FREE PLEASE TAKE ONE 2007-08 SUHT annual report

BEATING THE SUPERBUGS How the trust is winning the war against infection RICKY’S JUST WHAT THE RECOVERY PATIENT How teamwork ORDERED saved biker Focus on the catering team

A YEAR IN REVIEW The best bits of the last 12 months 2-3 CONNECT ANNUAL REPORT

Welcome… To your summer 2008 issue of media Connect, Southampton University Hospitals NHS Trust’s magazine Futuristic for staff and patients. This bumper annual report monitor 2007/08 edition is packed with SUHT news from throughout the latest SUHT news communication the year, including the story of motorcyclist Ricky Fernandez, who survived massive becomes a injuries thanks to combined neurosurgery, radiology and intensive care. We also find out how the reality catering team manages to dish up Alfie’s shocking injury 6,000 meals to patients, visitors The story of sports-mad teenager Alfie Tyson-Brown, who found he had and staff every day and take a spent at least ten years with a broken neck that could have killed him Medical staff at Southampton General Hospital can now closer look at how the trust is at any time, made national news. speak to each other at the touch of a button using Star winning the war against infection. Alfie, 14, from Wimborne Minster in Dorset, had been out on his bike Trek style badges. Towards the back of this issue, before undergoing a scan, which revealed the peg at the top of his spine – you can find summary financial which should attach to his skull – had broken off. statements for the year. The teenager was admitted to the Paediatric Intensive Care Unit The space-age technology follows the and efficiency. For instance, in operating We hope you enjoy our annual at Southampton General Hospital, where he underwent surgery by introduction of a new wireless network at theatres cables can jeopardise the sterile report. consultant spinal surgeon Evan Davies. the hospital. environment, so hands-free, wireless Now busy fundraising for the hospital, Alfie is expected to make a full recovery. Vocera wireless badges have been systems make things safer. trialed and are now live in Southampton’s The long-term vision is for the whole In this annual review issue... media monitor: This story was covered by GMTV, Sky, Meridian, the Daily Telegraph, The Sun, The Daily Express, The Mirror, The Daily Mail, emergency department and acute Trust to be wireless, with staff able to 2 SUHT in the news BBC Online, Metro and the Bournemouth Echo. medical unit. They will soon be used all track and access patients, records and around the Trust. equipment in an instant and secure way. 3 Staff go wireless The badges can be clipped Ryan Hewitt, senior network and 4-5 Ricky’s amazing recovery onto clothes and offer hands-free security analyst, said: “If we can digitise 6 In the hotseat Prime Minister visits communications. By pressing one paper-based information, then the button on the badge and stating a benefits to our clinical staff include faster 7 Performance update name, title or role, the wearer is instantly access to patient records, where paper 8 Beating the superbugs world-class cardiac unit connected to the person they wish to documents can go missing. This means speak to. the service clinicians provide to the 9 The munch bunch Prime Minister Gordon Brown and his wife Sarah dropped in on Wireless technology improves safety patients, in turn, is better.” 10 Research in action Southampton General Hospital’s cardiac centre on the eve of the Labour 11 New era in fundraising party conference in Bournemouth. Mr Brown, who was filmed and photographed with doctors and nurses 12-14 Review of the year from the unit, used the visit to announce plans for a “deep clean” 15 Investing for the future programme for the nation’s hospitals. 16 Going green The couple heard about a pioneering service that is enabling heart patients to have check-ups from the comfort of their own home. 17 Roll of honour They also visited the hospital’s state-of-the-art catheter labs where 18 Finance Director’s Report cardiologists are involved in revolutionising the care of heart attack patients. CoWs help out on stroke unit 19-23 Balancing the books media monitor: The visit was covered by Sky, national and local BBC television, The Times, the Daily Mail, the Observer, the Mail on Sunday, News of the World and other national press, plus the Health Service Journal and Southern Daily Echo. Computers on Wheels (CoWs) are wireless laptops on specially designed carts that can be wheeled to the Please note patient’s bedside. This annual report contains At a glance summary financial statements Long service A trial in Southampton General Hospital’s west wing has been very successful. and is signed on page 20 by Top comedian cheers up • Southampton University Hospitals NHS Trust was Consultant stroke physician Dr Giles Durward said: “This technology has Southampton University Hospitals awards for hospital formed in April 1993 certainly made a difference on the stroke unit. NHS Trust Chief Executive Mark children’s wards • It is the eighth largest acute trust in England “We can access a patient’s test results at their bedside, request any tests that Hackett. volunteers need doing and complete their discharge paperwork when they are ready to go • In 2007/08, it had an operating budget of just The full set of accounts for TV star Catherine Tate visited the On International Volunteer Day home, all during our ward rounds. over £430m and owned assets valued at over £300m 2007/08 is available via the trust’s Piam Brown Ward at Southampton in December 2007, the trust “It has streamlined our service as in the past this would have involved running website at www.suht.nhs.uk General Hospital before launching • The Trust employs around 8,000 staff a new charity dedicated to helping honoured 170 people who backwards and forwards to get paperwork and some of it would have been They include the Statement • The Trust owns Southampton General Hospital, the regularly give up their time to done later, once the rounds were complete.” on Internal Control, which sets young cancer patients. Princess Anne Hospital and Countess Mountbatten Catherine, whose comedy character help our hospitals. out how the trust board has Among those receiving long House, as well as running some services at the regulated the business this year. Lauren is famous for her “Am I Royal South Hants Hospital bovvered” catchphrase, spent time service awards for volunteering • It works closely with the University of chatting to youngsters on the ward, was Cognac, a pets as therapy Southampton which treats children from across the (PAT) dog and his owner Sue Thanks go to our lead South. Cole. • It provides local hospital services to half a Altogether, the Trust has more commissioners, Southampton The actress went on to a million people living in and around Southampton, than 900 volunteers who do plus an extensive range of specialist services to City and Hampshire Primary Southampton hotel where she launched the Joe Glover Trust, everything from running errands What’s next? a population that stretches across the South of England and the Channel Islands Care Trusts, who fund our a charity to provide practical, for patients to acting as hospital Radiology reports are already being sent to GPs electronically and, over the services, for all their support emotional and financial assistance guides. • The Trust is organised into five service coming months, the electronic transfer of discharge summaries to GPs will this year. to children and their families. operating divisions and Trust headquarters media monitor: This story was covered also be rolled out. by Meridian television, Radio Hampshire • Every year, Trust staff see 450,000 people and the Southern Daily Echo. at outpatient appointments, deal with 95,000 media monitor: This story was covered by local television, radio and the Southern Daily Echo. attendances at the Emergency Department and treat 115,000 inpatients and day patients. 4-5 CONNECT ANNUAL REPORT

A 2020Vision for world class healthcare Ricky’s The specialist expertise of our clinical teams is a vital resource for our community and saves the lives of many people like Ricky Fernandez who have suffered serious accidents.

