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OUTCOME REPORT June 2013

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OUTCOME REPORT June 2013 Foundation Trust Consultation OUTCOME REPORT June 2013 1 Executive Summary St George‟s Healthcare NHS Trust consulted on proposals for becoming a Foundation Trust between 1 February and 26 April 2013. We contacted more than 10,000 people by post, email, online, and face to face on trust premises and at 35 internal and external meetings. More than 500 individuals and 23 organisations responded formally, either in writing or by completing our consultation questionnaire. The questionnaire contained seven questions on the specifics of our proposals, all of which received the support of more than two-thirds of respondents. We are delighted with the overwhelming support for our proposals and the level of engagement with the consultation. We have received a number of important comments, all of which have been carefully considered. As a result, we are making two substantial changes to our proposals: We now propose to reallocate the number of Governors from each constituency roughly in proportion with trust income from each area. This measure will increase the number of Wandsworth-based Governors from four to six and reduce the number elected from the regional or „rest of England‟ constituency from six to four which will keep the total number of public governors at 15. Merton and Lambeth will elect the same number as originally proposed, four and one respectively. We also propose to increase the number of staff governors from four to five, adding a new constituency representing those working in community services. We believe that the consultation process has been robust and successful, reaching all of our target audiences, including stakeholders, staff, patients, carers and the general public. This is reflected in the number of responses we have received from our three local boroughs and from further afield (the regional constituency), which is very closely proportionate to the number of members we have recruited from those four areas. We now have three further steps to take: Feed back to those who took part in the consultation and communicate the results to all interested parties. Submit our application to become a Foundation Trust to Monitor. Hold governor elections among staff and our members and discuss with the eight organisations who will appoint Governors, the exact process for this. We hope for a successful outcome to our application and look forward to becoming a Foundation Trust early in 2014. We are confident that the governance arrangements we will put in place will ensure that, as a Foundation Trust, we can build on our recent successes and continue to provide high quality healthcare to the communities which we serve. 2 Contents page Introduction 4 1. Background a. Name of applicant Trust 5 b. Area served by the Trust 5 c. Contact details 5 d. About the public consultation 6 2. Communications a. The consultation documents 7 b. Public meetings 7 c. External consultation sessions 8 d. Meetings with key stakeholders 8 e. Staff engagement 9 f. Foundation Trust information stands 9 g. Letters to stakeholders 10 h. Other communications 10 3. Results a. Visitors to the website 11 b. Responses received 11 c. Formal responses 12 d. General tone of comments 13 e. Main topics attracting comment 13 f. Detailed questionnaire responses 15 4. Response a. Our proposals 17 b. Feeding back 19 3 Introduction This report describes the process and outcome of the formal consultation process run by St George‟s Healthcare NHS Trust, on our proposed membership and governance arrangements for becoming a Foundation Trust. Engagement with patients, staff and other stakeholders has been a key feature of the application process and this report demonstrates that: Robust public consultation has been undertaken Staff and stakeholder involvement has been actively sought The consultation process and results have resulted in changes to proposed governance arrangements Key issues: These are the key issues that lie at the heart of this public consultation. Our mission, vision and priorities Membership of the trust Composition, constituencies and elections to the Council of Governors 4 1. Background a. Name of applicant Trust: St George‟s Healthcare NHS Trust b. Area served by the Trust Our main site, St George‟s Hospital in Tooting - one of the country‟s principal teaching hospitals - is shared with St George‟s, University of London, which trains medical students and carries out advanced medical research. St George‟s Hospital also hosts the St George‟s, University of London and Kingston University Faculty of Health and Social Care Sciences, which is responsible for training a wide range of healthcare professionals from across the region. As well as acute hospital services, we provide a wide variety of specialist care and a full range of community services to patients of all ages. These services are provided from Queen Mary‟s Hospital, Roehampton, one of the largest community hospitals in the country and home to the world famous