞ “There was noise at night.” wristbands, staff are able to easily locate for private discussions. Another has a patient if they leave the ward. An separated the day room into two to allow “Waiting time for medicines from event was held in August 2010 to raise patients and families to speak to staff pharmacy were too long.” awareness of this initiative. with some privacy. One ward provides l ‘safer patient initiative’ (spI) and ear plugs to patients who are bothered ‘hand hygiene walk’ rounds – senior by noise on the ward during the night. members of staff, including directors l patient and carer panel – We and non-executive directors, regularly have a panel, with a maximum of walk round the wards to check that 20 members, who represent a cross- ANNUALReCORD 11 our role is about listening, learning and working with you to improve health services. it is about making sure that as a patient, relative or carer, your journey through the nHS is as smooth as possible. Tell us about your experiences

… whether good or bad Patient engagement l help sort out your problems quickly Can we help you? How do i get in touch? PALS on your behalf We are employed by Airedale NHs You can ring us on 01535 294019 Listening to and l advise and support you and your Foundation Trust but we have or ask a member of staff to help you What does PaLS at relatives and friends your best interests at heart. We get in touch with us. We will visit responding to the airedale hospital do? l provide you with information on are able to talk to the managers you on the ward, or you can come community The patient Advice and Liaison NHs services and staff about your problems, to our private office in the hospital. team works to improve the l advise you about our complaints and help get things sorted out. You can also email us at pals. service to NHs patients, their procedure, and the support you can You can talk to us in confidence. [email protected] or you can We welcome receiving stories relatives and friends. We can: get if you decide to complain We will not speak to anyone fax us on 01535 655570. from our patients and their l listen to your concerns, comments l help you to get in touch with local about your concerns unless relatives regarding their or compliments and pass them on to or national support groups. you say it is OK to do so. personal experiences. managers and staff Complaints, concerns, compliments, etc OUR new complaints policy was sent directly to pALs; 309 were another towards the end of their life” introduced by the Trust two years requests for information; and 1,226 ago, in accordance with national were categorised as expressions of We did:. legislation in this area, which concern; dissatisfaction and requests “involve the relative in writing came into effect in April 2009. for action to be undertaken. guidance for staff about the We have done a great deal of work Of the 1,941 contacts received, assessment of a patient towards to respond to any individual concerns 67 percent of calls were resolved the end of their life” and issues as and when they arise. As on the day the call was received. a result, we have seen a 12 percent 72 percent were dealt with within 24 you said … reduction in the number of formal hours, 77 percent within three working “…as relatives we were unable complaints during the year from days and a further seven percent to find a member of staff who 97 in 2009/10 to 85 in 2010/11. took four to seven working days. could give them the information Our aim is to improve the patient they required about a relative.” experience by providing a speedy dealt with response. We work proactively to Eight percent of calls were dealt with We did: promptly identify where changes within eight to 14 days and eight “ each ward manager looked at need to be made to benefit our percent (the more complex queries) planning weekly appointments patients, visitors and staff. In took longer than 14 days to resolve. evenings for relatives.” addition to helping with concerns, Our focus is resolving the complaint pALs acts as a gatekeeper for to the satisfaction of the complainant We welcome receiving stories from compliments and requests for health by providing information which is our patients and their relatives information. The prime location detailed, open and honest. We are regarding their personal experiences, of their office, in the entrance to committed to understanding what whether they are good or bad. Ward 18, allows easy access for learning and changes will take place If you would like to contact us visitors and patients. This year, 524 as a result of a complaint being made. in the pALs service to share your people have called into the office. experiences then contact: Between April 2010 and March Some examples of this Tel: 01535 294019 (weekdays 2011, pALs dealt with 1,941 contacts, learning are:- 8am-4pm) or write to pALs of which 1,742 were specifically you said … Office, ward 18 Airedale Hospital, related to Airedale Hospital. “It was inappropriate to move my skipton Road, steeton, Keighley, Of these, 207 were compliments relative from one clinical area to West Yorkshire, BD20 6TD. Your letters

Dear chief executive back the budget’ can all too easily communicator and this request was Dear staff slide into a culture of overt criticism very positively accepted. This initial “prompted by the widespread rather than take a moment to thank, experience relaxed us completely. “We just wanted to say thank criticism of the NHs this morning, I or praise those directly involved. “In every way the staff were very you to all the staff, midwives and felt sufficiently moved by my own so please pass on my gratitude to understanding of my husband’s illness doctors, who looked after us positive experience at Airedale to write all concerned as they need to be and I was grateful to have the nurse’s whilst we were in hospital after in support and praise of the staff I reminded what good work they do.” help. He knew just how to approach losing our precious daughter. encountered during my recent visit for my husband and certainly my husband “We felt like we had built up quite an angiogram. Apart from the way in responded positively towards him. a bond with certain people, especially which staff at the cardiac catheter lab Dear director of nursing “I appreciated the matron’s the midwife who delivered our baby. made me feel welcome and put me “My husband has severe understanding of Alzheimer’s This love and support is what helped at ease, I was particularly impressed Alzheimer’s disease and was disease and the care she organised us get through such a tragic time. by the way in which everyone, nurses admitted to the Hospital Day whilst we were in ward 20. The Keep up the good work and we and consultants, attended to a patient Ward 20 for dental treatment. theatre staff I wish to thank too for look forward to meeting you all with learning difficulties in the next “I was quite anxious about his their understanding and sensitivity again in the near future under cubicle. They took great pains and admission because he has no in treating my husband. better circumstances.” care to give details of what they were speech, is unable to walk and “May I say that this experience for going to do, reassuring the patient totally dependent on my care. both carer and patient was excellent. at every stage of their explanation. “We were warmly greeted at the The NHs was at its best, in being “I too was reassured by the nurse reception desk, taken to my husband’s aware of patients with health and assigned to look after me, both room and introduced to the nurse mental problems like my husband before and after the procedure. who was to look after my husband and taking into account his illness “In the current political climate the and help with dressing etc. I asked whilst being treated in hospital.” rhetoric used to justify the ‘cutting if I may stay with him as I was his 12 annualReCORD The power to improve hospital services

