The CAT’S EYE Guide to The Whittington Hospital
ANNUAL REVIEW 2007/08
written and researched by the Whittington Hospital communications and finance teams
First edition Published 2008 1 city life 3
The hospital has over 400 beds and beds 400 over has hospital The DuringWhittingtonthevisit to your highqualitywilla offers you noticethat it TheWhittington widerparta healthis of services community andworkswith As As an acute general teaching a population people, of and over also attractsnumber 300,000 of a patients high from and Hackney Barnetboroughs. As (page4). 2,000staff over employs Whittingtonthe hospital, teaching a provides for clinical medical University undergraduates College placements London a largehosts post-graduate training at and centre for junior also doctors. associated It is University, with Middlesex providing for other trainingincluding health radiographers, dieticians.and professionals nurses, hospital’s The environment. an as efficient and regarded is friendly caring, it a in and provided people’ service local for choice of hospital ‘the be to is standard asset the by community within which at is it based. both smoothly run services and care patient that ensure to organisations local the hospital and afterwards. can find You anumber of joint services cessation smoking run by including the (PCTs) Trust Care Primary the and Whittington clinics, alcohol and drug advisory services and mental health liaison services. hospital hospital on Islington, Haringey the and Camden boroughs, the Whittington borders serves of The Whittington way We understand that when visitingtheir safety and new how clean the place placeswill be. The hospital people is a welcoming are place, and concernedprides itself on about being exits and attractiveatentrances andaccessible easily are gels clean. will you find alcohol To helpinfection you to keep entering safe when from hands your clean can you use that so rather departments and would all wards who to people those for sinks of lots also are There leaving. and soap and water. City Life he Whittington is located overlooking on Highgatethe city and central Hill London. The hospital with is named after fine the famous Dick Whittington views — a 14th century adventurer Londonaccompaniedeventuallycametohis whocat,and who by
pilgrimage destination visitors for from far and near. cat on Highgate Hill, quite close to the hospital — it has become a mini- became the city’s Mayor three times. findaYou’ll statue offaithful Dick’s T 1 City life 2 1 city life 5
: The unique round ward at the What we promise What we Staff at the Whittington are are Whittington the at Staff improve to looking always by experience patient’s our fulfilling their commitmentto Whittingtonpromise: the willWe be clean willWe be welcoming and caring willWe be well organised willWe offer the best possible treatment and information you give will We listen to what you tell us former Royal Northern Hospital, Holloway Road. In 1974, became The part of Royal the Whittington Northern and now is commemorated Northern by Building. The Great Left
foundation trusts (FT) almost 2,000 beds between them. With the jointly coming they 1948, in of Service the Health National the became Whittington Hospital. The Royal Northern Holloway, also became the Hospital, partto of moved theservices its and group Whittington in 1992. Adapting for the future NHS are the future will of be how run hospitals and is the Whittington well authorised on as its hospitals are answerable to way an their local community to rather and They say in more have than government the of direction their development. FT. to central being Such are still part healthcare of free the at point delivery. of the NHS and continue its core principle of providing
. The other is for our staff staff our for is other The . 453 2,259 355 744 213 272 222
www.whittington.nhs.uk
All staff Nursing and midwifery staff support and Healthcare Scientists and allied health Estate and facilities Administration Here to help you to Here Doctors
Independently managed hospitals were opened on the Highgate site in At the At Whittington staff hardwork maketo sure our patients will always fully All our staff have undergone hand hygiene training sessions and the the hospitals on all three sites were brought together. The three hospitals had hospitals three The together. brought were sites all three on hospitals the and and the Smallpox was Hospital into transformed a home. nurses’ In 1946, adjacent to adjacent the These two Smallpox Hospital. soon amalgamated, hospitals 1866 and the Archway site in 1877. In 1900, Highgate Hill opened Infirmary Highgate In 1900, in 1877. site Archway the and 1866 Mary’s Wing site to care patients for with smallpox. when a leper hospital was founded. In 1848, a new hospital was built on the St Medical services have been delivered on the Whittington site since 1473, 1473, since site Whittington the on delivered been have services Medical History in the making their own language and in Braille. Contact the communications department on on department communications the Contact Braille. in and language own their by the trust, including this guide, are also available to patients and public in by and the this public trust, to including patients guide, are also available translators to accompany patients to appointments. Many documents published published documents Many appointments. to patients accompany to translators who who do not feel using comfortable English. The hospital can arrange for nationalities. Translation services are made available for patients and visitors and visitors patients for are services made available Translation nationalities. including Turkish, Chinese and Spanish communities—amongst many other other many communities—amongst and Spanish Chinese Turkish, including avoid medical jargon. The hospital serves a large number of ethnic minorities, understand what is going on. Staff use plain language and explanations and and they watch this on the internal staff intranet. intranet. staff internal the on this watch they and 020 7288 5983 to request a document in the language your of choice. on the hospitalsthe at on website to control infection. One is for local people and visitors and you can watch this this watch can you and visitors and people local for is One infection. control to Whittington has produced two short educational films on preventative measures measures preventative on films educational short two produced has Whittington 1 City life 4 1 city life 7
Top five treatment figures five treatment Top This year the Whittington: 78,504 in the emergency Treated department after 24,907 inpatients Looked cases 13,784 day Performed 288,873 outpatients Saw 3,738 babies Delivered (0.20 miles). Approximately 4 minute walk. Getting around Publictransport andto from the Whittington iseasy and accessible and visitors Hill. Highgate from options.manymainhavehospital’sThe Magdala entrance on theandis Avenue, accessed easily is department emergency the to entrance By tube Archway is on theIt High Barnet branch the of Northern Line. walk. minute 16 TufnellApproximately Park is on theIt High Barnet branch the of Northern Line By train Upper Holloway Railway Station Approximately minute 11 walk. Crouch Hill Railway Station Approximately 23 minute walk. Buses 271 210, 143, Whittington) the (outside STOP A MagdalaSTOP 4 B (on C11, Avenue) 43, 134, 263 41, ArchwaySTOP C (at station) 17, 10, By car The Whittington is just north the of junction the of and A1 the A400 By bicycle cycle a is London North friendly area. There are bars in bicycle also safe front of the hospital’s main Magdala entrance Avenue bicycles on to be for securely up. locked
Upper Holloway rail
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The Whittington Hospital
InDecember 2007, the Secretary State of Health for gave his approval the for Becoming the Whittington NHS Foundation Trust will benefit our patients, patients, our benefit will Trust Foundation NHS Whittington the Becoming The The hospital is on track to becoming an NHS foundation trust hospital months. They have already begun their induction and development sessions. sessions. and development begun already their induction They have months. by by partner organisations and five more will be appointed in the next few become an NHS foundation trust hospital. In the spring and summer of 2008 of summer and spring the In hospital. trust foundation NHS an become nominated been have governors five further A constituencies. staff and public Whittington to make an application to the independent regulator (Monitor) to to (Monitor) regulator independent the to application an make to Whittington patient, representing the of Governors, Council onto elected were people 19 during 2009. and advising the how hospital’s services are run and developed. Council of Governors, who work alongside the Board of Directors discussing can have. As a member, there is an opportunity for you to be elected onto the membersandthere certainlyis limitno theon numbermembers of the hospital hospital services. Over 4,000 local people and patients have already become become already have Over and 4,000 patients services. local people hospital local people and our staff by giving them a new voice in the development of in the development a giving voice them by new staff our and people local 1 City life 6 1 city life 9
Joe Liddane Chairman David Sloman Chief Executive
Finally we would like to thank all of our staff for their hard work and commitment commitment and work hard their for staff our of all thank to like would we Finally Our application to become a foundation hospital is progressing and we hope We are paying particular attention to controlling infection in the hospital and and hospital the in infection controlling to attention particular paying are We
patients and who contribute to the Whittington’s continued success. success. continued Whittington’s the to contribute who and patients over theover pastyear and the volunteers providehelptous who better services ourto your feedback about the hospital, over the coming year. and will become more engaged with all, engaged you and views and getting your more hearing will become communityengagement.recruitedhave 4,000overWe members localaspeople the staff appointed by our partner organisations to care health wider ensure by our partner organisations the appointed staff their colleagues. GPs and Councillors from our local Boroughs are amongst are amongst our from Boroughs local and GPs Councillors their colleagues. held held and our on staff the are by Council represented of four of Governors Trust Board, as either patient or public Governors. Staff elections were also Governors have been elected and 15 local people represent your views to the to views your represent people local 15 and elected been have Governors to be authorised as a Foundation Trust during 2009. Our shadow Council of Council Our shadow 2009. during Trust as a Foundation be authorised to keep patients safe from infections. infections. from safe patients keep provided our visitors with information and products that help them to help us us help to them help that products and information with visitors our provided know how to meet the very strict standards that we have set them. We have have We them. set that we have standards the very to strict meet how know all ourof staff have received specialist refresher training to make sure that they your care. buildings so that we continue to improve the environment where you receive very very new buildings we are of in investing our Victorian the redevelopment service in modern facilities. As our estate now contains a mix of very old and and old very mix a of contains now estate our As facilities. modern in service Centre, which allows us to provide our patients with a streamlined day surgery Chief Executive our Treatment new Day and opened our services to develop continued have finances have improved as have the overall quality of the care we provide. We provide. we care the of quality overall the have as improved have finances The Whittington had another excellent year. Waiting times have reduced, our our reduced, have times Waiting year. excellent another had Whittington The Statement from the Chairman and and Chairman the from Statement 1 City life 8 2 ACCOMODATION 11 day
choose and choose
(page 12). Patients and GPs can take control of booking Accommodation he Whittington offers a range of services to Patient meet choice your needs. is definitely a priority for how accessed and run our and you are a offered range services dates of and times are so that your appointment or surgery fits with your plans and , page 15). T preferences. Patients can have surgery and be back home in one day thanks day inone surgeryhome back canhave be and Patients preferences. theto modern techniques ourdoctorsused by and the efficiency our of centre treatment surgeryReservationsappointments GP theincomputer (see by book
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City life 10 2 Our Community history 13 Patients admitted to the hospital through the emergency department are first are department emergency the through hospital the to admitted Patients 20 to 15 transfers and in assessed the new Mary assesses ward and Seacole the onto ward then right transferred 15-bed busy This condition. their for ward patients each day. Records Medical patient of quantity vast adjacentLevelthe 1, clinics Opened to and 1b. 1a Junestore 2008 to small too was library notes medical old The casenotes and was relocated to newa spacious facility this year. After investing £850,000 the space is more than doubled organisedand environment.notes are This now new facilitykept in has helpeda our medicalwell- ensuretorecords thatarenotesavailable more staff quicklymore medical for staff theywhen them. need Baby care: Labour and maternity Check with clinics for opening times and days clinic, day antenatal maternity unit, include the facilities Maternity antenatal ward (Caerns Ward), the delivery natalsuite,post(Murraytheward and Ward). The Whittington employs specialist midwives with mothers or diabetes other risk for expectant factors. A homebirth support teamwas established from January to 2007 provide continuity women who would of prefer to caredeliver for at home. Othera services Young Parents clinic, Well-Woman include HIV antenatal Team, Africantesting and smoking The cessation. Whittington launched the Teenage Pregnancy Midwifery was Service awarded and the Johnson’s Award Baby for Excellence in Midwifery Management and Leadership the by Royal College of January Midwifery 2008. in see to places New Mary Seacole ward adjacentLevel 1, Emergency to Department. Opened October 2007
