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Luton & Dunstable University Hospital Annual Report and Accounts2011

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Luton & Dunstable University Hospital Annual Report and Accounts2011 Luton & Dunstable University Hospital NHS Foundation Trust NHS Foundation Hospital University & Dunstable Luton AnnualReport&Accounts2015-2016 Incorporating Quality Account Quality Incorporating Annual Report and Accounts AnnualReport &Accountsfor the period April 2015 to March 2016 2010-2011incorporating Quality Account Luton & Dunstable University Hospital NHS Foundation Trust Lewsey Road Luton LU4 0DZ Incorporating Quality Report Telephone 01582 49 11 66 Luton and Dunstable University Hospital www.ldh.nhs.uk NHS Foundation Trust Luton and Dunstable University Hospital NHS Foundation Trust Annual Report & Accounts for the period April 2015 to March 2016 incorporating Quality Account Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 © 2016 Luton and Dunstable University Hospital NHS Foundation Trust Contents INTRODUCTION 3 FINANCIALPERFORMANCEREPORT 89 Awards and Congratulations 4 Review of Financial Performance 90 Introduction 8 Remuneration report 93 About this Report 9 Fundraising and Charitable Donations 94 Chairman’s Statement 10 ANNUALGOVERNANCESTATEMENTAND STRATEGY 13 ACCOUNTS 99 Strategic Vision 14 Statement of the Chief Executive’s Responsibilities 100 Performance against Corporate Objectives 2015/16 16 Annual Governance Statement 2015/16 101 Service Developments delivered in 2015/16 21 Independent Audit Opinion 109 2016/17 Strategic Approach 25 Foreword to the Accounts 113 Maintaining Performance 27 Statement of comprehensive income 114 Corporate Objectives 2016/17 28 Statement of financial position 115 Improving Quality 29 Statement of changes in equity 116 Service Developments planned for 2016/17 31 Statement of cash flows 117 Notes to the accounts 118 OPERATIONALPERFORMANCEREPORT 35 Principal activities of the Trust 36 APPENDIX1QUALITYACCOUNT 155 Review of Operational Performance 38 What is a Quality Account? 156 Quality 40 About Our Trust 157 Regulatory Performance Ratings 41 1. A Statement on Quality from the Chief Executive 159 Research Performance 43 2. Report on Priorities for Improvement in 2015/16 161 Education and Performance 44 3. Priorities for Improvement in 2016/17 171 Sustainability/Climate Change Performance 47 4. Statements related to the Quality of Services Provided 178 OURPATIENTS,OURSTAFFAND 5. A Review of Quality Performance 189 OURPARTNERS 51 6. Statement of Directors’ responsibilities in Our Patients 52 respect of the Quality Report 214 Our Staff 55 7. Comments from stakeholders 215 Equality and Diversity 63 8. Independent Auditor’s Assurance Report 217 Working with Our Partners 67 9. Glossary of Terms 219 Appendix A - Local Clinical Audits 221 GOVERNANCEREPORT 69 Appendix B - Trust Committee Structure 257 Board of Directors 70 Committees of the Board of Directors 78 Council of Governors 82 Foundation Trust Membership 86 L&D: Introduction INTRODUCTION Awards and Congratulations 4 Introduction 8 About this Report 9 Chairman’s Statement 10 3 ANNUAL REPORT & ACCOUNTS 2015/16 & ACCOUNTS REPORT ANNUAL Awards and Congratulations Engagement2015–Good,Better,BestEvents LongestServingVolunteer –EileenMcMahon During July and December 2015, two events were held to engage with and thank staff for all their hard work. They A huge thank you and were extremely well attended and provided staff with the congratulations to our longest opportunity to hear feedback about the Trust’s current serving volunteer, Eileen McMahon, direction and also participate in work to inform the future who has been awarded the British plans of the L&D. Empire Medal. A volunteer with us for 40 years, she offers her unique skills as a Skin Camouflage LutonCommunityService Practitioner not just for the benefit of patients at the L&D, Awards–CliffBygraveand but also for the charity ‘Changing Faces’. PamBrown Eileen has received a number of awards over the years, Two of the L&D’s longest serving including the Queens Medal via the British Red Cross, supporters, Cliff Bygrave and for her Services to Volunteering, but her most recent, Pam Brown, were honoured the British Empire Medal, or BEM (for her services to the at the Luton & Bedfordshire Community) was a real reason to celebrate and a party Community Awards 2015 held in was held in her honour on 25 April. Luton in October. Chair of the L&D Charitable Fund Committee and former LongServiceAwards Non-Executive Director, Cliff Bygrave, won the Lifetime Achievement Award, and Pam Brown, former L&D On 25th February 2016, the Chief Executive was Governor and leading fundraiser, won the Exceptional delighted to spend time, along with other Trust Board Achievement Award. members, in the company of staff celebrating their long service with the Trust. In