Annual Report and Accounts 2001-2002

United Lincolnshire HOSPITALS NHS Trust 2001 / 2002 ANNUAL REPORT AND SUMMARY ACCOUNTS 2 United Lincolnshire Hospitals - A year in focus Chairman and chief executive’s overview t is a great pleasure to intro- Authority. All this has and will • £1M savings on management dependency unit at Pilgrim duce the Trust’s Annual continue to have a significant costs reinvested on patient care • New staff residential accommoda- I Report for 2001/02. Whilst impact on us but bwe welcome • Due to greater purchasing power, tion and education facilities this year has been one of relative the opportunity to work more we managed to replace four gen- at Grantham consolidation in the evolution of closely with all our partners. eral x-ray rooms for the estimated • A new coronary care unit cost of replacing three United Lincolnshire Hospitals Inevitably, the first two years fol- at Lincoln NHS Trust, the rest of the lowing the merger were marked by • We developed an exciting • Development of new dermatology Lincolnshire Health Community considerable upevil and the new research & development partner- clinics at Lincoln, Pilgrim has changed almost beyond trust as had to grapple with difficult ship with the University of Lincoln and Grantham which will have a very positive recognition. Lincolnshire Health issues, including meeting challeng- • A refurbished clinic for sexual effect on recruitment and reten- Authority has been disbanded, ing waiting times and financial tar- health at Grantham gets. These issues have had a effect tion of staff and enhance the qual- the Healthcare Trusts have • Continued refurbishment of on staff throught the whole Trust. ity of patient care. merged and the Primary Care wards at Pilgrim as the façade However, two years on from the It would be wrong to assume that scheme progresses. Trusts have become established Trust merger, it is encouraging to the benefits have been easily or and now have taken over the see that clear benefits have been painlessly achieved. For many staff Quality of clinical care is crucially commissioning role from the for- realised. Specific examples include:- the merger has meant changing the important and when independently mer Lincolnshire Health way they work, establishing cross- assessed by the Clinical Negligence • £2.5M in extra capital under the Scheme for Trusts (CNST), we were Àction On’ headings in county networks and working with new colleagues. It has been a chal- delighted to achieve a level 2 per- orthopaedics, ear nose & throat formance against the CNST stan- (ENT) surgery and dermatology lenging time with some difficult decisions. However our vision has dards which places us in the top • Restarting the breast screening always been to ensure that all our 13% of Trusts nationally. service in South Lincolnshire with patients wherever they live, should Waiting times continued to reduce support from staff at Lincoln. have equity of access to the highest and the Trust bettered all its key Jenny Green OBE Without this support, this would quality services. In order to achieve waiting list and waiting time targets Chairman not have been possible that we may have to change the way at the end of the year. This was a • Agreement to develop an in-coun- we do things. huge achievement and a major ben- should also like to pay tribute to the ty cardiac catheterisation labora- Many improvements to patient efit for patients. unstinting efforts of our volunteers tory to avoid unnecessary travel services and facilities took place dur- On behalf of the whole Board, we and other supporters who continue for patients. None of the predeces- ing the year. These included:- should like to take this opportunity to make a very valuable contribu- sor Trusts would have had suffi- tion to our services to patients. • The opening of the £10M radio- to express our sincere thanks to all cient patient volumes on their therapy & oncology building at our staff. Their efforts, commitment As we look towards 2002/03, the own to justify such a development Lincoln which serves the whole and dedication made these achieve- Trust continues a major programme • Agreement to develop an in-coun- county and beyond ments possible. They continue to of change, development and mod- ty neurology service with the work under enormous pressure to ernisation of its services which we • A new £400,000 x-ray machine appointment of a consultant neu- give the best service they can to our are undertaking in partnership with at Louth rologist based at Lincoln. As a patients. This service is highly other local health organisations, consequence of this a neurology • Replacement CT scanners at regarded by patients and this is social services, local authorities and clinic will be provided at Pilgrim and Lincoln clearly demonstrated in the excel- local people. Our aim is to continue David Loasby Grantham for the first time and • Improvements and extension to lent results achieved in the national to provide the best possible care to Chief Executive waiting times will reduce the intensive care and