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Annual Report & Accounts 2007/08

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Annual Report and Accounts 2007/08 . “Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006.” Annual Report and Accounts 2007/08 medical Illustration Birmingham Heartlands Hospital Medical Illustration medicalCreative & Design: Andrew Tomkinson Illustration Photography: Adrian Wressel, Imke Daugs Birmingham Heartlands Hospital Contents Chairman’s Statement Page 6 Chief Executive’s Statement Page 7 Directors’ Report Page 8 Background Information Page 14 Operational and Financial Review Page 16 Going Concern Page 36 Membership Report Page 38 Governors’ Consultative Council Page 41 Board of Directors Page 44 Remuneration Report Page 56 Statement of Accounting Officer’s Responsibilities Page 60 Statement of Internal Control Page 62 Independent Auditor’s Report Page 70 Foreword to the Accounts Page 73 The Accounts Page 74 Chairman’s Statement This has been a successful year for with our commissioners to meet any Day for the last 34 years. He was an as Deputy Chairman. Alaba was with the the Trust, in which we have overcome changes it would wish to effect. example to us all with his generosity of Trust four years and was instrumental in considerable challenges. These included spirit and commitment to improving the progressing the diversity agenda. I would the integration with Good Hope Hospital, The Governing body, the Governors’ lives of some of our most unwell and like to thank them both for their excellent meeting Government waiting list targets Consultative Council, performed well unfortunate children. He will be sadly contribution. and remaining financially sound. We in its role to give an objective view of missed by patients and staff. achieved all these goals. One area of performance issues and take part in Finally, I would like to place on record my disappointment was our inability to meet working groups to aid new initiatives. It is the job of the Governors to appoint thanks to all my Board colleagues and the trajectory for the reduction in MRSA Sadly, two of our Governors, Peter Grace non-executive directors to the Board. Two congratulate the executive team and the set by the Department of Health. Whilst and Don Lewis, died this year. Peter appointments were made this year, David staff for the professional, efficient and we achieved a significant reduction in Grace was very committed and sat on Bucknell and Professor Chris Ham. David effective way they have worked to deliver bacteraemia, we did not quite meet the four of our Trust committees. Elections brings with him a wealth of experience in safe and high quality care to patients. ambitious target. are underway for a suitable replacement, construction and contract management. who will be in place by the end of May. Chris has advised the Department of The good working relationship we have Honorary Alderman, Don Lewis, was the Health and World Health Organisation with primary care trusts and general City Council nominee and contributed and was awarded a CBE in 2004 in practitioners is central to our clinical fully to the deliberations of the recognition of his services to the NHS. strategies and we endeavour to work as Governors’ Consultative Council. Both Clive Wilkinson, closely with our primary care partners will be sadly missed. I was also very sad They replace Professor John Perry and Chairman as possible to ensure a smooth patient to hear of the death of former governor Alaba Okuyiga. John was in post for 11 journey. We look forward to the outcome Dan Jones. Dan played Father Christmas years and provided invaluable support on 11 June 2008 of the Darzi review and will go forward on the Children’s Ward every Christmas selected committees and more recently 6 Chief Executive’s Statement This year has been exceedingly safety and improvement. The Board Heart of England is now one of the challenging for the Board and particularly has reviewed Heart of England’s vision largest and most successful Foundation our staff. It commenced with the and developed plans for the future, Trusts in the NHS, providing high quality acquisition of Good Hope Hospital in April which have a strong emphasis on its acute care and recognised internationally and the amalgamation of people and obligations to the local community. The for its strategic partnerships with primary services continued throughout the year. aim is improve health and wellbeing care. The journey continues as we seek to The acquisition and integration were by collaborating with other public serve best our local population and work accomplished in line with the proposals and private sector organisations. By with all our members and governors to initially submitted to Monitor, without developing links and working together, improve the quality of life in Birmingham, any significant or unexpected issues we can have a greater impact on the Solihull and South Staffordshire. arising. The challenge was to deliver this community and each individual patient successfully whilst carrying out the