ANNUAL REPORT AND ACCOUNTS 2006 - 2007 This is an interactive document - you can use the navigation buttons at the top of each page to move around the report and to search for key words. B%!, 5 Contents B%!, \5 Welcome . 1. Chairman’s foreword . 2. Chief Executive’s foreword . 4. Celebrating Foundation Trust status . 6. Governors’ Council . 7. Performance review . 9. Investing in buildings and equipment . .10 Capital expenditure . 12 The artwork in this annual report The year at a glance . 13 and accounts has been inspired by the work of local artist Don Cameron (pictured above, centre). Operational Review 06/07: Ten Key Aims Annual Accounts 06/07 ‘A Leaf in Life’ was installed in the new Renal Outpatients Building Service delivery . 15 Finance Director’s review . 27 at the Northern General Hospital Clinical service improvements . 16 Public interest disclosure . .30 in May 2006 and is based on Managing Trust business . 17 Remuneration report . 35 conversations the artist had with patients about how they feel Staff . 18 Independent auditor’s report . 37 when they attend the hospital for Hospital environment . 19 Statement of responsibilities . .39 treatment. Health informatics . 20 Foreword to the accounts . 40 Patient experience . .21 Financial statements . 41 Academic excellence . .22 Notes to the accounts . 43 Governance and healthcare standards . 23 Statement on internal control . 65 Foundation status and community involvement . .24 Learning from our patients . .25 Welcome B%!, \5 1 In 2004, Sheffield Teaching Hospitals became one of the first NHS Foundation Trusts. Now in its third year, the Foundation Trust has succeeded in providing high quality, value for money services at all of its five hospitals; the Northern General, Royal Hallamshire, Charles Clifford, Weston Park and Jessop Wing hospitals. Sheffield Teaching Hospitals needs of the local, regional and Clockwise: employs nearly 12,000 staff in national populations that we Charles Clifford Dental Hospital a wide range of occupations serve . Jessop Wing and professions . Each year, Northern General Hospital A strong commitment to Royal Hallamshire Hospital more than 175,000 operations teaching and research with Weston Park Hospital and day case procedures are close links to the Universities of performed and over 825,000 Sheffield and Sheffield Hallam outpatient appointments are has established the Trust as a provided across the hospitals . national and international centre Among the Trust’s main priorities of excellence; new treatments are ensuring financial stability, and services pioneered in investing more in patient care Sheffield have changed the face and setting appropriate health of medicine across the world . targets that help us to meet the Presented to Parliament pursuant to Schedule 1, paragraph 25(4) of the Health and Social Care (Community Health and Standards) Act 2003 . Chairman’s foreword B%!, \5 2 far exceeded the target set by Solomon Tesfaye who became one of them and thank them for In last year’s annual report we pledged the government . We succeeded the lead for the NeuroDiab their continued commitment to in maintaining our good international research group; pushing forward the boundaries to maintain and further improve our record for cases of Clostridium Dr Marios Hadjivassliou and his of healthcare in Sheffield . excellent standards of health care whilst difficile infection; we recognise, team whose specialist Ataxia There have been some changes however, that the control of clinic was named a national at the Trust this year; Chief becoming more productive and efficient these types of infections is an Centre of Excellence; and Executive Andrew Cash took and maintaining our excellent financial ongoing challenge and we will Mr John Getty who became up a secondment to the not become complacent . New the President of the British Department of Health in July track record. initiatives are being put in place Orthopaedic Association . The as Director General for Provider on a regular basis and, as I write community midwifery team were Development . Medical Director this, the Trust is finalising plans named Sheffield’s Best Carers Chris Welsh became Acting Chief I am pleased to announce that Overall our achievements were to introduce new technologies and the GU medicine team Executive at a very challenging all of these aims were achieved, confirmed in the first Annual that will help us to improve were short-listed for a Nursing time for the Trust but has largely due to the determination Health Check; a comprehensive further infection control . Times award for their dedication successfully carried forward our of staff in ensuring patient new system managed by All our staff have worked to improving access to sexual culture of greater efficiency and services were delivered more the Healthcare Commission exceedingly hard this year to health services . improved patient care across efficiently and to the same which measures the financial help us attain national and I would also like to make