Douglas Bader amputee rehabilitation centre, and health centres across Wandsworth, GP surgeries and in patients‟ own homes. We are also responsible for providing and coordinating health services at Wandsworth Prison. The trust is both a local provider of services (to about 500,000 residents in Wandsworth and Merton) and a regional and national provider of tertiary and specialist services, such as cardiothoracic medicine and surgery, neurosciences and renal transplantation, to south west London, Surrey and beyond (about 2 million people). We also provide care for patients from a larger catchment area in south east England, for specialties such as complex pelvic trauma. Other services treat patients from all over the country, such as family HIV care and bone marrow transplantation for non-cancer diseases. We also provide a nationwide state-of-the-art endoscopy training centre. A number of our services are members of established clinical networks which bring together doctors, nurses and other clinicians from a range of healthcare providers working to improve the quality of services for patients. These include the South London Cardiac and Stroke Network and the South West London and Surrey Trauma Network, for which St George‟s Hospital is the designated heart attack centre, hyper-acute stroke unit and major trauma centre. We aim to be the provider of choice for all of our patients, whether they are local people or from outside south west London receiving our specialist services. c. Contact details of person responsible for the consultation Peter Jenkinson Director of Corporate Affairs St George's Healthcare NHS Trust Blackshaw Road Tooting London SW17 0QT Tel: 020 8725 3897 Email: [email protected] 5 d. About the public consultation Dates of public consultation Started Finished Friday 1 February 2013 Friday 26 April 2013 6 2. Communications a. The consultation documents 7,000 copies of the full consultation document in hard copy, distributed to members, community groups, staff, stakeholders and to the general public o This document included a hard copy of the questionnaire in postcard form to be filled in and returned to the Freepost address pre-printed on the reverse of the form 15,000 Foundation Trust summary leaflets with basic information on the consultation and information on how to get more information and take part Online full consultation document and further information Online feedback / reply form Powerpoint presentation used at all events Reminder letters and emails to all public members of the Trust The consultation document was distributed to partner and stakeholder organisations, as well as to public members of the trust, and to staff. Documents were sent out as hard copy to our key stakeholders, with a covering letter. Other local partners and groups were also targeted by email. Our staff were informed by email, through online content and through staff communication channels including a newsletter and email newsletters. More than 250 external organisations were contacted to invite them to respond formally to the consultation (see Appendix 2). b. Public meetings We organised a series of Foundation Trust consultation public meetings at the following locations. At each of these events our presentation was delivered by either the Chief Executive or our Director of Corporate Affairs and was attended by a communications team member. Venue Number of attendees Monday 11 February, 1-2pm Michael Heron Lecture Theatre, 1st floor, Hunter Wing. 35 St George‟s Hospital, Tooting. Tuesday 19 February, 6-7pm Barnes and Richmond Rooms 13 Queen Mary‟s Hospital, Roehampton. Thursday 7 March, 1-2pm Michael Heron Lecture Theatre, 1st floor, Hunter Wing 32 St George‟s Hospital, Tooting. Tuesday 2 April, 1-2pm Barnes and Richmond Rooms 26 Queen Mary‟s Hospital, Roehampton Wednesday 3 April, 6-7pm Michael Heron Lecture Theatre, 1st floor, Hunter Wing 42 St George‟s Hospital, Tooting. We publicised these public meetings in the consultation document and with posters and leaflets across the trust estate. Display adverts were published in local authority newsletters and in the local press, to ensure that we reached as wide an audience as possible. 7 We also targeted specific groups of members with emails. Through our membership database we were able to email or write to all those members living in the postcodes close to Queen Mary‟s Hospital in Roehampton inviting them to attend. For the second meeting at St George‟s, we contacted all those members who had attended a members‟ event at St George‟s but had not attended the first meeting on becoming a Foundation Trust. These efforts were successful in attracting people to the events and, at these formal consultation events we spoke to 148 people, patients, public, carers, staff and the general public. The meetings took the form of a 30-45 minute presentation followed by a question and answer session. The question and answer sessions were lively and a large proportion of the attendees raised issues on all aspects of the proposals and these are reflected in section 3.e below.
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