Annual Report 2016-17
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Annual Report 2016-17 Safe & Effective | Kind & Caring | Exceeding Expectation The Royal Wolverhampton NHS Trust Annual Report 2016 - 2017 Contents Page Review of Economy, Efficiency & Effectiveness of the use of Resources 51 Introduction 1 Annual Quality Report 52 Statement by the Chairman 1 Operational Performance 52 Performance Report 2 Emergency Planning & Resilience 53 Statement from the Chief Executive providing his perspective on performance over the period 2 Health and Safety at Work 54 Statement of the Purpose and Activities of the organisation (what we do) 4 Social Economic Responsibilities: Modern Slavery and Forced Labour 55 Activity Overview 2016/2017 6 Annual Declaration 55 Our Vision and Values 8 Head of Internal Audit Opinion 56 Our Strategic Objectives and the Risks to Achieving Them 8 Review of the effectiveness of Risk management and Internal Control 56 Going Concerns 9 Remuneration and Staff Report 57 Performance Summary - What We Achieved 10 Staff Report 57 Performance Analysis 12 Remuneration Report 58 Key Financial Performance Information 14 Salary and Pension Entitlements of Senior Managers 59 Sustainable Development 16 Remuneration 59 Engagement with Public, Patient and Stakeholders 20 Pension Benefits 60 Serious Incidents 20 Off Payroll Engagements 61 Workforce 21 Financial Statements 62 Volunteer Services 22 Forward and Financial Performance Overview 62 The Trust Charity 23 Cumulative Position 63 Accountability Report 24 Private Finance Transactions 63 Corporate Governance Report 24 Better Payment Practice Code 63 Directors Report 24 Prompt Payment Code 63 Personal Data Incidents 2016/2017 33 Revaluation 63 Statement on Disclosure to the Auditors 33 Staff Sickness Absence 63 Statement of Accountable Officer Responsibility 34 Pension Liabilities 64 Annual Governance Statement 2016-2017 35 Accounting Policies 64 Statement of Accountable officer’s Responsibility 35 Financing 64 Scope of Responsibility 35 Auditors 64 The purpose of the Internal Control 35 Statement of Comprehensive Income for the Year Ended 31 March 2017 65 The Governance Framework of the organisation 36 Other Comprehensive Income for the Year Ended 31 March 2017 65 The Trust Board 36 Statement of Financial Position as at 31 March 2017 66 Audit Committee 39 Statement of Changes in taxpayers’ Equity 67 Quality Governance Assurance Committee (QGAC) 40 Statement of Cash Flow for the Year Ended 31 march 2017 69 Finance and Performance Committee (F&PC) 43 Glossary of Terms 70 Remuneration Committee 44 Statement of the Chief Executive’s Responsibility as the Accountable Officer of the Trust 70 Charitable Funds Committee 44 Statement of Directors’ Responsibilities in Respect of the Accounts 71 Trust Management Committee 44 Risk Assessment 45 Management of Risk Registers within the Trust 46 The Risk Control Framework 46 Information Governance 49 The Royal Wolverhampton NHS Trust Annual Report 2016 - 2017 Tables and Graphs Introduction Table 1- Admissions 7 Statement by the Chairman Examples of the work which were acknowledged at this year’s award ceremony include the aortic I am delighted to present the Annual Report and Table 2 - Emergency Activity 7 repair surgical team who were praised for their Accounts for the period 1 April 2016 to 31 March work in developing a ground-breaking new 2017. Table 3 - Referrals 7 service for patients. We recognised the holistic Table 4 - Outpatient Attendances 7 Like many others who work at the Trust, it is with compassion and care delivered by Lynn Fellows great pride that I undertake my role as Chairman who embodied the Trust values in caring for a Table 5 - Community Contacts 7 and to be associated with the Trust over many patient with multiple health and social needs; years. Since I joined in 2006 I have seen many she was also awarded the Chief Executives award Table 6 - CO2 Emissions 18 changes and improvements. for individual excellence. If there was an award that caught my eye, it was the huge cheer for the Table 7 - Carbon Management Plan 18 Over the years we have grown and developed team which supports and mentors the foreign in a number of ways; in the numbers of Table 8 - CO2 Emission per employee 19 nurses who arrive at the Trust. staff employed, all of whom are committed Table 9 - Acute and Community Serious Incident Summary 20 to providing the highest quality of care, in We have performed well this year across a the range of services offered and the size of number of indicators and this puts us in a good Table 10 – Never Events Incidents 21 infrastructures in which we deliver that care. position moving forward. We have a strong We have seen the number of services delivered record of meeting our financial targets and I Table 11 - Headcount 21 locally increase, including our Cancer Centre, pleased to report that we end the year with Table 12 - Staff Numbers by Proportion (Trust Board, Senior