stop clinics are being developed in other services in the hospital. prostate gland assessment, mammography and paediatric clinics. More one- already already such clinics such as for conditions blood in the urine (haematuria), who can be seen, and provides a superior patient experience. experience. patient superior a provides and seen, be can who can have a follow-up procedure, such as a biopsy, that same day. There are increase the type of procedures that can be used and the number of patients patients of and the can that number be used the type procedures of increase needed if and morning the in tests preliminary their will have Patients clinics. and a minor procedure room. This modern centre has also been designed to designed been also has centre This modern room. a and procedure minor one-stop our at day same the on so do can tests of a variety need who Those theatres, three endoscopy treatment rooms, an interventional imaging suite One – Stop clinics day treatment centre in North London. It houses four state-of-the-art operating operating state-of-the-art four houses It London. North in centre treatment day hospital at the forefront of day care in London, and is the largest purpose-built purpose-built largest the is and London, in care day of forefront the at hospital treatment centre, opened for this purpose in April 2008. The centre places the ask your GP or hospital doctor if you can be treated in the Whittington’s day 7.30 am pm. – 8 7.30 minimum,a tohospital the in stay your keep liketo wouldsurgery need but you If Level 3, adjacent to Imaging department. Reception open Monday – Friday, Friday, – Monday open Reception department. Imaging to adjacent 3, Level Day Treatment Centre Treatment Day Short stays
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Our Community HIGHLIGHTS 12 2 ACCOMODATION 15
Did not attend (DNA) attend not Did help To reasons. of variety a Every day for a number of who patients appointment are due their to miss attend the for hospital an appointment outpatient plan to you help will This appointment. reduce the numberyour of appointments about that are missedreminder the Whittingtonmessage text will a sendyou so that you can arrangeattend. to the time time to attend or convenient to contact yourmore clinica rearrange so thatcan you Choose and Book on-line theirchoosePatientsto areable firstoutpatient appointment at the Whittington and from book their it GP electronically The surgery. Whittington was the scheme the introduce to hospital first in 2004 and now bookings receives 1,500 a month of the into hospital. At all the offering greater patients the forefront choice, areas of Whittingtoncontinues this ethosand isextending the Choosescope of and Book to the Imaging and Maternity departments in the near future. Waiting times commonly and No-one NHS the likes of waitingwhole the andfor introduction withproject national the a of scheme, lives’ the change operation or ‘end treatment their have to In expect can letter. patients waiting,wait’, referral a ‘18-week called writes GP their day the from weeks 18 of minimum a within will we year this Aprilof thisend yearthe 91 per cent ourof By non-admittedweeks. patients,18 within and 87 per cent ourof treated of were percent 90 patients and admitted admitted non our of percent 95 that so systems our improve our admitted patients can expectreduced waiting times. Length of stay stay shorter a have to Due to expect the can advance inyou modern services, treatment andcommunity thewith veryhas close partnershiphospital the work if you are admitted as a patient. The overtwo averagedays in the last two lengthyears to just over four days. If are you of planning home staygoing your an has discuss can you decreased an emergency as byadmitted are or admission treatment your in stage early very a at family your and staff with arrangements so that can we make sure that your transfer home is as smooth as possible. Reservations and bookings and Reservations charity charity Building Babies for
for for babies who are getting ready to go home. The whichincorporates newcots, family 16 roomshomelyand moreenvironment a new Special Care Baby Unit and transitional care facility was opened in 2007, invested in the expansion of the services available for the care of sick babies. A experience during their time in the department. the trust has services, on our demand neonatal to the increased In response play specialist, new toys and play equipment will improve both child and parent parent and child both improve will equipment play and toys new specialist, play Baby Units (SCBU)come. to Still / 2007 October 3. Level 4, Level standards and doubles the available space in which we see and treat children. A children. treat and see we which in space available the doubles and standards Care(NICU) Intensive Neonatal Care Special and main emergency department. It is built and equipped to the highest modern modern to the highest is It and built equipped department. main emergency space for space children and from their away the and parents hustle of bustle the department specifically for children. This will be a secure and more peaceful peaceful Thismore will children. and abe for secure specifically department part our of improving outpatient programme. adjacentLevel 1, Emergency to Department. Opened August 2008 Half a million pounds has been invested in the creation of a new emergency development has also allowed us to expand other outpatient departments as departments has us also allowed outpatient to other expand development department emergency Paediatric spacious facility and easier to access for our patients with impaired sight. This a new ophthalmology outpatients department, which, is a brighter and more is which, a brighter department, outpatients a new ophthalmology Moving the old Medical Records library freed up space to be refurbished as Level Opened 3. August 2008 increase the staffing on the units. Ophthalmology care new of Fifteen service. staff members have intensive been to recruited the the new as facilities for the well neonatal as expanded equipment high-tech appeal (page 24) has nearly reached its target to fund fittings and comforts for for comforts and fittings fund to target its reached nearly has 24) (page appeal
2 TION
ACCOMODA 14
2 Our Community history 17
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Our Community HIGHLIGHTS 16 3 Eating out & shopping 19
Here you’ll find a selection of home home of aselection find you’ll Here made Italian foods, including hot lasagnas and a wide freshly selection made Paninis. of If you can’t happy are staff the like you one find to make the you want. one you XLNT Level 1 Monday – Friday 7 am – 6 pm, Saturday & Sunday 8 am – 6 pm Opening hours is patient the scheme where mealtimes’ ‘Protected ward the with check please patient, a visiting are you If staying for information on their meal times. interruption without times meal enjoy can they that assured are patients Our believe We 2005. in launched was thatinitiative an activities, ward other from that it is important that patients have this time to ensure thattheir food they and improve enjoy their recovery by eating well without distractions. The director of nursing and director theof wardsfacilities every month sample to keeppatient an foodeye on on the standardWhittington.the of food offered at New Town restaurantN19 1 Level Monday 7 am Friday, – 8 pm – The N19 restaurant can be found at the back of the food court and serves the largest choice foods. Their of selection varies hot daily and include a variety of vegetarian dishes including or stir-fries vegetable cauliflower bakes, broccoli and a few. tortellini just name to ricotta, A fresh salad bar, jacket potatoes and sandwiches are available daily, as are fresh desserts and fruit.
here are plenty of places patients, to visitors eat and within staff. the The nutrition importance Whittington is a priority of and good for our nutrition food and catering and teams a pay lot of attention to ensuring that meals are healthy and well Eating and Shopping and Eating
Food can be bought to take away – perhaps in – the garden and grounds take away to of canbought be Food T the hospital. on sunnydays. on prepared. The hospitals food court offers a courtyard for al fresco eating
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Eating out & shopping 18 3 Eating out & shopping 21 An An Illustrated History of the Royal £2.59 £2.59 £2.94 £3.30 £3.94 Cheap eats Our top five value meals: or lamb Stir fry chicken and rice chicken Jerk bake and broccoli Cauliflower Wholemeal cherry pie Grilled salmon with Hollandaise sauce and potato roast Fish curry with chefs vegetables and chefs potatoes Mobile services Beverage trolley Outpatients, pm, and 2 pm 4.30 pm to am Monday 12.30 to 10 – Friday, The Whittington volunteers walk and through clinics with the their outpatient beverage departments trolley opportunity offering and from drinksto choose hot cold patients and a inselection bites of and visitors the missing waiting theirof fear of appointment. areas without comfort the Library trolley Whittington Hospital, Monday Wednesday, to 9.30 am pm 2.30 to Volunteers provide patients with a library trolley service, magazines, and books stacked allborrow. alland to free donated full of stall Whittington the of Friends Levelatrium, 1 and Monday, Tuesday Wednesday afternoons The Friends of the Whittington can be found near the main entrance with Look small hand books. theirtrinketsof selection second and presents and out for the Whittington tea Northern towels Hospital Dr by Albert Rinsler. and
daily papers keep you in touch with current events. events. current with touch in you keep papers daily watch TV or socialise during a game of pool. Internet access is available and available is access Internet pool. of game during a socialise TV or watch end end of the day staff come along to soup, snacks and other treats. At the the At treats. other and snacks soup, offer are sandwiches, baked potatoes, potatoes, baked sandwiches, are offer ceiling in this cosy environment. On On environment. cosy this in ceiling over over a under coffee the low arched their wards and departments to relax relax to departments and wards their Staff Staff are a offered place away from
The Social The Building, Jenner Basement pm, 8 – am 8 Thursday Old Town Old building, Pox Small old Monday – Wednesday 8 am – 6 pm, pm, 9 – am 8 Friday Saturday & Sunday closed chocolates for visitors, there is always something useful you may need. need. may you useful something always is there visitors, for chocolates the colder months. months. colder the a small selection of groceries. Whether it is shampoo for inpatients or a box of an eye out for the soup of the day in day the of soup the for out eye an Saturday & Sunday am – 6 pm 10 Newsagents McColls sells confectionary, toiletries, newspapers, magazines and baguettesare also offer,on and keep Monday – Friday 7 am – 8.30 pm, or or more. Fresh sandwiches and McColls 1 Level your your tea, coffee, hot chocolate cakes cakes and croissants to accompany of creative and freshly made muffins, muffins, made freshly and creative of at at Muffin Break. Pick from a variety Hot drinks and snacks can be found found be can snacks drinksand Hot Saturday 8 am – 6 pm, pm, 6 – am 8 Saturday Monday – Friday 7 am – 7 pm, pm, 7 – am 7 Friday – Monday pm 6 – am 10 Sunday Muffin Break 1 Level
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Eating out & shopping 20
3 Eating out & shopping 23
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Eating out & shopping 22 4 ARTS & ENTERTAINMENT 25
Shake-a-bucket at the at Shake-a-bucket Arsenal Highbury, Stadium, Emirates dates vary collect to invited are locals and Staff money for the Building for Babies appeal at varying games. Arsenal It’s never home a guarantee but lucky fundraisers have sometimes even been invited to sit down after their efforts and watch the game – game. to game from varies this but Bunbury Cricket Tournament North Middlesex Cricket September Club, 16 2007 David English’s world famous Bunbury XI played the North Cricket Middlesex Club Celebrity XI, Honeghan, Arsenal legend Lee which Dixon and Harry Judd of Mcflyfame saw join world in the fun. champion The all-round boxer family day hosted a Lloyd barbeque, ice cream vanbouncy and castles in an event that attracted over 1,300 people. Highgate Run Fun Ponds Square, 30 September 2007 Over 250 people turned out on this sunny autumn kilometresmorning through Parliament to Hillrun Fields, past Kenwood House and five into with now is HighgateMurnaghan Dermot Village. (who presenter Ex-BBC Sky) took part in the run. London Flora Marathon London, April 13 2008 challenge,the up took staff another26-mileAnother year, of members run.Six hours. four than less in run the completed even whom of one All Angels Levelatrium, 3 Whittington Hospital, 22 April 2008 The firstworld’s female classicalsupergroup gavea wonderful concert as part of the celebrations for the tenth anniversary of the London Network ClassicalRadio’s Partners Concert Hall. Having theperformed at Classical Brits – where they were nominated for Album of the Year – by and 10 watchedmillion viewers at the Royal Albert Hall, their performance was made all the more spectacular their for Whittington audience. appeal (this page), which has raised
(page 28) and a brochure (page brochure
Building for Babies £550,000 to date and is well on course to reaching its £600,000 here’s here’s always somethingWhittington and extracurricular since 2006 it has the been going busy with events on for at the Horizons
sickle cell
Arts and Entertainment
T national magazine information for our patients and local residents with a new membership goal by the end of 2008. It has also been a busy year for publishing new participants with lunch and prizes. prizes. and lunch with participants event was over 18 holes andholesrewarded 18 eventwasover Asteral, arranged a golf day. The Henley Golf Course, 7 September 2007 Imaging’s equipment providers, Asteral Golf Golf Asteral Building for Babies Getting involved through various publications. kept kept up to date and informed services and public and staff are developing developing its communication 28) The Whittington is constantly
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A separate document was published New Horizons collection In July published 2007 a 38-page the document consultation Whittington for outliningtheplans andtheprocess of public and becoming an NHS foundation trust. staff Leaflets publicfor andstaff were also printed with key information and local people and patients members. were as givenjoin to opportunity the human the included this and staff for resources strategy 2007-2012. for Read all about us about all Read The Link magazine achievementshospital’stheAll of and promotional events are documented can in You this newsletter. monthly pick up a copy in key areas entrance, of main the the including hospital the emergency department, the daytreatment centre, imaging Jenner and building. the Copies are sent out also to 600 from contacts local ranging practitioners, politicians and journalists. department or ward news To published with or businesses local to advertise have contact staff Whittington for your benefits [email protected]. GP News A newsletter for local has GPs, been this published since 2006. is It a bi-monthly publication aimed to keep practices up to the date Whittington’s with services helping doctors and their patients to make choices about treatments as part of theirreferral.