special the organisation, which has high standards that patients and clinical performance of international recognition for the mention of the neurosurgery helped us to meet our financial of Sheffield Teaching Hospitals healthcare organisations . The services we provide to patients . team who became the first commitments whilst further have come to expect . Trust received high ratings for Special acknowledgement in the country to introduce improving the standard of the quality of care provided and We succeeded in meeting our must be given to Consultant a state of the art Sonowand patient care we provide . key targets for cancer; over was also rated one of the top 3% Geriatrician Jane Liddle and her scanner bought with proceeds This year we have also said 7000 suspected cancer patients of trusts in the country for the team who were named Hospital from the Neurocare ‘Brainwave goodbye to one of our Non- who were referred by their GP way finances and resources are Doctor “Parkinson’s Disease Appeal ’. The scanner is already Executive Directors . John for urgent diagnosis were seen managed . Team of the Year”, affirming the significantly improving outcomes Stoddart retired in July after five within two weeks and 100% We were also successful in Trust’s commitment to ensuring for patients with brain tumours years with the Trust . Prior to this of those found to have cancer becoming one of the best older people receive care that is and another scanner will be he was also a Non-Executive started their treatment within 31 performing trusts in the country tailored to their needs, delivered introduced over the next year or Director at the Northern General days of the date agreed by them in the challenge to reduce MRSA with dignity and focuses on the so to further improve our world- Hospital . I would like to take this for treatment . We also ensured infections . In 2006/07, the Trust importance of providing quality leading neurosurgery service . opportunity to thank John for that no patients waited more further reduced the number of end of life care . Many other teams and his contribution to the Trust’s than 13 weeks for diagnostic MRSA bacteraemia infections Recognition should also be given individuals have experienced development over the years and tests such as X-rays and MRI by 24%; an overall reduction of to; Specialist Nurse Jill Dean who similar successes as those I have wish him well for the future . I am scans . 42% since 2005 . It is the second was named Nurse of the Year by mentioned here and I would like very pleased that Chris Suddes year running that the Trust has the Stoma Care Forum; Professor to congratulate each and every has joined the team as Non- B%!, \5 3 Executive Director . Chris was states that by December 2008 previously one of the Trust’s first all patients should start their Foundation Trust Governors . He hospital treatment within 18 has a background in business weeks of their GP referral . This management and I am sure requires a considerable amount he will prove to be a valuable of work for a Teaching Trust such member of our Board . as Sheffield Teaching Hospitals The Governors’ Council goes and collaboration between our from strength to strength; using individual departments and their breadth of experience and with colleagues in primary care expertise the 37 members of the but we are prepared for the Council have helped us to form significant challenge that lies the Trust’s corporate strategy . ahead . The Governors also sit on Finally, can I say once again, various Boards and Committees thank you to our staff, governors which are responsible for and everyone who has informing the Trust’s direction contributed to the Trust’s success and further improving patient over the past year . Let us look care . These include the Essence forward to even better patient of Care Group, Clinical Audit care in 2007/08 and beyond . Committee, and Patient and Public Involvement Strategy . Their input into these work- streams is valued by all involved in delivering our services . David Stone OBE The merger of the four Sheffield Chairman Primary Care Trusts (PCTs) has been a significant event in 2006 and we are already working closely with the new Sheffield PCT to ensure the changes have a positive impact on the way healthcare is provided across the city . Our next major challenge is the introduction of a new ‘18 week patient pathway’, which Chief B%!, \5 4 Executive’s foreword costs by £30 million over the with more choice about their The Metabolic Bone Centre During 2006/07, the Trust experienced a year . treatment and care . played a significant part in number of significant changes to the way We have also enhanced patient Some notable achievements an international study which care by introducing new services were made in the field of has found a new and effective it operates; not least the introduction and making improvements research and development this treatment for reducing bone of a three year programme of change to existing systems to ensure year .