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South Tees Hospitals NHS Foundation Trust: Annual Report And South Tees Hospitals NHS Foundation Trust Annual Report and Accounts 1 April 2018 to 31 March 2019 South Tees Hospitals NHS Foundation Trust Annual Report and Accounts 1 April 2018 to 31 March 2019 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4)(a) of the National Health Service Act 2006 © 2019 South Tees Hospitals NHS Foundation Trust Contents 1 Performance report ..................................................................... 07 Introduction to South Tees Hospitals NHS Foundation Trust ............ 09 Overview by the Chairman and Chief Executive .............................. 10 Delivery of our 2018/19 Annual Plan ............................................... 24 Strategic Direction .......................................................................... 46 2 Accountability report .................................................................. 51 Director’s Report ............................................................................ 53 Foundation Trust Membership ........................................................ 54 Council of Governors ...................................................................... 56 Board of Directors .......................................................................... 60 Annual Remuneration Report ......................................................... 70 Staff Report .................................................................................... 82 Compliance with NHS Foundation Trust Code of Governance ......... 98 NHS Improvement’s Single Oversight Framework .......................... 100 Accounting Officer’s Responsibilities .............................................. 101 Annual Governance Statement .......................................................102 Independent Auditor’s Report ........................................................ 116 3 Quality Report 2018-2019 ......................................................... 125 4 Annual accounts ........................................................................ 273 for the year 1 April 2018 to 31 March 2019 Performance Report The purpose of the performance report is to provide an overview of South Tees Hospitals NHS 1 Foundation Trust (the Trust), its purpose and a glimpse of its history. The Chief Executive’s and Chairman’s perspective is included together with the key issues and associated risks to the delivery of our objectives. 8 l ANNUAL REPORT 2018/19 l PERFORMANCE REPORT PERFORMANCE REPORT l ANNUAL REPORT 2018/19 l 9 Introduction to South Tees Hospitals NHS Foundation Trust South Tees Hospitals NHS Foundation Trust is a statutory body which became a public benefit corporation on 1 April 1992. We are the largest hospital Trust in the Tees Valley and our core purpose is to provide acute and community services with the highest quality of patient care and experience. Our Trust is one of the largest employers in We are recognised as one of the best performing the Tees Valley. We have a total of 994 beds and most innovative organisations in the NHS. We provided from the James Cook University Hospital are a major employer within our local area and in Middlesbrough and the Friarage Hospital in a key system leader within the health and social Northallerton with over 1.5m patient contacts per care system that serves our communities. year, with an additional 1.2m patient contacts Our Trust is a leading partner in the Academic with our community services. We are a Major Health Science Network (AHSN) and member of Trauma Centre, Regional Cancer Centre and a the Clinical Research Network for the North East Tertiary Centre with particular expertise in heart and North Cumbria, which aims to recognise the and lung disease, neurosciences, children’s and brilliant ideas originating from the region’s health maternity services, renal medicine, cancer services service, turning them into treatments, accessible and spinal injuries. technologies and medicines to enable patients to We are registered with the Care Quality benefit from better healthcare. Commission with our last inspection providing a We recognise that patient experience is a ‘Good’ rating. fundamental component of quality healthcare, We are committed to providing patients with the with our aim to provide the best possible care for very best care across all of our services. each and every one of our patients. In addition, we provide care in our local We expect at all times that all of our patients will communities and in people’s homes including be listened to and treated with honesty, dignity community and district nursing and services from and respect. We appreciate that patients and the following hospital sites: their families are the experts in terms of their experience of our care, and we aim to listen l Redcar Primary Care Hospital closely to what they have to tell us to enable our l East Cleveland Primary Care Hospital in Brotton services to meet their current and future needs. l Friary Community Hospital in Richmond 10 l ANNUAL REPORT 2018/19 l PERFORMANCE REPORT Overview by the Chairman and Chief Executive We are pleased to present this report which gives us the opportunity to highlight some of our key achievements, along with some of the challenges that we’ve faced. It provides a review of our business including a balanced comprehensive analysis of developments and operational and financial performance. 2018/19 nationally was one of unprecedented Working collaboratively with our commissioners levels of demand for many NHS services, with across the health economy, during 2018/19, we continued levels of major financial deficit across signed aligned incentive contracts with our CCG the NHS. commissioners, providing a stable platform on which to plan and transform services and their Over the last 12 months, we have made significant delivery for our patients. improvements in our operational performance which were supported and managed alongside Over the last 12 months we have continued to an extremely challenging financial climate. make significant improvements in our delivery of We delivered £38.7million of productivity and patient care with the support of our operational efficiency savings in 2018/19, £12.3 million ahead and financial performance. of our plan. At the year-end, the Trust reported The Trust has made significant improvements an £7.9 million deficit Control Total excluding in relation to Clostridium difficile infections, Provider Sustainability Funding (PSF). The overall achieving our lowest ever recorded number of deficit for the year was £30.9m after impairments trust apportioned cases. During 2018/19 we saw of £50.6m the number of patient falls reported across our This strong financial performance is the first time health services reduce to 4.8 per 1000 bed days, in four years that the trust has achieved its control an 11.7% reduction on the previous year. total, resulting in additional funding being secured In terms of our performance against the four hour via provider sustainability funding of £23.4 Accident and Emergency standard, we are ranked million, which will improve our cash position. as one of the top performing Trusts in the country, Although we have delivered circa £128m in achieving 95.24% against the 95% target, despite productivity savings over the last four years, an overall increase in demand of 5%. we remain focussed on improving our patient Demand for our cancer services during 2018/19 outcomes and experience as well as our financial increased by 16% across all areas, resulting in our sustainability. cancer performance falling behind the target of 85% to 82.65%. PERFORMANCE REPORT l ANNUAL REPORT 2018/19 l 11 We launched our Medical Examiner service – the The Trust is the award holder for several on-going only one in the region – which continues to provide multi-centre National Institute for Health Research an improved experience for patients’ families. (NIHR) grant funded projects, providing support in sponsorship, study co-ordination/management and Our flu champions vaccinated 80.4% of frontline research delivery. Six further successful NIHR grant healthcare staff in the Trust this year. This was the funding applications were recorded in 2018/19, highest number at the Trust. supplementing the existing NIHR grants, co- In 2018/19, the Trust was inspected by the Care ordinated by the research and development team. Quality Commission and at the time of this report, This year we embarked on an exciting strategic was awaiting the CQCs final report. partnership with our two neighbouring acute Research is an important element of the Trust’s trusts to form the ‘Durham Tees Valley Research business and is key to ensuring that the care the Alliance’. This created a single research and Trust provides is keeping pace with developments development service to offer patients increased in practice and technological advancements. In opportunities to participate in research, as well as 2018/19 we sustained our previous highest ever standardise research and development study set levels of recruitment which included: up across the Durham Tees Valley. l 3,718 patients recruited into clinical research Throughout 2018/19 the Trust has used its trials, in line with last year’s highest ever levels Assurance Framework to ensure risks to the delivery of recruitment (3,728) of our principle objectives were identified, controls l Recruited to 196 different clinical trials in 24 and assurances were assessed, and action plans clinical specialisms, ranking 3rd in the region, in were delivered and implemented
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