As a Trust, we have a long-term plan to continue • Recognised as recovery investing in our expertise as we aim to become the one of the top 10 UK’s leading clinical academic centre. NHS organisations The 2020Vision is a strategy for the hospital that we for education and agreed with our two lead commissioners, Southampton training City Primary Care Trust and Hampshire Primary Care • Rated as an Trust, and other stakeholders. It describes how our excellent Last summer, Ricky Fernandez’s friends centres of excellence in Southampton will treat more of employer by 90 the region’s critically ill patients. This will help more of per cent of our and family were preparing for the worst. those people, like Ricky, whose best chance of survival staff is to be at a major regional centre. • One of the A motorbike crash had left him with dislocated his shoulder, broke his nose, For this to happen we need to create space in the five best- horrific, life-threatening injuries and it fractured other parts of his face, broke hospital by transferring some of our routine services to regarded public seemed unlikely he would pull through. his back in three places, had compound other local providers where it is safe and appropriate organisations in the region Now, at home in Hedge End, near fractures to his left leg, broke the right to do so. Our 2020Vision sets out our plans to make • Achieving financial balance or surplus every year. Southampton, 27-year-old Ricky is side of his pelvis, ruptured his spleen this change in focus at the hospital and can be viewed making a good recovery and is even well and punctured his lung. online at www.suht.nhs.uk During 2007/08 we made significant progress towards enough to take his two dogs for walks. Despite the slim odds of him As part of our 2020Vision, we will develop clinical our 2020Vision including: The accident happened near surviving, Dr Andy Eynon, the director of academic centres in six key areas. In these centres, we Winchester, on 11th August 2007. In a neurological intensive care, vowed to do will lead the development of new treatments for NHS • Moving services to Southampton General Hospital to twist of fate, two off-duty doctors were first everything he could to try and save him. patients at a national - and sometimes international - level. make space for the creation of a community facility on the scene after taking a wrong turn, Ricky’s injuries were prioritised, for routine hospital care at the Royal South Hants and were able to clear Ricky’s airway. with the first aim being to reduce the his leg had swollen to twice its normal size. with respiratory care while he was on a was extremely severe indeed and it is The areas are in the treatment of: Hospital. This led to: Ricky was rushed to Southampton swelling on his brain. Michelle said: Michelle said: “The day Ricky moved ventilator, and passive movements to so pleasing to see what a remarkable • Heart disease and circulation - The creation of a new breast imaging unit at the General Hospital by ambulance. “Andy explained everything to us and his feet for the first time was the best his limbs. recovery he has made. This was a real • Brain injury and disease Princess Anne Hospital Although closer to another emergency made us feel so much better. The day ever.” Then the team worked with Ricky on team effort.” • Illnesses affecting women and children - A new endoscopy and outpatient clinic for department, the paramedics knew that whole team were brilliant.” Ricky said: “The nurses were exercises, both in bed and sitting in a Before the accident, Ricky worked as • Respiratory conditions gastro-intestinal patients his best chance of survival was the The hospital’s neuroradiologists spent fantastic and let my family wheel me chair, which they tried to relate back to a community officer for Southampton • Cancer • Successfully bidding for two nationally funded specialist neurological department in hours feeding nearly 50 platinum coils outside in my bed for some fresh air. football - a theme close to his heart. Football Club, coaching at schools • Gastro-intestinal disorders Biomedical Research Units in nutritional and Southampton. into Ricky’s head to block the tear in his “It was a long time before I could No-one expected Ricky to leave throughout the west Hampshire and respiratory research. He was admitted to intensive care, artery. This was done through a catheter stand, because I was only partially hospital before Christmas, but on 19th Dorset area. • Securing NHS funding for a macular degeneration where his mother, Lin, and fiancée, inserted into an artery in his groin and weight bearing on my broken left leg. November, just 14 weeks after his Now Ricky and his family and friends Our Strategic Objectives service Michelle, were told he was unlikely fed up into his skull, removing the need The uneven weight could have made accident, he was well enough to go home. are planning a fundraising event this • Expanding and restructuring our six centres of to survive due to the severity of his for surgery. He said: “Andy has told me my back injury worse - the breaks were He still has regular physiotherapy, autumn at St Mary’s stadium to raise To achieve our vision, the hospital has seven strategic excellence including: injuries. If he did make it, they were I’ve got a very expensive head, with all so severe, I could have been paralysed using the hydrotherapy pool, and has money for a blood fridge and cooling objectives so that by 2010 we will be: - Opening a 20-bed cardiac high dependency unit warned he could be brain damaged this platinum in it!” if I’d stood up too soon.” more scans soon to check the coils in machine for the Wessex Neurological - An additional bed in paediatric intensive care and paralysed. Once the swelling was reduced, the The whole neuro physiotherapy team his brain, but thanks to the teamwork at Centre. • The hospital of first choice for patients - Recruiting additional consultants in paediatric Ricky had a massive fracture to his orthopaedic team, under Mr Edward were involved in Ricky’s care from the SUHT he is well on the way to making a • In the top 25 per cent for quality indicators neurology, paediatric skull, which caused extensive bleeding Gent, were able to start dealing with Ricky’s day he arrived to the day he left the full recovery. For more information visit • One of the top 10 clinical research NHS organisations perinatal pathology, thoracic surgery, microbiology, and swelling on his brain. In addition, he broken bones. By this time hospital. Initially, this involved assisting Dr Eynon said: “Ricky’s brain injury www.kick4rick.com in the UK medical oncology and critical care Just some of the medical team who treated Ricky at Southampton General Hospital

Stuart Fraser, Miranda Gardner, Andy Eynon, Jo Lass, senior Peter Farmer, Tony Belli, Charlotte Gartside, Alan Pope, Minoti Shetty, staff Beverley Agullana, Lisa Joyce, Maria Durkin, senior Marta Romero- Alexis Horne, Sarah Irwin, Linda Monk, Robert Wesley, Dr Simon Barker, Richard Smith, Karen Linsey, Carrie Parker, Natalie Dawkins, senior head injury director occupational physiotherapy senior lecturer and sister NICU charge nurse NICU nurse NICU Sister NICU staff nurse NICU; sister NICU Sarrion, staff nurse NICU senior sister matron NICU specialist consultant specialist sister, neuro radiographic radiographer physiotherapist specialist nurse Neurosciences ICU therapist assistant honorary consultant staff nurse NICU NICU radiographer neuroradiologist radiographer radiology assistant practitioner neurosurgeon 6-7 CONNECT ANNUAL REPORT

IN THE HOTSEAT Performing well Mark Hackett Patients at Southampton’s teaching Mark Hackett is Southampton University Hospitals NHS Trust’s Chief Executive. hospitals receive a good quality service Here, with the help of Trust staff, Connect puts him under the spotlight. offering value for money.