A huge £8.6m electrical works It is impossible to service without programme being carried out £8.6million shutting down a large parts of the in the hospital has reached its hospital and nor is it possible to half-way point – and is due to make any additions to the system. be completed by April 2012. The current electrical system was In the event of a power cut to Around 45km of cables are being fitted 40 years ago when there were the site, currently only two thirds Property installed throughout the hospital no computers in the hospital or MRI of the site is supplied with power News about new and those fitted on the roof will or CT scanners. There are now over consequently new emergency weigh a massive 130 tonnes. 1,900 computers, one MRI and two generators are also being installed. buildings and The work is being completed CT Scanners and therefore the need Successful completion of the through a Procure 21 scheme, which for electrical power is far greater. “This is a massive project which scheme will mean that should the improvements is nationally recommended by the Richard Bateson, head of is absolutely vital as the current Trust wish to add or automate Government of Office Commerce estates corporate services who is electrical infrastructure has now more services in the future it will and was developed for the NHS. overseeing the project, said: reached the end of its life. have the capacity to do so.” Property hotspots Get clued up in the In safe hands Children who cannot attend school because they are in hospital can still get a good eduction. The schoolroom at Airedale Hospital received a ‘good’ rating from Ofsted, with several aspects information pod judged to be ‘outstanding’ A new information pod has including quality of care, guidance been set up in Airedale Hospital’s and support, partnerships with health information centre to other professionals and spiritual, help patients and visitors to find social and cultural development. out more about their health, NEW! Inspectors said the schoolroom condition or medication. environment, which was They can also use video, audio upgraded, is very welcoming and interactive websites through the with attractive displays and that computer in the enclosed area to the unit had a good capacity discover more about staying healthy for sustained improvement. and managing long term conditions. It will be a drop-in service, but No more mixed-sex patients can also pre-arrange a wards specific time to use the pod between Mixed-sex wards in Airedale 9am-5pm, Monday to Friday which hospital have become a thing of the is in the health information centre past to help make sure a patient’s in the hospital’s education centre. privacy and dignity is respected. Information will be available on: From January 2011, all hospitals l conditions and interventions in England were required to place all l self care and management advice patients in single-sex accommodation l other patients’ personal experiences – and those who failed to do so l advice on benefits and social care would face financial penalties. l details of local or national support Only accident and emergency and groups. intensive care wards are exempt Health information centre staff Paul Stevenson, health from the new regulations. delivering the information service information specialist, At Airedale, bathroom and toilet will direct patients to reliable and with new patient facilities have been upgraded, sliding appropriate information such as NHS information pod. doors have been installed on the Choices and Patient UK - but they bed bays, and improved signage, will not offer opinions or advice. individual needs to be time- modernising healthcare. time and if they wish, with their family. indicating the separate male and Paul Stevenson, health information consuming and at times frustrating. Research shows that a majority One way of involving patients in their female facilities, has been put up. specialist, said: “Patients and carers “We are happy to provide high of patients (80%) actively seek care and treatment is providing them Plans are also in place to extend can use the patient information quality patient information directly information about how to cope with good quality information and the day surgery ward to maintain pod to look at whatever specific to the patient in the usual way in with health problems. there is evidence that this can lead to: same-sex accommodation. information is relevant to them the library, but we can also help As part of ‘Liberating the NHS: l greater patient satisfaction More matrons have also personally, at a particular point in their visitors to explore reliable sources An Information Revolution 2010’, l higher quality of life and better health been appointed to the Trust illness – rather than simply receiving of healthcare information at their health care professionals are urged outcomes and privacy and dignity forms general information leaflets. own pace using the new pod.” to support and encourage people to l greater ability to self-manage a key part of their role. “People can often find the The government has increasingly self care, signpost people to reputable condition process of locating high quality placed patient information and information sources and encourage l increased knowledge for shared Hospice refurbished information specifically for their self-care as a central part of them to explore resources in their own decision making. Manorlands Hospice has been refurbished thanks to a grant from the Department of Health and donations from local supporters. NEW! Dignity Room praised in It is one of the few hospices in the country with all of the patient experience awards bedrooms as single rooms. The entire ground floor has Our Dignity Room, the first initiative of stocks a range of essential items been refurbished and access its kind set up by a group of staff at the such as slippers, warm clothing has been improved for disabled hospital, was a runner up in this year’s and toiletries – free of charge. people, with a new entrance and Patient Experience Networks Award. A patient, who was helped by the reception, plus fully-accessible It was praised as a development to Dignity Room, says: “I am going toilets, shower and bathing areas. help treat patients with compassion, to a hospice. I am grateful these Airedale Hospital supported kindness, dignity and respect and is clothes are available as I am a very Manorlands Day Unit during its supported by the Friends of Airedale proud lady and would have hated refurbishment by making space and Airedale New Venture charities. to travel in my nightwear.” available in its Day Hospital. Located on ward 4, the room See page 10. ANNUALReCORD 13 Trust Finding the best NHs service Contacts at the touch of a button DIsCOvER the most appropriate from iTunes via the internet from www. national nHS contacts NHs service to wherever you are bradford.nhs.uk . More information nHS choices within Yorkshire and Humber about choosing the right place to go www.nhs.uk by downloading the new FREE for NHs treatment to make sure you nHS direct Choose Well app to your iphone. get the right care, as soon as possible 0845 46 47 The app gives users the names can also be found at this website. Key contacts www.nhsdirect.nhs.uk and addresses of their nearest A&E nHS Free Smoking Helpline department, Gp, dentist, sexual and 0800 022 4 332 health service or pharmacy as www.smokefree.nhs.uk well as first aid and emergency emergency advice and reminders about health planning airedale general Hospital appointments and medication. Switchboard If you have an Apple iphone, ipad or - 01535 652511 ipod touch you can download the app Patient advice and Liaison services (pALs) - 01535 294019 accident & emergency - 01535 292290 interpreting Services - 01535 292811 Foundation trust Membership office - 01535 292727 Private Patients - 01535 292197 Compliments/Complaints - 01535 294015 Chaplaincy office - 01535 294088

Community Hospitals Skipton Hospital - 01756 792233 Castleberg Hospital - 01729 823515 Coronation Hospital - 01943 609666

Career in the nHS - www.jobs.nhs.uk

Voluntary Services - 01535 295316 travelling to airedale Hospital train times - 08457 48 49 50 - www.nationalrail.co.uk Bus times - 0113 245 7676 other nHS trusts nHS Bradford and airedale - 0845 111 5000 Prepared for an www.bradford.nhs.uk nHS north yorkshire and york - 0300 303 1615 www.nyypct.nhs.uk nHS east Lancashire - 01282 644700 www.eastlancspct.nhs.uk emergency… yorkshire ambulance service NHs Trust eVen though we can’t prevent care trusts, strategic health authority improvements were identified as a pandemic Flu group in December 2010. - 0345 122 0535 emergencies happening, and local ambulance trust’s emergency result of this and these are being rolled A further, more substantial revision of we can plan ahead to arrangements. We are represented out. the plan began in April 2011, subject Partner organisations minimise their impact. at cross-regional working groups and Considerable work has been to publication of revised national plans City of Bradford Metropolitan During 2010-2011, we reviewed forums to ensure that lessons learnt achieved in the area of business and planning guidance. The Trust board and district Council our emergency planning systems by other organisations are identified continuity, in particular to help us has declared compliance against a list of - 01274 431000 and processes to make sure they and implemented appropriately to manage pandemic flu. We have action points issued by the Department - www.bradford.gov.uk are fit for purpose and the Trust within our Trust. The plan is regularly managed to overcome a number of of Health and has formally published a north yorkshire County Council is in the best position to respond tested and continuously updated in challenges to develop contingency statement that we are prepared for any - 0845 034 9410 to a major accident, pandemic response to any need for changes. plans to deliver services relevant increase in demand of our services. - www.northyorks.gov.uk flu, or major business disaster. to other emergency situations. We have also provided the strategic Lancashire County Council Communications and live tests Success Airedale’s ‘surge plan’ - the Health Authority with assurance - 0845 053 0000 of our major incident plan were Airedale Hospital has been successful operational plan for managing that we have developed and - www.lancashire.gov.uk carried out to comply with national in: pandemic flu, underwent significant implemented robust plans; including Craven district Council regulations set out in the Civil l carrying out communications tests revision in response to the national l learning from each other and past - 01756 700600 Contingencies Act 2004 and NHs in May 2010, November 2010 and guidance which included testing it. experiences www.cravendc.gov.uk Emergency planning Guidance 2005. February 2011 In July 2009, the Trust board were l arrangements to cope with “mass Pendle Borough Council During major incidents we work l holding a “live” major exercise given assurance that we could receive casualties” - 01282 661661 closely with teams from the emergency in February 2011. This was based potential flu cases, maintain them in l planning for fuel shortages and www.pendle.gov.uk services, health and social care on a scenario of an explosion in isolation from other patients as required harsh Winters. organisations within our area and other theatres, and required us to quickly and double critical care capacity. Finally, an internal audit of Voluntary organisations agencies to prepare for the unexpected. evacuate patients and staff injured The plan was further revised following Business Continuity arrangements Keighley Volunteer Services Our Trust MAJAX emergency plan in the explosion. patients and staff a multi-agency exercise in October was carried out in May 2010 and - 01535 609506 has been recently reviewed and were successfully evacuated and 2010 to improve paediatric critical care we were assessed as being well integrates our neighbouring primary treated appropriately. A number of arrangements and approved by the prepared for an emergency. 14 ANNUALReCORD Putting patients first

the past year has seen the Foundation trust build on the previous year’s performance. not only did we finish the year having achieved national targets, we also met our PCt’s local quality standards. in november 2010, we were again awarded the title of dr Foster Small trust of the year – the fourth time the Foundation trust has received this accolade in five years, and in recognition of the Performance Foundation trust’s excellent contribution to quality care in the nHS. Continuing to put patients first and developing improvements to quality and safety have been the top priority in 2010/11. How are we doing? Beware danger How the Foundation trust is monitored

