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An Annual Review 2007/2008 Contents Building a brighter future The Royal Marsden NHS Foundation Trust An Annual Review 2007/2008 Contents 2 Chairman’s statement 3 Chief Executive’s statement 4 Innovation and technology 6 Research 8 Pioneering new services 10 Performance 14 People 18 Workforce 22 Education 24 The Royal Marsden Cancer Campaign 28 Supporters 30 Disclosure of Corporate Governance 38 Directors’ Report 40 Summary Accounts By rebuilding lives “We are committed to improving the outcomes of people with cancer everywhere, through innovation and leading edge practice. Our vision is to provide care that is truly personalised - we want to give more, better, and faster to patients. This Review describes how we are working to achieve this vision.” Cally Palmer Chief Executive By embracing change and overcoming challenges Chairman’s Statement The effective diagnosis and management the Healthcare Commission’s Annual Health Another major capital development planned I would also like to thank everyone who of patients with cancer remains one of the Check for the second consecutive year. is a new Translational Research Centre, has supported The Royal Marsden Cancer major challenges in healthcare today, with jointly funded by The National Institute Campaign in 2007/08. The generosity of The freedom of being a Foundation Trust the rising incidence of cancer globally and for Health Research, The Royal Marsden all our supporters makes a very significant has allowed us the speed and flexibility the speed of technological advance. and The Institute of Cancer Research. difference to our ability to provide world- to achieve some important developments This follows the designation of The Royal class facilities and services and to remain across both our hospital sites. The close The Royal Marsden is ideally placed to lead Marsden and The Institute as the UK’s only at the forefront of cancer research and relationship with our Membership Council the development of cancer services in the Biomedical Research Centre for cancer. treatment internationally. UK, from laboratory research through to the has meant patient, carer and community delivery of treatment and care at feedback has played a significant role in We continue to work with key stakeholders It is a privilege to be part of an organisation the bedside. tailoring improvements in facilities in providing specialist care to a wider dedicated to shaping the nature of cancer and services. patient group and are extremely proud of care for future generations. Our fourth year as an NHS Foundation our partnership with Kingston Hospital to In Sutton, our new £30 million state-of-the- Trust has had the unexpected challenge of provide local chemotherapy services in the art Radiotherapy Unit was completed on fire at our Chelsea Hospital, but thanks to Sir William Rous Unit. the outstanding support of all the Trust’s schedule and opened for patients. staff, our Membership Council, Board and As we move into a new financial year, A new Children and Teenage Treatment Trustees, we have come through a difficult we welcome three new Non-Executive Centre has been approved by the Board time with a renewed sense Directors, new Councillors, and we say and Trustees, and will be completed within of purpose. farewell to others who have made a the next two years. It will provide extended significant contribution in ensuring The facilities for children, a dedicated Teenage We met all our quality, performance and Royal Marsden remains a success under Unit and will be focused on improving and financial targets and were the only Trust in the Foundation Trust governance model. the country to achieve the highest rating in providing the latest treatment for younger patients. Tessa Green Chairman 2 Chief Executive’s Statement The Royal Marsden’s Five Year Business The Trust has exceeded its income hospitals and is key to The Royal Marsden’s The rebuild and commissioning of services Strategy and its priorities since becoming forecast and continues to use the flexibility vision for localising its services whenever in Chelsea will be completed next year an NHS Foundation Trust in 2004, align of Foundation Trust status to invest in possible. A second Chemotherapy Suite at and it is expected that this will be funded with the vision for healthcare set out in state-of-the-art facilities for service and Mayday University Hospital will open later by the Trust’s commercial insurance. The the Government’s Next Stage Review research. The Royal Marsden’s five-year in 2008. fire has also given The Royal Marsden and Cancer Reform Strategy. The Royal investment programme is aligned with an opportunity to accelerate plans for Marsden strongly endorses the model of its Business Strategy - which includes To enable The Royal Marsden to take a significant improvements, including an fewer, larger specialised centres, and the growth in specialist surgery, a wider role greater role in diagnostics and early stage improved ward environment and extended focus on improving efficiency and reducing in diagnosis and