This was the verdict of independent reducing the overall wait for patients and watchdogs from the Healthcare achieved 76.6% of all patients admitted Commission, who rated SUHT as being seen within 18 weeks from What do you think is our biggest in carbon reduction measures, to discuss this with their staff. in more medical beds, reorganise “good” for quality of services and “fair” referral to treatment and 91% of all non- challenge for the next year? principally to conserve energy. We working practices in the Emergency for use of resources in its 2006/07 admitted patients being seen within 18 How we organise the hospital hope this will reduce our carbon With patient choice taking a more Department and reduce the time annual health check. weeks from referral to discharge for the in such a way as to deal with emissions by between 10 to 15 per financial tone and the health patients spend in hospital. Both performance ratings, announced month of March 2008. the success associated with the cent each year after 2012. economy becoming more open In the medicine and elderly care in October 2007, were an improvement SUHT now faces the challenge of 2020Vision in attracting more I do think, however, that we need will SUHT continually downsize group there have been issues around on the previous year, when the trust had reducing these waits further to meet the work. We will need to increase to convince staff that small changes to reduce costs or specialise? If recruitment and retention, which we been graded “fair” for quality of services target of 90% and 95% respectively by inpatient capacity and redesign in behaviour make a big difference, specialising, how can you justify are vigorously addressing to improve and “weak” for use of resources. December 2008. services to improve quality and cost such as walking to work and turning the financial constraints? staffing levels. I acknowledge this as The tough assessment - the The Trust will focus on maximising effectiveness which enables us to off lights and computers. Everyone The 2020Vision is all about a big priority. most comprehensive check of NHS existing resources and working both deliver better performance in meeting can contribute to this and I would developing the hospital’s specialist performance - scrutinised everything internally and with our primary care Standards for Better Health the A&E and 18-week targets, reduce commend it. services and delivering world class What is your response to the from cleanliness and patient safety to partners in reviewing and streamlining bed occupancy and improve safety local services in the areas we choose increasing acuity within the Trust waiting times and complaints handling. pathways of care across providers During 2007/08, NHS acute trusts were required to assess their performance of patient care. Are there plans to increase the car to compete in. This vision clearly and how do you intend to meet the As well as reducing waiting times, the through service transformation. against 44 “Core” Standards for Better Health. parking capacity at SGH, for staff, identifies that at the same time as acuity agenda? trust has made huge strides in tackling Reducing the rate of cancelled These covered a wide range of quality issues relating to patient care and There are pros and cons to every patients and visitors? growing income in these areas, we We have been focusing on the infection, improving patient safety and operations is another key challenge experience. situation so what are the cons Yes we are investing in additional must constantly keep the pressure rise in acuity since I joined the responding better to patients’ needs. for the hospital and this year the Trust After a comprehensive review, SUHT declared insufficient assurance of SUHT becoming a Foundation car parking space. The demolition up to reduce our costs by eliminating Trust in 2004 and have seen multi Patients have never been seen so was slightly over its target with 1.33% against two standards (relating to medical devices and discrimination) but full Trust? of the accommodation blocks on waste, duplication and inefficiency. million pound investment in critical quickly at SUHT. of operations cancelled on the day of compliance with all standards by the year-end. What we have to be clear about is the eastern part of the site will We will not generate the necessary care facilities. This is a top five The Trust achieved its cancer treatment.This compares unfavourably the difference between foundation enable us to create more space for resources to fulfil this vision through safety priority for the Trust and targets with 98.71% of patients starting with the previous year when the rate trust status and the opportunities visitors and patients, adjacent to income growth alone and therefore we are seeing evidence of better treatment within 31 days of decision was 1.19% and was mainly due to Patient safety and challenges that a new, more the east wing. There are also plans we will constantly be striving to management of critically ill patients. to treat and 97% of patients starting the pressure of emergency activity, competitive NHS environment brings. for 2010/11 to build further multi- reduce costs by around 5% per However, this needs to improve at treatment within 62 days of urgent GP particularly later on in the year. There are very few cons associated storey car parking adjacent to the annum and redistributing these a faster pace. In 2008/09 we will open SUHT takes the safety of patients in its care very seriously. There are robust referral, against a target of 95%. In the emergency department, 97.1% procedures for making sure the organisation learns from any potential or with foundation trust status itself. west wing in preparation for building resources across all parts of the further HDU and ITU beds, we will Outpatient waits also continue to of patients were either admitted or However, it will mean more time developments around the new organisation to develop services invest in night time advanced nurse actual clinical incidents. reduce as the Trust achieved the discharged within four hours of their The Trust publishes information about patient safety in the quarterly Trust working with the membership and cancer centre. of a higher quality, better outcome practitioners in medicine, and more national target of all patients being seen arrival at the hospital. This was slightly public to listen and learn about what We are also encouraging staff to and safer care, to meet the needs of consultants working longer days Board public reports. within 13 weeks or less for their first below the target of 98% and action has Over the past year, we have been focusing efforts on hospital-acquired they expect from their local hospital. look at other means of transport. patients and their families. Monday to Sunday in acute areas. outpatient appointment, with a number already been taken to address this issue As a Foundation Trust, we will be I’m conscious that car parking will I don’t see this as optional; it is It is worth remembering that cardiac infections, falls, acutely ill patients, medications and the care of patients on of specialties reducing this wait further. during 2008-09. ventilators. better equipped to deal with the remain a key issue that we need to necessary for us to be a successful arrest calls from wards are falling, Inpatient waits have been more The Trust met its target for preventing challenges of a competitive NHS, constantly invest in since patients and organisation. crude mortality rates have fallen and challenging with very significant Clostridium difficile infections by as it will enable us to make faster visitors need easy access to our sites. we are trying to address other reasons reductions in some services while achieving a 26% reduction in cases. decisions about the services we want How is the issue of medical for patients becoming critically ill others have struggled with the However, despite another significant Managing risks to change and invest in these more What do you think are the qualities bed capacity and the effects on in the patient care improvement pressures of high demand. fall of 37% in the number of MRSA quickly. We will have legally binding required to be a successful leader outlying areas being addressed? framework. This includes tackling Day case rates rose by 5% this year, cases, the Trust did not meet its target The Trust has systems in place to identify and prioritise strategic, commercial, contracts with our commissioners to in today’s NHS? In 2007/08 we have focused on infection, preventing falls, reducing while diagnostic waits reduced from 13 of 25 cases per year. There will be operational and financial risks to the organisation and to manage them fully recover the cost of the services How we organise the hospital changing a number of working medication errors and focusing weeks to just six, with only 89 patients another huge investment of effort to efficiently, effectively and economically. we provide. in such a way as to deal with practices, such as increasing amounts on management of pulmonary not being seen at the end of six weeks tackle infection rates during 2008-09 During 2007/08, the Trust’s Risk Management Strategy was reviewed to There are major advantages for the success associated with the of senior decision takers to assess and embolisms. in March 2008. and you can read more about this issue ensure it takes into account our longer term vision. This will be supported by staff as it will enable us to anticipate 2020Vision in attracting more treat patients during the day and more The Trust made great strides in on page 8 of this report. the development of a Patient Safety Strategy in 2008/09. and respond to the needs of an work. We will need to increase available at weekends. In addition we If you could change one thing A newly formed Risk Register Scrutiny Group, which reports directly to the emerging healthcare market in a inpatient capacity and redesign have focused on striving to redesign about SUHT what would it be? Trust Board, has further strengthened the processes. more focused and flexible manner, to services to improve quality and cost services to speed up transfers between The main entrance at Southampton deliver the services our patients want. effectiveness which enables us to wards and cut out waste. General Hospital - I would like to Preparing for emergencies I am personally convinced that the deliver better performance in meeting In the forthcoming year we will knock it down and have a new one. Information governance A flu pandemic and a radiological explosion on board a ship ensured the Trust’s move to foundation trusts over the next the A&E and 18-week targets, reduce maintain this focus and seek to invest We can all dream sometimes! The Trust reported no Serious Untoward Incidents involving personal data major incident plans were put to the ultimate test this year. decade will bring hugely beneficial bed occupancy and improve safety in 2007/08. There were nine minor cases of data loss and unauthorised Both scenarios were multi-agency emergency planning exercises designed to results to the hospital and enable us to of patient care. disclosure as shown below: test organisations’ major incident preparedness. move to the 2020Vision faster. Why do doctors and nurses wear In January, staff from across the Trust took part in Exercise Eclipse, which brought together local health organisations and councils to test their responses to SUMMARY OF OTHER PERSONAL DATA RELATED INCIDENTS IN 2007-08 What is the Trust doing to their uniforms outside work? Isn’t a flu pandemic. reduce energy use and maximise this an infection risk? Category Nature of Incident Total In March, SUHT staff participated in Operation Solent Shine - an exercise recycling? I think we should encourage them i Loss of inadequately protected electronic equipment. organised by the Health Protection Agency, which assessed how the Trust would We are doing a lot! We have not to wear uniforms outside work devices or paper documents from secured NHS premises 0 deal with injured and contaminated patients from a radiological incident. developed our recycling this year and as, although there is no evidence My year… The Trust has in place a policy to deal with external emergencies, called the ii Loss of inadequately protected electronic equipment. need to encourage staff to access that this poses an infection risk, it Andy Eynon, director of the neurological intensive care unit, said: Major Incident Plan, and a policy on tackling internal major systems failures, called devices or paper documents from outside secured the facilities available on site. At the does dent public confidence. I’m “I think the biggest highlight was an audit performed of head the Business Continuity Plans. NHS premises 0 same time we are investing in energy conscious that to achieve this we injury care at the Wessex Neurological Unit here at Southampton These policies are tested regularly, by carrying out a six-monthly full iii Insecure disposal of inadequately protected electronic saving and reducing our carbon need appropriate changing facilities General Hospital. Nationally, the mortality rate for severe head communication exercise, an annual tabletop exercise and a triennial full test of the equipment, devices or paper documents 4 emissions. Trust Board has allocated for staff. I would encourage all heads injury is around 25% – but ours is in single figures. It has been Major Incident Plan with simulated casualties. £1.8 million up to 2010/11 to invest of department and first line managers very pleasing to see that we are doing such a good job.” iv Unauthorised disclosure 1 The Trust regularly takes part in other emergency service and external agency emergency preparedness tests. Following these test the policies are reviewed and v Other 4 changes may be made. 8-9 CONNECT ANNUAL REPORT

Just what the patient Beating the ordered Serving up tasty and nutritious food on a budget superbugs is a huge challenge for the Trust’s award-winning catering team, especially with so many dietary needs to meet. Fact file That is why the are then scanned into a computer to All hands to the pump! • More than 130 staff work in the catering department team works count the number of each different • They serve over 6,000 meals to patients, staff and visitors every day closely with meal required. • The department runs 24 hours a day, 365 days each year the Trust’s All the meals are prepared fresh on This has been the order to staff, aid of an ultra-violet light box which enabling patients, staff and visitors • The team use 500 loaves of bread a week dieticians site, using local ingredients wherever patients and visitors alike as can highlight any missed areas in a to report any fault, flood or problem • Seven boxes of bananas are consumed every week and even has possible. The Trust uses a local Southampton’s teaching hospitals matter of seconds. area. A rapid response clean-up • Nearly 95,000 eggs are used every year a separate greengrocer, baker and milk supplier. have stepped up the war against SUHT was chosen by the National squad was also launched to deal with kitchen for The meals are assembled on a infection. Patient Safety Agency as one of only these incidents. special diets. conveyor belt, with a different member New alcohol gel dispensers along five trusts across the country to take Eight more modern matron posts Special of the team responsible for each item with large eye-catching boards part in a study to determine patients’ were created to help drive up requirements on the tray. Trays for patients with Back to basics have been installed throughout views about challenging medical staff standards, adding to the team of 22 include soft and pureed foods, special requirements are marked with Southampton General and Princess over hand cleanliness. featured in last year’s annual report. allergies, diabetes, vegetarian and a sticker and dealt with by the diet Listening to patients has told us how important it is Anne hospitals in a bid to raise Cleaning was also put higher Housekeepers have also been halal, plus finger food for patients who chef. to get the basics right. awareness about hand hygiene. on the agenda, with all 50 wards allocated to every ward to help ensure have difficulties using cutlery. The trays are loaded onto a trolley Tasty, nutritious meals are vital when people come into The trust has also updated its hand at Southampton General Hospital areas are clean and welcoming, As the menus are on a two-week and delivered to the wards, where hospital, along with spotless wards and first-class care hygiene policy to ensure staff have receiving an intensive clean - the freeing up nursing staff to treat cycle there is an alternative menu ward staff hand them out to the from friendly, efficient doctors and nurses. clear guidance on how to prevent biggest ever undertaken. patients. for those staying longer in hospital. patients. Over the past year, the trust has made huge strides in cross-infection. All staff, including The blitz saw every single surface Over the past year, the trust has There is also a different children’s improving the patient experience. doctors, are now required to leave off targeted, including ceilings, behind increased MRSA screening for non- menu. Achievements have included new toilet and bathroom their wristwatches when working in a beds and radiators and inside emergency patients coming into the Patients choose their meals by facilities, more cleaning time, better written information clinical area. ventilation ducts and light-fittings. hospital for surgery. filling out a menu card. There are a for patients, reductions in mixed sex areas and the re-decoration of Across the hospitals, staff have As well as the deep clean, the Isolation rooms are being selection of hot and cold meals and ward areas. had their hand-washing techniques trust introduced a cleaning hotline, upgraded, helping to ensure sandwiches at both lunch and supper, Protected mealtimes have been introduced to allow patients to eat their scrutinised – often with the infection risks are kept to a so they can eat their main meal of the lunchtime meal uninterrupted, along with a red napkin system to identify minimum, as well as improving while cases of NClostridium day according to their usual habits. patients who need help with feeding. facilities for both patients and nurses. difficile have reduced by 26%. Other options on the meal card A visiting code urges family and friends to visit between 3pm and 8pm This year, SUHT staff were praised Judy Gillow, director of nursing, include choosing a smaller or larger wherever possible and not to sit on beds. by the Healthcare Commission for said: “We have made excellent portion and adding salt and pepper. Bedside folders have been improved so patients now have more their commitment to tackling and progress in bringing down infection The menu cards from each ward information at their fingertips and overnight hygiene packs are now available preventing infection, following an rates. for emergency admissions. These include soap, toothpaste and a comb. unannounced inspection. ”This has been largely the result Judy Gillow, director of nursing, said: “Listening and responding to our The trust was found to have all the of sheer hard work by our infection patients and visitors is crucial if we are to be a world-class hospital. necessary systems in place to protect control team and staff right across the “This year we have focused on everything from improving privacy and patients, the public and staff, and organisation. dignity to staff communication and appearance. many examples of good practice were “While it is very pleasing to see the Faith leaders join forces for study day “These are all areas our patients have told us matter most - and we will found. number of cases fall so dramatically, keep listening and learning from feedback as we continually strive to drive up Figures show the trust is well on we have no intention of taking our Doctors and nurses at Southampton General Hospital have undergone training standards across the trust.” the way to winning the war against foot off the pedal when it comes to to help them care more effectively for patients from different faiths and cultures. infections such as MRSA and tackling superbugs. Around 75 medical staff took part in the healthcare study day, organised by Clostridum difficile diarrhoea. “We will continue to improve as the trust’s chaplaincy team. Over the past year, the number of we want to build up confidence in all Faith groups represented included Hinduism, Judaism, Sikhism, Buddhism, cases of MRSA bacteraemia (blood our patients who receive care in the Christianity and Islam. Patient concerns stream infection) has fallen by 37%, hospital.” The Trust takes any complaint seriously and is committed to using information received to improve care and the experiences of patients in general. In October 2007, the Health Service Ombudsman set out six Principles for Remedy which represent best practice in the management of complaints Visiting scheme for older patients expanded – getting it right, being customer focused, being open and honest, acting My year… fairly and proportionately, putting things right and seeking continuous Nadia Chambers, consultant nurse in elderly care, A scheme which provides vital contact for elderly patients at Southampton improvement. said: “The highlight of my year has been supervising two General Hospital was extended this year. These will soon form part of the Trust’s complaints policy, which is currently consultant practitioner trainees in neuro/stroke rehabilitation. The Time4You programme was launched across eight wards in June 2006, but under review, and are integral to the Trust’s approach to resolving patient These excellent trainees are forging a path for future roles has now been expanded to include cancer care and more surgical wards. concerns, whether informally through the Patient Advice and Liaison Service and have already made a significant contribution to service It involves volunteers paying social visits on elderly patients who would or as a formal complaint. development in stroke during their placements here.” otherwise have no social contact while in hospital. 10-11 CONNECT ANNUAL REPORT