MONITOR requires each Foundation with an annual and quarterly risk l finance (rated 1-5 where one potential need for regulatory action of falls Trust board to submit an annual rating, which are designed to represents the highest risk and five the is considered on a case-by-case basis. plan and both quarterly and ad hoc indicate the risk of a failure to comply lowest); and This also applies where a Foundation reports. performance is monitored with the terms of authorisation. l mandatory services risk rating Trust is performing well, for example, against these plans to identify where Three risk ratings are published for (services the Foundation Trust moving from the usual quarterly potential and actual problems might each NHs Foundation Trust on: is contracted to supply to its monitoring to six-monthly monitoring. arise. Monitor publishes quarterly and l governance – rated red (poor), red/ commissioners). Monitor’s analysis of our submissions annual reports on these submissions amber (below average), amber/green Based on these risk ratings, the and the Foundation Trust’s current and assigns each Foundation Trust (above average) or green (good); intensity of monitoring and the ratings are set out below: NATIONAL sURvEYs THE Foundation Trust welcomes and nurses – and for its provision of same since 2007, when the last maternity the opportunity to take part in a sex accommodation such as designated survey was conducted, there has range of annual national patient sleeping areas and bathroom facilities. been a significant increase in the surveys that are initiated by the Care A national maternity survey was also number of births at Airedale and Quality Commission. This is an ideal undertaken during 2010 and the results it is thanks to the maternity team, way of obtaining regular patient were published in December 2010. that despite this increase, the 2010 feedback as a means of seeking to Over 25,000 women who had given survey has been mainly positive. improve our patient experience. birth in January and February 2010 Airedale was in the top 20 percent The results of the 2010 inpatient responded to the survey. All women, for four questions which were: survey, which was conducted between aged 16 or over, who received care ✔ choice of where to give birth; september 2010 and January 2011, from an NHs Trust in England, and who ✔ choice of home birth; IT Is EsTIMATED that falls affect were published by the Care Quality had either given birth in a hospital, ✔ prompt timing of suturing of 33 percent of people over the Commission in April 2011. birth centre, maternity unit or at home, episiotomy or tear; and age of 65 and can often result in The survey looked at the were eligible to take part. participants ✔ the timing of women having skin-to- countless hospital visits, creating experiences of over 66,000 people were asked about all aspects of their skin contact with their baby. a huge demand on the NHs. who were admitted to hospital maternity care, including the first time A programme of work to address the Health bosses are continuing to urge with at least one overnight stay. they saw a clinician and the quality areas identified for improvement in the residents to be aware of the dangers The Foundation Trust scored well for of care provided at their home in the inpatient and maternity survey reports of falls – particularly the elderly. admission to hospital, its staff – doctors weeks following the birth of their baby. will be addressed during 2011/12. In some unfortunate cases, after a serious trip or fall, people are moved into residential care reaL tiMe inPatient SurVey for the rest of their lives. reguLatory ratingS THE Foundation Trust continued Foundation Trust’s volunteers who two volunteer events, which have Medical director, Andrew Catto, performance against the to implement its own real time assist patients being discharged proved a useful way of sharing said:“The more falls a person 2010/2011 Monitor Compliance inpatient survey in 2010/11 as that day to complete the survey. experiences and refining the has, the more reliant on the NHs Framework for the year was a means of helping staff make The project is now overseen by way the survey is conducted. services they become, which can rated green (good). The improvements to the care and a sub-group, whose members The survey is now being result in a loss of independence Foundation Trust achieved a services that are provided to continually monitor progress. expanded into other areas and diminished quality of life. green rating for governance and patients. The survey is undertaken Two volunteers have joined the to cover maternity services “Our advice would be to make sure a financial risk rating of 3, for on a daily basis, Monday to sub-group which has proved very and physiotherapy. your living space is as free from clutter all four quarters in 2010/11. saturday, supported by the beneficial. There have also been See volunteers feature: page 8 as possible, to help minimise the risk of a trip or fall within your home. “When out and about it is also important to make sure you wear appropriate footwear. people with CANCER pATIENTs GIvE Us THE THUMBs Up elderly relatives may also ask them if they need any assistance with things IN A NATIONAL league table treatment is best for them like picking up groceries, especially measuring patient experience, ✔ a patient’s family definitely had when the weather is bad.” Airedale Hospital was placed fourth opportunity to talk to the doctor for its treatment of cancer patients. ✔ clear answers to important The new data was produced by questions were given MacMillan Cancer support based ✔ hospital and community staff on Department of Health research always worked well together ❝ in a national and compared hospitals across ✔ patients were given the right the country. It looked at whether amount of information about league table patients were given the right their condition and treatment. measuring patient emotional support and if there were The 2010 National Cancer enough nurses on duty rather than patient Experience survey was experience, focusing on medical treatments. designed to monitor national some of the highest scores progress on cancer care and provide airedale Hospital achieved by the Trust were for: information that could be used was placed fourth ✔ staff giving a full explanation to improve the quality of care. of the purpose of diagnostic It took place between May and for its treatment of tests and what they involved October 2010 based on data January and March 2010. questions on which our patients ❞ ✔ patients were told sensitively from patients, who had attended Airedale was one of only 12 placed us in the bottom 20% of cancer patients that they had cancer and were the Trust for cancer treatment as Trusts in England (from a total Trusts. The full report can be viewed involved in decisions about which in-patients or day cases between of 158) where there were no at www.quality-health.co.uk. ANNUALReCORD 15 Putting patients first pATIENT ENvIRONMENT AND ACTION TEAM (pEAT)

HOspITAL cleanliness and reducing the risk of healthcare associated infections both continue to be high DIET and nutrition are a vital part of a patient’s priorities for the Foundation Trust. Our patient Environment Action Team (pEAT) assessments carried out health and help you to recover from ill health. The in 2010/11 continue to demonstrate that Airedale provides a clean environment for patient care. Foundation Trust continues to provide a high standard We continued to maintain improvements made last year and our pEAT score was rated as ‘good’ for of catering for our patients and staff, with food being the environment and ‘excellent’ for providing care linked to issues related to privacy and dignity. rated as ‘excellent’ by our pEAT assessment in 2010/11.

