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Annual Report 2011-2012

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Annual Report 2011-2012 Annual Report 2011-2012 University Hospitals Bristol NHS Foundation Trust Annual Report and Accounts 2011-2012 Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006 Annual Report and Accounts 2011-2012 1. Chairman’s Statement 5 2. Chief Executive’s Foreword 7 2.1 Delivering Best Care 7 2.2 Improving Patient Flow 7 2.3 Delivering Best Value 7 2.4 Renewing our Hospitals 8 2.5 Building Capability 8 2.6 Leading in Partnership 8 3. Directors’ Report 9 3.1 Principal activities of the Trust 9 3.2 Directors of the Trust 9 3.3 Independence of the Non-executive Directors 10 3.4 Statement as to Disclosure to Auditors 10 3.5 Business Review 10 (a) Our performance in 2011/12 (an overview of regulatory risk ratings) 10 (b) Review of quarterly performance 11 (c) Annual performance against national access standards 12 (d) An overview of quality 13 (e) Contractual performance 15 (f) Financial performance 17 (g) Research and innovation 25 (h) Teaching and learning 26 (i) About our staff 27 (j) Our wider role and future developments 41 (k) Impact on the environment 42 3.6 Remuneration Report 43 (a) Remuneration of Executive Directors 43 (b) Remuneration of Non-executive Directors 43 (c) Assessment of performance 44 (d) Duration of contracts 44 (e) Early termination liability 45 (f) Other information 45 4. NHS Foundation Trust Code of Governance 46 4.1 Compliance with the Code 46 4.2 Trust Board of Directors 46 Page 2 of 77 Annual Report and Accounts 2011-2012 (a) Board of Directors – Disqualification 47 (b) Members of the Trust Board of Directors 48 (c) Directors’ Interests 49 (d) Meetings of the Board 49 4.3 Committees of the Trust Board of Directors 49 (a) Directors Nominations and Appointments Committee 49 (b) Remuneration Committee 50 (c) Audit Committee 50 (d) Quality and Outcomes Committee 52 (e) Finance Committee 53 (f) Membership and attendance at Board and Committee meetings 54 (g) Performance of the Board and Board Committees 55 4.4 Membership Council 57 (a) Meetings of the Membership Council 57 (b) Governors Nominations and Appointments Committee 58 (c) Membership and attendance at Membership Council and Committee meetings 59 (d) Attendance at meetings of the Governor Working Groups 61 (e) Qualification, appointment and removal of Non-Executive Directors 63 (f) Business interests 63 (g) Performance of the Membership Council 63 4.5 Foundation Trust membership 63 (a) Membership size and variations 63 (b) Analysis of current membership 65 (c) Developing a representative and engaged membership 65 (d) Engagement 66 (e) Elections 66 (f) Membership commentary and strategy 66 (g) Members communicating with governors 68 (h) Governors by constituency – 1 April 2011 to 31 March 2012 68 5. Appendix A – Biographies of Members of the Trust Board of Directors 71 5.1 John Savage – Chairman 71 5.2 Robert Woolley – Chief Executive 71 5.3 Non-executive Directors 71 (a) Emma Woollett – Vice-Chair 71 Page 3 of 77 Annual Report and Accounts 2011-2012 (b) Lisa Gardner – Non-Executive Director 72 (c) Iain Fairbairn – Senior Independent Director 72 (d) Selby Knox – Non-Executive Director 72 (e) Paul May – Non-Executive Director 73 (f) Kelvin Blake – Non-Executive Director 73 (g) John Moore – Non-Executive Director 74 5.4 Executive Directors 74 (a) Steve Aumayer – Director of Workforce and Organisational Development 74 (b) Paul Mapson – Director of Finance 74 (c) Alison Moon – Chief Nurse 75 (d) Sean O’Kelly – Medical Director 75 (e) Deborah Lee – Director of Strategic Development 76 (f) James Rimmer – Chief Operating Officer 76 6. Appendix B – Contact Details 77 7. Appendix C – Quality Report 2011/12 8. Appendix D – Annual Accounts 2011/12 – including the ‘Annual Governance Statement’ 9. Appendix E – Independent Auditor’s Report to the Board of Governors Page 4 of 77 Annual Report and Accounts 2011-2012 1. Chairman’s Statement Welcome to the Annual Report and Accounts, including the Quality Report for University Hospitals Bristol NHS Foundation Trust for the year from 1 April 2011 to 31 March 2012. The Trust Board of Directors was pleased to welcome two new Executive Directors in the year, Dr Sean O’Kelly as Medical Director, and James Rimmer as Chief Operating Officer. These appointments completed the Board’s recruitment plan and enabled us to maintain a committed and balanced Board of Directors throughout the year. The Trust, under the leadership of the Chief Executive, Robert Woolley, has achieved a vast amount of progress during the year, as you will see outlined in this report. At the close of the year, the Trust was in a strong financial position with a financial risk rating of four, and reporting an amber-green governance risk rating to Monitor, the Foundation Trust regulator. The Board approved