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Annual Report and Accounts 1 April 2011 to 31 March 2012

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Annual Report and Accounts 1 April 2011 to 31 March 2012 Annual Report and Accounts 1 April 2011 to 31 March 2012 Our mission is to deliver world-class outcomes, dependable safety and an outstanding experience for patients, their families and carers. South Tees Hospitals NHS Foundation Trust Annual report and Accounts 1 April 2011 to 31 March 2012 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) of the National Health Service Act 5 Contents South Tees Hospitals NHS Foundation Trust Annual Report 2012 7 9 13 17 Chairman and Directors report About the Highlights of chief executive’s and business trust the year statement review 21 37 47 29 Service Patient experience Keeping Our performance developments and and the you safe change environment 53 63 69 75 Partnerships and The board of Our staff Sustainability engagement directors 81 83 87 91 Audit Remuneration Council of Membership Committee Report Governors 95 Summary of 110 financial Quality account performance “Without the TAVI, Eric could have suffered life- threatening heart failure but just look at him now” - Margaret Leeper, Eric’s wife 7 About the trust South Tees Hospitals NHS Foundation Trust Annual Report 2012 South Tees Hospitals NHS Foundation Trust is the largest hospital trust in the Tees Valley, serving the people of Middlesbrough, Redcar and Cleveland, Hambleton and Richmondshire and beyond. We pride ourselves on patients receiving high quality, safe and efficient healthcare thanks to the hard work and dedication of our staff. The trust runs The James Cook University Hospital in Middlesbrough and the Friarage Hospital in Northallerton providing district general hospital services for the local population. We also provide community services from Hambleton, Richmondshire, Middlesbrough and Redcar and Cleveland including services at: • Redcar Primary Care Hospital • Guisborough Primary Care Hospital • Carter Bequest Hospital in Middlesbrough “Very helpful • East Cleveland Primary Care Hospital in Brotton staff, friendly • The Rutson Rehabilitation Unit in Northallerton and willing to help. • Friary Community Hospital in Richmond I enjoyed my • Lambert Memorial Community Hospital in Thirsk time there” Our workforce of almost 9,000 also provides a range of specialist regional services to 1.5million people in the Tees Valley and parts of Durham, North Yorkshire and Cumbria, with a particular expertise in heart disease, trauma, neurosciences, renal services, cancer services and spinal injuries, and are also the major trauma centre for the Southern part of the Northern region. We are continuing to build on our links with the Universities of Teesside, Durham and Newcastle and have a purpose-built academic centre with medical students and nursing and midwifery students doing their clinical placements on site. The trust is also the host site for the County Durham and Tees Valley Local Clinical Research Network and a host site for the North East Research Design Service, reaffirming our commitment to training, life-long learning and research. At the Friarage Hospital we also host the Ministry of Defence Hospital Unit. The specialist birthmark clinic celebrated treating its 250th patient with a leading-edge procedure to treat vascular birthmarks using bleomycin - an injectable drug Chairman and chief 9 executive’s statement South Tees Hospitals NHS Foundation Trust Annual Report 2012 There is no doubt 2011/2012 has been a challenging year for us and for the NHS as a whole, which is going through considerable reform and facing an unprecedented financial challenge of saving £20billion by 2015. As a trust our priority, as always, is to deliver In April, we welcomed our colleagues from outstanding services for patients and while we Middlesbrough, Redcar and Cleveland and have to address the savings required, our focus Hambleton and Richmondshire community remains on maintaining high quality, safe care. services into the trust and are already exploring the opportunities this partnership brings to make We do not underestimate the pressure placed continuous clinical improvements and bring on staff and thank them for their efforts, skill healthcare closer to home. and fortitude which will be needed again over the coming years. As teams and individuals we The new Endeavour Unit on the James Cook really have a lot to be proud of and this is an site, which was part of our £35million plans to opportunity to reflect on our successes and the develop cancer services, is now complete and we positive aspects of our work. continue to invest in major new schemes we know will make a difference to patient care - notably a The organisation is right at the forefront of generic 16-bed high dependency unit and a fourth the patient safety agenda, earning