good

eXCeLLent eXCeLLent

enVironMent PriVaCy&dignity Food

CLeaner and SaFer We have continued to make sAFER improvements in reducing healthcare acquired infections. pATIENT Our MRsA rates have reduced from 12 in 2008/09 to just three INITIATIvE (hospital acquired) during 2010/11. The hospital has not had a hospital acquired MRsA bacteraemia since Can I get involved August 2010. For Clostridium FOLLOWING completion of The difficile, the number of people safer patient Initiative 2 (spI2), in shaping my local affected has reduced to 16 hospital we have continued using the acquired cases this year, compared methodology learnt in spI2. health services? to 27 the previous year. We also As agreed with the Institute received confirmation from the of Health Improvement Healthcare Commission that and Health Foundation we our hospital was fully compliant are continuing to report with its statutory duties in the our safety and quality data Hygiene Code, following an on a monthly basis. inspection in June 2010. This, in turn, allows Our matron for infection us to take advantage of When can I prevention works closely with the wealth of expertise all staff, the chief nurse and the offered by the Institute and expect to get director of infection prevention Health Foundation and the and control in order to ensure structured data reporting my operation? that we provide best practice in mechanisms already in place. infection prevention and control. Important patient safety initiatives aimed at achieving even further reductions in the number of How can the healthcare acquired infections SuPPorting have been introduced. These NHS Constitution include enhancing staff training to SaFe, QuaLity improve hand hygiene; developing help me? up-to-date information for both Care patients and staff; and training The NHS Constitution recognises and assessing our staff. the following departments how important it is for you to have continue to work with a say in your care. Afterall, the NHS the director of nursing belongs to us all. and her team to help StateMent in reSPeCt support the delivery of That’s why the NHS Constitution has oF inForMation high quality, safe care. been created - to let you know what goVernanCe SeriouS l risk Management you can expect from the NHS, how you untoWard inCidentS l Complaints management can support it, and what you can do There were no Information and PaLS to make sure your voice is heard. Governance serious Untoward l nursing Practice Incidents in 2010/11. development team Find out more at: During 2010/11 the role of l Patient and Public www.nhs.uk/nhsconstitution senior information risk owner involvement or ask your GP (sIRO) was the responsibility l infection Prevention 302193 1p 20k March 10 of the medical director. l Safeguarding 16 annualReCORD Our Annual FINANCIAL REVIEW Reports and OUR FINANCES 2012 and will ensure that the hospital has a sufficient and secure The Foundation Trust once more delivered an operating surplus supply both for its current needs and also for any developments Quality Accounts and ended the 10 month period as a Foundation Trust and planned for the future. We have also focused effort on enhancing financial year with a financial surplus of £176,000, although medical and surgical equipment at a cost of over £171,000. are available on impairments of £283,000 caused by the change to ‘modern equivalent assets’ valuation techniques resulted in a technical ACCOUNTING POLICY deficit of (£107,000.) These results are due to implementing There has been a change in accounting policy in respect of our website at cost improvement plans and new ways of working during impairments, in so far as impairments should be changed to the year, and will continue next year and beyond. the income and expenditure account, where loss of economic www.airedale- benefit, causes a reduction in value. As the Foundation Trust’s Quality Accounts/ INCOME AND EXPENDITURE revaluation was caused by a reduction in market value, the loss Total income from continuing activities for the 10 months is charged firstly to any positive revaluation reserves and the Finance trust.nhs.uk to the year end at 31 March 2011 was £106.54 million. An balance is charged to the income and expenditure account. analysis of this is shown on the following pages. PRIVATE PATIENTS CASH Under the terms of authorisation, the Foundation Trust’s proportion The Foundation Trust had a cash balance of £5.162 million at the of income from private patients should not exceed the proportion close of the financial year, which was in line with original plan. of total income achieved in 2002/2003. The allowable proportion OUR FIRST for the Foundation Trust is 1.9 percent. The private patient income BORROWING LIMIT for 2010/11 was £495,000, representing 0.51 percent of the At 31 March 2011, the Foundation Trust has a total borrowing Foundation Trust’s total patient related income. The Foundation limit, set by Monitor, of £23.6 million. This is the amount of Trust is therefore compliant with this statutory obligation. QUALITY ACCOUNTS money the Foundation Trust can borrow based upon a detailed financial risk assessment. Included within this is a working capital COST IMPROVEMENT PROGRAMME (CIP) Last year we published our first annual Quality Account – a document which facility of £10 million. As forecast, the Foundation Trust did not A formal cost improvement programme (CIP) was approved for sets out an overview of the quality of care we provide and how we plan to need to utilise any of its borrowing limit during 2010/11. 2010/11, which set targets and actions plans aimed at improving improve over the coming year. efficiency. The CIP was monitored monthly and achieved £3.4 million This year’s Account, published 6 June 2011, reports on the progress we MONITOR RISK RATING recurring plus £4.1 million non-recurring against its target savings Monitor, the independent regulator for NHS Foundation Trusts, of £5.2 million recurring. Examples of higher value schemes are: have made against our 2009/10 priorities and includes information about our assesses the financial risk of Foundation Trusts using a rating whereby l departmental skills mix review £1.4 million community services which transferred to us on 1 April 2011. It is a blueprint for one is significant and five is no financial risk. Airedale became a l reduction in bed base £287,000 shaping priorities for service and operational planning. Foundation Trust on 1 June 2010. The Foundation Trust achieved a l reduction in utility expenditure £75,000. Our stakeholders were consulted on its development to make sure that we financial risk rating of three at the end of 2010/11. Details of any post balance sheet events are provided in note 22 of the accounts. COUNTERING FRAUD AND CORRUPTION stay close to what matters most to our patients and users. Following on from The Foundation Trust complies with the Secretary of State’s directions a public event in 2010, a further meeting was organised in January 2011 Annual on counter fraud measures issued in 2004. The Foundation attended by representatives from the Local Involvement Networks, the Local Plan Q1 Q2 Q3 Q4 Trust has a reporting concerns and whistleblowing policy which 2010/11 Authority (Overview and Scrutiny Committees), commissioner representatives, incorporates counter fraud measures. A specific counter fraud Financial and corruption policy was also established in 2010/11. the Trust’s Patient and Carer Panel, Airedale Partnership Group and the Council 3 3 3 3 3 risk rating The Foundation Trust has a dedicated section on counter fraud on the of Governors. We have set up a Quality Account Steering Group to continue this staff intranet. Presentations were given to staff during the year about Governance Amber/ tackling fraud in the NHS and who to contact if they suspect fraud engagement. Green Green Green Green We welcome your feedback on our Quality Account, in particular your risk rating Green has been committed. Articles are also published in our weekly staff briefing. To support ongoing awareness among staff, the local counter suggestions for priorities for 2010 / 2012. FINANCIAL OUTLOOK fraud specialist also attends staff events to promote awareness. Our Annual Reports and Quality Accounts are available on our website at In our long term financial planning we have considered a range www.airedale-trust.nhs.uk of severe financial possibilities given the current economic CHARITABLE FUNDS climate, and we believe the Foundation Trust can withstand the The Board acts as trustee of the Airedale NHS Foundation Trust impact of these possibilities. The Foundation Trust will however charitable funds. The Foundation Trust’s charitable funds are Our priorities for 2009/2010 be expected to improve overall efficiency by eight percent in operated for the benefit of the staff and patients in accordance Our top three local priorities around patient safety, clinical effectiveness and patient 2011/12 and five percent in each of the following two years. with the objects of the charity. The funds are used for the experience were: The Foundation Trust has now managed to achieve financial purchase of equipment and the provision of amenities for both l reduction of slips, trips and falls suffered by patients admitted to our hospital balance for five successive years, and the Board remains patients and staff, in accordance with the objects of the charity. l determined to deliver efficiency improvements to ensure The Foundation Trust received a number of very generous donations an Accident and Emergency (A&E) streamlining project to reduce the length of the long term sustainability of the Foundation Trust. throughout the year, from many parts of the community for stay in this department including the time before patients are initially assessed which it is very grateful. The Friends of Airedale and Airedale New l to receive real time feedback from patients just as they are leaving hospital in a CAPITAL INVESTMENT ACTIVITY Ventures were again very supportive in their fundraising efforts. bid to improve their care The Foundation Trust’s capital programme has invested over £4.5 During the year we bought a large number of items of equipment million in 2010/11 to improve its buildings and equipment. The and enhancements to fixtures and fittings for the wards and Other priorities were: largest single significant investment has been to replace the electrical departments within the Foundation Trust using charitable funds. l eliminating mixed sex wards so that patients never share sleeping areas with systems and wiring across the entire hospital site. Over the life A full set of accounts relating to charitable funds is members of the opposite sex of the project, expenditure will be in the region of £8 million. available from the director of finance at the address l maintaining our success in preventing infection The work began in September 2010 and will be completed in shown on the final page of this report. l introducing a ‘rapid improvement programme’ to help children with cancer.

Our new priorities are: l using telemedicine to improve the overall health of people with long-term STATEMENT OF COMPREHENSIVE INCOME FOR THE PERIOD ENDED conditions NHS Trust Foundation Trust l introducing an ‘enhanced recovery programme’ to improve the experience and wellbeing of patients who need major surgery. This is funded by the Department of 12 months 2 months 10 months 12 months 2009-10 2010-11 2010-11 2010-11 Health and backed by the National Cancer Action team. Its aim is to make sure the £000 £000 £000 £000 patient is in the best possible condition for surgery, their operation is managed in the best possible way and they receive excellent aftercare Revenue l improving the nutrition of people who suffer from dementia as this issue features Revenue from patient care activities 111,745 19,041 106,543 125,584 in the recent Health Service Ombudsman’s ‘Care and Compassion’ report Other operating revenue 13,079 1,964 1,964 l transforming our new community services including the Airedale collaborative care team, community support services and specialist nurses to make sure our Operating expenses (126,855) (20,667) (105,287) (125,954) patients receive high quality, personal care, close to their homes. Operating surplus/(deficit) (2,031) 338 1,256 1,594 Finance costs: Progress made Investment revenue 31 5 18 23 Our falls rate is higher than the national average and so we have: l bought monitoring alert systems to help reduce the number falls Other gains and losses (33) 0 0 0 l developed a ‘falls’ dashboard to provide up-to-date information on the number Finance costs (128) (22) (118) (140) of falls in each department Surplus/(deficit) for the financial year (2,161) 321 1,156 1,477 l included falls prevention and bed rail use in mandatory training l held an Airedale Fall Roadshow to demonstrate how to reduce the risk of falls. Public dividend capital dividends payable (1,598) (272) (1,263) (1,535) Retained surplus/(deficit) for the year (3,759) 49 (107) (58) We will also: NOTE The 2010/11 deficit of £107,000 contains £283,000 of impairments resulting from the Modern Equivalent l Investigate the possibility of cushioned flooring in high risk areas Asset valuation of the Foundation Trusts land and buildings which was effective from 31 March 2011. Without l Supply bed and chair alarms for high risk patients. this element of expenditure the Foundation Trust would have delivered a surplus of £176,000.