New gene may Charity gets hold key to AMD fresh look A new era in fundraising has begun at Southampton’s teaching hospitals.

Groundbreaking research being undertaken at Southampton This year saw the re-launch of the Mountbatten House. comfortable while receiving Southampton Hospital Charity, In addition, large capital appeals will treatment. General Hospital has led to the discovery of a new gene that which funds projects to benefit back major hospital developments – The new-look charity was could help prevent blindness. individual wards and departments the first of which will improve facilities unveiled at Southampton across the trust. for patients with cancer through a General Hospital with the And with a new name and fresh look refurbishment of the haematology help of TV personalities The project, led identified that one of the genetic comes some ambitious fundraising department. Roger Johnson, BBC South’s by Professor variants was significantly more targets. Also in the pipeline are plans for sports presenter, and Nick Andrew Lotery, common among the patients with The charity aims to raise over a state-of-the-art children’s hospital, Knowles, who currently stars identified a new AMD. £2m every year to fund schemes at which would bring all children’s in DIY SOS. genetic risk This held true even after taking Southampton General Hospital, the services under one roof and give Both are among the factor for age- account of age, sex, weight, and Princess Anne Hospital and Countess youngsters somewhere more charity’s patrons, along with Fred related macular smoking, which is a known risk factor Successful bids for two biomedical Dinenage, James Lewis, Susan degeneration for AMD. Jameson, Joe McGann, Christopher rekindle this tradition of fundraising. (AMD), which is The findings were published in the Timothy and Dave Myers. “The money raised will make a a major cause British Journal of Ophthalmology in research units in Southampton The charity is also proud to have real difference to patients and their of untreatable February 2008. the support of The Lady Brabourne families by enhancing the first class blindness Prof Lotery, based at Southampton Two new Department of Health funded research of Broadlands Estate, Romsey, as its service they already receive at our among elderly Eye Unit, said: “This is exciting units are set to further strengthen Southampton president. hospitals.” people in research which helps us understand Veryan Grant, the trust’s fundraising developed why people develop AMD. General Hospital’s reputation as a world class director, said: “Before the NHS was • More information about the support countries. “‘In the future, we may be able to research centre. created, many hospitals were run by the many charities, grant-making trusts, Building on target patients with this genetic risk voluntary sector and funded through community groups, companies their previous factor for specific anti-inflammatory The biomedical research units, worth £4m each, were awarded in charitable donations. This created a real and individuals have given will be research, which showed that treatments, maybe with something recognition of the pioneering work being carried out by SUHT with the sense of affiliation and pride. publicised in the charitable fund annual genes that control inflammation were as simple as aspirin. This knowledge University of Southampton. “The Southampton Hospital Charity accounts. Copies will be available from important for developing AMD, the should allow us to get much better One unit will focus on nutrition, diet and lifestyle, including obesity. hopes to engage the enthusiasm the Southampton Hospital Charity researchers took DNA samples from treatment results.” Researchers in the team have already shown how poor nutrition as a child and support of individuals and office in the autumn. To request one, 478 people with AMD and from 555 The University of Southampton and can set the stage for chronic ill health during adulthood. organisations across the region and call 023 8079 8881. people with no signs of the disease. the Gift of Sight appeal supported The other unit will specialise in respiratory disease, looking at new They then looked for evidence professor Lotery’s research. therapeutic approaches to key lung diseases such as asthma and cystic of variations in genes controlling If repeated in larger studies, fibrosis. the production and suppression Professor Lotery and his colleagues A development grant worth more than £1 million has also been awarded of cytokines - powerful chemicals suggest that their findings might lead to support the Southampton clinical research facilities. Countess Mountbatten House involved in inflammatory processes in to the possibility of genetic screening In addition to the biomedical research units, Southampton is one of the body. for AMD and the development of only 19 hospitals to receive Department of Health funding to establish an Their work paid off when they biological agents to control it. experimental cancer medicine centre. celebrates 30th anniversary These centres perform research into new cancer treatments and patients The Friends of Countess Mountbatten who have no other hope of a cure can agree to take drugs that might be House work in partnership with SUHT to years away from being approved. raise funds for specialist palliative care Severe asthmatic Shirley Clark, services. Patient 54, took part in a trial with the A series of 30th anniversary activities were Southampton’s Allergy and launched this year, including a fire walk, Inflammation Research Department Search for cystic fibrosis cure which was staged at Southampton’s Gregg story to test a new injection. School in November. “I was at the end of my tether, A world-first study into cystic fibrosis gene Each walker took part in a two-hour so I was willing to try anything that therapy began this year, involving specialists from training session before walking barefoot might help – not just me, but asthma A will for life over a bed of hot wooden coals. sufferers in the future,” said Shirley, Southampton, London, Oxford and Edinburgh. The anniversary appeal total so far who lives in Odiham, Hampshire. Legacies were an important source of income for the charity, the largest stands at just over £32,000. “The great thing was the care It is hoped the trial will provide a breakthrough in the treatment of cystic of which was £142,500 donated to the ophthalmology department. and attention I received from the fibrosis, the UK’s most common life-threatening, inherited disease. The CF This amount enabled the purchase of a large variety of equipment for eye research unit. I missed them when Trust says it could result in a general-release gene therapy treatment within patients, including the LogMar system, a computerised sight chart providing a For more information about the charity and how I stopped going for the monthly seven years. more scientific way of measuring a patient’s vision. check-ups! Aside from the trial, they The £30m study is funded almost entirely by charitable donations. you can get involved telephone 023 8079 8881 helped me to find a stronger inhaler Dr Mary Carroll, clinical director of SUHT’s adult cystic fibrosis service, or email [email protected] that really worked for me, and that said: “If we’re successful, it will have international ramifications. It would Hospital trust thanks charities for support alone has improved my asthma downgrade cystic fibrosis from being a serious fatal illness in young no end. It’s been completely life- people, to much more like a chronic disease such as diabetes.” In September, the trust said a big “thank you” to more than 25 changing.” She said that Southampton’s involvement came down to the Trust’s different charities that support its work. My year… The research, which was testing unique collaboration with the University of Southampton – and their Representatives from all the charities were invited to an inaugural Veryan Grant, director of fundraising, said: “I was really a new medication (anti TNF Alpha), excellent reputation as a cystic fibrosis clinical unit and research communication group meeting at Southampton General Hospital – the first time proud when we launched Southampton Hospital Charity on ended in April 2007. It was run by department. they had all met up in one place. 10 March. Two of the charity’s patrons, Roger Johnson and a pharmaceutical company, and “We are the forefront of this national research, thanks to Dr Joy Conway The evening enabled the trust to thank the charity staff and volunteers Nick Knowles, were on hand to help reveal the new logo and involved hundreds of patients across at the university and her work with two-dimensional imaging of the lung,” for their hard work as well as giving attendees a chance to network and more than 100 members of staff and supporters came to join the world. said Dr Carroll. share ideas. in the celebration.” 12-13 CONNECT ANNUAL REPORT The best bits… “As the incoming Chair, I am delighted to have this opportunity to introduce the hospital’s highlights of the year 2007/08. “I am hugely indebted to my predecessor, Richard Keightley, who chaired the Trust so effectively during these months, which you will see were enormously productive. “These achievements are a tribute to the efforts of every member of staff and I look forward to meeting as many of them as possible in the months ahead.”