business cases for an extension of the Bristol Royal Hospital for Children and a new ward block for the Bristol Royal Infirmary—work on both projects has subsequently progressed well. The extension to the children’s hospital will enable all specialist paediatric services to be located together in Bristol. The new ward block for the Bristol Royal Infirmary allows us to move out of the Old Building and the King Edward Building and allows us to co-locate clinical services to provide care in the best possible hospital environment. The closure of Bristol General Hospital was a time of mixed emotions for the Trust and for the many people who have been associated with the hospital over its 180 year history. The Trust held a number of events to commemorate the work of the hospital’s staff, including a tea party for retired staff, a public open day, a decommissioning service for the chapel and a ball for staff, past and present. Whilst closing a hospital is a sad occasion, in April we became the lead provider of services at the new purpose-built South Bristol Community Hospital where care is provided much closer to home for patients, and the spirit of the Bristol General lives on. The Trust remains enormously grateful to the Above & Beyond charity, which this year donated in excess of £1.48 million to our hospitals, and to the Grand Appeal which ran the very successful and high-profile ‘Cots for Tots’ fundraising campaign, to raise over £1 million for the Neonatal Intensive Care Unit at St Michael’s Hospital. We are also very grateful to all our other charitable partners, both large and small who contributed to the life and work of our hospitals. The Trust’s commitment to providing excellent, compassionate care to the people of Bristol and beyond is evidenced by the wide range of successes and noteworthy milestones achieved in 2011/12, including: • Professor Dame Sally Davies opened the Bristol Biomedical Research Unit in cardiovascular disease and we secured £11.5 million government funding for research projects into ‘obesity and the heart’; • Professor Sarah Hewlett of the University of the West of England, whose clinical practice is based at the Bristol Royal Infirmary, was elected a Fellow of the Royal College of Nursing; • We celebrated ten years of the new Bristol Royal Hospital for Children, and recognised significant demonstrable improvements in clinical outcomes for patients; • Alan McKenzie, retired director of medical physics and bioengineering at the Trust was awarded an OBE for services to medicine in the Queen’s Birthday Honours; Page 5 of 77 Annual Report and Accounts 2011-2012 • We welcomed more than 1,500 people who visited the Trust during open days. The Bristol Heart Institute was part of the ‘Bristol Doors Open Day’ in September; the Bristol Eye Hospital ended its bicentenary year with a successful open day, and; the Bristol General Hospital held its final open day. These were wonderful opportunities for the public to gain insights into the working of our hospitals, and to talk informally to staff about their work; • We were the first acute hospital Trust to erect a 1950s-style pop-up ‘reminiscence room’ to help patients with dementia. Funded generously by the WRVS, this innovative idea has since been replicated at other hospitals; • St Michael’s hospital successfully delivered Britain’s most premature triplets, Max, Harvey and Lucas Udell, who were born at 15 weeks early and went home safely 11 days before their due date; • We submitted planning applications to Bristol City Council for the exciting new extension and welcome centre for the Bristol Royal Infirmary, and look forward to transforming this hospital into a welcoming and comfortable facility for our patients and their families and carers. As Chairman of University Hospitals Bristol NHS Foundation Trust, I offer my sincere thanks to the Trust Board of Directors, and to every member of the Trust’s staff who work hard every day to provide the best possible care to our patients. I am also grateful to the Trust’s Governors and members for their continued support and efforts in ensuring we provide the type and standard of services our patients need. All of these contributions help to shape improved health care for the people of Bristol and beyond. John Savage CBE Chairman, 29 May 2012 Page 6 of 77 Annual Report and Accounts 2011-2012 2. Chief Executive’s Foreword I am very pleased to report that University Hospitals Bristol NHS Foundation Trust continues to go from strength to strength despite the challenging economic environment. In this annual report, you will find details of our progress last year on a number of fronts including the quality of the care we give, which has led us to be named by health intelligence company CHKS for the third year running as one of the 40 best hospitals in the country.
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