Blackpool Teaching Hospitals Blackpool Teaching Hospitals NHS Foundation Trust Hospitals NHS Foundation Trust Blackpool Teaching NHS Foundation Trust Community nursing Children’s clinic Community dental staff District nursing care Medical ward Neonatal outreach team Annual Report & Accounts QUALITY SAFETY PEOPLE Annual Report and Accounts DELIVERY 2012-2013 ENVIRONMENT COST Blackpool Teaching Hospitals NHS Foundation Trust 2012/13 Whinney Heys Road, Blackpool, FY3 8NR Tel: 01253 300000 www.bfwhospitals.nhs.uk Created by www.concept4.com (ref 5778-06/13), an ISO9001 Quality and ISO14001 Environmental accredited company. School nursing Accident & Emergency - Minors Women & children’s ward Blackpool Teaching Hospitals NHS Foundation Trust Annual Report and Accounts 2012-13 Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006 Annual Report 2012-2013 Contents Contents Page Chairman’s and Chief Executive’s Statement 4 Hospital Highlights 7 Directors’ Report and Business Review 13 - Our Trust 13 - Our Services 13 07 Hospital 15 Our Patients - Our Performance On Delivering Our Plans in the following Highlights activities: - Our Patients 15 - Our Staff 23 - Our Performance 35 - Our Environment 45 - Our Finances 49 - Our Future Business Plans 61 03 Board of Directors’ Report 67 26 Equality & 23 Our Staff - Management Commentary and Principle Activities 67 Diversity - NHS Foundation Trust Code of Governance 71 Profile of the Board 73 Council of Governors Report 81 Membership Report 89 Audit Committee Report 93 35 Our Performance 45 Our Environment Remuneration Committee Report 97 Nominations Committee Report 103 Annex A - Quality Report 2012/13 104 Annex B - Statement of Directors’ Responsibilities in Respect of the Quality Report 169 Annex C - External Auditor’s Limited Assurance on the Contents of the Quality Report 170 49 Our Finances 61 Our Future Business Plans Annex D - Statement of the Chief Executive’s Responsibilities as the Accounting Officer 172 Annex E - Independent Auditor’s Report To The Council Of Governors 173 Annex F - Annual Governance Statement 2012/13 175 Annex G - Accounts for the Period 1st April 2012 to 31st March 2013 i-xxxvi 81 Council of 105 Quality Report Governors Annex H - Notice of the Trust’s Annual Members and Public Meeting 228 Annual Report 2012-2013 Chairman’s and Chief Executive’s Statement We started the year as a new environment for staff and enhance the overall experience organisation responsible for hospital for our patients. Our Emergency Department underwent a £800,000 overhaul with new treatment rooms and and community services following the an improved Majors treatment area to enhance privacy transfer of community services from NHS and dignity and provide a brighter and more spacious Blackpool and NHS North Lancashire on environment. A new observation ward has also been constructed as part of this work. 1st April 2012. In January 2013 we saw the opening of a new £500,000 We see this as an extremely positive move which brings Oncology and Haematology Unit thanks to generous exciting opportunities for hospital and community donations from the hospitals charity, Blue Skies Hospitals services to work together to integrate and transform our Fund, the League of Friends of Blackpool Victoria Hospital services for the benefit of patients. and the Kay Kendall Leukaemia Fund. It has been a year of enormous challenge within the We also celebrated the news we had been successful NHS and within our Trust but also a year of considerable in securing £680,000 of funding from the Department achievement and one which our staff can be extremely of Health to create a new midwife-led unit, which will proud of. improve birth choices for mums-to-be across the Fylde coast. Earlier in the month our Women and Children’s 04 Quality and safety of patient care remained our key services were delighted to receive a visit from Health priority during the year and we are pleased to report that Minister Dr Dan Poulter, who described them as “a we have seen many improvements which have helped to shining example the rest of the country could learn raise standards. from”. We were delighted that our hard work to enhance One of the highlights of the year was the official opening patient safety and quality of care was recognised through of the £13.5m Women and Children’s unit by the League a number of national awards. In July 2012 we were the of Friends of Blackpool Victoria Hospital who donated proud winners of two prestigious patient safety awards. an amazing £2m towards the scheme thanks to a legacy The End of Life Care team won the Cancer Care category they received from two local brothers. We are extremely of the Care Integration Awards for its work to improve grateful to the League of Friends and all the charities the patient and carer