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Annual Report and Accounts 2018/19 Accounts and Report Annual University Hospitals NHS Trust Foundation Birmingham Annual Report and Accounts 2018/19 Annual Report and Accounts 2018/19 This annual report covers the period 1 April 2018 to 31 March 2019 University Hospitals Birmingham NHS Foundation Trust Annual Report and Accounts 2018/2019 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 © 2019 University Hospitals Birmingham NHS Foundation Trust Contents 1 Annual Report 2018/19 7 Performance report 9 1 Overview 9 2 Financial Review 12 3 Performance Analysis 14 Accountability report 24 1 Directors’ report 24 2 Governance 33 3 Council of Governors 36 4 Board of Directors 39 5 Audit Committee 47 6 Nominations Committees 49 7 Membership 50 8 Staff report 53 9 Single Oversight Framework 59 10 Remuneration report 60 11 Statement of account officer’s responsibilities 70 12 Annual Governance Statement 71 2 Quality Report 79 Independent Auditor’s report on the Quality Report 140 3 Consolidated Financial Statements 143 Section 1 This annualAnnual report covers the Report period 1 April 2017 2018/19 to 31 March 2018 This annual report covers the period 1 April 2018 to 31 March 2019 Section 1 / Annual Report Performance report 1 Overview The purpose of this section is to provide a short UHB has the largest solid organ transplantation summary that provides sufficient information to programme in Europe and runs Umbrella, the understand the organisation, its purpose, the key sexual health service for Birmingham and Solihull. risks to the achievement of its objectives and how It is also home to the West Midlands Adult Cystic it has performed during the year. Fibrosis Centre and a nationally-renowned weight management clinic and research centre. University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the highest performing The Queen Elizabeth Hospital Birmingham is a healthcare organisations in Europe with a proven Major Trauma Centre treating the most severely international reputation for its quality of care, injured casualties from across the region. The information technology, clinical education and hospital’s single site 100-bed critical care unit is the training and research. The Trust was established largest in Europe. in 1995 and was among the first to be awarded foundation trust status by Monitor in July 2004. The Trust hosts the Institute of Translational Medicine (ITM) and led the West Midlands In recent years, the Trust has been increasingly Genomics Medicine Centre as part of the national acknowledged as one of the most successful NHS 100,000 Genomes Project. foundation trusts and has therefore been asked to provide management support to a number of UHB is proud to host the Royal Centre for Defence other trusts. From October and November 2015 Medicine (RCDM). The RCDM provides dedicated respectively, UHB’s then Chief Executive and training for defence personnel and is a focus for Chair held interim corresponding roles at Heart of medical research. England NHS Foundation Trust, along with other senior managers, to improve its clinical, financial UHB also holds the contract for providing medical and operational position. The acquisition of Heart services to military personnel evacuated from of England NHS Foundation Trust (HEFT) by UHB overseas via the aero medical service. QEHB is was concluded successfully on 1 April 2018. one of only a small number of hospitals that can provide the full range of medical specialties – UHB now runs the Queen Elizabeth Hospital trauma, burns, plastics, orthopaedics, neurosurgery Birmingham, Birmingham Chest Clinic, Heartlands and critical care – needed to treat the complex Hospital, Good Hope Hospital, Solihull Hospital nature of conflict injuries, all under one roof. and various community services across the region. The pioneering techniques in surgery and pain As a foundation trust, UHB has approximately control that have been developed whilst treating 50,000 members and employs more than 20,000 military patients are now being used for civilian members of staff. It is one of the largest trusts in surgery in the UK and elsewhere and are being England treating over 2.8 million patients each year progressed through the Surgical Reconstruction and has more than 2,700 beds across its sites. and Microbiology Research Centre (SRMRC). The Trust has regional centres for trauma, burns, During 2018/19, the Trust has focused on its vision plastics, neurosciences, dermatology and cancer. It ‘to build healthier lives’. This is underpinned by the also has centres of excellence for vascular, bariatric Trust’s values: collaborative, honest, accountable, and pathology services, as well as the treatment innovative and respectful and its core purposes of MRSA and other infectious diseases. It also has of excellent clinical quality, patient experience, expertise in HIV/AIDS, premature baby care, bone workforce, and research and innovation. marrow transplants and thoracic surgery. The Trust delivers approximately 10,000 babies each year and provides around 20,000 days of neo-natal care. University Hospitals