high patient satisfaction survey. We the people of Lincolnshire. third linear accelerator was Facts and figures Trust objectives 2001/2002 purchased and delivered. Confirmation was received that The Trust provides hospital care on 9 sites: funding had been earmarked County Hospital – Louth • Develop the Trust’s clinical looked at improving the flow discussions are taking place to for the high dependency unit Grantham & District Hospital strategy of patients admitted as form an action plan. Interim Business Case at Lincoln Work is well underway with the emergencies and a review of accreditation against the Johnson Hospital – Spalding County Hospital. The catheter development of the clinical systems and working practices Improving Working Lives Welland Hospital – Spalding laboratory Business Case was strategy and proposals will be to support emergency admis- (IWL) standards has Lincoln County Hospital also submitted and approval presented to the Boards of the sions was done. been achieved with final Pilgrim Hospital – Boston was received to proceed. health organisations within • Meet Financial targets accreditation being sought by John Coupland Hospital – Gainsborough April 2003. Outstanding issues about the Lincolnshire in March 2003. The trust met all its statutory St. George’s Hospital – Lincoln South Holland Business • Achieve national targets to financial targets. • Continue to implement the Skegness & District Hospital Case were resolved and the reduce the length of time • Ensure the principles for Government’s NHS Plan and to modernise services case was resubmitted. Last year the Trust treated 17,103 elective that patients wait clinical governance are • Manage the information inpatients, 40,666 day case patients, The Trust met or bettered all its achieved within each A baseline assessment of the management and technology 77,494 emergency inpatients and 119,699 targets for waiting times. This clinical directorate and Trust’s current compliance with new outpatients attendances and 329,515 included the national guarantee develop a unified plan for the NHS Plan targets and a programme as part of the follow up attendances. The total income for of maximum waits of 18 clinical governance detailed action plan of the main strategy to deliver an elec- tronic patient record (EPR) the Trust was £219.1m months for inpatient and day Clinical governance arrange- risk areas was completed. The case patients. The target for a ments are in place across the targets in the NHS Plan have by 2005 maximum wait of 15 months Trust. The clinical audit been included in the Trust’s The project board and project was met from 31 January department has been rein- service planning process. The team have been established Dermatology set 2002. With the exception of forced and rolling programmes Trust has been successful in a with clinical representation. orthopaedics, the Trust had no of cross-Trust and cross-special- number of modernisation initia- The Outline Business Case for redevelopment patients waiting more that 12 ty audits have been organised. tives including obtaining £3.5 process has begun. The Trust million under the Àction On’ months for inpatient or day An adverse incident reporting has established local and Orthopaedics, Àction On’ case treatment by 31 March system has been introduced national links to gain maximum ENT, Àction On’ Dermatology 2002. Overall the Trust consis- with data provided to all benefits for the project. tently saw 97 – 100% of Divisions and Directorates for and ‘Action On’ Cataracts patients urgently referred further analysis and action. In initiatives. A partial booking • Manage the effective imple- for suspected cancers within April 2002 the Trust achieved system is being introduced for mentation of the new organ- 2 weeks. Level 2 standard when patients so that they may isational arrangements for clinical services • Manage winter pressures assessed independently by arrange mutually convenient when emergency the Clinical Negligence Scheme clinic appointments. All clinical directors, 7 out of 8 admissions rise for Trusts. • Ensure capital schemes pro- directorate general managers • Agree the human resources ceed on time and budget and most lead clinicians were The Trust secured national funding to The pressures on the Trust were considerable throughout strategy for the Trust and The Boston façade scheme ran appointed by April 2001. The redevelop dermatology facilities across the year. The management of achieve accreditation as ahead of schedule. The transfer restructuring was complete and the Trust. The facility at Lincoln capacity was considered regu- part of the Improving of the radiotherapy/oncology all other clinical posts were opened in early 2002 and those at larly by a health community Working Lives initiative department at St George’s to filled by September 2001 Grantham and Boston were completed group, which has led to a coun- The human resources strategy Lincoln County Hospital took including the appointment of in the summer of 2002.

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