To Deliver Excellent Integrated Services in Partnership with Our Community C O R E Contents
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To deliver excellent integrated services in partnership with our community C O R E Contents Page Number 1. Chairman’s Report 3 2. Chief Executive’s Report 6 3. Performance Report 9 Performance Overview 12 Performance Analysis 28 4. Accountability Report 34 Corporate Governance Report 35 Governance Statement 37 Remuneration and Staff Report 70 Accountability and Audit Report 94 5. Our achievements 98 2 Chairman’s Report Chairman’s Report C O R E Chairman’s Report The Northern Health and Social Care for the next five years. This year we Trust (NHSCT) is a dynamic, complex have focused on developing a five organisation offering a wide range year staff engagement plan which of services to almost half a million will drive organisational development people living within the area we through a culture of high employee serve. Our challenge is to plan for engagement, great leadership and the future whilst delivering effective learning and development. services today. The third element of RAMP is In the past year we have developed resources, money, ICT infrastructure a Reform and Modernisation and buildings. The Trust currently Programme (RAMP), which brings operates from more than 330 together in one document a clear buildings and our aim is to rationalise plan for the ongoing development of and modernise our estate, ensuring services, our staff and our facilities. that our staff can better provide services from facilities that meet It is our belief that services should the needs of local service users and be provided at home or as close to staff alike. We want to do this in home as possible, where it is safe partnership with our communities. to do so. To deliver on this we are organising our services within four This year saw the official opening localities, each with health and social of our £24.5m flagship community care hubs which will be the centre facility, Ballymena Health and Care for locality and community based Centre, which is an excellent example services, delivered by integrated, of the type of facilities we would multi-disciplinary teams. Acute want in each locality. It will facilitate services will continue to be delivered integrated working between clinical from our two acute hospitals, Antrim and social care teams and allow us to and Causeway, right sized to deliver deliver truly patient centred care. the services required by people in the Northern Trust area. We will We continue to strive to find continue to build strong links with innovative ways to improve outcomes other hospitals in Belfast and Western for all those who use our services Trusts and throughout the province. and I was therefore delighted with the establishment, last autumn, Our Reform and Modernisation of our Medicine Optimisation and Programme (RAMP) includes a strong Innovation Centre (MOIC) where People strand aimed at harnessing, we will be working in partnership engaging and developing staff at all with many experts from throughout levels to deliver our ambitious plans the health sector as well as the 4 Chairman’s Report C O R E universities, community pharmacies we receive that our greatest asset and the pharmaceutical industry to remains the commitment and improve health outcomes for patients. dedication of the 11,800 talented and professional employees of the This year we have again achieved Trust. I am continually impressed by financial break even in a difficult the superb work that they do, even financial environment and I would in difficult circumstances and would commend all our staff for the like to thank each and every one of great effort to achieve this whilst them for the compassion, openness, maintaining the quality and safety of respect and excellence with which our services. they do their jobs 24 hours a day, every day of the year. It is important that we recognise and appreciate the professionalism and commitment of our staff and I therefore reintroduced the Chairman’s Awards, this year, with five categories based on our vision and values to celebrate and reward some of the great work taking place across the Bob McCann organisation. Chairman 9/6/16 I was delighted to announce the following key appointments to the Trust in the last year: Pamela McCreedy took up post of Deputy Chief Executive and Director of Operations, a key post cutting across directorates and embedding integrated, multi-professional working. In July, Larry ONeill retired after more than 40 years’ service and was replaced by Owen Harkin as Director of Finance. I would also like to offer my deep thanks and best wishes to our retiring Non-Executive Directors. The role is often challenging and they have always risen to those challenges in the past number of years. It is my pleasure to welcome our newly appointed non-executive directors. It is clear from the patient stories that we hear and from the feedback 5 Chief Executive’s Report Chief Executive’s Report C O R E Chief Executive’s Report This has been a year of consolidation health team and our crisis response during which we delivered our team which has helped us improve planned restructuring, real service our overall performance within this improvement and meaningful service. engagement with both our staff and the communities we serve. We have developed a Reform and Modernisation Programme (RAMP). Through restructuring we significantly RAMP sets out a five year strategy reduced management costs, for delivering investment and while bringing clinical staff into service improvement. It will form leadership roles, giving them greater the basis for a conversation with the responsibility for running services. public, about how we can together modernise services and deliver the Our newly appointed Director of care people are going to need in Operations has overseen greater the future. RAMP recognises the integration of services. We have very real increase in our elderly developed our locality model population and will reflect the for community care, to ensure generally held preference for services better integration of services at a to be delivered as close to home as local level. We have put in place possible. new services such as our Rapid Assessment Interface Discharge We are committed to engagement (RAID) team. RAID delivers timely both internally and externally and services to people with mental health have a number of well-established problems, including dementia, when fora including an older people’s they present in our acute hospitals. panel, learning disability panel and a This provides prompt, expert care, carer’s forum. These representative supporting patients, families and staff. groups help us to engage more Another example is in the ongoing widely with the people who use development of our Stroke Service. our services. We have engaged We have seen a real and valuable meaningfully with our staff in increase in the number of patients developing our Vision and Values. In who can rapidly and directly access recognising that our staff are our most specialist care. important asset we have brought a renewed focus to staff wellbeing and Within Children’s Services we have health and safety. developed our early intervention services including the introduction of The Trust has been recognised family nurse partnership model. We on a number of occasions for have introduced our primary mental exceptional performance or individual 7 Chief Executive’s Report C O R E achievement. I congratulate all concerned. I would wish to highlight our success in winning the Caspe Healthcare Knowledge Systems (CHKS) Patient Safety Award for Outstanding Performance. This reflects the exceptional work and dedication of all our staff. I look forward to continuing to work with the thousands of staff in our organisation who demonstrate our values on a day to day basis in their commitment to ensuring that we deliver excellent services to wide range of people we serve. Dr Anthony Stevens Chief Executive 9/6/16 8 Performance Report Performance Report C O R E About the Trust The Northern Health and Social The profile of the population shows Care Trust became operational on 1 that we have the largest older April 2007. The Trust has an annual population and the largest child revenue budget in the region of population. We have an increased £687 million and employs 11,800 number of people with higher levels people. Funding is secured from a of complexity presenting to services range of commissioners, the main particularly dementia, disability and commissioner being the Health and older people’s services. Social Care Board. Demand for health and care The Trust covers four local council grows annually by approximately areas – Antrim and Newtownabbey, 6%, including demographic Causeway Coast and Glens, Mid and growth, resulting in older people East Antrim and Mid Ulster. with complex health needs and comorbidities, and increased referrals. The Trust provides services for a population of approximately 471,000, The North Coast is also popular the largest resident population in with older people as a retirement Northern Ireland. We also provide and holiday venue which swells the services to the only inhabited island number requiring health and social off the coast of Northern Ireland, care in the summer months. Rathlin. 10 Performance Report C O R E The Trust provides a range of health and social care services, the majority of which are provided in people’s own homes. We also provide community based health and social care services from approximately 330 facilities including day centres, health centres and residential homes. Over the past year we had 660,000 people coming through our hospitals and over 1,055,000 contacts with people in our local communities. Acute and sub-acute services for Northern Trust patients are provided in a number of locations in the Trust: • Acute Medical and Maternity Services – Antrim Area and Causeway Hospitals • Sub-acute Rehabilitation – Causeway, Whiteabbey and Mid Ulster Hospitals • Day Surgery, Endoscopy and Radiology – Antrim Area, Causeway, Whiteabbey and Mid Ulster Hospitals.