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Final Annual Report & Summary Financial Accounts Aug 30Th.Indd

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Final Annual Report & Summary Financial Accounts Aug 30Th.Indd Annual Report & Summary Financial Statements 2012/13 Contents 1 Introducti on Who we are & what we do 4 Our vision, mission, values and strategy 6 2 Chairman and Chief Executi ve’s statement 7 3 Directors’ report Compositi on of the Board in 2012/13 8 Key achievements 9 Operati onal performance 10 Financial performance 19 Key developments since the end of 2012/13 24 Principal risks & uncertainti es and factors aff ecti ng future performance 24 Future plans 25 Quality accounts 27 Improving pati ent care 71 Awards and accolades 75 Communicati on and engagement 76 Our staff 77 Research and development 81 Charity, volunteers and fundraising 84 Being green and sustainable 85 Other statutory declarati ons / disclosures in the public interest 86 4 Governance report NHS Foundati on Trust Code of Governance 87 Board of Governors 88 Board of Directors 91 Membership 97 Remunerati on report 98 Regulatory rati ngs 103 Statement of Accounti ng Offi cer’s responsibiliti es 104 Annual governance statement 105 Independent auditors’ report 110 5 Financial performance Summary fi nancial statements 112 6 Appendices Sustainability report 116 We Care 3 Annual Report & Summary Financial Statements 2012/13 1 Introducti on Who we are and what we do Doncaster Royal Infi rmary DRI is a large acute hospital with In 2004, Doncaster and Bassetlaw Hospitals approximately 515 beds, a 24-hour NHS Foundati on Trust became one of Emergency Department (ED), trauma unit the fi rst 10 NHS trusts in the country to status and some specialist services including be awarded foundati on trust status. This vascular surgery in additi on to the full means we have more freedom to act than range of district general hospital care. It has a traditi onal NHS trust, although we are inpati ent, daycase and outpati ent faciliti es. sti ll very closely regulated and must comply with the same strict quality measures as Bassetlaw Hospital in Worksop non-foundati on trusts. Bassetlaw is an acute hospital with approximately 170 beds, a 24-hour As well as being an acute trust with one Emergency Department (ED) and the full of the busiest emergency services in the range of district general hospital services country, we are also an associate teaching including a breast care unit and renal hospital of Sheffi eld University, an associate dialysis. It has inpati ent, daycase and college of Sheffi eld Hallam University and outpati ent faciliti es. have strong links with the Yorkshire and Humber Deanery. Montagu Hospital in Mexborough Montagu is a small non-acute hospital with We are fully licensed by Monitor and fully approximately 50 inpati ent beds for people registered (i.e. without conditi ons) by the who need further rehabilitati on before Care Quality Commission (CQC) to provide they can be discharged. There is a nurse- the following regulated acti viti es and led Minor Injuries Unit, open 9am-9pm. It healthcare services: also has a day surgery unit, renal dialysis, a chronic pain management unit and a wide • Treatment of disease, disorder or injury range of outpati ent clinics. Montagu is the • Nursing care site of our Clinical Simulati on Centre and • Surgical procedures the base for the AAA vascular screening • Maternity and midwifery services programme. • Diagnosti c and screening procedures • Family planning We are also registered to provide outpati ent • Terminati on of pregnancies and other health services at Retf ord • Transport services, triage and medical Hospital, including clinical therapies and advice provided remotely medical imaging. Our site at Chequer • Assessment or medical treatment for Road Clinic in Doncaster town centre persons detained under the Mental off ers audiology and breast screening Health Act 1983 services. We provide some services in community setti ngs across South Yorkshire We serve a populati on of more than and Bassetlaw. The rehabilitati on beds we 420,000 across South Yorkshire, North used to have at Tickhill Road Hospital in Notti nghamshire and the surrounding areas Doncaster transferred to Montagu Hospital and we run three hospitals: in August 2012; however, we sti ll provide outpati ent care of older people there. We Care 4 Annual Report & Summary Financial Statements 2012/13 Our headquarters are at Doncaster Royal Infi rmary: Chief Executi ve’s Offi ce Doncaster Royal Infi rmary Armthorpe Road Doncaster DN2 5LT Tel: 01302 366666 Our services We provide the full range of district general hospital services, some community services including family planning and audiology, and some specialist terti ary services including vascular surgery. Key facts and fi gures • Our turnover in 2012/13 was £342m and we had a capital programme of £15m investment in buildings and