Aliaksandre Hleb and this generated a great amount of media attention. attention. media of amount great a generated this and Hleb Aliaksandre day day also saw a visit by two firstteam Arsenalplayers Mathieu Flamini and on on a number of medical commonly conditions treated at the The hospital. discussed how their different departments work and gave advice and education education and advice gave and work departments different their how discussed scenes departments in the hospital. Staff manned their department stall and their manned department Staff in the hospital. departments scenes people people came to talk with staff and have tours of the different behind the The The Whittington open day was premiered last year and patients and local Open Day Whittington Hospital, September 26 2007
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[email protected]. the patient’s the life.patient’s interested Anyone in receiving a brochure should contact treating patients, including nutritional, social and psychological aspects of brochure brochure outlined the range of interventions the Whittington takes when thalassaemia. At the start of hospitals 2008 in developing a their brochure treatment was and published patient to support services. guide The them about the Whittington’s progression in becoming a foundation trust. brochure thalassaemia and cell Sickle The Whittington is the leading hospital in the UK for sickle cell and introducing them to staff, offering details of member events and informing a copy of the newsletter informing them of current events at the hospital, January 2008 for members of the foundation trust. All 4,000 members receive receive members 4,000 All trust. foundation the of members for 2008 January Horizonsnewsletter Produced by the foundation trust office, Horizons was first published in
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ARTS & ENTERT 28 5 CULTURE 31 Culture he Whittington employs talented encouraged members to of continue staff developing who their are through skills training and and expertise professional provided development opportunities by the hospital. The hospital offers flexible working T options options and staff accommodation, which encourages staff to work in this friendlyandsupportive environment. Visible leadership programme leadership Visible hospital the across midwivesand nurses senior very the January2007, Since have spent every Monday in clinical practicean partof as launched Leadershipas programmeprogramme.was The Visible part of the Whittington’s effective to way reinvigorate clinical leadership across the hospital and has particularly focused on reducing hospital-acquired infection through goodpractice,including cleanliness. ward and handhygiene Whittington people Equality and diversity brought This scheme. equality gender its published hospital the 2007 April In together the race and disability equality The Whittington published. on a has started single schemes equalityits consultation that had already been scheme, which should be in place the by end 2008. of
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During the year, the independent organisation, the Healthcare Commission Healthcare the organisation, independent the year, the During Our complaints procedures are fully compliant with the Principles for clinical waste. in furtherreductions seen has year this waste, to regard With This year plans include a new thatprocess will per see clinical95 of cent Patient Advice and Liaison Services The number of clients seen by PALS has increased since newthe building, move to the and at the end of 2007/08 they had this2007thatand means dealtNovember inteam the joined thirdadvisor PALS with 916 cases. A liaison a time.as act advisorsThe one any at duty twoon advisorsare there between patients and healthcare professionals and most concerns are dealt with on the same daythat they are raised. compliments and Complaints In this past year the compared Whittingtonto the previous year, received and 91 per 61 cent fewer of thoseresponded to complaints formal within were complaintsthe 25 working days laid down of Health. Thisby response rate theis per 10 cent up on Departmentthe previous year. Most attitudestaff andtreatment, and care about concern out pointed complaints Whittingtontheand patients for focus key a alike. is requested an independent review of four complaints – down previous fromyear– and13 thesethe complaints related to No referrals2006/07. made ombudsman. the to Remedy guidance published by the Ombudsman in October Parliamentary, 2007. and Health Service impact Environmental The Whittington is part of which the has a Islingtontarget of five Climate percent Changereduction of CO2 Partnership,2010. between Whittington 2005 and estates continue to adopt energy efficient measures and last year higher efficiency thin project fluorescent tubesA cent. replaced per old 30 lighting by electricitythickfor of tubes, use the reduced has which provide and plant steam old the decentralise to started been recently also has high efficiencylocal gas boilersseveralto locations in hospital. the wellAs as this, modificationsto the main incoming electricityreduceelectricity transformers consumption. will Tonnage fell from 30 to 25 tonnes, monthly. By the end 2007,of 45 tonnes of normal domestic waste was disposed and 10 tonnes of recyclable waste month. per waste being recycled. A recycling scheme has also been put into place collaboration in with our domestic waste contractor. The target for all waste recycling is 40 per centrecycled. allis waste of cent per 50 2008/09 and the Whittington hopes that by the end of
the bathroom facilities on the wards to know how these can be improved. improved. be can these how know to wards the on facilities bathroom the patient bathing, of and patient examination necessary. Present hot topics include include topics hot Present necessary. practice and striving to improve where improvestriving toand practice Care benchmarks, looking at current current at looking benchmarks, Care role role is to focus on the Essence of Medicine Division. Part of the group’sthe Medicine Division. of Part the the Whittington’s Matron for the relevant issues and is chaired by privacy and dignity and any other planning to publish later in the year. and relating complaints opinions to the past year. Look out for the quarterly newsletter ‘be InVolved’ that they are are they that InVolved’ ‘be newsletter quarterly the for out Look year. past the Dignity group discusses patients’ months via recommendation, and over 20 volunteers have gained work over over gained work have 20 volunteers over and via recommendation, months Privacy and dignity The multidisciplinary Privacy and opportunity to be fast tracked on to the temporary staffing register after six expect to What day treatment unit leaflets and banners. Some volunteers have even had even the have volunteers banners.unit Some and leaflets treatment day advice. You may recognise some volunteers who are featured in the new in a range of activities from patient feedback questionnaires to breast-feeding breast-feeding to questionnaires feedback patient from activities of range a in volunteers in the past year. Currently there are about 75 volunteers who assist assist who volunteers 75 about are there Currently year. past the in volunteers reduce costs related to staff absence. absence. staff to related costs reduce as joined have many people reasons approaches to reduce absence and to and absence to reduce approaches many the of two are experience work the past two years, helps us look at new new at look us helps years, two past the Helping the community and gaining project, which has been in place over over in place been has which project, Volunteers the Whittington. The sickness absence absence sickness The Whittington. the sickness absence remains a priority for for priority a remains absence sickness and improves staff morale. Managing Managing morale. staff improves and of the services we offer our patients our we patients of offer the services sickness absence improves the quality quality the improves absence sickness Healthy workforce It is recognised that minimising
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CULTURE 32 5 CULTURE 35 Siobhan joined the Whittington from Haringey Teaching Primary Care Siobhan Harrington Siobhan Director of Primary Care trained 2006. She Whittingtonthe in Harrington September joined Siobhan number a in worked has She 1980’s. the in Hospital Thomas’s St at nurse a as of nursing and management level. roles national and across regional a bothat working Primaryof experience has andand Secondary Care Trust where she was Director Primary of Care Commissioning. Celia has been Medical various in training Director after at the 1996, in Whittington surgeon consultant since a as 2004. Shehospital joinedWhittington the Surgically north her hospitals. London main is interest in day case surgery. her main Managerially of care for aim the quality and is process to improve patientsWhittington.the at Britishthe AssociationFellowof Medical a is of She Managers. Celia lives in north London with her husband and teenage sons. Martin Richard Finance, of DirectorDirector of Finance as 2007 January in Whittington the joined Martin Richard having been Director of Finance at Enfield He has also primaryheld a number of public financesector both positions in care local trust since 2001. government and in other health bodies. lives He with his family in Enfield. Boltwood Margaret Director of Human Resources and Corporate Affairs Margaret Boltwood joined the Whittington in as 1989 personnel manager for acute services. appointed was She Institute.the She of Fellow a is and 1978, managementsince has worked in the to her present position NHS in 1996. in human resources Slemeck Kate Director of Operations Kate trusts Slemeck acute other in joined previously and years, the 14 for WhittingtonNHS the in manager general in October 2001. Kate management into moving to Prior and Newham. Park including Northwick has been a Kate qualified andworked as an Occupational Therapist. Celia Ingham Clark Medical Director
David lives in Crouch End with his young family. He was previously chief executive of Haringey Teaching Primary Care Trust Trust Care Primary Teaching Haringey of executive chief previously was He Joequalified as a chartered accountant and has had a distinguished career in 1995. NationalOrthopaedic Hospital,Stanmore, NursingbecameDirector and of nursing. She subsequently held a variety of management posts at the Royal St St Bartholomew’s Hospital, and spent her clinical career in orthopaedic Clinical Development in October 2000. Deborah trained as a nurse at Director Strategy of and Performance in 2006. She lives in Islington. Director of Nursing and Clinical Development Deborah Wheeler joined the Whittington as Director of Nursing and Director of Finance in January 1991 and moved into her current position as Deborah Wheeler became became Deputy Director of Finance. Susan came to the Whittington as as an accountant and moved to Great Ormond Street Hospital where she Susan Sorensen first worked in the NHS as an economist. She then qualified then She economist. an as NHS the in worked first Sorensen Susan North London he is well known to many staff and stakeholders. Susan Sorensen Director of Strategy and Performance Community NHS Trust from 1992 to 1999. Having worked for several years in years several for worked Having 1999. to 1992 from Trust NHS Community Group for two years after holding several leading roles at Camden and Islington Islington and Camden at roles leading several holding after years two for Group is chairman parish St Joseph’s of council. and prior to this worked as chief executive of the Marylebone Primary Care American has lived Joe nearconsultancy. the Whittington years27 and for David Sloman joined the Whittington as chief executive 1 November on 2004. a leading UK accountancy firm and European managing director for a large David Sloman Chief Executive managing director of Setanta Performance and was previously a partner in in partner a previously was and Performance Setanta of director managing private sector businesses, as well as some public sector organisations. sector as wellpublic businesses, sector private is as some He specialising in performance improvement for financialservices andother 1 November 2007. Joe Liddanechairman became WhittingtonJoe The of on Trust NHS Hospital Chairman Joe Liddane Directory
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CULTURE 34 5 CULTURE 37 Edward Lord Programme, Partnerships Private NonPublic – Executive Director the – 4Ps of chairman is Lord Edward and advisory services to allsupport that in body a leads public local project authorities in England and Wales. He is also an elected of member London of the CorporationCity and serves of director as executive an a previously was magistrate He charities. and bodies public other and a board member of two universities, prior to setting up his own public affairs and governance consultancy practice in 2002. He lives for diversity inmember and equality on Finsburythe City Authority. of Police London Park and serves as lead Until recently he was a governor Holloway of School. Merrick Anna Whittington the Non – Executivewith Directorbriefly worked has Highgate, in lives who Merrick, Anna Hospital during the redevelopment She period has commercial extensive experience across a at wide banking range as of corporate corporate structured an of director as independent recently most has consultant. and markets, banking member council Society Highgate a been has She plc. National Abbey been actively involved in the organisation school of fundraising events.
