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Annual Report & Financial Accounts 2010/11

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Annual Report & Financial Accounts 2010/11 South East Coast Ambulance Service NHS Trust Annual Report & Financial Accounts 2010/11 2 Contents Part one Chairman’s overview Chief Executive’s report About South East Coast Ambulance Service NHS Trust Improving performance standards and reducing variation Delivering excellence in leadership and development Improving access and patient outcomes Improving satisfaction and experience for everyone Proud to be part of SECAmb Convert all available resources to maximise patient benefit Part two Workforce Profile Principles for Remedy Review of our financial performance Directors’ disclosure of audit information Disclosure of incidents involving personal data loss Remuneration report Statement of the Chief Executive’s responsibilities as the Accountable Officer of the Trust Statement of the directors’ responsibilities in respect of the accounts Statement on Internal Control Independent auditor’s statement to the Board of Directors of South East Coast Ambulance NHS Trust Financial accounts 2010/11 SECAmb Annual Report Draft v 0.1 April 2011 2 3 Chairman’s introduction Welcome to SECAmb’s Annual Report and Accounts for 2010/11. This is a slightly unusual report as it actually covers the eleven month period from 1 April 2010 until 28 February 2011, when we were operating as an NHS Trust. This is because our application to become a Foundation Trust was approved by Monitor on 1 March 2011, making us one of the first ambulance Foundation Trusts nationally. For much of the year, we have been working extremely hard to realize this ambition, as well as on progressing our strategic objectives and it undoubtedly marks a significant step forwards in helping us to achieve our goals of delivering the very best care for our patients. You can read more later on in the report about our achievement in becoming a Foundation Trust and the benefits we believe this will deliver for our patients, our staff and the communities we serve. As well as our journey towards becoming a Foundation Trust, this year has also been packed with challenges, opportunities and developments. On many occasions, I have been reminded of the tremendous dedication and commitment shown by our staff, regardless of their job role. This year, once again, our region was severely affected by adverse weather conditions, which put massive pressures on our staff, both in terms of the practicalities of responding to patients and even in simply getting into work! As in previous years, our staff again responded magnificently to this challenge – pulling together to ensure our patients continued to receive the best service possible. I was also extremely proud to meet with many of our staff during the Trust’s two annual award ceremonies, which took place during October and November of last year. These events provide the Trust with a valuable opportunity to recognise the achievements of our staff in a number of areas – long service, clinical excellence and those who have simply gone “beyond the call of duty”, as well as meeting some of the patients they have helped. They were two extremely enjoyable evenings that in many ways captured the very essence of SECAmb. Whilst looking back on the year, I would also like to take this opportunity to pay tribute to my predecessor as Chairman, Martin Kitchen, who left the Trust at the end of September 2010. I know that his support and advice had been greatly valued by all members of the Trust Board during his time as Chairman and he left behind a valuable legacy of stewardship. Looking forwards, the coming year will undoubtedly present us with some challenges - a difficult financial climate and an evolving NHS being just two of them – but at the same time, they also bring opportunities for us to re-examine SECAmb Annual Report Draft v 0.1 April 2011 3 4 Chairman’s introduction what we do and ensure we are doing the very best for our patients in the most efficient and effective way. Welcome to SECAmb’s Annual Report and Accounts for 2010/11. I am confident that, through working with our staff, as well as our partners both This is a slightly unusual report as it actually covers the eleven month period from within and outside of the NHS, we will be able to build on the successes of 1 April 2010 until 28 February 2011, when we were operating as an NHS Trust. previous years and our new status as a Foundation Trust and continue to This is because our application to become a Foundation Trust was approved by develop and grow, remaining focussed on our goal to provide the very best care Monitor on 1 March 2011, making us one of the first ambulance Foundation to our patients. Trusts nationally. For much of the year, we have been working extremely hard to realize this ambition, as well as on progressing our strategic objectives and it undoubtedly marks a significant step forwards in helping us to achieve our goals of delivering the very best care for our patients. You can read more later on in the report about our achievement in becoming a Foundation Trust and the benefits we believe this Mike Harris, Interim Chairman will deliver for our patients, our staff and the communities we serve. As well as our journey towards becoming a Foundation Trust, this year has also been packed with challenges, opportunities and developments. On many occasions, I have been reminded of the tremendous dedication and commitment shown by our staff, regardless of their job role. This year, once again, our region was severely affected by adverse weather conditions, which put massive pressures on our staff, both in terms of the practicalities of responding to patients and even in simply getting into work! As in previous years, our staff again responded magnificently to this challenge – pulling together to ensure our patients continued to receive the best service possible. I was also extremely proud to meet with many of our staff during the Trust’s two annual award ceremonies, which took place during October and November of last year. These events provide the Trust with a valuable opportunity to recognise the achievements of our staff in a number of areas – long service, clinical excellence and those who have simply gone “beyond the call of duty”, as well as meeting some of the patients they have helped. They were two extremely enjoyable evenings that in many ways captured the very essence of SECAmb. Whilst looking back on the year, I would also like to take this opportunity to pay tribute to my predecessor as Chairman, Martin Kitchen, who left the Trust at the end of September 2010. I know that his support and advice had been greatly valued by all members of the Trust Board during his time as Chairman and he left behind a valuable legacy of stewardship. Looking forwards, the coming year will undoubtedly present us with some challenges - a difficult financial climate and an evolving NHS being just two of them – but at the same time, they also bring opportunities for us to re-examine SECAmb Annual Report Draft v 0.1 April 2011 SECAmb Annual Report Draft v 0.1 April 2011 3 4 5 Chief Executive’s report Last year, once again, saw no let-up in the pace of change for the NHS, both locally and nationally, combined with an extremely challenging financial climate. Within SECAmb, we worked hard to ensure we could continue to improve the quality of the care we provide, whilst maximising efficiency and effectiveness. Despite a number of challenges, including periods of extremely bad weather, we managed to exceed the national target of responding to 75% of life-threatened patients within eight minutes, reaching 76.02% of patients. This means we arrived with more than 135,000 critically-ill or injured patients within eight minutes during 2010/11 – a fantastic achievement! But, within SECAmb, we have always recognised that response time targets should only be a part of how we are measured – it is the quality of clinical care provided and subsequent patient outcomes that are the true measure of the services we provide. So moving forwards, we warmly welcome the new range of national clinical quality indicators that will measure the performance of all ambulance services from 1 April 2011 onwards. These will focus on a number of key areas, including two of the biggest killers in the UK today – stroke and cardiac arrest – as well as attempting to measure “patient experience” in a number of ways. I am confident that, for SECAmb, the new indicators will reiterate the quality of the care our staff provide every day to the people of Kent, Surrey and Sussex. As you will read later on in the report, during the previous year, we have continued to make significant strides forwards in developing both new clinical pathways for our patients and new clinical roles, which will build on and expand the clinical skills and expertise of our staff. A key factor in the quality of the care we provide is the initial contact with the Emergency Dispatch Centres (EDCs), who manage the triaging of 999 calls, as well the dispatching of the appropriate response to meet the patient’s needs. This is an area that has and will continue to see significant changes in the part it plays in the patient’s journey, with far greater emphasis on clinical in-put and advice and the move to NHS Pathways. Alongside the emergency services we provide, I would not want to overlook the important contribution made to patient care by our Patient Transport Services. These staff provide planned (non-emergency) transport to and from hospital and clinic appointments, day centres and other health and social care facilities and are heavily relied on by many thousands of people across our region.
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