Annual Report PEOPLE DELIVERY and Accounts 2013/14 ENVIRONMENT COST
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QUALITY SAFETY Annual Report PEOPLE DELIVERY and Accounts 2013/14 ENVIRONMENT COST Page Annual Report and Accounts 2013/14 1 Annual Report and Accounts 2013/14 Presented to Parliament pursuant to Schedule 7, Paragraph 25(4) (a) of the National Health Service Act 2006 Contents Contents Page Chairman’s and Chief Executive’s Statement 4 Hospital Highlights 9 Strategic Report Our Trust 17 Our Services 18 Our Performance On Delivering Our Plans in the following activities: Our Patients 19 Our Staff 24 Our Performance 41 Our Environment 52 Our Finances 56 Our Future Business Plans 67 Directors’ Report Profile of the Board 71 Board of Directors’ Report Management Commentary and Principle Activities 83 NHS Foundation Trust Code of Governance 88 Council of Governors Report 91 Membership Report 103 Audit Committee Report 109 Remuneration Committee Report 113 Nominations Committee Report 123 Quality Account Annex A 125 Statement of Directors’ Responsibilities in Respect of the Quality Report Annex B 207 External Auditor’s Limited Assurance on the Contents of the Quality Report Annex C 209 Statement of the Chief Executive’s Responsibilities as the Accounting Officer Annex D 212 Annual Governance Statement 2013/14 Annex E 213 Independent Auditor’s Report To The Council Of Governors Annex F 232 Accounts for the Period 1st April 2013 to 31st March 2014 Annex G i - xxxvi Notice of the Trust’s Members and Annual Public Meeting 271 Page Annual Report and Accounts 2013/14 3 Chairman’s and Chief Executive’s Statement The past 12 months has been a year of ongoing change within the organisation from new infrastructures to innovative improvements in care, treatments and services. Quality and safety of patient multi-storey car park and care to ensure that the right care care has remained our key midwifery unit. This investment is given by the right person at priority and the publication of has not been confined to the right time. The pathways are the Keogh Report in the summer infrastructure, we have also strictly audited and in present ‘real highlighted a number of areas of undergone a major recruitment time’ feedback so we can address good practice, as well as areas for drive which has led to more than areas where we need to improve improvement. 180 new nurses and 45 doctors quickly. being employed by the Trust. We have seen a marked reduction We have recorded excellent in mortality, passed the year These have been embraced results from these initiatives, milestone for remaining MRSA through our Better Care Now the recent nationally released free, developed successful new Programme which sets the Summary Hospital Mortality clinical pathways, as well as highest possible standards of care, Index (SHMI) figures show a developed the Better Care Now focusing on clinical pathways, reduction from 126* to 117* Programme. waiting times and ensuring comparing March 2012 to March we have the right professional 2013 and our current calculation Blackpool Teaching Hospitals workforce with the right skills to shows a rolling 12 month figure has also undergone a major deliver high quality care. to April 2014 of 109*. For all investment programme mortality rates a comparison is with the opening of The pathways focus particularly made between the number of our new main entrance, on the first 24-36 hours of patient actual deaths for an individual population and the expected number of deaths for the hospital “Since the Keogh Review team visited population of England and the Trust we have been under intense Wales. A score of 100 is taken as the average. Given the actions monitoring, which we have welcomed underway we project a figure of 110.9 by the end of April 2014, and embraced as reassuring our patients which will be within the expected about the quality of service received at range for this Trust. Blackpool Teaching Hospitals...” Page 4 Blackpool Teaching Hospitals NHS Foundation Trust Since the Keogh “We have met both the Independent Regulator Review Team visited the Trust we have of NHS Foundation Trusts, Monitor, and the Care been under intense monitoring which Quality Commission (CQC) on a monthly basis to we have welcomed report on progress and have demonstrated real and embraced as reassuring our patients improvements delivered at a rapid pace...” about the quality of service received at whilst the overall ratings for both cases. In 2006/07 there were Blackpool Teaching Hospitals. We Clifton Hospital and Fleetwood 49 cases of MRSA, therefore have met both the Independent Hospital were “good”. The the improvement is a great Regulator of NHS Foundation overall rating for the Trust was achievement which has been Trusts (Monitor) and the CQC “requires improvement”. As we accomplished by excellent on a monthly basis to report on would expect, the CQC identified infection prevention practices. progress and have