Anne qualified as a medical practitioner and subsequently trained in Maria currently has an extensive portfolio as an independent, health and social social and health independent, an as portfolio extensive an has currently Maria epidemiology. She lives near the Whittington in Dartmouth Park. From 1986-99 she directed the MRC UK coordinating centre for HIV and been involved in the planning of sexual health services since 1985. epidemiology and prevention of HIV and sexually transmitted infections General Practice and Public Health. She has worked in research in the Department at UniversityDepartmentCollege London. at and independent health bodies and agencies. Maria lives in Muswell Hill. Epidemiology and Head of the Primary Care and Population Sciences international and national academic and research institutes and both statutory Disease Infectious of Professor is She Trust. WhittingtonNHS the Hospital national, regional and local government agencies in England and a range of Non – Executive Director AnneProfessor Johnson is the UCL nominated non-executive director of works on commissioned projects for projects works the on of Department commissioned Health, numerous Professor Anne Johnson care policy analyst, organisational development consultant and researcher. She director socialof services and an academic in the fieldof social and health policy. lengthy career she has been, amongst other things, a social work practitioner, a practitioner, work social a things, other amongst been, has she career lengthy and Diversity Group. Maria has an academic background as a sociologist. In a a as sociologist. background an academic has Maria Group. Diversity and As a local man, Robert is churchwarden at St Anne’s inHighgate. Anne’s St at churchwarden localman,is Robert a As Framework Steering Group; Audit Committee; Assurance Committee; Equality Houses, and was a trustee of the English National Opera Benevolent Fund. EnglishBenevolent theOperaNational trusteeof a was and Houses, Non – Executive Director Duties Older National include: Older Champion; Service Peoples’ Peoples’ and further expansion of Kilburn based Housing Association, Spencer Maria Duggan Department Healthof as a lawyer. hadHe an advisory in role the merging and Companies Division at Treasury Solicitors. Robert has thefor worked Robert Aitken from Brookfield Park is director of Employment Commercial Employment of director is Park Brookfield from Aitken Robert sectors the of NHS over the past 20 years. Philip is a chartered engineer. Robert Aitken Non – Executive Director joined the NHS as an engineer and has worked in both primary in both acute and care an engineer worked has as NHS and the joined a marine engineer and served for five years in the Merchant Navy. In 1983 he 1983 In Navy. Merchant the in years five for served and engineer marine a Philip Ient joined the Whittington Hospital in March 2001. Philip trained as Philip trained in 2001. March Hospital the Whittington joined Philip Ient Philip Ient Philip Facilities of Director
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CULTURE 38 6 SERVICES A-Z 41
Multi-disciplinary lung cancer team that includes a specialist in radiotherapy One-stop clinicradiotherapy in patients for withspecialist suspected a breast cancer includes that team cancer lung Multi-disciplinary care cancer lung in specialist nurse clinical a and treatments Colorectal cancer service Paediatric oncology shared care unit Chemotherapy services One-stop clinic patients for who are taking oral chemotherapy Drop-in clinic for patients, carers and wanting healthcare professionals advice and support either face-to-face or via the telephone Community and hospital-based specialist palliative care team Breast cancer support group and control. monitoring to anticoagulant dedicated services Anticoagulant This service extends into community practices and pharmacies Cardiac investigation unit that offers inpatient and outpatient tests for heart conditions, which will include interventional diagnosticsdiagnosis and assessment Private echocardiographyquick serviceprovides that service pain chest access Rapid existing with patients for also and pain chest of onset new with patients of angina who have a change in symptoms who had have for either patients a developed heart Cardiac rehabilitation attack or have undergone cardiac surgery Heart failure service that provides is a service rapid failure heart one-stop access The investigation of rapid failure. heart suspected patients with shop where patients can have all the necessary investigations on the same day A modern state-of-the-art coronary care unit, Motnschi ward.
Cancer care Cancer The multi-professional cancer patients care each year. team The Whittington diagnoses is a colorectal and designated cancersunit treats and for breast, also manylung treats and patients new the Whittington In with runs Hospital, Street Ormond partnership Great a with haematological unit. malignancies.care shared oncology paediatric Range of services • • • • • • • • • Cardiology known with patients of health the supports improve to department aims The service vessels. cardiovascular The population blood the and in heart the lifestyle of healthy disorders a suspected advocating or by disease heart of prevention the serves. it Range of services • • • • • • •
SERVICES A-Z
Specialist nutrition and dietician expert team Patient support group Specialist metabolic dietician and endocrinologist Full range banding surgical of procedures
• • • the safest possible environment. environment. possible safest the Range of services • informed about weight loss surgery and that their operation is performed in performed is operation their that and surgery loss weight about informed the most established providers of such services in the UK. Patients are fully are Patients UK. the in services such of providers established most the The Whittington has been providing bariatric surgery since and 1998 is one of Bariatric services, surgery and obesity management
of departments. The service provides specialist support in the support of areas acute specialist The provides service of departments. Anaestheticservices There is a wide-ranging division of which anaesthesia, supports a number sedoanalgesia, regional anaesthesia and total intravenous anaesthesia. In traditional general anaesthesia, the full range of anaesthetic techniques including including techniques anaesthetic of range full the anaesthesia, general traditional state-of-the-art anaesthetic equipment the team is able to offer, in addition to in addition offer, to is able team the equipment anaesthetic state-of-the-art to to ensure are patients optimally for prepared their surgery. Equipped with and chronic pain,intensive care. Anaesthetists work closely obstetrics, with pre-operative assessment nurses paediatrics, accident and emergency, and addition the department has specialist nurses working in the acute pain team.