John Trewby SUHT Chairman

techniques being used to correct everything from shoulder to ankle conditions.

April Cardiac patient Lorna Store presented a £9,000 donation to the Wessex August Cardiothoracic Unit as a thank you for the treatment she received. The donation SUHT went greener with the launch of a major energy awareness campaign Old trust x-ray equipment began a journey from Southampton to Africa thanks marked the start of Arrhythmia Awareness Week. designed to cut harmful carbon emissions. to an idea by superintendent radiographer Jane Spring. From switching off lights to improving waste management, staff, patients The surplus equipment is now being put to use by staff at the Good and visitors alike were urged to do their bit to help reduce the trust’s carbon Shepherd Mission Hospital in Swaziland. footprint. The Cyber Centre at Southampton General Hospital, which helps staff with September A refurbished family room was unveiled at the Princess Anne Hospital’s numeracy and literacy, was ranked second in the south east of England for its Prime Minister Gordon Brown and his wife Sarah visited Southampton General neonatal unit, allowing parents of premature babies to stay in more comfort. July test pass achievements. Hospital’s world-class cardiac unit on the eve of the Labour party conference in The new and improved accommodation, funded by the VT Group and Consultant cardiologist Nigel Wheeldon stopped off at Southampton General League tables published by the University for Industry showed that only one Bournemouth. parents themselves, offers families some home comforts at what can be an Hospital as part of a world tour to raise awareness of inherited heart diseases. learning centre out of 89 in the region had better results. The couple met Professor John Morgan, a world expert in the management anxious time. of heart rhythm problems, as well as one of his patients, Robert Burns. Sheffield based Captain Wheeldon, also a commercial pilot, spoke at the Two-year-old Milli Denley made national news after regaining consciousness A new gamma camera, used to pinpoint tumours more accurately, was Heartbeat Education Centre before flying on to Milan. following a major operation at Southampton General Hospital as her mum sang Former Aussie soap star Craig McLachlan opened a new room for teenage presented to Southampton General Hospital by Wessex Cancer Trust, marking her favourite Chitty Chitty Bang Bang song to her - Truly Scrumptious. heart patients at Southampton General Hospital. the end of the £30,000 Daisy Appeal. Young patients on the children’s wards were cheered up with a Wessex Heartbeat funded the £20,000 facility, featuring a pool table, visit by four Star Wars storm troopers in full costume. computers, TV and DVD, computer games and kitchenette.

May The AAIR charity marked World Asthma Day on May 1 by opening a new £3m October state-of-the-art laboratory at Southampton General Hospital. SUHT launched its application for Foundation Trust status with a Brooke Laboratory is at the heart of pioneering research work carried out on 12-week public consultation. all aspects of asthma, allergies and chronic obstructive pulmonary disease Southampton MPs Alan Whitehead and John Denham, along with (COPD). community leaders and local councillors were among those backing the bid. The important role played by the trust’s 3,000 nurses was highlighted as part of International Nurses Day on May 12. Improved ratings were released by the Healthcare Commission, with Youngsters on the children’s wards drew pictures of nurses and wrote SUHT being graded “good” for quality of services and “fair” for use of poems, while departments used displays and workshops to highlight resources in the 2006/07 annual health check. Both were improvements on areas of improvement. the previous year. The tough assessment scrutinised everything from cleanliness and Around 75 medical staff underwent training to help them care more patient safety to waiting times and complaints handling. effectively for patients from different faiths and cultures. The faith in healthcare study day, which took place at Southampton General Hospital, was organised by the hospital’s chaplaincy team and included a Buddhist meditation session. November Brave supporters of Countess Mountbatten House took part in a fire walk to mark the 30th anniversary of the SUHT-run hospice at West End.

June Specialist nurses and physiotherapists from the respiratory centre visited GPs from across the south descended on Southampton General Hospital to Southampton’s WestQuay shopping centre to promote awareness and hear about the latest advances in orthopaedic surgery. avoidance of lung disease. SUHT consultants, nurses and physiotherapists demonstrated the very latest 14-15 CONNECT ANNUAL REPORT

Improving the health of our hospitals goes hand in hand with making our patients better. Investing for the future During 2007/08, the Trust invested welcoming surroundings. and the introduction of wider parking The cardiac high dependency unit £28m in ensuring its estate will be Our breast imaging unit and spaces. also underwent a refurbishment, equipped to provide world-class clinics have also benefited from a These improvements follow a £1.4m resulting in more side rooms for treatment for future generations. refurbishment as part of their move extension and refurbishment of the patients and better washroom facilities. One of the biggest challenges has to the Princess Anne Hospital in July neonatal unit in December 2006, which The Trust also invested for a greener been the move of services from the 2007. turned the unit into one of the biggest future through its carbon reduction Royal South Hants Hospital, following The new purpose-built unit provides neonatal care facilities in the country. programme, as well as paying out for the transfer of ownership of the site to lighter, brighter, more comfortable This year has also seen an expansion essential maintenance to water and gas Southampton City Primary Care Trust. surroundings for patients as well as of the renowned General Intensive Care supplies. The establishment of a new roomier working conditions for staff. Unit at Southampton General Hospital. A rolling programme of upgrading endoscopy centre at Southampton Other upgrades at the Princess Anne The unit, one of the most highly toilets and bathrooms continued all General Hospital has been a big Hospital have included the introduction regarded of its kind in the country, now year, along with improvements to the improvement for patients, allowing of a new cafe, a facelift of the main has 21 beds to cater for the increased internal decor across the hospital. treatment to be carried out in modern, entrance area, improved waiting rooms number of patients being sent to Meanwhile an unsightly residential Staff from Skandia UK gave a makeover to the Radio Lollipop studio at Southampton for specialist care. block on the campus was demolished December Southampton General Hospital. Two new surgical theatres opened to provide extra room for much needed The team painted walls and freshened up murals as well as delivering new in October 2007, while existing cardiac patient car parking. Armed with Christmas presents, Southampton Football Club’s first team players carpets, office furniture and a computer. spent several hours chatting to patients, families and staff on the children’s wards. theatres were completely refurbished. Chief Executive Mark Hackett said: “We want to provide the best possible Miracle twins Kieran and Oliver Cowley were allowed home for Christmas after facilities for our patients and staff; being born 15 weeks early. The pair had spent months receiving specialist care at Looking ahead somewhere that sets standards and Princess Anne Hospital’s neonatal unit. encourages a real sense of pride in our hospitals. February Capital investment in 2008/09 will include: More than 200 people dressed up in Father Christmas suits to take part in a Santa “This year, we have made huge steps in achieving our ultimate goal of Dash across Southampton Common to raise money for the children’s wards. SUHT was chosen as one of only five trusts across the country to take part in a • The New Forest Birth Centre at Ashurst providing treatment in a world-class hand hygiene study. • Two new paediatric theatres at Southampton General Hospital environment. I urge everyone to watch The National Patient Safety Agency initiative looked at ways of encouraging • Three new cardiac theatres (part of the £60m North Wing extension at this space closely as the exciting patients to get more involved in hand hygiene in a bid to improve infection control. Southampton General Hospital) transformation continues in the coming • The introduction of more cohort bays, including en-suite rooms, year.” Play staff from hospitals and hospices across the region gathered at allowing staff to isolate infectious patients quickly and easily January Southampton General Hospital for a study day to share expertise. • A new cancer ward which will have half its beds in single rooms Independent health watchdogs praised the quality of care provided to pregnant A new support group was launched for amputees living in Southampton and women across the Southampton area. the surrounding area. The Healthcare Commission found SUHT’s maternity services to be among The vascular team at Southampton General Hospital set up the project to the best in the region following an in-depth study carried out across England. provide information and support for both patients and carers. Equality and diversity The successful Time4You scheme - where volunteers visit older patients Patients, doctors and researchers from around the world gathered at for chats – was extended to include more wards and departments across Southampton General Hospital for a workshop about ME. Our Staff Southampton General Hospital. SUHT is committed to eliminating discrimination and encouraging diversity among its workforce. More than 250 new jobs The Trust aims to have a workforce that is truly representative of all sections were created at the Trust of society and that each member of staff feels respected and able to give their March over the past year. best. We recognise the right of all employees to be treated fairly and considerately, Southampton Hospital Charity’s new name and logo was unveiled at a launch irrespective of their age, gender, marital status, religious belief, ethnic event attended by TV stars Nick Knowles and Roger Johnson. These permanent posts included 130 acute trust and a 100% growth on the nurses, 20 doctors, 40 scientific and previous year. 85% of staff had health background, nationality, sexual orientation, disability and social status. Former patient Zoe Reavey, 13, who was born 11 weeks premature helped The Trust has a Disability Equality Scheme as part of its equality and diversity cut a cake before dishing out slices to new mums at Princess Anne Hospital. therapy staff and more than 60 support and safety training. posts. Staff also told us there is a relatively commitment. Disabled employees can expect to be treated with respect and to have their communications needs met. SUHT’s bid for Foundation Trust status reached a milestone with membership The annual staff survey - a useful high level of bullying and harassment hitting the 10,000 mark in just five months. gauge of how we are doing as an within the Trust. Support routes already employer - saw a 60% response rate exist for this problem but more will be Heart patients benefited from a refurbishment of the cardiac high dependency this year.This was a 15% increase on done to ensure employees feel able to unit at Southampton General Hospital, including more side rooms and better the previous year, putting SUHT in the use them. washroom facilities. top 20% of acute trusts in England. Our Staff Partnership Forum Staff satisfaction increased by 2% (SPF), comprising of Trade Union My year… A group of nine SUHT staff travelled to Nepal to share their skills with local while the number of staff who wanted representatives and senior managers, doctors and nurses. to leave the organisation fell by 8%. has met regularly throughout the year. Amanda Barnes, modern matron in the general intensive The team visited the National Heart Centre as well as various teaching Job-related training was undertaken We are also creating additional care unit, said: “The highlight of my year has been to witness hospitals and medical universities in Kathmandu. by 76% of staff in the past year while opportunities for staff representatives to the tremendous teamwork on the unit while undergoing our 48% had used e-learning or online meet with senior managers in each of rapid expansion. All the staff, of every discipline, have really learning - twice the average for an our divisions. pulled together and of that I’m very proud.” 16-17 CONNECT ANNUAL REPORT Going green A major energy awareness campaign has been making Southampton’s teaching hospitals greener.

