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George Eliot Hospital NHS Trust 'Our vision is to excel at patient care' 2017/18 Annual Report and Accounts on Quality and Finance www.geh.nhs.uk @GEHNHSnews George Eliot Hospital NHS Trust Annual Report and Accounts on Quality and Finance 2017/18 - Quality and Performance Report Section 1 2 - Quality Assurance, Improvements and Financial Accountability Reports - Quality Assurance, Improvements Section 2 - Annual Accounts Section 3 George Eliot Hospital NHS Trust Annual Report and Accounts on Quality and Finance 2017/18 3 Section 1 - Quality and Performance Report Contents 04 Welcome from the 51 Quality Goal 9: 97 Directors’ report Chairman ICT infrastructure 101 Register of Interests and Chief Executive overview and improving clinical technology 103 Statement of directors’ & communications responsibilities in respect of 05 Section 01 - the accounts 53 Quality Goal 10: Quality and 104 Directors Statement Performance Report People experience 105 Remuneration report 2017/18 54 Quality Goal 11: People experience 112 Staff report Section 2 06 Trust overview improving public 122 Statement of the Chief engagement 08 Going concern statement Executive’s responsibilities and Financial Accountability Reports - Quality Assurance, Improvements Emergency preparedness 59 Quality Goal 12: Improving as the Accountable Officer staff experience of the Trust 09 Our services 124 Governance Statement 10 Our vision, values 71 Section 02 - 2017/18 and objectives Quality Assurance, 134 Financial performance 11 Highlights of the year Improvements and Financial 18 Operational 141 Section 03 - Accountability Performance Review Annual Accounts Reports 22 Quality Goals Overview: 142 Independent 23 Quality Goal 1: 72 Section 2.i - Auditors’ report Reducing avoidable harm Quality Assurance 146 Statement of and delivering safe effective 73 Statement of the directors’ Comprehensive Income for care responsibilities year ended in respect of Quality 38 Quality Goal 2: 31 March 2018 Learning from deaths 74 Statement from the 147 Statement of Chief Executive in respect 42 Quality Goal 3: Financial Position as at of Quality End-of-life care 31 March 2018 75 Statement of assurance 44 Quality Goal 4: 148 Statement of Changes from the Trust Board Ensuring that safe in Equity for the year ended staffing levels are in place 85 Independent 31 March 2018 across the Trust Auditors’ report 150 Statement of Cash 45 Quality Goal 5: 88 Statements from Flows for the Year ended Freedom to Speak Up external stakeholders 31 March 2018 Section 3 46 Quality Goal 6: 92 Section 2.ii - 151 Notes to the Accounts Seven-day services Quality Improvement - Annual Accounts 48 Quality Goal 7: Priorities 2018/19 198 Supporting Notes Proactive and safe discharge 94 GEH Quality Commitments 198 Glossary 2018/19 50 Quality Goal 8: 201 Acknowledgements Improving shared care with 96 Section 2.iii - primary and community Financial Accountability 202 Feedback form healthcare providers Reports 204 Accessibility George Eliot Hospital NHS Trust 4 Annual Report and Accounts on Quality and Finance 2017/18 Welcome from the Chairman and Chief Executive - Quality and Performance Report Section 1 This year, we are sharing our financial, Our report will also outline the difficult year business and quality performance in we have had financially and the challenge of one document by combining our Annual providing high quality, safe services within budget. Our year-end deficit is £18.0m and we Report and Quality Account. are working hard to deliver more savings next It will highlight the many quality year while keeping the needs of our patients as improvements we have made and also take our first priority. an honest look at the areas that need further focus and improvement. We are responding to the same national issues affecting the NHS of today, including an ageing It is testament to our staff that 98 per cent population and changes in treatments and of patients and their families said they would technology. We are also facing local challenges recommend the Trust as a place to receive care; such as health inequalities and increased and our list of achievements for the year is housing development, all of which contribute to impressive. A big thank you to all our staff for increasing demand and pressures in the service. their continued commitment and dedication to These pressures can only be tackled by working providing high quality safe care to our patients together as a health system across Coventry and and communities. Warwickshire and we are committed to working as part of the Better Health, Better Care, Better You will read in detail about our successes later Value partnership. in the report but some initiatives are worthy of mention here. Amongst our achievements, we are We hope you enjoy reading this new, combined particularly proud of the following: report and learning of the successes and challenges we have faced