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SERVICES A-Z 40 6 SERVICES A-Z 43 Orthopaedics ENT Urology • • •
Stroke Bariatrics Diabetes
• • • Occupational dermatology •
Interventional imaging Ophthalmology Diagnostic cardiology Diagnostic cardiology • • • •
Gynaecology Diagnostic cardiology Respiratory medicine Surgical procedures dealing with skin tumours, plasties, andwound various V-Y skinmanipulation, flaps andskin graftsO-Z PUVA, patch testing and skin surgery unit Rapid access cancer referral Cryotherapy using liquid nitrogen to treat skin lesions careWound and leg ulcer service Paediatrics Gastroenterology and nutrition support Care older of people Gastroenterology • • • Range of services • • • • • Clinical nutrition Clinical and in in of a the role both key plays treatment health promotion Nutrition illness to both in and GP outpatients referrals outpatient are directed to a separate dietetic team based in the community. Thewith thedieticians catering department inwork the provisionclosely the of patient meal service. Specialist dieticians in specific fields suchas: • • • surgery centre treatment Day pre-planned providing facility new brand a is centre treatment day The for NHS and The procedures patients. diagnostic day Whittington chooses need time of patients as it minimises the amount possible, whenever surgery to their the disruption reducing is quicker, and recovery in to hospital spend theatres operating state-of-the-art four has centre treatment day The life. daily andthree endoscopy treatment rooms, plusan interventional imaging suite and minor procedure room, putting the Whittingtontreatment in London.at the forefront of day case Procedures are undertaken across all specialties including: • Dermatology looks The after department both dermatology adult and paediatric patients on services dermatology and community carries out a vulval joint clinic provides health with the of also women’s department service The unit. colposcopy behalf of Islington PCT. The aim isdisorders to provide a other wide-ranging and comprehensive dealing service with moles, Also are both and treated skin acute chronic disorders. pigmented including tumours, malignant and benign acne. as such life, of quality the affect that
Day care assessment unit unit assessment care Day Paediatric ambulatory care unit Special combined clinics - neurology; cardiology; endocrinology; diabetes; diabetes; endocrinology; clinics cardiology; - combined Special neurology; haemoglobinopathies; dermatology; rheumatology; respiratory nephrology and Emergency outpatient clinic: (Monday to Friday from 10am to noon) Outpatient clinics clinics Outpatient Paediatric high dependency unit Neonatal intensive care unit (NICU Level 2) General paediatric inpatients A physiotherapy-led balance class for those who class fallen for those balance have or are at risk A physiotherapy-led A clinic that specialises in falls. fallingof Clinics those for with memory problems All inpatients and physiotherapists,speech andlanguage outpatients therapists, occupational therapists and have access social workers to, and are supported by,
The The paediatric ambulatory care treats children who require further
• medical day care including oncology, chemotherapy and blood transfusions. • emergency card holders and who are known to the department; or who receive investigation and treatment; who require planned elective day surgery; are • • • • • and social workers. workers. social and Range of services • specialists, speech and language therapists, dieticians, child psychotherapists and child speech dieticians, specialists, language psychotherapists therapists, consultant paediatricians, child psychiatrists, paediatric and general nurses, play play nurses, general and paediatric psychiatrists, child paediatricians, consultant for children in north central London. Care is provided by a multi-skilled team of of team multi-skilled a by provided is Care London. central north in children for youngpeople from birth years is16 toalsoold. It majora provider acute of care The paediatric department provides medical and surgical care for children and children for care surgical and medical provides department paediatric The Children’s health • • • also runs a number other of outpatient clinics. Range of services • that enable them to remain living in the community. In addition, the department department the addition, In community. the in living remain to them enable that receive treatments, assessments and rehabilitation on a multidisciplinary basis basis a on multidisciplinary rehabilitation and assessments treatments, receive hospital services as well as a designated stroke unit. In the day hospital patients The department for the care of older people offers inpatients, outpatient and day day and outpatient inpatients, offers people older people of Care older of care the for department The
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SERVICES A-Z 42 6 SERVICES A-Z 45
to hospital A new paediatric ED will be opening in November 2008, supported a by new paediatricnurse consultant Full trauma and resuscitation facilities Provision advice of on self-care Referral from triage to appropriate community based services, including GP Full range emergency of diagnostic services Referral to fracture clinic; urgent access to outpatient clinics; admission reproductive and adrenal calcium, thyroid, with patients for clinic Outpatient endocrinology disorders collaboration in provided is In-house radioactiveclinic iodine therapy thyroid for endocrinology conditions paediatric specialist Monthly with the paediatric department Follow-up clinic phone
• Emergency department Emergency The emergency department sees both to 24-hour provides access department on health care and links averagebetween 80,000 patients primary annually. and secondary care. The The Whittington sees all patients within the government’s emergency care four-hour standard. Range of services • • • • • department Endocrinology inpatient for advice The provides endocrinology phone and a clinics departmentservice outpatient in seesthe of patients conditions with efficiency hormonal a and the broad range improve of further glandular To emergencies. endocrine clinic has also on-going been established supervise to for patient follow-up. investigations, An endocrine hormonal dynamic nurse who perform to trained is service. endocrine the supports neurosurgical patients, the counsel with and advise links to and has treatment, hospital the tumours pituitary with patients For services the at National Hospital Neurology for and Neurosurgery. Range of services • • • •
Young adolescentsYoung Diabetic nephropathy Antenatal Paediatrics • • • •
ENT paediatric problems Middle ear and mastoid disease Rehabilitation services: hearing aid evaluation and fitting and repair service; service; repair and fitting and evaluation aid hearing services: Rehabilitation real ear measurement; tinnitus counselling. Sinus disease problems Voice Head and neck oncology Sleep disordered breathing including snoring Salivary gland problems Adult diagnostic services:acoustic reflex tests; pure speech audiometry; evoked tone response electronystagmography; audiometry; bithermal audiometry; caloric tests. tympanometry Paediatric and diagnostic discrimination service: tests;toy play audiometry; otoacoustic emissions. distraction testing; McCormick speech Young adultsYoung Patients on complex insulin regimes Patients with diabetic foot complications Islington community diabetic service
Throat, Nose & Ear Hospital. • hospital’s day surgerydayhospital’s unit, withbeingcasesmajorNationalRoyalthe referred to runs runs outpatient clinics everyday. Minor operations are performed in the • aids and rehabilitative services for hearing and tinnitus. The ENT department department ENT The tinnitus. and hearing for services rehabilitative and aids Range of services In the modernised hearing aid centre, the Whittington provides digital hearing hearing digital provides Whittington the centre, aid hearing modernised the In alsoprovidedirect a accessdiagnostic service inCamden GP’s andto Islington. diagnostic service of hearing and balance assessments for all age groups. They in supporting self-management. a comprehensive provides department the audiology in partnership, Working Whittington’s PCTs. This programme includes training for clinicians and patients patients and clinicians for training includes programme This PCTs. Whittington’s service. Audiology and Throat, and Nose audiology Ear, and throat and nose ear, integrated an provides hospital The • • • • • • • • the health foundation’s co-creating health programme, with colleagues from the the from colleagues with programme, health co-creating foundation’s health the advanced diabetes programme for practice nurses. The diabetic team are part of of part are team diabetic The nurses. practice for programme diabetes advanced are invited to attend the diabetes renal clinic and an to the are we diabetes attend invited annual also provide Range of services • care and to strengthen the local provision of diabetes care. In addition GP’s In care. of addition diabetes care the and provision local to strengthen local GP practices are made on an informal basis to improve the links with primary primary with links the improve to basis informal an on made are practices GP local through the service it provides and via education, training and research. Visits to The department of diabetes aims to improve the health of people with diabetes diabetes with people of Diabetes health the improve to aims diabetes of department The • • •