We have separated the more straightforward cases which come into A&E so that we can better focus on caring for the acutely ill patients. We are: l expanding the department to include a Clinical Decision Unit for patients with certain conditions, such as head injury, deep vein thrombosis and chest pain, to reduce their stay in hospital l piloting a new software package to improve patient tracking and communication around patient management.

A survey is carried out by volunteers in every medical and surgical ward on a daily basis to help patients who are due to be discharged to complete a questionnaire on a portable computer about how they feel about their care. Their views are used to improve services. We are now: l extending the real-time survey to physiotherapy service, maternity service and the haematology and oncology day unit l using robust systems to record changes that have taken place to show that we are listening to patients and acting on their feedback. annualReCORD17 INCOME AND EXPENDITURE

STATEMENT OF FINANCIAL POSITION The following statement details the financial situation of the Trust at the end of the two month BETTER PAYMENT PRACTICE CODE - Measure of Compliance period. At the end of May 2011 the Trust held property, plant and equipment valued at £56 million and £13.7 million net current assets. Within the current assets, the trust held cash amounting to Number £7.65 million at the period end. At the formation of NHS Trusts, assets (land, buildings, equipment Total Non-NHS trade invoices paid in the year 5334 and working capital) transferred to the new Trusts. The value of these assets is in effect the public’s equity stake in the Trust and is known as Public Dividend Capital (PDC). It is similar to company Total Non-NHS trade invoices paid within target 5089 share capital and as with company shares, a dividend is payable to the Department of Health. It is calculated at 3.5% of forecast net relevant assets. At the end of May, the Trust had £44 million PDC. Percentage of Bills Paid Within Target 95.4 Total NHS trade invoices paid in the year 191 Finance STATEMENT OF Total NHS trade invoices paid within target 165 FINANCIAL POSITION As at 31.05.2011 As at 31.03.2010 Percentage of Bills Paid Within Target 86.4 £000's £000's Non-current Assets 56,671 57,472 STATEMENT OF CASH FLOWS Current Assets 13761 13,858 2010/11 SUMMARY FINANCIAL £000's Current Liabilities (10,890) (11,769) POSITION Cash flows from operating activities Total Assets less Current Liabilities 59542 59,464 2010/11 2009/10 10 12 months Operating surplus/(deficit) 338 Non-current Liabilities (7225) (7,283) months £000's Depreciation and amortisation 771 Total Assets Employed 52,317 52,278 Turnover 106,543 124,824 Impairments and reversals 0 Retained (107) (3,759) Transfer from donated asset reserve (10) Surplus / Financed by:- (Deficit) Interest paid (17) Public Dividend Capital 44319 44,319 Dividends paid 0 Revaluation Reserve 12,620 12,620 Movement in working capital 273 Our Annual Reports Donation Reserve 547 557 Interest received 5 Income & Expenditure Reserve (5,169) (5,218) Payments for property plant and equipment (598) and Quality Accounts Total Taxpayers Equity 52,317 52,278 Other capital receipts 0 are available on our

Capital element of finance leases and PFI website at www. Increase in Cash 762 airedale-trust.nhs.uk These financial statements might not contain sufficient information for a full understanding of the Trust's financial position and performance. A full set of the Trust’s accounts can be obtained by emailing: [email protected].

INCOME AND EXPENDITURE STATEMENT OF FINANCIAL POSITION AS AT:

Total income from continuing activities for the 10 month period 1 June 2010 to 31 March 31 May 2010 31 March 31 March 2011 was £106 million. An analysis of this income is shown below. 2010 £000 £000 2011 £000 Non-current assets

Property, plant and equipment 56,942 56,176 52,896 INCOME ANALYSIS Intangible assets 0 0 0 10 months Income % £000 Other financial assets 0 0 0

n A&E 4,115 3.9% Trade and other receivables 530 495 471

n Education & Training 457 0.4% Total non-current assets 57,472 56,671 53,367 n Elective 19,499 18.3% Current assets n Non Elective 34,831 32.7% Inventories 2,255 2,216 2,264 n Other 7,796 7.3% Trade and other receivables 4,716 3,895 4,557 n Outpatients 14,155 13.3% Other financial assets 0 0 0 n Private Patients 495 0.5% Other current assets 0 0 0 n R&D 457 0.4% Cash and cash equivalents 6,887 7,650 5,162 n Other Clinical Income 24,738 23.2% 13,858 13,761 11,983 Total 106,543 100.0% Non-current assets held for sale 0 0

Total current assets 13,858 13,761 11,983

Total assets 71,330 70,432 65,350

Current liabilities

EXPENDITURE ANALYSIS Trade and other payables 10,656 9,774 9,276 10 months Expenditure % £000 Other liabilities 139 139 139 n Medical Staff 21,025 20.0% Borrowings 77 77 77 n Nursing Staff 20,772 19.7% Other financial liabilities 0 0 n Other Staff 32,969 31.3% Provisions 897 900 480

n Drug Costs 5,681 5.4% Net current assets/(liabilities) (2,089) (2,871) (2,011) n Clinical Support 9,699 9.2% Total assets less current liabilities 59,561 59,542 55,378 & Services Non-current liabilities n Other Costs 11,371 10.8% Borrowings 1,037 1,024 960 n Depreciation 3,770 3.6% Total 105,287 100.0% Trade and other payables 0 0 0 Other financial liabilities 0 0 0

Provisions 1,364 1,342 1,238

Other liabilities 4,882 4,859 4,743

Total assets employed 52,278 52,317 48,437

Financed by taxpayers' equity:

Public dividend capital 44,319 44,319 44,319

Retained earnings (5,218) (5,169) (5,276)

Revaluation reserve 12,620 12,620 8,961

Donated asset reserve 557 547 433

Government grant reserve 0 0 0

Other reserves 0 0 0

Total taxpayers' equity 52,278 52,317 48,437 18 annualReCORD INCOME AND EXPENDITURE Continued

STATEMENT OF CHANGES IN TAXPAYERS' EQUITY FOR THE PERIOD ENDED 31 MARCH 2011 Income and Public Dividend Capital Revaluation Reserve Donated Asset Reserve Total Expenditure Reserve £000 £000 £000 £000 £000 Balance as at 1 June 2010 44,319 (5,169) 12,620 547 52,317 Surplus for the financial year - (107) - - (107) Impairments - - (3,806) (109) (3,915) Finance Revaluations - - 147 - 147 Increase in the donated asset reserve due - - - 46 46 to receipt of donated assets Reduction in the donated asset reserve in respect of - - - (51) (51) depreciation, impairment, and/or disposal of donated assets Balance at 31 March 2011 44,319 (5,276) 8,961 433 48,437 REMUNERATION OF SENIOR MANAGERS