demonstrated areas for improvement, many of The challenge now is to ensure real improvements delivered at a which we are already working we maintain our focus on all rapid pace. on and making progress. We Healthcare Acquired Infections must focus on those areas where and remain diligent and follow In January the CQC carried improvement is needed. Based best practice at all times. out an inspection of Blackpool on the progress we have already Teaching Hospitals using made, we are confident we can More than £16m has been invested their new hospital inspection tackle these issues and reach the in a new main entrance and multi- methodology which gives stage where all our ratings are storey car park at Blackpool Victoria possible ratings of; inadequate, at least “good”. The levels of care Hospital. The new entrance gives requires improvement, good and and commitment at the Trust us an impressive focal point for outstanding. The report shows are exceedingly high and both the hospital allowing patients a the majority of the areas they the hospital and the Trust overall better experience from arrival with looked at were rated as “good” received a “good” rating for care. a main reception, waiting areas, – of the 68 ratings given 42 were retail units and café. The building good, two were “outstanding”, We have also welcomed a new is linked to the new multi-storey 22 were “requires improvement” initiative to hold regular Quality car park which has secure parking and two areas were deemed Assurance Reviews from our CCG. for more than 1,000 cars. This new “inadequate”. The overall rating We had the first of these visits in infrastructure has also given the for Blackpool Victoria Hospital November with a team visiting Trust the opportunity to improve was “requires improvement” our Families Division which found the wayfinding signage around the substantial progress in all areas. site. The new structures are a major step forward in the provision of The Trust was delighted to high quality patient care, providing announce that it had been better access to the hospital for more than one year without any patients, visitors and staff. reported MRSA bacteraemia Page Annual Report and Accounts 2013/14 5 In August 2013 we opened the latest facilities for health “More than £16m has a £680,000 state-of-the-art professionals to learn new midwifery-led unit, which offers skills in a simulated hospital been invested in a a home-from-home birthing environment without environment for expectant mums. compromising patient new main entrance The unit runs independently from safety. The realistic rooms and multi-storey car the existing delivery suite, but are equipped with the latest is situated just next door, giving medical technology and park at Blackpool mums the option of a less hospital equipment and are home Victoria Hospital...” intensive birthing experience but to a family of sophisticated with the safety of the consultant- life-sized manikins who are led facilities just feet away should programmed to replicate a Community Health Monitoring the need arise. This unit has number of conditions in unwell Team. Well done to all of them, an dramatically improved birthing adults, children and babies. amazing achievement. choices for women and their families who can now choose to During the year, six of our The accolades didn’t stop there have their baby at home, in the community nurses received – the Trust’s maternity team won delivery suite or in the new unit. one of the profession’s highest the Women’s Health Category accolades. The six members at the National Care Integration The Trust also officially unveiled of staff were given the title of Awards for their integrated care its new medical simulation Queen’s Nurse by the Queen’s pathway for pregnant women centre this year which offers Nursing Institute. The honour is who misuse substances. The only given to a small number of pathway resulted in a dramatic community nurses each year in reduction in the number of recognition of their outstanding babies requiring admission to contribution to quality of practice specialised neonatal care for the and attention management of withdrawal from “We believe care starts from the to client drugs. and patient first moment a patient meets care. Five of The Trust’s Human Resources team scooped a national Healthcare a health professional and a the nurses are from the People Management Award proper introduction is the first Blackpool for its coaching and personal Family Nurse development programme and step to providing compassion Partnership Blackpool Victoria Hospital’s and helps put patients at ease and the Clinical Research Centre beat off sixth nurse stiff competition from some of the while using our services...” is from the country’s biggest organisations to Page 6 Blackpool Teaching Hospitals NHS Foundation Trust take bronze in the PharmaTimes first-hand how their feedback is Clinical Research Site of the Year driving improvements.