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X-ray examinationsX-ray / walk-in service patients GP for One-stop clinics haematuria, for breast, paediatric and urinary tract imaging Ultrasound examinations Barium meals and enemas IVU’s angiographic procedures CT scans / MRI scans / Dexa scans Nuclear medicines studies Mammography / open access breast clinic Direct access patients GP for service ultrasound for andchest bariums walk-in access open hours Extended Open access phlebotomy service for GP patients, Monday to Friday 9 am to to am 9 Friday to Monday patients, GP for service phlebotomy access Open 4 pm in the haematology department Thalassaemia / transfusion unitbone as offeringsuch 24-hour transfusion procedures, minor and services chemotherapy where facility care Day marrows, are performed morning saturday a and clinic clinics Six a outpatient week with based sickle cell community additional haemoglobinopathy evening an is There clinics. of Monday fourth and generalsecond clinicevery held is clinic cell sickle paediatric joint A the month
Range of services • • • • • • • • • • The haematology department offers a clinical and laboratory service supporting supporting service laboratory Haematology and clinical a offers GP as department well as haematology services The paediatric and surgical medical, general Whittington’s the surgeries. The the departmentsupport has a psychologists special Clinical field. this in interest in reputation haemoglobin international an disordershas and thalassaemia very and and sickle cell services. leukaemia’s The acute Whittington of exception treats the with the rangewhole malignancies of haematological aggressive lymphomas, which are treated at, or in conjunction with, University College London Hospitals (UCLH). The for managing acute deep using vein an thrombosis care department pathway integrated has responsibility and also provides haematological whenever support appropriate. to the anti-coagulant clinic Range of services • • • • • level on accommodation Imaging purpose-built spacious a in is department imaging The in units the advanced the most of is and one building 3 the main of hospital UK. The state-of-the-art equipment and a wide range of high tech scanners ultrasound enables the Whittington to technology provide with the the lowest possible radiation dose. best possible imaging
Emergency care •
Specialist clinics in breast, colorectal, upper and GI obesity disorders Established Established laparoscopic service including colorectal surgery, day case cholystetecomy and hernia repair One-stop nurse led clinics in benign upper diseases GI and rectal bleeding Direct access hernia day case service Vascular scanning and management Sentinel node biopsy service diagnosis for breast of cancer Diabetic patients Outpatient clinics Liver clinic Patients telephone helpline Endoscopy sessions are held throughout the week Patients with endocrine problems Patients with gastroenterological problems Conditions associated with older people Patients with breathing (respiratory) problems Patients with cardiovascular problems Patients with rheumatology problems
diseases and endoscopic services. gastrointestinal physicians for the joint management of patients with digestive digestive with patients of management joint the for physicians gastrointestinal • and and oncology and services.Upper lower GI surgical firms work with the surgical surgical department is dedicated to ambulatory the services continued and development of laparoscopic benign surgery, our colorectal GI benign services, and upper bariatric improved surgery, endocrine breast services, • • • • • Range of services
to to the local community in all the main surgical specialities. The general The hospital provides a well-supported portfolio of planned surgical procedures procedures surgical planned of Generalportfolio surgery well-supported a provides hospital The • acute medical service through its on-call team. Theyare experts in thecare of: present to hospitalsemergencies.topresent as TheWhittington comprehensiveprovidesa management of adult patients with of a adult patients who management wide range of conditions medical Acute medicine is concerned with the immediate and early specialist • • • General internal medicine • • • • • • Range of services • gastrointestinal disease. for for the investigation and management of suspected and established Gastroenterology The gastroenterology department provides a comprehensive service
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SERVICES A-Z 46 6 SERVICES A-Z 49
Melatonin sleep EEG Sleep deprived EEG Multimodal evoked potentials (EP) Routine EEG Visual evoked potentials (VEP) Portable EEG Nerve conduction studies (NCS) Electromyography (EMG) Occupational therapy Occupational The occupational therapy departmentself-care manage playsto ability a their and key effectiveof role dischargein of assessment patients facilitating followingthorough a a hospital home thestay. When return patientssafeto areready environment home their of tasks is completed and functionalassessment an rehabilitationinclude also to promote may and This maintain theirindependence. and the provision aids of and equipment to enable them to remain in their own home as long as possible. Nephrology The department nephrology provides diagnosis and treatment for patients with all forms of a This full includes and range of urine blood kidneytransplantation. investigations, disease and hypertension, renal imaging and excluding diagnostic renal where biopsy required. The nephrology dialysis and team service. work consult closely inpatient an with provide theand hospital’sdepartments diabetes, cardiology and haematology the to service diagnostic secondary a Neurology provide to aims department Neurology, for neurology The Hospital National the with conjunction in and population, local The disorders. neurological of chronic deals with management the on-going runs fiveoutpatient departments based a service, offering consultant purely clinics per week in to addition the supporting general medical and surgical colleagues within the hospital. Neurophysiology The service diagnostic neurophysiological provides clinical neurophysiology all of and ages, is to a patients a multi for specialities range of investigations district service. Their particular expertise – EEG.is Consultant-runin paediatric clinics –including for EMG and NCS neonatalare held twice accessa week. GPis available for routine and sleep deprivedcarpal tunnelEEG syndrome.and routine NCS for Range of services • • • • • • • •
FGM clinic Bereavement midwife • •
areas: They hold clinics in the hospital, GP practices and sure start children’s children’s start sure and Dedicated community practices midwifery GP teams hospital, covering the different in geographical clinics hold They areas: books mother an When expectant classes. as run as well antenatal centres, the into will she Whittington, to a be on where assigned team depending Antenatalbirthwater classeseveryheldarefortnight. delivery areroomsbedded Two five new the on started has work building and pools with equipped midwifery lead birthing units Post-natal support midwives who can give advice on all aspects parenting of Midwife scanning The hospital actively supports the increasing number of women who wish to to wish who women of number increasing the supports actively hospital The give birth homeat she lives. Specialist HIV / AIDS midwife support High risk / diabetic midwife specialists Award winning teenage pregnancy midwifery team Award winning specialist prison midwifery team
follow up, both general and developmental, and neonatal new patient referrals. referrals. patient new neonatal and developmental, and general both up, follow services incorporate antenatal counselling jointly with obstetricians; neonatal neonatal with obstetricians; jointly counselling antenatal incorporate services care for well mothers and their growing pre-term infants. Neonatal outpatient outpatient Neonatal infants. pre-term growing their and mothers well for care care cots. These include five mother and baby rooms, allowingfor transitional 28 cot facility, including six intensive care, six high dependency and 16 special special 16 and dependency high six care, intensive six including facility, cot 28 network and nationally. The NICU capacity has recently been expanded to a obstetricians and midwives and shared research projects both within the Perinatal Network. There is joint perinatal working in clinical areas with The Whittington neonatal unit (NICU) is part of the North Central London London Central North the of (NICU) part is unit neonatal Whittington The Neonatal Intensive Care Unit Care Intensive Neonatal to be the one of safest places in which to be treated. • • clinicalnegligenceconsidered isstandardstrusts which scheme,it meansthat for Range of services • The maternity unit has been awarded level three status by the government’s • the midwifery team delivered over 3,845 babies at the Whittington or at home. on the unit. maternityhospitalTheprovides a service northacrosscentral London.yearLast • available. The latest modern equipment supports the excellent team who work Midwifery a modern state-of-the-art, 15 bedded ITU unit, with modern isolation rooms and detailed management than is available at ward level. The Whittington has has Whittington The level. ward at available is than management detailed and with potentially recoverable conditions who might benefit from a more expert Intensive therapy unit unit therapy (ITU)The a intensive provides service for ill critically patients • • • •
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SERVICES A-Z 48 6 SERVICES A-Z 51 Extended scope practitioner clinics (spinal, lower limb and rheumatology), rheumatology), and limb lower (spinal, clinics practitioner scope Extended diagnostic Assessment, and treatment service for peripheral, spinal and sports musculoskeletal conditions Pain specialist Acupuncture Paediatric musculoskeletal conditions gynaecological classes, and advice Anterior cruciatereferral, rehabilitationpatient obstetric - health Women’s diagnostic and treatment Respiratory; critical care ventilation, acute respiratory outreach, care physiotherapy lead Care non-invasive older of people; acute care, falls rehabilitation Neurology; stroke (acute and rehabilitation), acute neurologicalconditions Orthopaedics Women’s health – gynaecology obstetric advice and education and rehabilitation. post pulmonary and scheme surgicaldischarge early Respiratory Supported discharge rehabilitation team.
