South Warwickshire NHS Foundation Trust Annual Report and Accounts for 2014/15 South Warwickshire NHS Foundation Trust Annual Report and Accounts for 2014/15 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 2 Content Introduction: pages 3-5 Section 2: Directors’ Report pages 69-90 Chief Executive’s message Chairman’s message - Directors’ Statement - Appointments and Roles Section 1: Strategic Report pages 6-68 - Board Profiles and Register of Interest - About the Trust - Executive Leadership Structure - Trust Structure - Disclosure of Corporate Governance Arrangements - Service Profile / Principal - Board Statements Activities - Board Committees - Strategy - Board and Committee - 2014/15 objectives Membership - Business Review - Directors’ Remuneration and Review of 2014/15 Pension Benefits objectives Trust performance Section 3: Council of Governors and against national Membership pages 91-112 targets Quality - Council of Governors Structure - Governor Profiles Key Developments in - Map of Constituencies 2013/14 - Meetings of the Council of Financial Performance Governors Review - Sub-committees of the Council of - Risks and Uncertainties Governors - Trends and Factors affecting the - Trust Membership Trust - Partnerships, Stakeholders and Section 4: Quality Report pages 113- Key Strategic Relationships 218 - Corporate Activity Data Part 1: Statement on Quality Part 2: Priorities for Improvement and Serious Untoward Assurance Statements Incidents Part 3: Review of Quality Performance Information Governance Section 5: Statement of Accounting Patient Experience Officers’ Responsibilities and Annual Workforce Governance Statement pages 219- Social, Community and 233 Human Rights Current Developments Section 6: Summary of Financial Environmental and Statements & Auditor’s Statement Sustainability pages 234-242 3 Chief Executive’s Message The end of another financial year provides an opportunity to reflect and to re- focus. In many ways 2014/15 saw the realisation of a number of key strategic aims. The official opening of the Central England Rehabilitation Unit (CERU) provided formal recognition of what will be a fantastic facility for the people of Warwickshire and beyond for many years to come. Whilst this January saw its official opening, the facility has been open long enough to make a significant impact on the pathway for major trauma patients and as a consequence has already received excellent reviews from national experts. We have also commenced the build of a new ward block at Warwick Hospital and what will be a fantastic new hospital in Stratford. I am old enough to remember the history of the Stratford site quite well, so I know how much it means to local people that the Trust are investing in the town and ensuring that the local population has access to vital services on their doorstep. Following the very generous donation from the Rigby Foundation towards our fundraising appeal we now look forward to opening the building with additional enhancements at the end of next year. The NHS has featured heavily in the media, particularly over the winter. From our own perspective, we benefitted from a number of improvements to our processes which led to us meeting the Accident and Emergency (A&E) four hour target quite comfortably for the first half of the year. However, from December we saw major increases in admissions of frail older patients, much more than in previous years, and did not meet the target in the second half of the year. Whilst hitting the targets is important, our focus always has to be on patients and our staff and therefore I am pleased to see that feedback continues to place us in the very top group of Trusts nationally. Particular high points for me this year have been the Staff Survey, where we were the 6th best performing acute trust in the entire country, the A&E patient Survey where we came out in 10th place nationally and our Children’s Community Nursing Team being awarded the Child Heath Award in the prestigious Nursing Standard Awards. It is great to now see the Trust consistently highlighted as one of the country’s best providers, particularly in the context of the NHS being recognised as one of the best healthcare systems in the world. This past year has also seen large deficits emerge across the provider sector in the NHS. We have so far managed to avoid this trend and I also put this down to the engagement and commitment of our staff. Getting things right first time for our patients reduces waste and duplication, being innovative helps us to deliver care in better ways and to develop new services and new approaches. The contribution of our arms- length company SWFT Clinical Services has been critical in this area. As well as reducing the cost of delivering pharmacy services, we are developing new services and now have established a successful training arm. This offers expertise to colleagues in primary care and other healthcare providers as well as stimulating and developing our staff. Employing the best staff and continuing to develop them throughout their careers is key to being the best that we can be. It is therefore reassuring that we continue to attract the best staff who are drawn to the values and culture of the Trust. I have been Chief Executive at the Trust for nearly nine years and throughout this period I have worked under the guidance of our Chairman Graham Murrell. You will see from his report that he stood down at the end of May. As I write this report I do not know who Graham’s successor will be but I can only hope that we can be as successful in the future as we have been during this period and I would like to go on record to thank him personally, and on behalf of the Board for his considerable contribution to the Trust. Glen Burley, Chief Executive Date: 21st May 2015 4 Chairman’s message This Annual Report presents a review of the past year’s activities in South Warwickshire NHS Foundation Trust. It provides a formal record, and I think it also conveys the real story of the Trust’s work and its achievements in the year. I am proud to present the report, and I recommend it to all who take an interest in our services. A highlight of the year was the official opening, by HRH The Princess Royal, of the Central England Rehabilitation Unit at Leamington Spa Hospital. The presence of HRH The Princess Royal was a fitting tribute to the outstanding team who created this superb facility. The year has also seen the start of two major new investments; the building of a new ward block at Warwick Hospital and the first phase of redevelopment of Stratford Hospital. Both these projects are designed to accommodate the continuing development of our services and to meet the growing needs of our local population for the years ahead. Some of our services have been under great pressure from unexpected activity levels this year, especially during the exceptionally difficult winter period, and our performance on some indicators has fallen short of our targets. Despite this the Trust has continued to show year-on-year improvements in the quality of patient care, for example in the prevention of infections and pressure sores and in terms of mortality rates. The Trust pays careful attention to the feedback from patients on their experience of care, which gives us pointers for improvement but also huge encouragement at how much our services are appreciated. The quality of care depends above all on the ethos of the organisation and the commitment of our people, so it was very pleasing to see the staff survey again this year showing an outstanding level of staff engagement and job satisfaction despite the huge pressure everybody is under. The positive feedback from both patients and staff reflects the outstanding work of our executive team, led by Glen Burley, and the skills and dedication of our staff across the organisation. I offer my thanks to all our staff for their hard work and loyalty, and I congratulate them on what has been accomplished this year. The Trust’s Non-Executive directors bring independence and a range of special expertise to the work of the Board, and I would like to thank them for their support and for their distinctive contribution. As a Foundation Trust the organisation is governed by the community it serves, and operates at arms’ length from the hierarchy of the NHS. Accountability to the community is exercised through the Council of Governors, comprising representatives of staff and public members as well as of key local bodies. Our governors have continued to fulfil their role in a conscientious and enthusiastic way, overseeing the performance of the Trust and holding the Board of Directors to account. The Trust has continued to grow its membership base, and communicates regularly with members through the Pulse newsletter. The governors have arranged public meetings in various locations around the area, with presentations on clinical or organisational topics and opportunities to take questions and first-hand comments from members. The engagement of the Trust with governors and members is both stimulating and challenging, and we are continually seeking ways to build on these relationships to promote the success of the Trust for the benefit of the community. The volunteers of the Hospital Patients Forum have continued their valuable work of reviewing and inspecting aspects of the Trust’s services, as an independent group of ‘expert patients’. The Forum is also now working closely with the Council of Governors, to which its work will make a valuable contribution. The Trust and its patients continue to benefit from the efforts of local fund-raisers and the generosity of donors.