In July 2007, Southampton University play in helping us reduce wastage, Any remaining domestic waste is Hospitals NHS Trust pledged to limit from turning off lights when they are compacted on site. its carbon footprint by cutting harmful not needed to major investments The trust believes everyone from carbon emissions by 15% over three in improving the efficiency of the porters, canteen and clerical staff to years. hospital’s infrastructure. doctors and nurses have an important In the first year alone, the trust is “We have also been looking at the role to play in reducing waste. aiming to reduce energy wastage wider impact of the hospital on the by the equivalent of 1,000 tonnes of environment, including issues such as carbon. transport and waste.” Director of strategy Fiona Dalton, SUHT was one of ten NHS trusts SUHT’s energy champion, said: “The selected to take part in the Carbon trust is committed to reducing carbon Trust’s first phase NHS Carbon Carbon-saving measures at SUHT Every one a winner emissions and helping protect the Management Programme. environment for future generations. The three-year awareness campaign • Replacing inefficient chilled water systems for new equipment nearly From taking photographs to designing new ways of working, SUHT staff “Everyone has a part to is already helping to cut levels of four times more efficient energy consumption and carbon • Upgrading insulation levels to steam pipe work have scooped dozens of awards over the past year. Here we feature just emissions and so reduce • Improving lighting controls some of our many award winners. Congratulations to all of them. SUHT’s carbon footprint, which • Possible installation of an efficient condensing boiler system for the was measured at just over Old Nurses Home/Trust Management Offices building Chronic pain specialists Dr Norma pressure levels for each age group. national award for an unusual picture Mamas and Papas Midwife of the Year 26,000 tonnes over the last year. • Use of inverter technology for pumps and fans Waite and nurse Joan Anderson she had taken of a cardiac valve awards after being nominated by local SUHT has also implemented • Reducing the hospital site’s high voltage level several ways to reduce the won first prize in the prestigious Napp The catering team cooked up an tumour submerged in water. mum Helen Champion. amount of waste going to landfill. Achievement of Pain Practice awards. amazing 13 awards at a regional Jill received the Institute of Medical All cardboard is baled on Did you know? The pair designed a pioneering competition run by the Hospital Illustrators silver award for the striking In December, 170 SUHT volunteers site before being taken away information library to help provide Caterers Association. image, which judges said showed an received long service awards from the for recycling. Paper, metals • In 2007/08 the Trust spent £5.6 million on electricity, gas and water patients and carers with access to Their delicious entries included a outstanding application of technique. trust in recognition of the time they and glass are all collected for • Cutting consumption by just three per cent saves over £150,000 reliable information about chronic pain pineapple and lemon cheesecake give to help our hospitals. recycling. • Each tonne of paper recycled saves 15 average sized trees, as well management. suitable for diabetics, assorted sushi SUHT’s infection control team won Between them, the 170 men and Southampton City Council has as their surrounding habitat and wildlife with dip and seared tuna with pesto. an international award in recognition women had given an amazing 1,127 placed a new glass bank on site • Since December 2007 Connect has been printed on recycled, Lorraine Clapham, principal physio of their bug-busting efforts. years’ service. at Southampton General Hospital. environmentally friendly paper at the Wessex Neurological Centre, Maxfax experts Barrie Evans and Beating entries from as far a field The council collects this recycling • If you reduce water wastage it will also save energy by reducing was declared the best in the business Nick Baker scooped a rare double as Australia, the USA and China, the Play specialist Katy Weaver was at no cost to the Trust. electricity used for its treatment and pumping. after scooping the Chartered victory with awards from the British team was awarded joint third place in regional finalist in the Rays of Society of Physiotherapy’s inaugural Association of Oral and Maxillofacial the Oxoid Infection Control Team of Sunshine Hospital Play Specialist physiotherapist of the year award. Surgeons. the Year Awards. Awards 2007. Barrie won the Down surgical Judges praised Katy for her Sarah Hartfree, paediatric clinical prize for outstanding contribution Surgeons Doug Dunlop and Ben innovative work with children who skills facilitator, was named South during his career, while Nick received Bolland were presented with a suffer from needle phobias. Central Innovator of the Quarter after the BAOMS surgery prize, which prestigious Medical Futures innovation devising a simple yet potentially life- recognises the contribution of a award after developing a new device Dr Jo Mountfield, director of saving child health poster. surgeon who has been working in the to help make hip replacement surgery education at SUHT, was recognised Education matters Her design showed basic field for less than ten years. safer. as a potential future leader of the NHS information needed by medical after receiving a Leadership Fellows students working in paediatrics, such Medical photographer Jill Community midwife Fiona Walbridge award from the Charitable Health IPLU Hospital Chief as normal heart rates and blood Swanborough won a prestigious was a regional finalist in the 2007 Foundation.

Twice a year teams of health and social care students spend two weeks Executive signs up to skills pledge working on projects at SUHT. This is part of the inter-professional learning unit run by the University of The Trust has pledged to support staff in developing their skills through Southampton and Portsmouth University. training. Teams and Invest to save in medicine team - Chief Executive’s Award for Transformation Mark Hackett, Chief Executive, has signed a statement of intent with the In November, eight teams of up to 12 students worked on projects in areas General and cardiac intensive care units - Beating the Superbugs such as clinical skills, pharmacy and the Emergency Department. unions that the Trust will make a Skills Pledge. individuals In March, 15 groups of up to 10 second-year students carried out audits at The Learning and Skills Council (LSC) Train to Gain Skills Pledge is a honoured at the Estates department - Green Dream Team the Trust, in topics from communications and chaplaincy to technical cardiology voluntary scheme that all employers across the country can sign up to. Respiratory Centre - Going for Gold and maternity services. It is a public commitment to encourage and support employees to develop Trust’s Hospital their basic skills, including literacy and numeracy, and work towards relevant Heroes staff Ward F7 - Department of the Year qualifications to at least Level 2 (equivalent to five good GCSEs). Successful appeal for volunteers The government will provide funding to help staff achieve these qualifications. awards in February Midwife Carl Evans - Daily Echo readers’ choice Dr Carol Davis and Rev Bill O’Connell - Chairman’s Award A media appeal in April 2007 led to around 30 new recruits signing up to 2008 included: help with medical training. The Trust was looking for volunteers from all walks of life to act as patients for doctors and nurses undergoing training at Southampton’s hospitals. My year… The simulated patients help to act out scenarios designed to develop health Sarah Oldfield, senior receptionist, said: “We had a workers’ communication and examination skills. positive year as we have 25 new wheelchairs. These For more information and an application form contact Sue Wilkins on have been an absolute godsend to our department, 023 8079 6487 or email [email protected] as all patients and relatives now have a wheelchair awaiting them when they arrive.”

BEATING GREEN GOING THE FOR SUPERBUGS DREAM GOLD TEAM DEPARTMENT OF THE YEAR

CHIEF DAILY ECHO CHAIRMAN’S EXECUTIVE’S AWARD FOR READER’S AWARD TRANSFORMATION CHOICE 18-19 CONNECT ANNUAL REPORT

Finance Director’s Report Paying our suppliers The Trust is committed to following the ‘Better Payment Practice Code’ in • Tell suppliers without delay when an invoice is contested and settle dealing with our suppliers. The code developed by the Better Payment Practice disputes quickly. Group sets out the following principles: The financial year 2007/08 saw the Trust consolidate its financial position During 2007/08 the percentage of bills paid within target, set under the Better after several difficult years, generating a strong surplus of £18 million. • Agree payment terms at the outset of a deal and stick to them Payment Practice code, was 51% for NHS creditors and 88% for non-NHS creditors. • Pay bills in accordance with any contract agreed with the supplier or as This level of surplus was necessary to enable the Trust to make loan agreed by law repayments on total loans in excess of £35million, which were taken out in 2006/07 and 2007/08 to support the capital expenditure necessary to ensure that patients are treated in a modern and safe environment with up to date 2007/08 equipment, as well as to restore the Trust’s cash position. To deliver the surplus, savings of £22million were made within the Trust. Number £000 Total Non-NHS trade invoices paid in the year 98,489 153,040 The prospects for 2008/09 continue to be good and a surplus of just over £13 million is planned, although there are several significant financial risks: Total Non NHS trade invoices paid within target 87,107 137,421 Percentage of Non-NHS trade invoices paid within target 88% 90% • The new national contract for clinical services, which the Trust has signed with local Primary Care Trusts (PCTs), means that the Trust could be fined 2,374 38,035 for non-delivery of national targets on waiting times and hospital acquired Total NHS invoices paid in the year infections Total NHS invoices paid within target 1,213 23,355 Percentage of NHS invoices paid within target 51% 61% • The opening of an Independent Sector Treatment Centre (ISTC) in Southampton, scheduled for the second half of the year, could have a 2007/08 2006/07 significant impact on the income of the Trust The Late Payment of Commercial Debts (Interest) Act 1998 £000 £000 • A joint programme of demand management between the Trust and local Amounts included within Interest Payable arising from claims made under this 0 5 PCTs to reduce the volume of activity coming into the Trust could reduce legislation the Trust’s income by up to £5 million. Compensation paid to cover debt recovery costs under this legislation 0 0 Alastair Matthews Director of Finance and Investment Auditors’ work The Trust’s external auditors are the Audit Commission. Financial Information The total cost of the external auditors’ work was £225,600 and this was all in relation to their work as our statutory auditor.