Podiatry the with closely work They limbs. and The Whittington’sfeet risk high podiatry or departmentrisk at provides have assessment andwho treatment patients of with patients see also they and care diabetes of provision the in team diabetes The nail surgery. undergone have or who disease and rheumatology vascular course accreditation departmentpodiatry a has developedundergone an have innovativewho practiceGP’s that includestherapy. lasermaggot treatmentand are able to directly refer patients to the hospital podiatrist. podiatrists. by based the to Allcommunity be referrals assessed otheroutpatient send GPs surgery. must nail for patients refer may however, GP’s, Physiotherapy range a provides department of The comprehensive services physiotherapy outpatient includes This physiotherapy. rehabilitative and diagnostic including intermediate rehabilitation and discharge early two and services inpatient and in with it Working Haringey and partnership PCTs, Islington care schemes. is planned to further develop integrated pathways of care for patientswithin moving primary and secondary care rehabilitation services. Range of services Outpatient • • • • • • • Inpatient • • • • • Primary care interface services • •
Biochemistry, haematology and microbiology departments run departments and an microbiology haematology on-call Biochemistry, service urgent for samples hip patients Daily fracture clinic all for types fractures of Daily orthopaedic clinic all for general orthopaedics Day case surgery Inpatient surgery Routine investigations in all departments Referral low-volume of or more esoteric tests Phlebotomy service patients, GP for no appointment necessary Dedicated theatre, orthopaedic and trauma wards Weekly specialist clinic for upper limbs, backs, ankle and foot, and Dedicated paediatric Dedicated clinc Diabetic retinopathy clinic Glaucoma clinic Oculoplastics and cataract clinic Community screening pre-school of children in Islington
less than one week. week. one than less samples marked ‘urgent’ are phoned through, with all others being returned in possible and all are or possible others by for sent courier firstpost. class The results biochemistry and biochemistry are haematology to transferred electronically GPs where • • • • for Results and microbiology. histocytopathology haematology, biochemistry, • • • • Range of services
• Pathology The pathology laboratories comprise the individual departments of The department provides outpatient, inpatient and day surgery services. • fracture clinic, in the afternoon there are new and follow-up orthopaedic clinics. clinics. orthopaedic follow-up and new are there afternoon the in clinic, fracture Range of services audit meetings and a daily trauma list. Every morning there is a new and follow-up follow-up and new a is there morning Every list. trauma daily a and meetings audit Emphasis is placed on the senior management of trauma with daily trauma and and trauma daily with trauma of management senior the on placed is Emphasis Orthopaedics • • • • preferred the at Whittington. Range of services • care is available through the Royal Free hospital. Day case surgery is now are held a week. Emergencies are seen during clinic times, otherwise emergency emergency otherwise times, clinic during seen are Emergencies week. a held are Hospital to provide an effective and efficient service. Sevenoutpatient sessions Ophthalmology Free Royal the with in conjunction works ophthalmology of department The
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SERVICES A-Z 50 6 SERVICES A-Z 53 Dysphagia – adult/elderly population. population. adult/elderly – Dysphagia Communication adult/elderly – population. disordersVoice Paediatric dysphagia and feeding. Behavioural feeding paediatrics. - Videofluoroscopy- paediatrics and adult. Nurse-runsupervision clinic patients for whoare diseaseon modifying anti- rheumatic drugs Biologics clinic for assessment, patients support with complicated inflammatory and joint furtherdisease that has not responded treatmentwith managed to usualjointly for disease modifyingare those polyarthritis anti-rheumatic chronic agentswith Ormond Patients Great clinic. at Paediatric rheumatology adolescent and paediatric of department the Street Hospital Lupus clinic Extended scope practitioner injection clinic The consultants and specialist registrars‘Prescription Exercise for Programme’ are run Islington all by local authority approved referrers to the
Range of services Inpatients • • • • • • The rheumatology department aims department The to the rheumatology improve health of with patients approach multi-disciplinary a uses department The disorders. musculoskeletal and chronic physiotherapy orthopaedic, with the hospital’s closely and works paindepartments. Range of services • • • • • • Speech and language therapy communication swallowing, feeding, service Whittington’s a The language and for speech department provides therapy referred adults and reflective children based, babies, evidence an for offer to aims department The disorders. voice and service with the patient at the centre of care. within the The settings of range a wide team across offers assessment, management and advice diagnosis, department, paediatric the unit, care intensive neonatal the including hospital ITU, stroke and elderly wards, ENT and head and cancer neck outpatients and imaging(videofluoroscopy). Rheumatology
Chronic Respiratory Support service (CRS) helps to reduce the number and and number the reduce to helps (CRS) service Support visits six to Respiratory four Chronic of Consists COPD. monthly with by patients of followed admissions of specialist, duration nurse respiratory or physician respiratory a by contact. Long-term support consists weekly of visits can visits Urgent breathing. Patients their using theabout REDS concerned and are the they CRS if servicecall to are givennumbers telephone helpline be arranged in such circumstances Pulmonary rehabilitation patients for with COPD The Respiratory Early Discharge Service (REDS) helps patients admitted as as admitted patients primary helps (REDS) local Service with Discharge Early conjunction in Respiratory The Provided earlier. home get to emergency an care services Outpatient clinics TB treatment andcontact clinic Smoking cessation clinic Oxygen assessment Obstructive sleep apnoea Sleep service Pulmonary function laboratory
• • • to the save patient’s time. • • • • • • • outpatient chest x-ray before referral to ease the passage through the clinic and and clinic the through passage the ease to referral before x-ray chest outpatient in order of referral.in orderof Inall advisedcasesis it that newpatients referred GP havea • quickly as possible, ideally in the next available clinic. Non-urgent cases are seen seen are cases Non-urgent clinic. available next the in ideally possible, as quickly Range of services diagnoses, such as lung cancer, tuberculosis and respiratory failure, are seen as as seen are failure, respiratory and tuberculosis cancer, lung as such diagnoses, tuberculosis, bronchiectasis, sarcoidosis and other interstitial diseases. Urgent education and training. Diagnoses seen include COPD, asthma, lung cancer, lung cancer, asthma, COPD, include seen and training. Diagnoses education of of respiratory healthcare through the service it provides, as well as through for patients with respiratory disease and contribute towards the improvement improvement the towards contribute and disease respiratory with patients for Respiratorymedicine Thedepartment respiratory of medicine aimsthehighest offer to quality care of
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SERVICES A-Z 52 6 SERVICES A-Z 55
Colposcopy Vulval Gynae-oncology rapid access clinic Fibroids Gynae-endocrine Urogynaecology Menorrhagia Andrology Hysteroscopy Menopause Fertility including IUI procedures Obstetric medical clinic Pregnancy advice Obstetric diabetic clinic Early pregnancy diagnostic unit which runs daily clinics
Women’s health Women’s The clinics. interest a special of range provides department The gynaecology potential with women all which to Whittington is cancer unit. a services gynaecological There are designated specialist treatment and assessment diagnostic, or suspected gynaecological cancers are referred.symptoms and those This who present through includes our cervical women withscreening programme.Patients are seen within two weeks referral. of Range of services Special interest clinics • • • • • • • • • • • • • • •
One-stop haematuria clinic One-stop prostate assessment clinic TRUS and biopsy clinic Erectile dysfunction clinic Hormone control clinic the for management prostate of cancer Nurse-led active surveillance clinic Paediatric clinic for the management genital and disorders surgical intervention of scroto- Chemotherapy clinic Joint oncology clinic with radiotherapist from the Royal Free Hospital Joint uro-oncology services with UCLH surgical for intervention Minor urology disorders operated under sedation Orthopaedics Orthopaedics General surgery including bariatric surgery Trauma and emergency Gynaecology Vascular Urology
• • • • • • • • • • • Range of services • • • • and management. Urology The Whittington provides a procedures to the local community supported in all portfolio main urology disorders of and in we collaborationwork with planned University College is LondonThe surgical department cases. Hospitalcancer (UCLH) and complex major for to provideintervention surgical in to dedicated services development ambulatory continued and laprocopic surgery.Inaddition, the department activelyis involved inhigh quality research at both scientific and clinicaland Sutton, to levelsensure that withthey are the at the Royalforefront of Free improved patient Hospital, care UCLH • Range of services • The Whittington hospital has six inpatient operating theatres providing elective elective providing theatres operating provide to inpatient is six aim has The hospital community. Whittington local The the from patients to care emergency and care a to of undergoing standards patients perioperative variety of excellent a is dedicated There specialities. surgical of a range across procedures surgical patients of management the for available is which theatre emergency / trauma 24 hours 365 days a day, a year. Operating theatres / acute pain
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SERVICES A-Z 54 6 Currency 57
Achievement of this level of surplus was possible as a result of a combination combination a of result a as possible was surplus of level this of Achievement physical its in investment significant make to continued Trust the addition In accounts. the to 1.7 note in described as valued are assets fixed Trust’s The In addition, as confirmed via the annualletter of representation to the The full Statement of Internal Control and the letter of representation of factors including the delivery of a cost improvement programme of £8.4 m. m. £8.4 of programme improvement cost a of delivery the including factors of environment and this year delivered a capital expenditure building of programmeThis £6m andengineering £10m. comprised of excess schemes in (including major improvements in the Outpatients Department), £3m on new medical equipment (including equipment for the new Day Treatment the for systems (includingtechnologyinformation new on £1m and Centre) Pharmacy and Theatres). for Market values are not valuations professional usingvalue, marketcurrent buildingsto routinely restated are held in respect in of accordance land. with FRS15 All every land five using indices. years and and in the intervening years Financial risk The Trust operates withinthe the Department regulatory of Health.the framework Trust Risk determined Board’s assurance management by framework, as of is Internal described monitored in Control. the through Directors Statement are Board members and the or Chief attendees Executive, of as accountable the officer, systems has Trust put that in place provide information and The Statement assurance of Directors’ for Responsibilities the in Trust respect is of signed Board. the by accounts the Chief Executive confirms and Finance that Director. the The Directors statement havebelief to the complied best of with Board.the their audit knowledge and requirements and is signed by the order which of information audit relevant no is there external auditors, of Trust’s auditors Trust’s are unaware. This letter is signed by the Chief Executive, Committee Audit the chair Executive of Non the and FinanceDirectorthe agreed been haswithmembers. boardand other can be Whittington obtained Hospital NHS from Trust, (Telephone: 020 7288 5983). Magdala the Avenue, London Press N19 5NF Office, Jenner Building, The Value for Money for Value
In 2007/08 the focus of theredevelopmentthe focus teamof turned 2007/08 In the completionto Thefirst phase Trust’sof the major redevelopment programme opened in Trust contributed to the overall financial planfor the NHS in London. surplus was achieved. meetingBy its required planned surplus,of level the the year ended 31st March 2008.the year 31st ended This thewas fourthyear that a successive longer-term plans further for modernisation the of hospital site. for expenditure account and income its on £1.421m of surplus a made Trust of of the Day Treatment Centre (which opened in April 2008) and to the performance Financial The summarised financialstatements thatfollow this review show that the year of operation of these new facilities. new these of operation of year unit, wards and day-care facilities. was thus the 2007/08 first full financial November 2006,November comprisingImaging new a department, adultCritical Care towards its strategic goals. financial and non-financial targets, whilstcontinuing to make progress 2007/08 2007/08 was a successful year for the Whittington in meeting both its Operating and Financial Review Spending wisely
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Currency 56 6 Currency 59 302 1,421 4,696 3,577 £’000 21,827 153,330 2007/08 291 1,985 3,215 4,909 £’000 20,141 142,389 2006/07 20 417 308 2,760 3,048 £’000 131,498 2005/06 397 330 1,998 4,123 2,455 £’000 127,524 2004/05 150 (850) 2,700 £’000 (1,601) (3,400) 110,694 2003/04 Income & expenditure reserve Retained Retained surplus/(deficit) Dividends Dividends payable Income Operating surplus/(deficit) Net interest interest Net receivable/ (payable) The Trust actively engages with key stakeholders in the community to The Income and Expenditure statement indicates an operating surplus The following table summarises key features of the Trust’s Income and Otherinformation disseminationthe intranetan hasalso for It website. public a has Trust The informationof and policies to staff. Policy. NHS implement expenditure and Income The Trust’s main sources of income Primary are Care Trusts and education service and training level levies. agreements with The Trust of £4.696m. paid dividends and of £3.577m received interest of resulting inretained£1.421m. the £0.302msurplusof (net), Expenditure performance over the last five financial years.
A A major focus for operational activity in has 2007/08 been the national Planning an submit to theapplication continues enable Trust for to work The new Day Treatment Centre provides the opportunity for the With this one exception, the Trust met or exceeded its performance
The Trust met all but one of its targets for reducing healthcare associated nationalinitiative. targets by March 2008 and is on track to achieve all the requirements of this of requirementsall the achieve to track on is 2008and March targetsby referral to treatment. The Whittington achieved all its interim milestone target that by 2008 no one should wait for more than 18 weeks from Foundation Trust status later in the year. increase the number patients of treated. met this target in 2007/08. Whittington to expand the type of day-case procedures on offer and the Department. The Whittington in that only Trusts London four of one was patient experience, and reducing the rates Health of Acquired Infections. targets, including the 4-hour total treatment time target in the Emergency reducing patient waiting times and improving access to services and the Future developments Future In 2008/09 the Trust will focus on consolidating its achievements in was set the by PCT. cases of Clostridium difficile infection in patients over the age of 65, whichClostridium 65, of of difficile cases age the over infection patients in the previous year. Thedid Trust achieve targetits the to reduce number of maximum of 12. However, 21 cases did represent a 33% reduction from infections. There were 21 cases of MRSA bacteraemia, against the target per cent from 2006/07). increase in the Trust’s operating income above the level of inflation (up 7.3 inflation (up operating increaseof the level in theabove income Trust’s increase in the number of babies delivered. This growth is reflected in the 2006/07, an 18 per cent increasein elective (planned) cent per cent per 6 care,a and an 18 2006/07, initiatives. 2007/08 saw a 2.5 per cent increase in GP referrals compared to to referrals compared increasein GP 2.5 cent a per saw initiatives.2007/08 standards, than PCTand the lower demand planned management of effect demand arising from growth in market share, the drive to meet waiting-time meet to drive the share, market ingrowth from arisingdemand at at the start the of year. This a represents combination factors: increasedof Non-financial performanceNon-financial clinicalThe Trust’s activity significantly was higher than forecast had been
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Currency 58 6 SERVICES A-Z 61 86% Non NHS NHS £’000 42,252 36,209 Creditors Creditors
97% 8,467 8,229 NHS NHS £’000
Creditors Creditors 4.8% 8,329 6,886 6,846 £’000 95,623 80,448 2006/07 83% 35,672 29,608
Number Creditors Creditors Non NHS NHS Non 4.8% 7,069 7,335 8,805 £’000 86,356 102,230 2007/08 96% 5,231 5,466 NHS NHS Number Creditors Creditors 2007/08 performance bills Total paid paid Total within target Percentage Percentage within paid target Social Security costs Employer contributions to NHS Pension Scheme staffTotal costs costs Management as a percentage of income Salaries and wages Of which: Management costs Staff and management costs management Staffand The Trust recognises the need to contain its management costs at a level appropriate to the achievement of Expressed its as a servicepercentage of and income, the financialTrust’s management remained objectives.costs constanthave over the last year.