national catheter lab. recognition (and awards) for our work around a number of initiatives such as work on We have achieved major trauma centre status for readmissions, patient safety express and the the southern part of the northern patient safety thermometer, Time to Care and region, which ensures that in how we work with and support teams that are partnership with the local trauma encountering problems. network, patients with serious and “It was all life-threatening injuries are treated In July, the trust’s patient safety strategy was quickly in a specialist hospital very straight launched, which sets out our aspirations and with expert staff available round forward and vision for harm free care for patients. Sustained the clock, and were one of only the care I efforts - in both acute and community settings - to a small number of hospitals to be received was further reduce infection rates saw a 67% drop in approached by the Department of MRSA bacteraemia (with two cases recorded) and Health to provide care for civilian outstanding” a 46% decrease in Clostridium difficile, where we patients from Libya. reported 67 cases in-year. Partnership working and Clearly we can never stand still in this important meaningful engagement is essential to our work area and our vision of ‘no avoidable deaths and in delivering and designing safe healthcare services no avoidable harm’ means we must always be around the needs of patients and carers. looking for ways to improve what we do and how we do it. Working with Hambleton, Richmondshire and Whitby Clinical Commissioning Group, our Once again, South Tees was named a ‘Top 40’ clinicians began a three-month period of wider Hospital by CHKS and was also rated highly engagement with the public in the spring around for patient experience, which was reflected by children’s and maternity services at the Friarage patients’ and relatives complimentary views to Hospital, following concerns about their future the Care Quality Commission who carried out sustainability and safety issues. an unannounced inspection at a time when the organisation was very busy. Chairman and chief executive’s statement South Tees Hospitals NHS Foundation Trust Annual Report 2012 This will continue in 2012/2013 alongside developing a long-term service model for the hospital that meets the needs of the local population. We also thank our military and Carillion colleague and volunteers and fundraisers for their continued support throughout the year. As the whole country is in a very difficult financial time, the scale of the financial challenge we “The doctor continue to face cannot be under- explained estimated but we did deliver a £2.9million trading surplus in-year. everything - she was very nice and In 2012/2013, we must continue patient” to focus on delivering all our financial plans and productivity and efficiency (P & E) schemes if we want to protect local services, jobs and the future of the organisation and this needs staff involvement in every area. We also recognise that improving the working lives of our workforce is essential if real improvements in patient care are to be achieved As you read this report and the quality account, I hope our commitment to quality of care led by the Board of Directors and the Council of Governors, and our willingness to listen and learn, is well demonstrated. Deborah Jenkins - chairman Simon Pleydell – chief executive 11 Trust structure South Tees Hospitals NHS Foundation Trust Annual Report 2012 Board of Provides strategic direction to the trust to meet health and healthcare needs within the framework of Government Directors policy. Has overall accountability for delivery of patient care, statutory function and NHS executive requirements. • Responsible for overall management of the trust Management • Chaired by the chief executive • Membership includes the chief of each clinical division, chairman of the senior medical staff committee and the Group directors of support directorates Clinical Divisions Support ACADEMIC Directorates Allied Health Professionals Education; Courses and Conferences Services; Academic Centre; Library Services; Nursing Education; Postgraduate Education; Research and Development; Academic Department of Anaesthesia and Critical Care; Undergraduate Education; Resuscitation Training; Country Durham & Tees Valley Comprehensive Local Research Network; North of England Cancer Research Network - South; Academic Emergency Medicine. Chief ANAESTHESIA & THEATRES Executive’s Anaesthesia (adult and paediatric); Operating Theatres (day surgery and inpatient); Day of Surgery Admission Units; Office Acute and Chronic Pain Services; Sleep Medicine; Academic Anaesthesia (education and research). CARDIOTHORACIC SERVICES Cardiology; Cardiothoracic Anaesthesia and Intensive Care; Cardiothoracic Surgery. Operational COMMUNITY SERVICES Services
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