Our Year Annual Review 2009/10 Contents About us York Teaching Hospital NHS Foundation Trust Being a Foundation Trust means we can manage 1. Chairman and Chief Executive’s welcome..................................................................p4 provides a comprehensive range of acute our own budgets and are able to shape our 2. Listening to patients and the public . p6 hospital services for approximately 350,000 services to reflect local needs and priorities whilst people living in and around York and also a range remaining fully committed to the core principles of 3. Elected to represent you . p12 of specialist services over a wider catchment the NHS. 4. Shaping healthcare in York ................................................................................................p16 area of around 500,000 in North Yorkshire. 5. Where we’re going . p20 Having achieved a 3 star performance rating 6. Our staff . .p22 in 2005, the Trust applied to become a NHS Foundation Trust in 2006. Monitor approved the 7. Managing our finances . p26 application and we became a Foundation Trust on 8. Performance . p28 1 April 2007. 9. Building for the future . p30 10. Medical education and research ....................................................................................p32 11. Taking a closer look at safety . p36 12. Board of Directors . p38 2 | About us Contents | 3 1. Chairman and Chief Executive’s welcome Welcome to York Teaching Hospital NHS Foundation Trust’s review of 2009/10. Despite the difficult environment in which we are We have begun to focus more on recognising and the surplus. This will prove very challenging given the We are absolutely convinced that whilst we struggle with operating we have achieved the best performance rewarding staff, both for long service and for individual many and varied calls on the Trust’s capital programme. the difficult financial environment that is enveloping the indicators that this organisation has ever seen, and we and team achievements. Our annual celebration of whole public sector it is even more important that we In addition to living within our means it is vital that at all are proud of this achievement. achievement awards and monthly star performer awards focus on why we do what we do and the importance of levels decisions are taken with our core values in mind. are starting to recognise staff and celebrate the fantastic continuing to be the best hospital we can be. We were assessed as ‘excellent’ for quality of financial These centre on the needs of the patient, the safety and things they do every day. We also held our second open management and ‘good’ for quality of services in the Care quality of our services and the support that staff require The Board is confident that by continuing to work in event, throwing open our doors to Foundation Trust Quality Commission’s Annual Health Check. in delivering essential services to the community. partnership with our staff, patients and governors we members and the public and inviting them to find out can continue to provide the high quality services that This is a good result for the Trust and is a product of the more about who we are and what we do. We must always recognise and reinforce the importance our patients deserve. hard work and commitment of all our staff to delivering a of managing our finances effectively and responsibly For 2009/10 the Trust is reporting an underlying income high standard of care. and remember that this is not counter to meetings our Our full annual report and accounts for 2009/10 are and expenditure deficit of £140k. Against the Trust’s service needs, it is an essential prerequisite. available on our website: www.yorkhospitals.nhs.uk We must ensure that we continue to build on this good annual spend of £235m this is a broadly balanced performance by continually focussing on getting the basics position. However, you will see in the annual report We have now seen the financial and performance right and ensuring our patients have the best care possible. and accounts for 2009/10 that the overall reported framework we shall be working with next year and it is position is a £5.5m deficit. This includes a small number every bit as challenging as we anticipated, with the Trust Our Care Quality Commission staff survey results were of technical adjustments that have been agreed with facing a collective reduction in our finances of some encouraging. We will continue to strive to improve even external auditors. £10m. The only way to secure our services and further further, and will listen to staff to identify where we develop these going forward is to live within our means might best focus our attention. Our results this year Stripping away these technical issues the underlying and further develop those means by exploiting the real have shown that we can make change happen based balanced position is disappointing given the Trust’s income potential that many of our excellent services on what staff tell us, and that the survey really is an expectations of creating a £1m surplus to supplement offer both locally and nationally. opportunity for staff to have their views heard. our capital programme. We now face further pressure on the capital programme as a direct result of not delivering Alan Maynard Patrick Crowley 4 | Chairman and Chief Executive’s welcome Chairman and Chief Executive’s welcome | 5 2. Listening to patients and the public Information for patients and carers Inpatient survey Local Involvement Networks (LINks) Patient and public involvement is an integral part The national inpatient survey was completed in The government replaced Patient and Public The Trust will work closely with of our work. We listen and respond to patients so February 2010. It involved patients admitted Involvement Forums with LINks in Local York LINk to help them meet their that we can: to York Hospital in July 2009. Areas in which Government and Public Involvement legislation in patients were particularly positive about their 2008. The aims of York LINk are to: aims and realise their work plans. • Improve access and reduce waiting experience were: • Encourage and support more people to get • offer more information and choice • Doctors and nurses worked well together: 92% involved in shaping local services • build closer relationships • room or ward was very/fairly clean: 94% • actively canvass every section of the • provide safe, high quality and coordinated care community’s views about what they think about • hand wash gels visible and available for patients their local care services • provide a clean, comfortable and friendly and visitors to use: 94% environment • feed back to those who purchase and provide • overall rating of care was good/excellent: 92%. • improve the patient experience. health and social care services so that things can change for the better. 6 | Listening to patients and the public Listening to patients and the public | 7 Patient Advice and Liaison Service (PALS) is a free and confidential service, acting as a single point of contact for any hospital-related enquiry. Patient Advice and Liaison Service (PALS) The service: • is a free and confidential service • Is a single point of contact for any hospital- • supports staff at all levels to consider the related enquiry patient perspective • deals with patient concerns and can offer a speedy, • provides data to directorates on emerging themes on the spot resolution to issues and trends and takes direct action where necessary to improve patient experience • acts as a gateway to other statutory and community services • is involved in voicing patient issues in a range of meetings and initiatives • acts as a listening ear and monitors patient concerns • can advise on the complaints process. • provides information about York Hospital issues and the wider NHS 8 | Listening to patients and the public Listening to patients and the public | 9 I would like to thank all those whose care and expertise have made my recovery possible. Please pass on my Handling complaints: Service user involvement groups: thanks and admiration to all those who The Trust makes every effort to handle Several service user involvement groups continue complaints: to operate within the Trust, including: contributed to my recovery. My wife • Directly and quickly • Child Hearing Services Working Group • with honesty and fairness • Maternity Services Liaison Committee and I feel extremely fortunate to live • with confidentiality. • Older People’s Liaison Group in a city that has such good hospital 365 formal complaints were received this year • York and District Cancer Partnership. (338 last year), representing 0.02% of all All the groups provide valued opportunities care and would like this to be known as patient contacts. for the exchange of feedback and information between service users and the Trust, which widely as possible. improves patient experience. patient letter Positive patient feedback A total of 3871 letters, cards and emails were received throughout the year. 10 | Listening to patients and the public Listening to patients and the public | 11 3. Elected to represent you Every NHS Foundation Trust is required to have a body The Council of Governors is specifically Their role also includes: • being consulted on any changes to the of elected governors. York Teaching Hospital NHS responsible for: Trust’s constitution • Representing the interests and views of local people Foundation Trust has a Council of Governors, which • The appointment and removal of the • deciding the Chairman’s and non-executive is responsible for representing the interests of NHS • regularly feeding back information about the Trust, Chairman and other non-executive directors directors’ pay and conditions Foundation Trust members, patients and carers, staff its visions and its performance to the community members and partner organisations. • the approval of the appointment of the Chief they represent • providing representatives to serve on specific groups Executive and committees The Council of Governors’ role and responsibilities are • monitoring performance against the Trust’s service outlined in law and detailed in the Trust’s constitution.