84% £’000 39,775 47,624 Creditors Creditors Non NHS NHS Non 90% 6,928 6,227 NHS NHS £’000 Creditors Creditors 81% 41,720 33,570 Number Creditors Creditors Non NHS NHS Non 93% 5,109 5,505 NHS NHS Number Creditors Creditors
target paid within within paid Percentage Percentage within target Total paid paid Total 2007/08 performance Total bills bills Total The Trust’s performance, which is measured both in terms of volume In order to meet this target, the Trust used its net cash inflow of £16.675m £16.675m of inflow cash net its used Trust thistarget,the meet to order In and value, is tabled below, with a second table. comparison to the prior year in the valid invoice, whichever is later, unless other terms have been agreed. been unlesstermshave later, other is whichever valid invoice, rules. The target is to pay creditors within 30 goods days of receipt of or a an overall increase £2.1m of in the cash balance the for year asrequired. with the CBI Better PracticePayments Code and Government accounting and make a net public dividend capital repayment of £2.657m, resulting in The Department of Health requires that trusts pay creditors in accordance investment of £8.71m in fixed assets, make of £8.71m £3.577m dividendof investment payments Payment of creditors from from operating activities and £0.369m interest received to make a net was an increase of £2.1m compared to the previous year. previous the to compared £2.1m of increasean was The Trust agreed and delivered a year-end target balance of £2.5m, which which £2.5m, of balance target year-end a delivered and agreed Trust The Trusts were enabled to forecast and manage their year-end cash balance. set for 2007/08, the cash management the cash regime revised that was in year such 2007/08, for set Trust in respect of its year-end cash balance.year-end cash its Although target initially a of was inrespect Trust Cash flow and net financial change The Department of Health has historically set an annual target for each
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Currency 60 6 Currency 63
My responsibility is to report to you my opinion on the consistency of the of consistency the opinionon my you to report responsibility to is My consider and Report Annual the in contained information other the read also I Reports of bodies that do not publish their summary financial statement on a website or publish it it using PDF format may continue to refer to the summary financial by statement to reference numbers. page ¹ Respective responsibilities ofdirectors and auditor The Directors are responsible preparing for the Annual Report. summary financialstatement within the Annual Report with thestatutory financialstatements. the implications for my report if I become aware of any misstatements or material inconsistencies with the summary financialstatement. Basis of opinion Practices Auditing the by I issued conducted statement’ my financial work summary in the accordance on with statement Bulletin 1999/6 ‘The of auditors’ basis the describes financialstatements statutory the on report My Board. auditmy opinion on those financialstatements. statutory the with Opinion consistent is statement financial summary the opinion my In financialstatements of theTrust for the year ended31 signedMarch I which on 2008.date betweenthe events any I haveof effects the considered not my report on the statutory financialstatements (20 June) and the dateof this statement. Philip Johnstone (Officerof Auditthe Commission) Audit Commission Floor,1st Millbank Tower Millbank LONDON SW1P 4HQ 20 June
. ¹ Date 20 June Signed David Sloman Chief Executive Date 20 June
This report is made solely to the Board of Directors of Whittington The financialstatements thatfollow are in a summarisedform, and may by theby Audit Commission. Statement of Responsibilities of Auditors and of Audited Bodies prepared Act Act 1998 and for no other purpose, as set out in paragraph 36 of the Hospital Hospital NHS Trust in accordance with Part II of the Audit Commission losses, balance sheet and cashstatement flow set on out pages 48 to 50 income and expenditure account, statement of total recognised gains and Directors of Whittington Hospital NHS Trust. I have examined the summary financial statement which comprises the Independent auditor’s statement to the Board of of Board the to statement auditor’s Independent which there is no charge, are available from the Press Office, Jenner Building, Jenner Office, Press the from available are charge, no is there which financial position and performance.Full ofsets statutorythe for accounts, not not contain sufficient informationfor a full understandingof theTrust’s audit fee of £179,423 related to statutory audit services.statutory audit to related £179,423 of fee audit Signed conducted conducted by the Audit Commission, the Trust’s external auditors. Their (Tel: 020 7288 5983). all disciplines. of the Trust for the financial year ended 31 March 2008. The audit was TheWhittington Hospital NHS Trust, Magdala 5NF London Avenue, N19 The statements that follow are drawn from the audited statutory accounts Financial statements Financial of teaching, training, professional development and research activities across across activities research and development training, teaching,professional of from the London Strategic Health Authority. This was applied to a wide range wide a to applied was This Authority. Health Strategic London the from Medical and professional education and training in (£13.03m fundingthe received 2006/07) Trust In £13.671m 2007/08 of Richard Martin
Director of Finance
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Currency 62 6 Currency 65
0 415 1,432 1,324 £’000 37,709 20,141 49,915 25,755 83,471 83,471 39,448 35,323 (2,415) 106,811 106,811 109,226 (13,693) 31 March31 2007 867 2008 1,221 2,515 1,229 £’000 21,517 21,827 36,135 91,636 47,258 32,391 40,425 92,503 110,731 110,731 (3,289) 114,020 (14,618) 31 March March 31 Total currentTotal assets Creditors: falling due within one year Current assets Current Stocks and work in progress Debtors Cash bank at and in hand Tangible fixed assets Net current assets Intangible fixed assets fixedTotal assets Income and expenditure reserve taxpayers’Total equity Total assets less current current less assets Total liabilities Revaluation reserve Donated asset reserve Total assetsTotal employed Taxpayers’ equity Public dividend capital Provision for liabilities Balance sheet March as at 31 2008
0 159 341 (50) 3.3% 1,985 6,598 4,909 5,200 5,200 £’000 11,957 £’000 22,850 (3,215) 119,539 142,389 2006/07 2006/07 (137,480) 369 (19) (48) 1,421 3.4% 4,998 4,696 55 £’000 25,055 (3,577) 128,275 153,330 2007/08 5,456 4,998 (148,634) £’000 10,509 2007/08
reserve Net increase in the donation donation the in increase Net in recognised gains Total the year before dividends asset revaluation / indexation Surplus the for financial year fixed on surplus Unrealised Other income Income from activities Surplus before interest before Surplus Total incomeTotal expensesTotal Interest receivable Interest payable Other finance costs year financial the for Surplus Retained surplus for the year payable Public dividend capital dividends Return on assets employed employed assets on Return (target 3.5%) the year ended March 31 2008 Statement of total recognised gains and losses for for losses and gains recognised total of Statement 31 March31 2008 Income and expenditure account for the year ended year the for account expenditure and Income
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Currency 64 6 Currency 67
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other (bands (bands 130-135 of £5,000)
0 0 0 0 2006/07 5-10 5-10 5-10 5-10 5-10 70-75 70-75 15-20 45-50 50-55 15-20 15-20 90-95 30-35 75-80 20-25 40-45 Salary Salary (bands (bands 130-135 of £5,000)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other (bands (bands 150-155 of £5,000)
0 0 0 2007/08 0-5 0-5 0-5 0-5 0-5 5-10 5-10 5-10 5-10 10-15 70-75 15-20 90-95 90-95 75-80 75-80 75-80 75-80 Salary Salary (bands (bands 130-135 of £5,000) Name and title Non-executives J Liddane N Makanji R Aitken M Duggan P FarmerP P GordonP D Henry A Johnson E Lord A Merrick Executives D Sloman M Boltwood T Donnelly DonovanP S Harrington IentP Ingham C Mrs Clark R Martin K Slemeck S Sorensen D Wheeler M Lloyd Remuneration Report Remuneration Salaryand pension entitlements senior of managers, heldwho office during the year ended March 31 2008, are detailed below. 0 0 0 31 344 344 4,354 4,354 6,898 £’000 (4,323) (3,215) (8,350) (8,350) 2006/07 369 369 498 (97) 2,711 4,757 2,100 £’000 16,675 (9,111) (8,710) (3,577) (5,368) (2,657) 2007/08
and financing and management of liquid resources resources liquid of management Net cash inflow / (outflow) before before (outflow) / inflow cash Net Public dividend capital received financing Dividends paid Financing from (outflow) / inflow cash Net Public dividend capital repaid Increase in cash expenditure Receipts from sale of tangible tangible of sale from Receipts fixed assets intangible acquire to Payments fixed assets capital from outflow cash Net Interest received finance assets activities servicing of finance on investments and servicing of Payments to acquire tangible fixed Net cash inflow from operating and investments on Returns Net cash inflow from returns Capital expenditure 2008 Cash flow statement for the year ended 31 March 31 ended year the for statement flow Cash
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Currency 66 6 Currency 69
One-off One-off bonus payments could occasionally be available for major managers senior former to made were compensation or awards significant No additionalobjectives. When recruiting, non-cash alternatives to salary may be offered. Market comparisons of salaries should divergencesconsidered. of effect be reviewed each year and the Separate geographical allowances and cease theshould current allowance consolidated into basic pay. Contracts of employment should continue to be permanent rather than fixed term. Performance is measured against is agreed assessed through an objectives annual and appraisal. Performance is achievement one of principlesthe the of overall key remuneration assessment. Contracts of employment are permanent business reasons unless for other arrangements. there Notice periods and termination are overriding paymentsare set in out contracts employment. of No significant awards ormanagers compensation and no amounts in werethe report were payable madeto third parties thefor services a senior of to former manager. senior business overriding are there unless permanent are employment of Contracts • set in out contracts employment. of and amounts no in third to the report payable were parties the for services a seniorof manager. • • • • • • • Performance is measured is assessed against through an annual agreed appraisal. Performance principles objectives the of overall is remuneration one assessment. of and the key achievement are payments termination and periods Notice arrangements. other for reasons
appropriate team (and therefore team performance). in number, and include the performance of the individual within the plan. Individual objectives should be measurable, achievable, limited Objective Objective setting should be realistic, and linked to the Trust’s business specified rangeof performance. Increases should be based on a simple percentage range, related to a the year-end (April). Annual salary increases should be linked to appraised performance after During there was a 2007/08, real decrease in the pension, lump sum and • • • remuneration directors of the of Trust: Trust. The Committee has agreed the following key principles to guide and all the non-executive directors of the Whittington Hospital NHS The membership of the Remuneration Committee comprises the Chairmanthe Committeecomprises Remuneration the of membership The S Sorensen reached retirement age during resulting 2006/07, in a nil CETV. non-recurrent Agenda for Change arrears in 2006/07. Change Agendanon-recurrentarrears for in2006/07. total pensionable pay. The total decrease pay. pensionable in total pay was pensionable caused by cash equivalent transfer value for K Slemeck, all of which are based upon 10-11 of the of complete annual10-11 accounts document. Patricia Donovan was acting Director Finance of from Kate Slemeck changed from part-time to full-time in June 2007 Theaccounting Trust’s policy in respect pensions of is described on pages Tara DonnellyTara left the Trust in February 2007. Richard Martin joined the Trust in January 2007. benefits Pension Anna Merrick joined the Trust in December 2007. 2006. June in retired Lloyd Michael Edward Lord joined the Trust in December 2007. Siobhan Harrington joined the Trust in September 2006. Doreen Henry leftthe Trust in February 2008. August – December 2006. Patricia Gordon left the Trust in November 2007. Peter Farmer left the Trust in December 2007. Robert Aitken joinedthe Trust in January 2008. Narendra Makanji left the Trust in October 2007. Joe Liddane joined the Trust in November 2007.
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Currency 68 6 Currency 71
0 0 0 0 0 0 0 0 0 to to £’000 pension pension Employer’s Employer’s stakeholder contribution contribution
0 19 18 19 12 91 27 26 (2) Real Real Value Value £’000 in Cash Cash in increase increase Transfer Transfer Equivalent Equivalent
0 101 392 350 126 563 324 389 463 2007 Cash £’000 Value at at Value Transfer Transfer 31 March March 31 Equivalent Equivalent
0 147 513 359 439 707 100 425 387 Cash 2008 £’000 Value at at Value Transfer Transfer 31 March Equivalent Equivalent S Sorensen K Slemeck D Wheeler R Martin Mrs C Ingham Ingham C Mrs Clark S Harrington IentP D Sloman M Boltwood Name and title and Name
90-95 90-95 30-35 £’000 75-80 20-25 80-85 95-100 140-145 100-105 accrued accrued at age 60 age at 31 March March 31 related to to related of £5,000) £5,000) of pension at at pension Lump sum 2008 (bands
5-10 Total Total 10-15 45-50 30-35 30-35 30-35 30-35 £’000 25-30 25-30 £5,000) £5,000) accrued accrued (bands of of (bands pension at at pension age 60 at 31 31 at 60 age March 2008 March
Real Real 5-7.5 2.5-5 2.5-5 2.5-5 2.5-5 2.5-5 2.5-5 £’000 (0-2.5) 20-22.5 £2,500) increase increase at age 60 age at (bands of of (bands in lump sum
Real Real 5-7.5 2.5-5 0-2.5 0-2.5 0-2.5 0-2.5 0-2.5 0-2.5 £’000 (0-2.5) £2,500) increase increase at age 60 age at (bands of of (bands in pension
D Sloman M Boltwood S Harrington S Sorensen K Slemeck Clark Mrs C Ingham Ingham C Mrs R Martin P IentP D Wheeler Name and title and Name Pension benefits Pension
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Currency 70 Designed and produced by causeway communications. www.causewaycommunications.com Tel: 020 7255 5265
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The Whittington Hospital NHS Trust welcomes the views of its patients and local community. If you would like to get involved with the hospital or would like further information about this review, please contact:
Deborah Goodhart, Head of Communications, The Whittington Hospital NHS Trust, Highgate Hill London N19 5NF
Tel: 020 7288 5983 [email protected]