PENSION ENTITLEMENTS OF SENIOR MANAGERS Salary and pension entitlements of senior managers The definition of senior managers is those persons in senior positions having authority or responsibility for directing or controlling the major Name and Title 2010/11 (1 June to 31 March) 2009/10 (1 June to 31 March) activities of the NHS body. This means those who influence the decisions of the entity as a whole rather than the decisions of individual directorates or departments. The Foundation Trust has decided that this refers to just Executive and non-executive directors of the organisation. Salary Other Benefits Salary Other Benefits bonuses in kind bonuses in kind Pension Benefits (bands of (bands of Rounded (bands of (bands Rounded Name and title Real Real Total Lump Cash Cash Real Employers £5000) £5000) to the £5000) of to the increase increase accrued sum at Equivalent Equivalent Increase contribution nearest £5000) nearest in in pension age 60 transfer transfer in cash to £100 £100 pension pension at age related to value at 31 value at equivalent stakeholder at age lump 60 at 31 accrued March 2011 31 May transfer pension Mr David Adam, non executive director 5-9 0 0 5-9 0 0 60 sum at March pension 2010 value age 60 2010 at 31 March Mr Adam Cairns, Chief Executive (1) 10-14 0 0 125-129 0 0 2010 (bands (bands of (bands of (bands of £000 £000 £000 To nearest Mr Andrew Catto, medical director (2) 20-24 0 0 15-19 0 0 of £2500) £5000) £5000) £100 £2500) £000 £000 £000 £000 Mr Jeff Colclough, non 5-9 0 0 5-9 0 0 executive director Miss Bridget Fletcher, 15-17.5 45-47.5 50-54 160-165 993 790 204 0 Chief Executive (1) Mr Ronald Drake, non 5-9 0 0 5-9 0 0 executive director Dr Andrew Catto, 0-2.5 5-7.5 30-34 100-104 483 529 -46 0 medical director Mrs Debra Fairley, interim 60-65 0 0 n/a n/a n/a chief nurse (3) Mrs Debra Fairley, 2.5-5 12.5-15 20-24 65-69 330 302 28 0 interim chief nurse Miss Bridget Fletcher, 105-109 0 0 75-79 0 0 Chief Executive (4) Mrs Sheenagh Powell, -2.5-0 -2.5-0 40-44 120-124 786 852 -66 0 director of finance Mrs Sally Houghton, non 5-9 0 0 5-9 0 0 executive director Mrs Ann Wagner, 0-2.5 5-7.5 25-29 85-89 483 518 -35 0 director of strategy and business development Mr Colin Millar, Chairman 20-24 0 0 15-19 0 0

Mrs Sheenagh Powell, Note: 85-89 0 0 10-14 0 0 director of finance (5) ((1) Increased pension contributions are in line with Miss Bridget Fletcher’s change in professional status and associated salary increases commensurate with her appointment as Chief Executive on 1 November 2010 Pension costs are not available for Mr Adam Cairns, Chief Executive, who left the Foundation Trust on 30 June 2010. Mr Alan Sutton, non executive director 5-9 0 0 5-9 0 0 As non executive directors do not receive pensionable remuneration, there are no entries in respect of pensions for non executive directors. Mrs Ann Wagner, director of strategy 95-99 0 0 90-94 0 300 A cash equivalent transfer value (CETV) is the actuarially assessed capital value of the pension scheme benefits accrued by a member at and business development a particular point in time. The benefits valued are the member's accrued benefits and any contingent spouse's pension payable from the scheme. A CETV is a payment made by a pension scheme, or arrangement to secure pension benefits in another pension scheme Notes: or arrangement when the member leaves a scheme and chooses to transfer the benefits accrued in their former scheme. The pension (1) Mr Adam Cairns, Chief Executive, resigned with effect from 30 June 2010 figures shown relate to the benefits that the individual has accrued as a consequence of their total membership of the pension scheme, (2) In 2009/2010 Dr Andrew Catto’s remuneration was included for other work within the Foundation Trust. The not just their service in a senior capacity to which the disclosure applies. The CETV figures, and from 2004-05 the other pension details, disclosure for 2010/2011 now only requires other bonuses rather than other remuneration to be reported. None of include the value of any pension benefits in another scheme or arrangement which the individual has transferred to the NHS pension the directors including Dr Catto have received any bonus payments. scheme. They also include any additional pension benefit accrued to the member as a result of their purchasing additional years of (3) Mrs Debra Fairley appointed as interim chief nurse with effect from 1 July 2010 pension service in the scheme at their own cost. CETVs are calculated within the guidelines and framework prescribed by the Institute (4) Miss Bridget Fletcher appointed interim Chief Executive on 1 July 2010 and appointed substantive Chief Executive and Faculty of Actuaries. with effect from 1 November 2010. Real increase in CETV - This reflects the increase in CETV effectively funded by the employer. It takes account of the increase in accrued (5) Mrs Sheenagh Powell, appointed director of finance on 15 February 2010 pension due to inflation, contributions paid by the employee (including the value of any benefits transferred from another pension scheme or arrangement) and uses common market valuation factors for the start and end of the period.

COUNCIL OF GOVERNORS

The Council of Governors consists of 36 allowances, and other terms and the different perspectives they bring healthcare, universities, voluntary meetings and workshops. During governors - the majority, elected – who conditions of office, of the Chairman to the development of services. We organisations and local authorities. our first year as a Foundation Trust, play a vital role in the governance of the and non executive directors; have 26 governors elected by our Four of the governor seats are currently governors have become fully involved in Foundation Trust, working closely with l appointing the Foundation members (including staff members) vacant; the elected governor seats in different activities and working groups. the board of directors. They represent Trust’s auditors; through a secret ballot who represent the Lower Wharfe Valley; one of the In consultation with the Council of the interests of the Foundation Trust’s l approving changes to the the following constituencies (groups): staff seats for Allied Health Professionals Governors, the Board also appointed public and staff constituencies as well as constitution of the Foundation Trust; l Bradford Metropolitan District and Scientists; and two nominated non executive director, Mr David Adam, its members and partner organisations l being consulted on future plans of Council (five governors) seats allocated for NHS East Lancashire as the senior independent director. in the local community. These include the Foundation Trust and having the l Craven District Council and a business representative. Mr Adam’s role means he is available healthcare, universities, voluntary opportunity to contribute to them; (five governors) A ballot was held during 2010 for to governors if they have concerns, organisations and local authorities l scrutinising the ‘annual l Pendle Borough Council the appointment of a lead governor. Mr which contact through the normal under the terms of the Foundation plan’ and receiving the ‘annual (five governors) Adrian Mornin, one of the governors channels of Chairman, Chief Executive Trust’s constitution. The Council has a report’ and accounts; and l Leeds City Council (one governor) for Keighley Central, was duly elected as or finance director has failed to resolve number of statutory duties as defined l developing the membership l rest of England (one governor) lead governor. Mrs Pam Essler, appointed or for which contact is inappropriate. in the constitution which include: of the Foundation Trust. l staff and volunteers (six governors) governor, NHS Bradford and Airedale, Governors from the public and staff l the appointment (or removal) of the was appointed as deputy lead governor. constituencies are elected for up to three Chairman and non executive directors The Council also holds to account the Of the remaining 10 nominated Joint meetings are held with the board years and can serve no more than three of the Foundation Trust and approval of board of directors for its management governors, these represent the of directors to discuss and influence the consecutive terms of office (resulting the appointment of the Chief Executive; of the organisation and we value the interests of partner organisations Trust’s ‘annual plan’. Board members in a maximum of nine years’ tenure). l deciding on the pay and contribution our governors make and in the local community including also attended relevant council network See feature on page 9. annualReCORD 19 DIRECTORS’ REPORT