early stage treatment to treatment, a new Rapid Diagnostic and critical care capacity. delays in treatment. improve patients’ outcomes, and creating Assessment Centre in Chelsea will open networked operations for local access to in Autumn 2008 and a feasibility study for The support of the Membership Council The Royal Marsden’s performance has the highest quality of cancer care. an Ambulatory Care Centre at Sutton and Board has been essential throughout been extremely strong this year. It is the is underway. this year of change and challenge. It is, top-performing hospital in London in the During the year, the Trust became the first however, the performance of all staff, from Annual Inpatient Survey, published in May in the UK to invest in the new generation This year has been defined not only all professional disciplines, who enable the 2008, and is within the top five hospitals in of da Vinci ‘S’ surgical robots, enabling by achievements, but also by the fire Trust to achieve its goal to provide world- the country. The Trust has also maintained patients to receive minimally-invasive that affected the Chelsea Hospital in class cancer care for patients. swift access to treatment, meets all national surgery for prostate cancer. We will trial this January. Staff responded with exceptional targets, and is performing well on method for other types of surgery in 2008. professionalism and bravery, evacuating measures for controlling healthcare the whole hospital without injury. Services acquired infections. Work continued on the development of recommenced within three working days the new Chemotherapy Suite at Kingston and the continuity of care that staff were Hospital, with the new facilities opening able to offer was described by patients in June 2008. To date, this has been as extraordinary. immensely successful for patients and both Cally Palmer, CBE Chief Executive 3 By staying ahead Innovation and Technology We are focused on harnessing Radiotherapy Unit Around four radical prostatectomies are new technologies to help us Our new £30 million Radiotherapy Unit at performed every week using the minimally- invasive surgical system which allows our learn more about cancer and Sutton was completed on schedule and designed not only to house the very latest surgeons to remove tumours through small treat it more effectively. This equipment but also to provide our patients ‘keyholes’. It also offers 3D imaging and year we have introduced a with a light and airy environment in which to magnification to help identify vital details like delicate nerves and blood vessels range of innovative practices undergo their treatment. It now offers one of the best environments and facilities to be around the surgical site. and invested in the latest found anywhere in the world. This pioneering equipment has many equipment to stay at the The Unit is now providing 40,000 fractions benefits for our patients, including reduced leading-edge of cancer care, of radiotherapy treatment to patients every trauma to the body, faster recovery and with proven results. year and this is expected to increase to less scarring. Our specialists have seen 60,000 fractions by 2010. We employ excellent patient results in terms of Being a Foundation Trust and a specialist state-of-the-art imaging equipment and functionality and speed of recovery. environment enables us to have a very linear accelerators to ensure radiotherapy is We are also making the most of our close relationship with patients. Our aim is delivered to the very highest standards. investment in the da Vinci ‘S’ by training to learn from them and improve the quality surgeons of the future in this exciting of their experience through innovation Da Vinci ‘S’ – a first new field. and investment. The Royal Marsden was the first NHS hospital in the country to introduce the new generation da Vinci ‘S’ robot in 2007 and it has already revolutionised prostate surgery. 4 Putting plans into action improved facilities for children, a dedicated Our commitment to innovation benefits More key developments are planned for Teenage Unit, and a Drug Development everyone: from our patients whose lives are 2008 and beyond. A dedicated Endoscopy Unit. This will strengthen the ongoing work dramatically improved by new treatments, Unit opened in May and a Rapid Diagnostic of The Royal Marsden and St George’s to our staff who adopt new techniques and and Assessment Unit is scheduled to open Healthcare NHS Trust to provide specialist colleagues from other hospitals who learn in the Autumn. care for young people from South London to from our experiences. the South Coast. We plan to refurbish and integrate existing facilities to create a new Medical Day Haemato-oncology Unit Centre in Chelsea. We aim to extend and develop our Haemato-oncology Unit. This will enable us In Sutton we envisage a fully-integrated to see more patients in more comfortable Health Science Campus that will offer surroundings, and to cater to their changing world-class treatment, education and needs as new treatments come online.
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