NHS Foundation Trust Code of Governance
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Annual REPORT& ACCOUNTS 2014/15 Greater Manchester West Mental Health NHS Foundation Trust Annual Report and Accounts 2014/15 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 Contents Page Strategic Report ......................................................................................................... 6 Risks ....................................................................................................................... 14 Our Environment ................................................................................................. 16 Social, Community & Human Rights Issues ......................................................... 17 Directors’ Report and Management Commentary ............................................ 20 Enhanced Quality Governance Reporting ............................................................ 24 Statement of Directors’ Responsibilities in Respect of the Accounts ........... 30 Register of Interests .................................................................................................. 32 Remuneration Report ............................................................................................... 34 How we Work ............................................................................................................. 38 Council of Governors ................................................................................................ 42 Membership of the Board of Directors ................................................................. 46 Committees ................................................................................................................. 52 Foundation Trust Membership ............................................................................... 58 Quality Report ............................................................................................................ 60 Staff Survey ................................................................................................................. 62 Regulatory Ratings Report ...................................................................................... 66 Financial Review ........................................................................................................ 68 Accounting Officer’s Responsibilities .................................................................... 76 Annual Governance Statement .............................................................................. 78 Independent Auditor’s Report ................................................................................ 86 Appendix 1 – NHS FT Code of Governance ........................................................... 90 Appendix 2 – Annual Accounts ............................................................................... 98 Quality Account .......................................................................................................... 145 Annual Report 2014/15 Page 5 and friendly • we are caring and kind • we value and respectStrategic • we work together Report • we go • we are welcoming and friendly • we are caring and kind • we value and we go the extra mile • we are welcomingreater Manchesterand friendly West • we Mental Health NHS Foundation are caring and kind • we value and respect • we work together • weTrust go (GMW) the extra formally mile became a foundation trust in we are welcoming and friendly • we are caring and kind • weG value2008. and respect We provide • we awork wide range of NHS services across • we are welcoming and friendlya large •and we disparate are caring geographical and kind footprint covering Greater we go the extraManchester, mile • thewe widerare welcoming North West and beyond. and friendly • we are caring and kind • we value and respect • we work together • we go • we are welcoming and friendly • we are caringServices providedand kind include • we community value and and inpatient mental health services, adult and we go the extra mile • we areadolescent welcoming forensic andmental friendly health services, • we adolescent psychiatry services, mental health and deafness services, community and inpatient alcohol and drugs services, and offender are caring and kind • we value and respect • we work togetherhealth • services. we go As athe result extra of our diverse mile service portfolio, we operate within a complex we are welcoming and friendly • we are caring and kind • wecommissioning value and framework. respect Effective • we workpartnership working with commissioners and other providers is critical to managing this and to ensuring that we remain at the forefront of • we are welcoming and friendlylocal planning. • we are caring and kind we go the extra mile • we are welcoming Our vision remains to deliver ‘Improved Lives and Optimistic Futures for People Affected and friendly • we are caring and kind • we value and respectby •Mental we workHealth andtogether Substance • Misuse we goProblems’. Our vision is underpinned by six • we are welcoming and friendly • we are caringstrategic objectives:and kind • we value and we go the extra mile • we• are To promote welcoming recovery byand providing friendly high quality• care and delivering excellent outcomes we are caring and kind • we value and respect • we work together• To work with • we service go users the and carers to achieve their goals • To engage in effective partnership working • To invest in our environments • To enable staff to reach their potential and innovate • To achieve sustainable financial strength and be well-governed We work together to achieve our values Page 6 Greater Manchester West Mental Health NHS Foundation Trust Strategic Report And, our values, which articulate what we stand for as an organisation and how we will work together to achieve the best for our staff and patients: • We are welcoming and friendly • We are caring and kind • We value and respect • We work together • We go the extra mile Strategic Goals and Initiatives We have made significant progress in delivering the strategic development plans set out in our ‘Strategic Plan for 2014 to 2019’ and our ‘Operational Plan for 2014 to 2016’. Progress is tracked via local project groups or routine meetings, as well as via our robust annual business planning process. The business planning process provides opportunity for previous year’s achievements to be acknowledged and outstanding priorities (that remain relevant and feasible) to be carried The Trafford Aim launch event forward. respect • we work together • Key achievements in 2014/15 include: we are welcoming and friendly • we are caring and kind • we value and respect • we work together • • Implementing a redesigned acute care pathway in Bolton, Salford and Trafford: including the provisionare of welcoming more effective Home-basedand friendly Treatment • we services; are strengthenedcaring and kind • we value and respect • we work bed management, improved interfaceswe across go the inpatient, extra home- mile and community-based• we are welcoming and friendly • we are caring and kind services; and the commencement of work to develop a ‘Centre of Excellence’ for older people. This work will• weconclude value in 2015/16 and respect • we work together • we go the extra mile • Continuing to developand our friendly rapid access • psychiatricwe are liaisoncaring services and in kind Bolton, • Salfordwe value and and respect • we work together • Trafford acute hospital settings • we are welcoming and friendly • we are caring and kind • we value and • Embedded new designated and fit for purpose place of safety facilities for individuals admitted on a Sectionrespect 136 in Bolton • we and work Salford together • we go the extra mile • we are welcoming and friendly • we • Expanding our Memoryare Assessmentcaring and and Treatmentkind • we Service value for people and withrespect dementia, • we work together • and their carers, in Salfordwe are welcoming and friendly • we are caring and kind • we value and respect • we work • Continuing to consolidate and improve our Improving Access to Psychological Therapies services we go the extra mile • we are welcoming and friendly • we are caring and kind • Implementing new services• we valuefollowing and a successful respect tender: • we work together • we go the extra mile • Salford Integrated Drugand and friendly Alcohol Recovery• we are Services caring for Adult and and kind Young • wePeople. value and respect • we work together • Operating as prime provider with sub-contracting• we arrangementsare welcoming developed and with friendly • we are caring and kind • we value and organisations such as Great Places, Thomas Project, Salford Royal NHS Foundation Trust and Early Break respect • we work together • we go the extra mile • we are welcoming and friendly • we • HMP New Hall Personalityare caring Disorder and Services kind for women• we value and respect • we work together • • Trafford Drug and Alcoholwe are Detoxification welcoming Services and friendly • we are caring and kind • we value and respect • we work • Successfully tendering to provide mental health and substance misuse services at HMP Hindley and mental health services at Barton Moss Secure Children’s Centre and St. Annual Report 2014/15 Page 7 Catherine’s Children’s Centre – implementation to follow in 2015/16 • Providing additional capacity in our adolescent inpatient service (Junction 17) to respond to national demand • Investing in capital development: • Provision of new medium secure accommodation