STATEMENT OF CHANGES IN TAXPAYERS' EQUITY FOR THE PERIOD ENDED 31 MARCH 2011 The Board of Directors is responsible Non executive director and deputy Non executive director – for exercising all the powers of chairman – Mr Alan Sutton Mr Ronald Drake Income and Public Dividend Capital Revaluation Reserve Donated Asset Reserve Total the Foundation Trust and is the Mr Sutton was appointed in 2003. Mr Drake was appointed in February 2007. Expenditure Reserve £000 £000 £000 £000 body that sets strategy, allocates His term of office would have expired At the Council of Governor’s meeting £000 the Foundation Trust’s resources in September 2010 however in line on 26 January 2011, the governors Balance as at 1 June 2010 44,319 (5,169) 12,620 547 52,317 and monitors its performance. with Monitor guidance, Mr Sutton’s reappointed Mr Drake for a three year appointment was extended for a further term of office to January 2014. Surplus for the financial year - (107) - - (107) Its role is to: 12 months from 1 June 2010. At the He has over 30 years experience as Impairments - - (3,806) (109) (3,915) l note advice from, and consider the Council of Governor’s meeting on 26 a qualified solicitor and is a Partner Revaluations - - 147 - 147 views of, the Council of Governors; April 2010, the governors reappointed of a national legal practice. Mr Drake l set the strategic direction and Mr Alan Sutton for a final term of has been a part-time employment Increase in the donated asset reserve due - - - 46 46 leadership of the Foundation Trust; office of 12 months to 1 June 2012. tribunal judge for over 10 years. to receipt of donated assets l ensure the terms of authorisation Alan is currently a part-time university Ronald is chairman of the quality and Reduction in the donated asset reserve in respect of are complied with; examiner and lay chairman for Leeds safety assurance committee and member - - - (51) (51) depreciation, impairment, and/or disposal of donated assets l set organisational and University Medical Deanery. Alan was of the remuneration and terms of service operational targets; previously employed as assistant principal committee and finance, performance, Balance at 31 March 2011 44,319 (5,276) 8,961 433 48,437 l assess, manage and minimise risk; of Bradford College and has experience of quality and investment committee. l assess achievement against strategic planning and capital investment. the above objectives; Bridget Fletcher, Airedale Hospital’s Chief Executive, receiving 40 Top Hospitals Alan is member of the remuneration Non executive director – l ensure that action is taken CHKS (an independent provider of healthcare intelligence and quality and terms of service committee, Mrs Sally Houghton to eliminate or minimise, as appointments and remuneration Mrs Houghton was appointed in appropriate, adverse deviations improvement services) award from Sarah Moss, CHKS business manager. committee, board appointments February 2006. Her current term of from objectives; and committee, finance, performance, quality office is due to end in February 2012. l ensure that the highest standards of EXECUTIVE DIRECTORS also head of the Bachelor of Medicine and investment committee and the Sally is a qualified accountant and corporate governance are applied and Surgery degrees at the University quality and safety assurance committee. has over twenty years experience in throughout the organisation. Chief Executive of Leeds. He joined Airedale in 2005 multi-national manufacturing and Miss Bridget Fletcher was appointed having been involved in clinical research Non executive director and senior engineering companies, some of The Board is made up of five executive Chief Executive on 1 November 2010. since 1993 and a senior lecturer in independent director – Mr David Adam which was at finance director level. directors and six non executive directors This followed a period as Interim Chief medicine between 2000 and 2005. Mr Adam was appointed in February 2007. Sally is chair of the audit committee including the Chairman. It also has Executive following the resignation of Mr At the Council of Governor’s meeting and the Airedale NHS Foundation two associate directors – the director Adam Cairns on 30 June 2010. Previously Director of strategy and on 26 January 2011, the governors Trust charitable funds sub committee. of organisational development and Bridget held the post of chief operating business development reappointed Mr Adam for a three year Member of the finance, performance, workforce and the director of operations. officer/chief nurse until her appointment Mrs Ann Wagner is director of strategy term of office to January 2014. quality and investment committee and Responsibility for the appointment as interim Chief Executive on 1 July and business development and has been He is a chartered accountant with the board appointments committee. of the Chairman and non executive 2010. Prior to this she held various senior a Board member since September 2006. almost 40 years financial management directors resides with the Council of management roles in other NHS Trusts Ann joined Airedale in September experience, including 13 years as a PLC Non executive director – Governors. The appointment and and was responsible for acute health 2006 as Director of Corporate finance director with two publicly listed Mr Jeff Colclough remuneration committee, which services and professional nursing services. Development, since when her portfolio companies. Mr Adam previously worked Mr Colclough was appointed in comprises four members of the Council has developed and now encompasses as finance director in a number of large February 2006. His current term of and two non executive directors plus the Chief nurse growing market share for Airedale. Her UK plc subsidiaries and has also held office is due to end in February 2012. Chairman, is responsible for bringing Mrs Debra Fairley joined Airedale in previous experience includes holding a the post of chief executive of a large Jeff has over 25 years DTI experience recommendations to the Council. The September 2007 as deputy director of number of executive director roles at the educational supply company. He has both in the UK and overseas and was committee may have an independent nursing. She qualified as a registered Strategic Health Authority where she was also held non executive director roles in Chief Executive of Business Link for seven assessor in attendance if appropriate. general nurse in 1986 at Hartlepool responsible for service improvement and three UK companies as well as being a years. He currently runs his own business Non executive director appointments General Hospital and moved to Leeds. performance development. Ann was the pension fund trustee for over 20 years. and management consultancy firm. are now for a term of three years, in In her nursing career, she has worked executive director lead with responsibility Alan is member of the audit He is Chair of Yorkshire Forward Regional line with Monitor’s code of governance. mainly in intensive care, holding several for achieving Foundation Trust status. committee, remuneration and terms ICT Business Group for Digital 20/20, and Following this term and subject to senior posts in neurosurgery, cardiology of service committee, appointments was regional champion for UK Online satisfactory appraisal, a non executive and critical care at Leeds hospitals. In and remuneration committee, for Business between 2002 and 2005. director is eligible for consideration by 2000, she obtained a regional research NON EXECUTIVE DIRECTORS finance, performance, quality and Jeff is member of the audit the Council of Governors for a further training fellowship which was undertaken investment committee and board committee, finance, performance, uncontested term of office of three at the Medical School at the University of Chairman – Mr Colin Millar appointments committee. quality and investment committee years. The removal of the Chairman Leeds, where she became an honorary Mr Colin Millar was appointed in and the remuneration and and non executive directors requires lecturer. She was appointed to the post December 2005 and his current term of terms of service committee. the approval of three-quarters of the of interim chief nurse on 1 July 2010. office is due to expire in November 2013. Council of Governors and should be Debra took up the role of interim Colin’s early career was in marketing in accordance with the procedures chief nurse, after Bridget Fletcher with an international consumer goods BOARD OF DIRECTORS - MEETINGS set out in the Trust’s constitution. was appointed interim Chief company, principally in the UK but also Attendance at meetings 2010/11 The Board considers that all the non Executive, on 1 July 2010. in Japan and East Africa. Subsequently executive directors are independent. he held senior marketing appointments Members Board of Finance Audit Remuneration QSAC Directors Committee Committee Committee Executive directors are appointed Finance director in the financial services sector. Latterly, by the non executive directors. The Sheenagh Powell joined Airedale as he owned and ran a market research Colin Millar 12/12 6/6 3/3 5/6 Board may delegate any of its powers director of finance in February 2010 company supplying information to David Adam 11/12 6/6 5/5 to a committee of directors or to an from NHS Doncaster where she recently companies and trade organisations executive director and these matters held the post of director of finance. Her throughout the world. He is non Jeff Colclough 12/12 5/6 4/5 3/3 are set out in the ‘scheme of decisions’ portfolio has recently been expanded and executive director of a regional building reserved to the Board and the ‘scheme now includes planning, performance and runs his own business and management Ron Drake 11/12 4/6 3/3 6/6 of delegation’. Decision-making for the IT as well as estates and procurement. consultancy firm. He has held a Sally Houghton 11/12 5/6 5/5 operational running of the Foundation Prior to 2006, Sheenagh held the role of number of voluntary appointments Trust is delegated to the Executive director of finance to fourP CT Boards in education and social housing. Alan Sutton 12/12 4/6 3/3 5/6 Directors Group, which comprises including NHS Doncaster, Harrogate and Colin is chair of the remuneration Bridget Fletcher 11/12 5/6 of executive directors, associate Rural District PCT. She was also a member and terms of service committee, directors and the company secretary. of the Department of Health contractor appointments and remuneration Andrew Catto 10/12 4/6 4/6 The board of directors who served stakeholders performance group. committee, board appointments Debra Fairley 8/8 2/4 5/6 during the year comprised the following committee, and finance, performance, (from July 2010) executive and non executive directors: Medical director Dr Andrew Catto quality and investment committee. Sheenagh 11/12 6/6 3/5 Dr Andrew Catto was appointed medical Member of the quality and Powell director on 1 August 2009, having safety assurance committee. previously been assistant medical director Ann Wagner 12/12 4/6 and commissioning director with the Adam Cairns 3/3 1/2 2/2 Trust. Between 2005 and 2009 he was (to June 2010)