this past year, along • A new state-of-the-art Endoscopy Unit with our aspirations for the organisation during providing timely diagnostics and treatment - Quality Assurance, Improvements and Financial Accountability Reports - Quality Assurance, Improvements 2018/19 and beyond. • The lowest C-diff infection rates in the country • The consistent use of the Modified Early Section 2 Warning System trigger tool to enable early detection of the deteriorating patient • A 77 per cent reduction in the number of stillborn babies over the previous year Prem Singh • Enhanced A&E patient care with a new Chairman streaming system and Rapid Assessment Team - all within a newly refurbished and extended building Katherine Kelly Chief Executive - Annual Accounts Section 3 George Eliot Hospital NHS Trust Annual Report and Accounts on Quality and Finance 2017/18 5 Section 1 - Quality and Performance Report Section 1 Quality and Section 2 Performance and Financial Accountability Reports - Quality Assurance, Improvements Report Section 3 01 - Annual Accounts George Eliot Hospital NHS Trust 6 Annual Report and Accounts on Quality and Finance 2017/18 Trust overview - Quality and Performance Report George Eliot Hospital NHS Trust provides a Section 1 range of elective, non-elective, surgical, medical, women’s, children’s, diagnostic and therapeutic services to a population of more than Average number of employees 300,000 (whole time equivalent basis) people 2,188 Total number of beds (General & Acute) - Quality Assurance, Improvements and Financial Accountability Reports - Quality Assurance, Improvements Section 2 South West 286 Leicestershire North Warwickshire The hub of the Trust is located on the outskirts of Nuneaton and its services cover a large footprint, including North Warwickshire, South West Leicestershire, and North Coventry. North Coventry The Trust also provides a range of community services, delivered across Coventry, Warwickshire and Leicestershire. These - Annual Accounts include sexual health, smoking cessation and community dentistry services for the whole Section 3 of Warwickshire, and tuberculosis services for Coventry and Warwickshire, as well as hosting the Blue Sky Sexual Assault Referral Centre. George Eliot Hospital NHS Trust Annual Report and Accounts on Quality and Finance 2017/18 7 Section 1 - Quality and Performance Report A&E Attends 2017/18 Live Births by week for 17/18 80,831 Week Total Week Total 1 35 28 46 2 50 29 43 3 40 30 44 Outpatient Appointments 4 45 31 43 Attended 2017/18 5 48 32 42 6 43 33 44 Section 2 7 35 34 46 270,669 and Financial Accountability Reports - Quality Assurance, Improvements 8 39 35 32 9 35 36 58 10 38 37 37 Total Number of 11 32 38 42 Patients operated on 12 41 39 49 13 45 40 42 12,433 14 48 41 42 15 31 42 41 16 34 43 45 17 41 44 43 Number of X-Rays performed each year 18 34 45 44 19 34 46 39 20 30 47 49 21 47 48 39 22 30 49 43 23 40 50 50 X-ray Ultrasound CT 24 42 51 35 78,559 23,192 15,084 25 46 52 32 Section 3 26 42 53 7 27 43 - Annual Accounts Total Live Births 17/18 MRI DEXA ERCP 14,492 1,788 282 2,145 George Eliot Hospital NHS Trust 8 Annual Report and Accounts on Quality and Finance 2017/18 is ongoing on a Sustainability and Transformation Going concern Plan, which aims to address the issues of financial sustainability across the wider local health economy statement in the medium-to long-term. The Trust is also - Quality and Performance Report developing plans to improve utilisation of the site occupied by the hospital, which will generate financial benefits. The Trust has one revenue loan Section 1 In accordance with international accounting which will reach full term and be due for repayment standards, management are required to in February 2019, at which date £10.2m will be due assess whether it is appropriate to prepare to be repaid. Arrangements for repayment or rolling the accounts on a going concern basis. forward of this loan will need to be agreed with There are no plans for the dissolution of the NHSI and the Department of Health. Trust and it is anticipated that services The Board of Directors considers that the contracts will continue to be provided in the future. it has agreed with commissioning bodies and The financial statements have therefore the anticipated support from NHSI is sufficient been prepared on a going concern basis. evidence that the Trust will continue as a going concern for the foreseeable future. For this In preparing the financial statements, the Board of reason, the going concern basis has been adopted Directors has considered the Trust’s overall financial for preparing the accounts. position and expectations of future financial support. The Trust received monthly loan funding during the year totalling £18.0m. This supported the Trust’s deficit position in full and included £0.5m, which was provided to improve the Trust’s Emergency liquidity position.
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