recognition of this we Chief Executive Pauline Philip, said: “Both Cliff and Pam enjoyed Afternoon Tea where many memories were continue to work tirelessly to support the Trust, and shared about the hospital over the past 25 years. It was spread the good work of the L&D, as well as volunteering a lovely afternoon which was made even better by the in the wider community. We would like to take this enthusiasm and passion shown by these staff still today. opportunity to publicly thank them for the extraordinary contribution they have made to our hospital.” Rosaleen Burke Jane Bottazi Marion Cox Katie Dodd HSJ2015Awards–ProvideroftheYear Jacqueline Davies Rosemary Gregory Anne Dolan Gio Healy The L&D was delighted to be shortlisted for a Health Lizan Drummond Gerry Hogan Service Journal (HSJ) Award 2015 in the ‘Provider of the Lesley Farbon Zeenath Mannan Year’ Category. Representatives from the Trust attended the award ceremony on 18 November. While we did not Valerie Galbraith Margaret Martin 4 win the award, the fact that we were shortlisted is an Joannah Griffey Indiana Patterson- Blake achievement in itself and a testament to all our staff who Dawn Hardy Karen Billington ANNUAL REPORT & ACCOUNTS 2015/16 & ACCOUNTS REPORT ANNUAL have worked so hard over the last year. Louise McDonald Glenda Hall Kirstie Nicholls Lata Sidpara Mary McCaffrey Nicola Wood Hayley Atkin Elizabeth Elliot L&D: INTRODUCTION BritishMedicalJournalNominationforTeam Governorswhohavecompletedtheirfullterms oftheYear-GastroenterologyTeam ofoffice The L&D’s Gastroenterology team has gone from The L&D became a Foundation Trust with a Council of strength to strength, drawing considerable national and Governors in 2006. Each Governor is able to stay for a international interest. Nominated twice as finalists in maximum of three terms of office and during 2015, six of the British Medical Journal’s Gastroenterology Team our Governors, Pam Brown, Jack Wright, Cheryl Smart of the Year Awards for 2014 and 2015. This follows on OBE, John Young, Malcolm Rainbow and Janet Curt from the success of being finalists at the 2014 Electronic reached the end of their third term which equated to Health Informatics Awards, and winning the British nine years’ service on the Council of Governors. Society of Gastroenterology’s SAGE (Shire Awards for Gastroenterology Excellence). The nominations and The Trust and the Council of Governors join in thanking awards have come from the unique service we provide to them for all their hard work over the years. Their support our patients with inflammatory bowel disease. by representing the views of the local people and staff, and helping the hospital to shape its plan for the future has been invaluable. ExcellenceinVolunteer ManagementAwards2015 –KarenBush Congratulations to our Voluntary Services Manager, Karen Bush, who received a Special Commendation at the Volunteer Managements Awards 2015. NAVSM is the National Association of Voluntary Services Managers, an organisation which supports and Jack Wright, Public Janet Curt, Public promotes best practice across the NHS. Karen received Governor for Luton Governor for Bedfordshire the Commendation at the Annual Training Seminar, and was recognised for the innovation of her role and the contribution it made to improving patient experience. TopTeacherAwards Following student nominations at University College of London, the following consultants have been singled out for praise by the students and awarded Top Teacher certificates: John Young, Public Malcolm Rainbow, Public Governor for Luton Governor for Hertfordshire Dr Ritwik Banerjee, 5 Consultant Physician & Endocrinologist Dr Michael Eisenhut, Consultant Paediatrician Dr Trevor Hedges, Consultant in Acute Paediatrics Dr Parthipan Pillai, Consultant in Respiratory Medicine In addition, Ms Su Gill has received a certificate as Cheryl Smart OBE, Pam Brown, Staff Governor a Top Administrator. Appointed Governor for the for Volunteers Chamber of Commerce NursingandMidwiferyAwards2015 Midwife of the year Ilene Ngwenya Annually, the Trust holds an event for Nursing and (with Chief Nurse, Pat Reid) Midwifery Awards. At the event held in May 2015, the following nurses, midwifes and care assistants won the awards. Student Nurse of the year Mentor of the year Partiva Gurung Magin Limbaga Student Midwife of the year MCA/HCA of the year Joely Hodges Julie O’Connor Most Promising New Graduate Nurse of the year The Aimee Varney Award The Erma Bristol Miller Award Joao Soares de Barros Edmund Tabay (with Chief Nurse, Pat Reid) 6 Nursing Team of the year Ward 5, Rehabilitation ANNUAL REPORT & ACCOUNTS 2015/16 & ACCOUNTS REPORT ANNUAL Introduction In 2014 we published our 2 In line with the Five Year Forward View we will produce year Operational Plan which a Sustainability and Transformation Plan by the end supported
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