equipment. • We employed 6,434 staff at 31 March 2013. • We delivered 5,310 babies in 2012/13 (5,487 in 2011/12). • 172,236 people att ended our hospitals for emergency treatment in 2012/13 (173,049 in 2011/12). • 51,528 people were admitt ed to our hospitals for emergency treatment in 2012/13 (49,794 in 2011/12). • 43,174 people were admitt ed for planned (non-emergency) treatment as day cases (40,486 in 2011/12). • 9,969 people were admitt ed overnight for planned treatment in 2012/13 (10,704 in 2011/12). • We cared for 486,477 outpati ents in 2012/13, including maternity care but excluding clinical therapies (490,515 in 2011/12). We Care 5 Annual Report & Summary Financial Statements 2012/13 1 Introducti on Our vision, mission, values & strategy Vision Our vision is to become recognised as the best healthcare provider in our class, consistently performing in the top 10% nati onally. Mission We are here to safeguard the health and wellbeing of the populati on and communiti es we serve, to add life to years and years to life. We aim to combine the very highest levels of knowledge and skill with the personal care and compassion that we would want for our friends and families at ti mes of need – in short, We Care for You. Values Our values show WE CARE: • We always put the pati ent fi rst. • Everyone counts – we treat each other with courtesy, honesty, and respect and dignity. • Committ ed to quality and conti nuously improving pati ent experience. • Always caring and compassionate. • Responsible and accountable for our acti ons – taking pride in our work. • Encouraging and valuing our diverse staff and rewarding ability and innovati on. Strategic themes Our strategic directi on is founded on four core principles and themes: • Provide the safest, most eff ecti ve care possible. • Control and reduce the cost of healthcare. • Develop responsibly, delivering the right services with the right staff . • Focus on innovati on and improvement. We Care 6 Annual Report & Summary Financial Statements 2012/13 2 Chairman and Chief Executi ve’s statement This has been a highly signifi cant year for everyone else who has worked with us or the enti re NHS. In additi on to the sweeping supported us over the past year. It is also structural changes heralded by the Health appropriate at this point to menti on and and Social Care Act 2012, and the ongoing acknowledge the contributi on of those challenge of improving effi ciency in an era who left the Trust in 2012/13, including of public austerity and an ageing, sicker Ron Calvert, Roy Tyson, Joe Barnes, Nicola populati on, Robert Francis QC published Atkins, Ian Greenwood, Lynne Rothwell, his report following the public inquiry into Hilary Bond and Nancy Bennett , a nurse events at Mid Staff ordshire NHS Foundati on who is now enjoying a much-deserved Trust. reti rement aft er an incredible 50 years of service to the NHS. The Francis inquiry was a shocking indictment of what can happen if health This Annual Report sets out openly, providers forget their core purpose for honestly and in detail how we performed being: caring for people. It prompted all of in 2012/13 and what we plan to achieve in us to questi on our practi ces and prioriti es to 2013/14. We hope you enjoy reading it and ensure we are focusing on the right things. thank you for your interest and support. This is something we had already been considering in some depth as we developed our strategic directi on for 2013/17. Our new vision, mission, values and strategic themes are outlined in more detail in this report and will form the basis of our annual plans for 2013/14 and subsequent years, supported by a quality strategy incorporati ng the lessons from the Francis report. As we refl ect on 2012/13, we can note some signifi cant developments and achievements including nati onal awards Chris Scholey Mike Pinkerton for our midwives, criti cal care and infecti on Chairman Chief Executive preventi on teams, agreement in principle to bring radiotherapy services to DRI, the opening of the Educati on Centre at DRI and the start of constructi on work on the rehabilitati on centre at Montagu. We have faced real diffi culti es, however, during one of the busiest and longest winters we’ve ever experienced, with C diffi cile, pressure ulcers and waiti ng ti mes proving parti cularly challenging. We would like to take this opportunity to thank our staff , governors, members, volunteers, partner organisati ons and We Care 7 Annual Report & Summary Financial Statements 2012/13 3 Directors’ report This report is presented on behalf of the Board of Directors. In 2012/13, the following people were members of the Board of Directors. Chairman: Chris Scholey Chief Executi ve: Ron Calvert (unti l 25/09/12); Mike Pinkerton (Acti ng Chief Executi ve from 26/09/12, then Chief Executi ve from 15/01/13) Non-Executi ve Directors: Nicola Atkin (unti
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