Managers and Other Staff) 21 Heart and Lung Centre, and our increasing links a financial surplus. However, maintaining this with Primary Care. This has gone hand–in-hand position will continue to be a challenge for Table 13 - Disability 21 with our commitment to education, training and us and we must not underestimate the work research. We were delighted in 2015 to be able required both from ourselves and our partners in Table 14 - Ethnicity 21 to celebrate the opening of our new Emergency ensuring the provision of high quality services. Care Centre which we have seen over the last Table 15 - Board Governance 38 We have seen a number of changes to the year has resulted in improvements to the patient Trust Board, we said farewell to Linda Holland, Table 16 - Information Governance Incidents Reported to Information Commissioners Officer 49 journey and experience through collaborative Director of Human Resources and Organisational working. Table 17 - Lower Level Information Governance Incidents 50 Development and Dr Julian Parkes, Associate Increasingly our success in delivering and Non-Executive Director. We welcomed a new Table 18 - Exit Package by Pay Band 2016-2017 57 improving services is being achieved by member to the Trust Board; Prof Rob Stockley Table 19 - Exit Package by Cost Band 2015-2016 57 partnership working. We now see our services who joined us in April 2016. I am pleased to incorporating GP practices and our aim to become say we appointed Alan Duffell as Director of Table 20 - Average Staff Numbers 58 an Accountable Care Organisation only reinforces Workforce who was able to take up his post in this approach. We do see our strength in our April 2017. I remain confident that the current Table 21 - Staff Sickness Absence Numbers 58 desire to work with other statutory and voluntary membership offers a good balance of knowledge, Table 22 - Financial Performance Summary 62 organisations, for example, Wolverhampton City skills and experience to meet the challenges Council, Wolverhampton Clinical Commissioning ahead and to build on the good work. Table 23 - Income and Expenditure Position 63 Group and Wolverhampton HealthWatch. Finally on behalf of the Trust Board I would We continue to work with other Black like to thank all our staff, whatever their role Table 24 - Better Payments Practice Code Performance Summary 63 Country stakeholders to ensure the people of for delivering effective care with the upmost Wolverhampton, Cannock and the wider Black Table 25 – Staff Sickness Absence 63 compassion. I would also like to thank our Country receive the very finest care. increasing numbers of volunteers who give their Table 26 - Statement of Comprehensive Income 65 The development of our services has always been time selflessly to support us in delivering the best Table 27 - Other Comprehensive Income 65 underpinned by a very genuine commitment by of care. our staff to provide the very highest quality of Table 28 – Financial Performance for the Year 65 care. This can be demonstrated by our annual quality awards. Each year we hold our staff award Table 29 - Statement of Financial Position 66 ceremony in which we showcase the very best of Table 30 - Statement of Changes in taxpayers Equity 67 the Trust. This year saw awards being presented to a diverse group of people who have each Table 31 - Statement of Cash Flow 69 contributed to our success. We have to remember though that these people are just an example of a much larger group of people who go the extra mile to ensure we continue to provide first class care. Jeremy Vanes - Chairman page 1 The Royal Wolverhampton NHS Trust Annual Report 2016 - 2017 A - Performance Report A1 - Performance Overview In this section we provide you with summary information to allow you to better understand the Trust, our purpose and the key risks we have identified to achieving our objectives. You will also find details of a number of local public health indicators and a brief overview of our achievements across a broad range of topics over the year. Statement from the Chief Executive providing his perspective on performance over the period The last year has been a difficult one for the NHS overall and the demands on our services have been no exception. Given these pressures our staff have responded exceptionally well to these challenges and I would like to take this opportunity to give a personal thank you for their efforts and commitment to the Trust. Despite all the service demands, we continue to perform well and to fulfil our aim to deliver an increasing and better quality range of services to the people of Wolverhampton, Cannock, the wider Black Country This last year, and moving into next year, has seen financial pressures continue to be an issue. We have and surrounds. We have welcomed GP services and their staff into the Trust and will go on to encourage looked at how we can deliver our increasing range of services both more effectively and efficiently.