Luton & Dunstable University Hospital Annual Report and Accounts 2016
Total Page：16
File Type：pdf, Size：1020Kb
Luton & Dunstable University Hospital NHS Foundation Trust NHS Foundation Hospital University & Dunstable Luton Annual Report and Accounts for the period April 2016 to March 2017 incorporating Quality Account AnnualReport&Accounts2016-2017 Incorporating Quality Account Quality Incorporating AnnualReport &Accounts 2010-2011 Luton & Dunstable University Hospital NHS Foundation Trust Lewsey Road Luton LU4 0DZ Incorporating Quality Report Telephone 01582 49 11 66 www.ldh.nhs.uk Luton and Dunstable University Hospital NHS Foundation Trust Luton and Dunstable University Hospital NHS Foundation Trust Annual Report & Accounts for the period April 2016 to March 2017 incorporating Quality Account Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 © 2017 Luton and Dunstable University Hospital NHS Foundation Trust Contents INTRODUCTION 3 FINANCIALPERFORMANCEREPORT 97 Awards and Congratulations 4 Review of Financial Performance 98 Introduction 9 Remuneration report 100 About this Report 10 Fundraising and Charitable Donations 101 Chairman’s Statement 11 ANNUALGOVERNANCESTATEMENT STRATEGY 13 ANDACCOUNTS 105 Strategic Vision 14 Statement of the Chief Executive’s Responsibilities 106 Performance against Corporate Objectives 2016/17 16 Annual Governance Statement 2016/17 107 Service Developments delivered in 2016/17 21 Independent Audit Opinion 115 2017/18 Strategic Approach 25 Foreword to the Accounts 120 Maintaining Performance 27 Statement of comprehensive income 121 Corporate Objectives 2017/18 28 Statement of financial position 122 Improving Quality 29 Statement of changes in equity 123 Service Developments planned for 2017/18 34 Statement of cash flows 124 OPERATIONALPERFORMANCEREPORT 39 APPENDIX1QUALITYACCOUNT 163 Principal activities of the Trust 40 What is a Quality Account? 164 Review of Operational Performance 42 About Our Trust 165 Regulatory Quality CQC Performance 43 1. A Statement on Quality from the Chief Executive 167 Regulatory Performance Ratings 47 2. Report on Priorities for Improvement in 2016/17 169 Activity Performance Analysis 48 3. Priorities for Improvement in 2017/18 180 Research Performance 49 4. Statements related to the quality of services provided 190 Education and Performance 50 5. A Review of Quality Performance 203 Sustainability/Climate Change Performance 54 6. Statement of Directors’ responsibilities in respect of the Quality Report 234 OURPATIENTS,OURSTAFFANDOURPARTNERS 57 7. Comments from stakeholders 235 Our Patients 58 8. Independent Auditor’s Assurance Report 239 Our Staff 62 9. Glossary of Terms 241 Equality and Diversity 71 Appendix A - Local Clinical Audits 243 Working with our Partners 76 Appendix B – Trust Committee Structure 259 GOVERNANCEREPORT 77 Board of Directors 78 Committees of the Board of Directors 86 Audit and Risk Committee 87 Council of Governors 90 Foundation Trust Membership 94 L&D: Introduction INTRODUCTION Awards and Congratulations 4 Introduction 9 About this Report 10 Chairman’s Statement 11 3 ANNUAL REPORT & ACCOUNTS 2016/17 & ACCOUNTS REPORT ANNUAL Awards and Congratulations Ourstaff Marva Desir Janet Mason Julie Taylor Jacqueline Dodds Engagement2016–Good,Better,BestEvents Maureen Mayhew Patricia Turner During July and December 2016, two events were held to Graham Fitzsimmons Sally Morris engage with and thank staff for all their hard work. They Christopher Travill Linda Gardner were extremely well attended and provided staff with the Martin Nye Caroline Grummitt opportunity to hear feedback about the Trust’s current Margaret Green Cathy O’Mahony direction and also participate in work to inform the future Gill Mitchell Betty Hatfield-Shaw plans of the L&D. Sue Riley Hashem Shojai Helen Judkins Pratima Tailor Carla Burnett Nasreen Lewis We were also privileged to receive two excellent keynote speeches. The first speech was from Professor Sir Bruce Keogh who spoke about the NHS and patient safety from an NHS professional perspective. The second was from Margaret Murphy who talked about the tragic death of her son Kevin in Ireland in 1999. Since Kevin’s death, LutonCommunityServiceAwards- Margaret has worked tirelessly to raise the importance of HealthcareHero,AnneThomson Patient Safety internationally. Congratulations to Anne Thomson, the L&D’s Lead Patient Safety Nurse, who was presented with a Healthcare Hero award at the Luton and Bedfordshire Community Awards held on Friday 14th October 2016. Described as a ‘true LongServiceawards healthcare hero’, Anne, a critical care nurse by background, mainly nursing in intensive care, has worked 4 On 5th April 2017, the Chief Executive was delighted to spend time, along with other Trust Board members, in at the L&D for 25 years. In her