These financial statements are summaries of the information contained in the Trust’s Annual Accounts. For the full accounts, or Charitable Fund accounts, visit www.suht.nhs.uk or call 023 8079 6180. FINANCE JARGON BUSTER

Better Payment Practice Code – Currently all NHS Trusts, Primary Care External Financial Limit (EFL) – This is the net additional resource that Financial Summary Trusts and Strategic Health Authorities are expected to meet a Better Payment the Trust can obtain from the Department of Health as Public Dividend Capital Practice Code target of paying 95% of non NHS bills within contract terms or 30 for capital investment. days where no terms have been agreed. The Department of Health measures NHS Trusts’ financial performance against TABLE TWO 2005/6 2006/07 2007/08 the following four targets: Fixed Assets – Those assets held for continuing use in the business. £000 Target £000 Target £000 Target Break even on Income and Expenditure – taking one year with another Met Met Met Tangible fixed assets include: land, buildings, dwellings, assets under • Break even on Income and Expenditure – taking one year with another the the Trust is required to break-even on a cumulative basis - i.e. its income must construction, plant and machinery, transport equipment, IT and furniture and Surplus/(Deficit) (12,927) 2,151 17,944 Trust is required to break-even on a cumulative basis O P P be equal to or exceed its costs. fittings. Intangible fixed assets include software licences, trademarks, patents Capital Cost Absorption (%) 3.7 P 3.3 P 2.8 O and research and development expenditure. Capital Cost Absorption Rate – the Trust is required to absorb the cost of • Capital Cost Absorption Rate – the Trust is required to absorb the cost of EFL Undershoot/ (Overshoot) 1 P 199 P 133 P capital at a rate of 3.5% of average relevant net assets.This is calculated as capital at a rate of 3.5% of average relevant net assets. This is calculated as the 1,121 840 2,291 Liabilities – Amounts owed by the Trust. the percentage that dividends paid on public dividend capital bears to the CRL Undershoot/(Overshoot) P P P percentage that dividends paid on public dividend capital bears to the average average relevant net assets. A tolerance rate of 0.5% is allowed relevant net assets. A tolerance rate of 0.5% is allowed. Net Relevant Assets – All of the assets employed by the Trust excluding Table 2 shows how the Trust has performed against these targets for the last donated assets and cash held in the Office of the Paymaster General bank account. • External Financial Limit (EFL) – This is the net additional resource that the three years. Capital Expenditure – Expenditure to acquire fixed assets, usually land, Trust can obtain from the Department of Health as Public Dividend Capital buildings and equipment. Operating Activities – The day-to-day activities of the Trust, excluding for capital investment capital expenditure and financing. TABLE THREE 03/04 04/05 05/06 06/07 07/08 Capital Resource Limit (CRL) – This is the net amount that the Trust is £000 £000 £000 £000 £000 • Capital Resource Limit (CRL) – This is the net amount that the Trust is permitted to spend on capital investment. Operating Expenses – All operating costs including staff, supplies, 324,304 361,007 368,932 388,522 443,824 permitted to spend on capital investment. Turnover premises costs and services from other NHS and non NHS bodies. Break-even in year position (2,412) (4,940) (1,412) 2,151 17,944 Creditors – Money owed by the Trust, including amounts owing to suppliers Our performance against these targets is shown in Table 1 below: and any loans repayable to the Department of Health. Break-even cumulative position (2,048) (6,988) (8,400) (6,249) 11,695 Operating surplus /deficit – The operating surplus/deficit is equivalent to the operating profit/loss in the private sector. It is the surplus/ deficit before TABLE ONE Target Actual Target Met Current Assets – These are assets that are expected to be converted to Table 3 shows the Income and Expenditure position for each of the last 5 years. financing costs (interest and dividends) are deducted. Surplus/(Deficit) £000 14,900 17,944 P cash within one year, used to maintain day-to-day operations. They include cash, debtors and stocks. Capital Cost Absorption (%) 3.5% 2.8% O Public Dividend Capital – At the formation of NHS trusts, assets (land, buildings, equipment and working capital) transferred to the new trusts. The (12,896) (13,029) EFL £000 P Debtors – Money owed to the Trust at the Balance Sheet date. value of these assets is in effect the public’s equity stake in the trust and is CRL £000 30,684 28,393 P known as Public Dividend Capital (PDC). It is similar to company share capital Demand Management – Actions taken by primary care trusts (PCTs), NHS and as with company shares, a dividend is payable to the Department of Table 1 shows that the Trust has achieved all of its financial targets except for Trusts and GP practices to moderate the demand for health care services. Health. It is calculated at 3.5% of forecast net relevant assets. its return on assets, which at 2.8% was slightly below the permitted tolerance Hospital demand management refers to actions taken to moderate the rate of limit of 0.5%. referrals or admission of patients to hospitals. Surplus – The amount by which income exceeds expenditure. 20-21 CONNECT ANNUAL REPORT

Summary Financial Statements

Income and Expenditure Account for the year ended 31 March 2008 Balance Sheet at 31st March 2008 Cashflow statement for the year ended 31st March 2008 Statement of total recognised gains and losses for the year 2007/08 2006/07 ended 31 March 2008 31 March 31 March £000 £000 2006/07 2008 2007 2007/08 2006/07 2007/08 £000 £000 £000 £000 £000 £000 Income from activities 375,808 321,961 FIXED ASSETS OPERATING ACTIVITIES Surplus (deficit) for the financial year before 24,217 10,630 Other operating income 68,016 66,561 dividend payments Intangible assets 6,357 7,908 Net cash inflow (outflow) from operating activities 46,128 25,959 Operating expenses (418,598) (378,451) Fixed asset impairment losses (3,929) (36,189) Tangible assets 296,704 269,584 25,226 10,071 Unrealised surplus/(deficit) on fixed asset OPERATING SURPLUS (DEFICIT) Investments 0 0 Interest received 1,087 747 18,984 23,329 revaluations/indexation 303,061 277,492 Interest paid (1,302) (5) Increase in the donated asset and government Cost of fundamental reorganisation/restructuring 0 0 Interest element of finance leases 0 0 grant reserve due to receipt of donated and 1,316 4,014 Profit (loss) on disposal of fixed assets (672) (115) government grant financed assets CURRENT ASSETS Net cash inflow/(outflow) from returns on investments (215) 742 24,554 9,956 SURPLUS (DEFICIT) BEFORE INTEREST Stocks and work in progress 8,975 8,883 & servicing of Finance Defined benefit scheme actuarial gains/(losses) 0 0 Debtors 21,217 25,516 Additions/(reductions) in “other reserves” (6,729) 0 Interest receivable 1,087 747 CAPITAL EXPENDITURE Investments 0 0 Total recognised gains and losses for the 33,859 1,784 (5) (25,906) (28,544) Interest payable (1,363) Cash at bank and in hand 10,432 1,340 Payments to acquire tangible fixed assets financial year 0 Other finance costs - unwinding of discount (61) (68) 40,624 35,739 Receipts from sale of tangible fixed assets 0 60,008 Prior period adjustment 0 10,630 (705) (6,735) SURPLUS (DEFICIT) FOR THE FINANCIAL YEAR 24,217 Payments to acquire intangible assets Total gains and losses recognised in the 33,859 1,784 0 0 financial year CREDITORS: Amounts falling due within one year (49,569) (46,186) Receipts from sale of intangible assets Public Dividend Capital dividends payable (6,273) (8,479) (Payments to acquire) / receipts from sale of fixed 0 0 asset investments NET CURRENT ASSETS (LIABILITIES) (8,945) (10,447) RETAINED SURPLUS (DEFICIT) FOR THE YEAR 17,944 2,151 Net cash inflow /(outflow) from capital (26,611) 24,729 expenditure TOTAL ASSETS LESS CURRENT LIABILITIES 294,116 267,045 DIVIDENDS PAID (6,273) (8,479) Note to the Income and Expenditure Account CREDITORS: Amounts falling due after more than (21,821) (18,750) Net cash inflow / (outflow) before management of 13,029 42,951 31 March 31 March one year liquid resources and financing 2008 2007