experience in end of life care. The who have supported us throughout the year to fund new Trust’s ‘Knowing How We Are Doing’ project, which equipment and schemes for the benefit of patients. ensures ward staff, patients and visitors are aware of the Ward’s performance in safety areas such as infections, For those of you who have visited the Blackpool Victoria falls, untoward incidents and pressure ulcers, took the Hospital site recently you couldn’t fail to notice the huge top prize in the Data and Information Management building project ongoing. We are delighted that work is category of the Patient Safety Awards 2012. We also now well underway on our new £16.5m main entrance impressed the judges at the Nursing Times Awards with a scheme and multi-storey car park. We appreciate that scheme to help mums in Blackpool overcome post-natal this may cause some disruption to staff, patients and depression which won the Child and Adolescent Services visitors in the short-term but once it is up and running at category. the end of the year will bring an end to car parking issues and the main entrance will create a much more pleasant Our Trust, like all NHS organisations, has faced significant environment for patients, staff and visitors. financial challenge. Last year we reported that due to our financial position the regulator of Foundation Trusts, A lot of work has been done to enhance quality of Monitor, had found us to be in significant breach of patient care and we are pleased the excellent progress our Terms of Authorisation. The Trust worked extremely we have made in driving down infections has continued closely with the regulator to improve our position and with just two cases of MRSA bacteraemia between 1st we were delighted to receive official confirmation from April 2012 and 31st March 2013. We also saw rates of Monitor in May 2012 that we have been de-escalated Clostridium Difference fall to 28 compared to 53 in the from significant breach. Whilst it has been a difficult year previous year. This is a great achievement and is thanks we ended the financial year in surplus of £3.2m. (For to the hard work of staff, patients and visitors who have further detailed financial information see ‘Our Finances’ really got behind our new hand hygiene campaign. section). We have also seen significant reductions in numbers of pressure ulcers and patient falls. You can read more Despite the financial challenges we have continued to about this important area of our work in our Quality invest in new developments to improve the working Report at Appendix A. Annual Report 2012-2013 February 2013 saw the publication of the Francis report our staff and provide the right training and support they into the Mid-Staffordshire Trust which made depressing need to carry out their roles effectively. Our commitment reading for the NHS. Our Board has been working hard in this area was recognised with the reaccreditation of to ensure we have robust systems and processes in place Investors in People Gold for the third year running and to ensure our services are of high quality and are safe. our Communications Team won a national award for Following the publication of the report it was announced ‘Best Communications Team in the NHS’ for their work our Trust was one of 14 organisations be reviewed for around staff and community engagement. having high Standardised Hospital Mortality Indicators (SHMI). We have also been carrying out a huge staff engagement exercise to refresh our vision and values and set The review will seek to determine whether there are any our strategic aims for 2020 which focus on five key sustained failings in the quality of care and treatment objectives: Zero inappropriate admissions, zero patient being provided to patients at these trusts, in particular harms, zero delays, 100% of patient and carers involved seeking to identify: in decisions about their care and 100% compliance with • whether existing action to improve quality is adequate agreed patient pathways. and whether any additional steps should be taken; • any additional external support that should be made We will be working hard over the coming months available to aid improvement; and to further improve engagement with our patients, • any areas that may require regulatory action in order stakeholders and local community. We have recently set to protect patients. up a quarterly Chief Executive’s Question Time session where members of the public can meet the board and The review has been scheduled to be undertaken on the ask questions. We also use Facebook and Twitter to get 17th June 2013 in which Professor Sir Bruce Keogh will key messages out to the public and encourage feedback. publish a public report summarising the findings and With the help of our Council of Governors we will also actions.