Birmingham NHS Foundation Trust | Annual Report and Accounts 2018/19 | 9 Section 1 | Annual Report 1.1 Details of overseas operations gained by the staff working in this busy acute care environment provides the ideal training required The Trust has no permanent overseas operations for operations. but has continued its work to strengthen the Trust’s international reputation and profile through: Military patients are treated on the ward most Î Delivering its international fellowship programme appropriate to their recovery. Service personnel with international partners and their families have the opportunity to use a Î Developing opportunities to share its expertise Day Room on one of the trauma wards, which in new hospital commissioning overseas, features welfare facilities to maintain their morale particularly with Chinese partners (see below) during their hospital stay. Families of patients Î Exploring the potential of providing education can also stay at Fisher House, an 18-bedroomed Î Sales of Australasian Healthcare Evaluation Data home from home for families of injured military system (A-HED) to Australia and New Zealand, personnel, during their recovery. through the Health Roundtable Whilst the NHS provides the treatment to Innovating Global Health China Limited is a meet the patient’s immediate clinical needs, Hong Kong registered company, established as a RCDM is uniquely enhanced to provide medical Joint Venture between the Trust and Innovating administrative and welfare support to service Global Health SA (IGH), for the identification, patients (and their families) admitted from development and pursuit of healthcare operations. This ‘military bubble’ concept is opportunities in China. The Trust and IGH each necessary for the well-being of the operational own 50% shareholdings in Innovating Global casualty and is an integral part of the morale Health China Limited. component of fighting power. 1.2 Royal Centre for Defence Medicine 1.3 The Trust strategy University Hospitals Birmingham NHS Foundation Following the merger with Heart of England NHS Trust is the primary receiving hospital for military Foundation Trust, an updated strategy for the personnel injured overseas. The Royal Centre Trust was developed and agreed by the Board of for Defence Medicine (RCDM), nested within Directors in 2018, supported by a revised planning the QEHB, works in partnership with UHB and a process that will ensure its delivery. number of other NHS hospitals in the Birmingham area to support the operational patient pathway, As one Trust, with one vision, UHB is proud of with the majority of casualties receiving treatment its track record of providing high quality care at the QEHB. to millions of patients. But, like the rest of the NHS, the Trust needs to adapt to meet growing Established in 2001, the RCDM’s primary role is the challenges in the years ahead. focal point for the military reception of operational casualties. RCDM is one of the units commanded To do this UHB has set out three immediate key by the Defence Medical Group (DMG), which priorities: also includes the Defence Medical Rehabilitation Î We will maintain high quality patient care across Centre at Headley Court. DMG’s role is to provide all our hospitals and services, even in the face of highly capable secondary healthcare personnel for rising demand operations and deliver the patient pathway. DMG Î We will integrate the services we provide sits under the command of Director Healthcare across our sites so that our patients can expect Delivery and Training, part of Headquarters the same high standards and joined-up care Surgeon General. wherever they are, and so we can ensure we are as efficient as possible RCDM is made up of approximately 380 uniformed Î And we will transform the model of healthcare personnel. Most fulfil a clinical role but around by using new technology and treatments, 50 personnel work in the Headquarters, with with many more patients being seen in the some working in academic positions throughout community or virtually, and with hospitals Birmingham. concentrating on urgent, emergency and more complex, specialist care The combined experience of the military and medical staff and the civilian doctors, nurses and With the challenges facing the Trust, our patients allied health professionals working together means and citizens, we need to change the ways in which UHB strives to deliver the best clinical care in the healthcare is provided. country. The hospital is at the leading edge in the medical care of trauma injuries and the experience 10 | University Hospitals Birmingham NHS Foundation Trust | Annual Report and Accounts 2018/19 Section 1 | Annual Report We are facing growing healthcare costs, workforce The STP aims to do everything within its shortages and financial constraints, so we cannot considerable, collective power to address inequality simply expand capacity to meet growing demand. and contribute to its people’s health and happiness, from local residents to staff at its numerous sites And we see unacceptable inequalities in health, in across the city.
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