Wales and to ensure compliance with the is established for the purposes of charity’s own governing document. overseeing the recruitment and selection process for executive directors. The COMMITTEES APPOINTMENTS AND members of the committee comprise the REMUNERATION COMMITTEE Chairman, Chief Executive (or another AUDIT COMMITTEE the appropriateness of the self-assessment effectiveness, quality of clinical practice, safety The appointments and remuneration executive director when considering the The audit committee is chaired by a non against the Care Quality Commission. of patients and patient experience. It also committee is established for the purpose appointment of the Chief Executive) and executive director – Mrs Houghton, and has provides support to the board of directors of overseeing the recruitment and selection at least two non executive directors. The a further two non executive directors in its FINANCE COMMITTEE in developing an integrated approach to processes to secure the appointments of non director of organisational development membership. The committee has an annual A separate finance committee comprising governance by ensuring implementation of executive directors (including the chairman) and workforce is in attendance to work plan which shows how it carries out its the full board of directors, and chaired by robust systems which enable the Foundation in accordance with the knowledge, skills provide specialist advice. The committee responsibilities under its terms of reference. the Chairman, meets on a quarterly basis. Trust to achieve its clinical objectives and experience approved by the board recommended the appointment of Minutes of each meeting are reported to the The focus of the committee is to ensure the of directors. The committee also oversees Miss Bridget Fletcher as Chief Executive. board along with any recommendations by overall financial health of the organisation CHARITABLE FUNDS SUB COMMITTEE the review of remuneration levels of the This appointment was approved by the the chairman of the audit committee. The whilst ensuring that quality, performance The charitable funds sub committee, chairman and non executive directors. The Council of Governors in January 2011. committee reports to the board of directors and investment is not compromised. chaired by Mrs Houghton, non executive committee makes recommendations to the through an annual report on its work in director, acts on behalf of the Foundation council of governors on the appointment REMUNERATION AND TERMS support of the statement of internal control, CLINICAL QUALITY, SAFETY AND Trust in its capacity as corporate trustee. of non executive directors (including OF SERVICE COMMITTEE specifically commenting on the fitness for ASSURANCE COMMITTEE The purpose of the committee is to give the Chairman) of the Foundation Trust The remuneration and terms of service purpose of the assurance framework, the The clinical quality, safety and assurance additional assurance to the board of and the Chairman and non executive committee is established to determine completeness and embeddedness of risk Committee, chaired by Mr Drake, non directors that its charitable activities are directors remuneration levels. the remuneration of executive management in the Foundation Trust, the executive director, provides the board within the law and regulations set by the A separate nominations committee, named directors and senior managers not integration of governance arrangements and of directors with assurances of clinical Charity Commission for England and the board appointments committee, covered by Agenda for Change. 20 ANNUALReCORD On your marks… get set… raise lots of money

A GROUp of staff from Airedale NHs for the Great North Run on 19 Foundation Trust who set up a running september – including eight club to get fit and raise funds have given consultants – alongside nurses, more than £14,500 to a local hospice. dieticians, pharmacists, physiotherapists, The Airedale Dodgers, a fun and Gps, healthcare support workers friendly running group based at and even a few managers. Airedale Hospital, took part in the All levels of runners joined the Great North Run in september 2010 club, including many complete Sport and fitness to raise funds for sue Ryder Care. beginners, and regular training took The club, lead by Chris Healey, place on weekday evenings after From exercise a consultant gastroenterologist at work from the hospital grounds. Airedale, was formed after an original As well as raising money by getting classes to idea from Andy pettit, another sponsors for the Great North Run, club sponsored runs - consultant physician at the hospital. members also entered other running The main aim of the club, apart from events including the Keighley 10K, the here is the sports getting fit, was to raise at least £5,000 Bradford Millennium Relay and the for their local hospice, Manorlands at Jane Tomlinson’s Leeds 10K on 4 July news for 2010/11 Oxenhope, which plays an important - with four runners dressed as dodgers part in the local health care community. baseball players and their cheerleaders The dodgers had 34 entrants to celebrate the Us national holiday. Exercise class helping new mums to get fit A kick start to AN EXERCIsE class to help new feel confident that they won’t mums get back into shape is push themselves too much or do being run at Airedale Hospital the wrong type of movements. fundraising on Wednesday afternoons. “The class helps new mums in The aim is to encourage mothers so many ways by encouraging them to exercise gently to regain strength to get out and about, take part in Pictured are Nathan Baker (8) in their lower abdomen muscles and some exercise and also meet other front with colleagues from keep fit, as well as lose any extra mums, and because they can bring Oakworth Juniors Football club. weight and regain their figures. their babies with them it means that Richard Hewitt (far left) and wife physiotherapist sue Hobson, at mums who don’t have relatives or Sue next to him. Cancer nurses Airedale NHs Foundation Trust, says: friends nearby can still get fit.” Pip Hill (left) and Kathy Shearer. “The class is very popular with new The babies are looked after in mums because they can bring their part of the gym where the classes babies with them, which you can’t do are run so mums are on hand if a young football team at your usual gym or exercise class. babies should need anything. raised £600 to say thank to “Our focus is on improving The class runs on Wednesday cancer nurses at airedale muscle control as well as regaining afternoons, between 12.30 and nHS Foundation trust for overall fitness and unlike a general 3.30 pm. For more details contact the top care they gave to exercise class it is tailored to the the women’s health physiotherapy one of their biggest fans. needs of new mums so they can team on 01535 293657. The Oakworth Juniors Football Club had two major charity events to boost the funds of the Haematology Oncology Day Unit (HODU) after sue This publication is also available in community languages. please Hewitt, the wife of their club contact the address, phone number or email below. secretary Richard, was treated for breast and ovarian cancer. swaps to get you Ta publikacja jest dostĊpna równieĪ w innych jĊzykach obecnych w naszej spoáecznoĞci. Prosimy o kontakt pod poniĪszym adresem, telefonem bądĨ adresem email. sue received treatment for breast cancer from April 2009 until January ei þÿƟ ïĒćuĒĂDžĉ ĺĊđïĘĀĉ ĒĂö ĒĂö ćđþĖĆđČđĠo ăđoĠđ ĈđĠÞ aĂĔgĎ ïĘĉ ĒĂĘôĉ LJïđĂđĠ, ĺĄđĂ ĂđmđĘĉ eąá 2010, and then for ovarian cancer iĘćiĘĊ ĺĈđñđĘĈđñ ïĉĂÞĔ up & about from July 2010 until May 2011. Táto publikácia je k dispozícii aj v iných jazykoch. ObráĢte sa na adresu, telefónne þíslo The events were a fundraising alebo email, ktoré sú uvedené nižšie. Try swapping 4 wheels for 2 feet party to celebrate sue’s 50th ieh pRkwSnw smwjk bolIAW ivc vI iml skdI hY[ ikRpw krky hyT id`qy pqy, Pon nMbr jW birthday and a charity match eImyl ’qy sMprk kro[ with former players to mark the

opening of a new club house. 8 ̆DhbW DsƠ ȻiWNŽk [hchB\h 5 XR ;X_ƞ V Jp. \e^ZhWj° D^Ž WjIp 8X_hp Richard, who is also one of the d^Wh\h, YsW WZ^5 D° 9-\9_p X^ dX5 D½ D^s. club’s coaches, from Oakworth, X,™‚gZ 6,é Z~ c*Ôy¯8Ôí‰ØŠnã!*$ Z{ ',Ôì[ø7ŠÌ~Vâ!*i‹ñ®) á¤Zt near Keighley said: “All the players and club members were just glad to have two brilliant opportunities Airedale NHs Foundation Trust to give something back to the Communications Team staff who provided sue with such Freepost NAT14931 fantastic care when she was ill. We steeton are delighted that she is making Keighley such a good recovery and is really West Yorkshire keen to get back to work.” BD20 6BR pat Dyminski, clinical nurse specialist said: “It is brilliant that Tel: 01535 294542 these young people have decided Email:[email protected] to support our unit. The HODU Unit is going to be refurbished A summary version of this document is also available to provide more modern facilities in large print, on audio tape or in Braille. for patients and so the funding will help to cover these costs.” If you would like to make any comments about this annual report The independent football club f r oe no such as how you would like this information to be presented in has 300 members, aged four to sac oln f r the future then please contact us using the details above. 17, and also a seniors and a ladies ChneLie team. They have just won a charter for community club of the year. Designed and produced by Integral Design and Media Ltd www.integraldesignmedia.co.uk