day- journey. We recognise that in an era to-day business of running three large of choice, we need to fully understand hospitals, delivering quality patient care patients’ perceptions and priorities, and to agreed targets and within budget. We allow these to guide the decisions we are justifiably proud of this achievement. make. The recently developed 10 year Mark Goldman, site strategy acknowledges the need to Chief Executive It is now crucial that we move the Trust’s provide creature ‘comforts’ as well as the performance agenda away from a most up to date and high quality clinical 11 June 2008 position of year-on-year stability towards services. one entirely focused on quality, patient 7 Directors’ Report The Board of Directors is chaired by Mr Clive Wilkinson, who was appointed for a Mrs Kath Kelly - Operations Director for Medicine four year term commencing 1 April 2006. The Chief Executive is Dr Mark Goldman. Mr Andrew Laverick - Director of Information and Communications Technology Other than the Chairman, there are seven Executive Directors and seven Non-Executive Mr Adrian Stokes - Director of Finance Directors. The Directors do not have material interests in organisations where those Mr John Sellars - Director of Asset Management organisations or related parties are likely to do business, or are possibly seeking to do Mr Simon Hackwell - Commercial Director business, with Heart of England. Changes in Executive Board Membership Executive Board Directors Beccy Fenton, Chief Finance Officer and Managing Director, became the Deputy Chief The voting Executive Directors on the Trust Board are: Executive from 1 April 2007. Dr Sarah Woolley became Acting Director of Governance on the Board on 1 April 2007 and was confirmed in post on 7 May 2007. Mr Ian Dr Mark Goldman - Chief Executive Cunliffe had been in post as Acting Medical Director for Surgery since 1 April 2006 and Dr Sarah Woolley - Director for Healthcare Governance was confirmed in post on 1 September 2007. Mrs Beccy Fenton - Deputy Chief Executive, Chief Finance Officer and Managing Director Dr Hugh Rayner - Medical Director for Medicine Non-Executive Board Directors Mr Ian Cunliffe - Medical Director for Surgery Dame Jill Ellison - Director of Nursing (Retired July 2007) Non-Executive Directors are appointed for four years and are terminable with one Ms Mandy Coalter - Director of Human Resources and Organisational Development month’s notice on either side. The non-executive directors are: The non-voting Executive directors who support the Trust Board are: Mr Clive Wilkinson - Chairman Ms Anna East Mrs Fay Baillie - Acting Director of Nursing Mr David Bucknall (appointed 8 January 2008) Ms Lisa Dunn - Director of Corporate Affairs Ms Najma Hafeez Mr Alan Gurney - Operations Director for Surgery Professor Christopher Ham 8 Mr Paul Hensel Management Consultancy Mr Alaba Okuyiga (Retired 30 November 2007) Professor John Perry - Vice Chairman (Retired 31 March 2008) Following a number of ad hoc requests to the Trust for help and support, a business Mr Richard Samuda plan for a management consultancy arm was developed and in 2008/09 the trading Mr Richard Harris (appointed 1 May 2008) arm will come into formal operation, supported by a website and marketing plan. The key objectives in establishing the consultancy arm are around the learning opportunities Professor Christopher Ham was appointed on 1 October 2007 to fill a standing vacancy this type of work provides for both the Trust and individuals. Any profits generated are on the Board. Following the completion of Mr Alaba Okuyiga’s term of office as Non- earmarked for investment in the Heart of England Academy. Executive Director on 30 November 2007, Mr David Bucknall was appointed on 8 January 2008. Professor John Perry retired as Non-Executive Director on 31 March 2008 Research and Development (R&D) and Mr Richard Harris was appointed on 1 May 2008. Ms Anna East took over the role of Vice Chairman with effect from 1 April 2008. This year has seen the Trust further develop its R&D capability and capacity. Of particular note is the development of MIDRU, which is the main centre for R&D in the Trust, Further details of the Directors, their remuneration and how they operate are disclosed in currently being built on the Heartlands site. This is due for completion in Spring 2009. Remuneration report on page 56. A £250,000 grant from Advantage West Midlands this year focused on the application of materials to help control of infection. An agreement with the University of Warwick Principal Activities of the Trust was reached to fund the Trust’s first professor in obstetrics / reproduction. The Trust has ambitious plans to increase its R&D portfolio but recognises that this is a highly The principal activity of the Trust is the provision of free healthcare to eligible patients. competitive market with a number of powerful established players dominating the The Trust also provides a very small amount of healthcare to private patients in receipt of research monies.
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