current role, she is the lead ANNUAL REPORT & ACCOUNTS 2016/17 & ACCOUNTS REPORT ANNUAL the company of staff celebrating their long service with nurse in the hospital for patient safety. the Trust. In recognition of this we enjoyed Afternoon Tea where many memories were shared about the hospital Anne is passionate about improving the safety of over the past 25 years. It was a lovely afternoon which patients and is leading a number of Trust-wide quality was made even better by the enthusiasm and passion improvement projects to improve the management shown by these staff still today. of patients with severe infections (sepsis), acute kidney injury, and to ensure optimal care is given to deteriorating patients. Anne is also leading a project to reduce the incidence of hospital acquired thrombosis (blood clots). She demonstrates the highest level of commitment in the pursuit of learning and improving care to maintain safety for patients in the hospital. L&D: INTRODUCTION Nursing&MidwiferyAwards At the Annual Nursing & Midwifery Conference held on 12 May - International Nurses Day - the following Annual Awards were presented: Innovation in Care Rebecca Dixon, Samantha Clough, Laurel Paul-Lockett The Safe Project Student Nurse of the Year James Bartlett Student Midwife of the Year Rebecca Sims MCA/HCA of the Year Gemma Ricardo Ward 17 Mentor of the year Kartini Bardoorden Ward 12 Midwife of the Year Tracey McGrath Most Promising New Graduate (The Aimee Varney Award) Esther Redfern Ward 18 Nurse of the Year (The Erma Bristol Miller Award) Team of the Year St Mary’s Day Unit Laura Currie Ward 16 5 PaediatricandNeonatal-bestEastofEngland Ourvolunteers trainingdepartment OutstandingContributionAward– Congratulations to our Paediatric and Neonatal DavidMcDonald departments who received the award for the best training unit in the East of England deanery on 10 Central Bedfordshire Council, working in partnership with February 2017, at the PAFTAs – the Paediatric Awards for the Volunteer Centres as part of Central Bedfordshire’s Training Achievements. Together programme, held this years ‘Cheering Volunteering Awards ‘on 7th June 2016 at the Grove Theatre in Dunstable. NationalMidwifeChampion’sAward– MaryEdmondson One of our midwives, Mary Edmondson, was honoured David McDonald, one of our Main Reception volunteers, at the Royal College of was the recipient of an ‘Outstanding Contribution’ award. Midwives Annual Awards in David has been volunteering on Main Reception for 13 March 2017 with a years and is often the first friendly face that patients Champion’s Award for her and visitors see. He has given us nearly 400 hours this work to promote training year, and that is an incredible contribution that warrants and development in the recognition. We are proud that he is part of our hospital maternity unit. and feel he is richly deserving of his Award. Mary has re-galvanised the weekly maternity training sessions which now attract audiences of up to 30 VolunteerLongServiceAwards midwives and other staff, and developed a learning leaflet and easy to use information for midwives on the On 4 January 2017, more than 100 volunteers attended new revalidation process. our Annual Thank You and Volunteer Long Service Awards which were hosted by Trust Chair Simon Linnett. Our volunteers were treated to a sit down meal and TopTeacherAwards entertainment was provided by Billy Lee, one of our Hospital Radio volunteers, who is one of the UK’s finest Following student nominations at University College of Tom Jones tribute acts. 6 London, the following consultants have been singled out for praise by the students and awarded Top Teacher Award recipients were: ANNUAL REPORT & ACCOUNTS 2016/17 & ACCOUNTS REPORT ANNUAL certificates: 5 Years Awards Joan Mackinnon Carole Trott Dr Ritwik Banerjee, Consultant Physician & Genet Burton Paula Kane Endocrinologist Sandra Chesney Heather Pickering Miss Shahnaz Akbar, Consultant Obstetrician and Martin Russell Julian Towler Gynaecologist Eunice Ogundimu Theresa Scarry Winnie Jacob Jan Green In addition, Ms Su Gill has received a certificate as a Catherine Wendeler Top Administrator. L&D: INTRODUCTION 10 Year Awards Top Educator Chris May Lorna Silver Maureen Summerson (non-medical) Anne Young Hilary Whetstone Top Foundation Trainee Matthew Kimberley Diana Hewlett Julia Coote Top Core Trainee Devi Natarajan Top Specialty Trainee Hannah Weller 15 Year Awards Best nursing/ Lung CNS team Pam Brown Brian Perry midwifery team Janice Neal (unable to attend the ceremony) Friendliest Ward Ward 14 Most supportive MDT Specialist Palliative Care MDT Well done to the winners and all those that were nominated. It is hoped that this will become an annual event to thank and recognise teams & individuals for their hard work & commitment. Pam Brown Brian