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Cambridgeshire and Peterborough NHS Foundation Trust Cambridgeshire and Peterborough NHS Foundation Trust Annual Report and Accounts 2018 – 2019 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006. ©2019 Cambridgeshire and Peterborough NHS Foundation Trust Contents About this report ................................................................................................................................ 3 Statement from the Trust Chair ......................................................................................................... 4 SECTION 1: Performance Report .................................................................................................. 7 Overview ........................................................................................................................................... 8 Performance analysis ..................................................................................................................... 14 SECTION 2: Accountability Report .............................................................................................. 19 Directors’ report .............................................................................................................................. 20 Remuneration report ....................................................................................................................... 34 Staff report ...................................................................................................................................... 40 NHS Foundation Trust Code of Governance .................................................................................. 71 NHS Improvement’s Single Oversight Framework .......................................................................... 72 Statement of Accounting Officer’s Responsibilities ......................................................................... 73 Annual Governance Statement ....................................................................................................... 74 Voluntary Disclosures ..................................................................................................................... 90 SECTION 3: Quality Report 2018-19 SECTION 4: Annual Accounts 2018-19 2 About this report Cambridgeshire and Peterborough NHS Foundation Trust’s Annual Report 2018 - 2019, Annual Accounts and Quality Report have been prepared under a direction issued by NHS Improvement (NHSI) under the National Health Service Act 2006. The report is divided into the following sections: Introduction Performance Report Accountability Report Quality Report Auditors’ Report and Certificate Finance Report The report is based on guidance issued by the Independent Regulator of NHS Foundation Trusts, and was approved by the Board of Directors on 23 May 2019. The Board of Directors considers the Annual Report and Accounts taken as a whole, to be fair, balanced, understandable and provides the information necessary for patients, regulators and other stakeholders to assess Cambridgeshire and Peterborough NHS Foundation Trust’s performance, business model and strategy. …………………………………………………… Tracy Dowling Chief Executive 23 May 2019 3 Statement from the Trust Chair making strategic Integration and innovation have been key themes decisions about our for CPFT over the past year. limited investment resources. I and the As the Trust responsible for mental health services Board will ensure and community healthcare services for older that the voice of people and those with long-term conditions, we are those we support is extremely proud of the specialist role we have heard. within the local health system. The strategy is But we cannot operate alone. certainly a challenging one, To ensure we continue to provide the very best Julie Spence, but it was pleasing Trust Chair care for our patients and service-users, we must to see some of the ensure we work side by side with our colleagues developments we have in place and from our local acute hospitals. demonstrated to NHS Chief Executive Simon Stevens when he visited our After all, the people we support and serve just see Trust last summer – the development of “the NHS”, and any thoughts for individual a 24-hour mental health crisis helpline organisations are far down the list of importance. and mental health staff embedded within A&E departments – being rolled There has been considerable progress in out across the country. this area over recent years, but the announcement of a new children’s hospital, We were also proud that our Primary Care which will be based in Cambridge but will Mental Health Service – which has seen serve the East of England, affords us the specialist mental health staff based within opportunity to make a ground-breaking every GP practice in Cambridgeshire and leap forward. In partnership with Peterborough giving people simpler and Cambridge University Hospitals NHS easier access – feature as a case study Foundation Trust (CUH) and Cambridge within the Long-Term Plan. University, this will be a true integration of mental and physical health. The Long-Term Plan also pledges major action in the prevention and treatment of While there is still further funding to secure, physical health issues such as respiratory it will allow the children and young people’s conditions and diabetes, which is a major services operated by both CPFT and CUH boost to our dedicated teams working in to be based under one roof. those key areas. Through the involvement of the University The recognition for our services in the Long- of Cambridge, it will also be the home for Term plan followed the Trust retaining its ground-breaking science and research and “good” status after our latest inspection by will attract some of the world’s top the Care Quality Commission. scientists. This was especially welcome because it was Increased integration of mental and carried out following the introduction of the physical health services is a major part of CQC’s new inspection standards. Indeed, the NHS Long-Term Plan, which was the CQC found several areas where services published in January 2019. were judged as “outstanding”. The Long-Term plan heralds significant As part of their new inspection procedures, investment in mental health and the CQC will return again this year and we community services and it is vital that, in must ensure the examples of “outstanding” this most financially constrained health practice continue to permeate across all system, we prioritise developing out-of- parts of the organisation. hospital and mental health services when 4 My role as Chair is to lead the Board of The work of our Trust continues to be recognised Directors, which is made up of the on a national level. Trust’s Executive Directors and eight Non-Executive Directors (including two At the Royal College of Psychiatry’s annual advisory NEDs). I would also like to awards, our Recovery College East team, along thank them all for their support and with honorary consultant psychiatrist Professor contribution to the organisation over the Paul Fletcher, won the Psychiatric Communicator past year. of the Year title for their work in helping Cambridge games company Ninja Theory develop the Over the course of the last year, CEO international best-seller Hellblade: Senua’s Tracy Dowling, Keith and many other Sacrifice. In the game, the lead character, Senua, Directors, Non-Executive Directors and has psychosis. At the same awards, consultant Governors have stood alongside me at psychiatrist Dr Christopher O’Loughlin was named our Pride Awards which recognise the Psychiatric Trainer of the Year. work of our staff and teams across the organisation. A number of other services and individuals were also finalists at the awards. The Gynae Psycho- It is always great that colleagues oncology Service, which supports women with nominate their fellow team members, but their mental health following cancer treatment, it is the submissions from patients, (Psychiatric Team of the Year - all-age specialist service-users and carers that always category), Dr Graham Murray, honorary consultant mean so much both to me and to the psychiatrist, was shortlisted for the Researcher of staff members they wish to see the Year prize, while Konrad Wagstyl was honoured. nominated in the Medical Student of the Year category. This time last year we were getting ready to mark the 70th anniversary of Amid the successes of the past year, I and many the NHS and the events which were held others were saddened by the death of Elizabeth gave everyone a chance to reflect on the Mitchell. Elizabeth, who had continued to be a part the National Health Service has governor of the Trust after stepping down from her played in everyone’s lives. role as lead governor in May last year, died following a long illness. There have been enormous changes over that time, and as we look towards Liz was passionate about the work of the Trust the 80th anniversary there will be further and it is without doubt that her persistence drove changes and challenges to face. the advancement of carers being involved in our day-to-day work. But everyone who has an interest in our work and how the whole system is She understood how mental health and other long delivering healthcare across the area term conditions can impact on the lives of should be assured CPFT, working with individuals, far better than many of us ever will, our partners, will continue to provide and I know she would want us to continue to be at services to those who need them the the
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