£000 £000 PROVISIONS FOR LIABILITIES AND CHARGES (3,321) (3,289) MANAGEMENT OF LIQUID RESOURCES Purchase of current asset investments 0 0 TOTAL ASSETS EMPLOYED 268,974 245,006 Retained surplus/(deficit) for the 17,944 2,151 Sale of current asset investments 0 0 year Net cash inflow / (outflow) from management of 0 0 FINANCED BY: liquid resources Financial support included in retained surplus/(deficit) for the 0 0 0 year - NHS Bank TAXPAYERS’ EQUITY Net cash inflow / (outflow) before financing 13,029 Financial support included in Public dividend capital 174,413 175,728 retained surplus/(deficit) for the 0 0 Revaluation reserve 45,700 32,167 FINANCING year - Internally Generated Donated asset reserve 28,651 27,437 Public Dividend Capital received 3,057 36,677 Retained surplus/(deficit) for the Government grant reserve 0 0 Public Dividend Capital repaid (11,101) (104,626) 17,944 2,151 year excluding financial support Other reserves (6,729) 0 Loans received 10,500 25,000 Income and expenditure reserve 26,939 9,674 Loans repaid (6,393) 0 Other capital receipts 0 0 TOTAL TAXPAYERS EQUITY 268,974 245,006 Capital element of finance lease payments 0 0 Cash transferred (to) / from other NHS bodies 0 0 Net cash inflow / (outflow) from financing (3,937) (42,949) Signed: (Chief Executive) Date: 16 June 2008

Increase / (decrease) in cash 9,092 2

My year… My year… Kim Sutton, voluntary services manager, Cath Battrick, modern matron in child health, said: “The highlight of the year for the said: “The best bit of the year for me was getting voluntary services team was to be highlighted my new job as modern matron! Other highlights as good practice by NHS Careers in the have included the opening of the 24-hour national work experience toolkit. We were paediatric assessment unit and recruiting all the recognised in The Guardian for this work.” short-listed newly qualified nurses. 22-23 CONNECT ANNUAL REPORT

INDEPENDENT AUDITOR’S STATEMENT Details of relevant interests held by directors TO THE BOARD OF DIRECTORS • Keith Bamber: Director and Trustee: Brendon OF SOUTHAMPTON UNIVERSITY Nursing Trust Limited, Winchester. • William Roche: Married to Heather Roche, Specialist Remuneration Report HOSPITALS NHS TRUST Registrar in Pathology, currently based at SUHT • Judy Gillow: Voluntary trustee of Naomi House I have examined the summary financial statement which Children’s Hospice Salaries and pension entitlements of senior managers comprises the Income and Expenditure Account, the • Richard Keightley: President, Dorset County Royal Balance Sheet, the Cashflow Statement and the Statement British Legion; President, Dorset Relate; Member, St. 2007/08 2007/08 2006/07 2006/07 of Total Recognised Gains and Losses. John Ambulance Council for Dorset Salary Other Salary Other This report is made solely to the Board of Directors • Mark Hackett: Married to Penny Venables, Chief Remuneration Remuneration of Southampton University Hospitals NHS Trust in Executive, Royal Orthopaedic Hospital, Birmingham accordance with Part II of the Audit Commission Act 1998 • Gareth Davies: Trustee: One Community; Director: (bands of £5000) (bands of £5000) (bands of £5000) (bands of £5000) and for no other purpose, as set out in paragraph 36 of the Firwood SCI Ltd Name and Title £000 £000 £000 £000 Statement of Responsibilities of Auditors and of Audited • David Williams: Dean of Faculty of Medicine, Health Bodies prepared by the Audit Commission. and Life Sciences, University of Southampton • Simon Jupp: Married to Natalie Jupp, Head of Mr K Bamber 5-10 5-10 Respective responsibilities of directors and Management Accounting, SUHT. Mr P Bradshaw 0-5 0 Professor W Roche was appointed on 1st August auditor • Jane Hayward: Father is Mental Health Act Manager, 2006. The 2006/07 number was incorrectly stated in The Directors are responsible for preparing the Annual Hampshire Partnership Trust (voluntary position); Mrs E Byrne 70-75 15-20 last year’s accounts and has been amended. Report. member of Mental Health Act Committee, Hampshire Mr W Cooper 0 100-105 15-20 Executive directors received a bonus payment in My responsibility is to report to you my opinion on the Partnership Trust (voluntary position) and member of respect of their performance in 2006/07. This has consistency of the summary financial statement within the Assessment Committee for Clinical Excellence Awards Ms F Dalton 110-115 90-95 not been repeated in 2007/08 because executive Annual Report with the statutory financial statements. (lay member) Mr G Davies 5-10 5-10 directors’ pay overall was reviewed in December I also read the other information contained in the • Alastair Matthews: Member of the Advisory Board to 2007 and a comparison with similar roles in other Annual Report and consider the implications for my Southampton University School of Management Dr J Davies 0 0-5 large hospital trusts resulted in a decision to report if I become aware of any misstatements or material • Paul Bradshaw: Various investments in healthcare Ms H Fender 0 0-5 increase basic pay for the executives to similar inconsistencies with the summary financial statement. and related businesses in line with a balanced investment levels. portfolio. Chairman: Medibureau Ltd Ms J Gillow 110-115 90-95 The Appointment and Remuneration Committee Basis of opinion • Lena Samuels: Trustee: Wheatsheaf Trust; Trustee: Mr M Hackett 180-185 145-150 has decided that its future policy on senior I conducted my work in accordance with Bulletin 1999/6 Hampshire and Isle of Wight Community Foundation; managers’ pay would be guided by advice from ‘The auditors’ statement on the summary financial Director: Key Samuels and Assoc; Director: Contact Mrs J Hayward 20-25 0 independent consultants, based on job evaluation statement’ issued by the Auditing Practices Board. My B2B; Magistrate: Southampton Bench; Staff: BBC Mr J Jayasundara 0 0-5 and salary surveys of the NHS and in the industrial report on the statutory financial statements describes the • John Trewby: Defence consultant and service sector of the economy. basis of our audit opinion on those financial statements. Mr S Jupp 115-120 95-100 The Committee decided to make bonus No relevant or material interests were declared by: Mr R Keightley 20-25 20-25 payments to executives in future years if the team Opinion Elaine Byrne, Fiona Dalton, Nick Marsden, Andrew Wood, meets specific, stretching targets that improve In my opinion the summary financial statement is Jane Wright or Steve McManus. Mr B Lloyd 10-15 100-105 the management of the Trust and its services to consistent with the statutory financial statements of the Mr N Marsden 0-5 0 patients. The bonus will be up to 15% of basic pay. Trust for the year ended 31 March 2008. Directors forming the Appointments and Executive directors of the Trust are appointed Remuneration Committee Mr A Matthews 80-85 0 on substantive (i.e. not fixed-term) contracts, and The Appointments and Remuneration Committee in Prof W Roche 150-155 100-105 their compensation (should their appointment be 2007/08 comprised the following non-executive directors: terminated) is calculated according to provisions Mr N Saunders 0 0-5 145-150 that apply to the majority of NHS workers (Section Richard Keightley Prof D Williams 5-10 5-10 16 of the Agenda for Change Handbook). Patrick Jarvis, District Auditor Keith Bamber Mr A Wood 35-40 0 Paul Bradshaw Collins House, Bishopstoke Road, Gareth Davies Mrs J Wright 0-5 0 Eastleigh, Hampshire, SO50 6AD Nick Marsden Lena Samuels Prior year figures for Ms F Dalton have 19 June 2008 David Williams been restated following the receipt Jane Wright of updated information from the NHS Mark Hackett, Chief Executive (for all matters except those Pension Benefits Pensions Agency. Who’s on the board? relating to CEO remuneration and terms and conditions) As Non-Executive members do not Richard Keightley, Chairman (Retired 31 March 2008) receive pensionable remuneration, Keith Bamber, Vice Chair (non executive director) All non executive directors are ex-officio members of the there are no entries in respect of Gareth Davies (non executive director) Audit and Assurance Committee. Real increase Total accrued Cash Cash Real Increase Employers pensions for Non-Executive members. David William (non executive director) in pension and pension and Equivalent Equivalent in Cash Contribution An indication of how pension Nick Marsden (non executive director) (from 1 June 2007) related lump related lump sum Transfer Transfer Equivalent to liabilities are treated in the accounts Paul Bradshaw (non executive director) (from 1 June 2007) sum at age 60 at age 60 at 31 Value at 31 Value at 31 Transfer Stakeholder can be found within the accounting Jane Wright (non executive director) (from 1 October 2007) March 2008 March 2008 March 2007 Value Pension policies section of the full accounts. Lena Samuels (associate non executive director) (from 2 A Cash Equivalent Transfer Value January 2008) Name and Title (bands of £2500) (bands of £5000) £000 £000 £000 To nearest (CETV) is the actuarially assessed John Trewby, Chair (from 1 April 2008) £000 £000 £100 capital value of the pension scheme Mark Hackett, Chief Executive benefits accrued by a member William Roche, Medical Director Ms E Byrne 10-12.5 75-80 286 216 35 0 at a particular point in time. The Simon Jupp, Chief Operating Officer (Left 13 April 2008) benefits valued are the member’s Andrew Wood, Acting Director of Finance (until 27 August Ms F Dalton 2.5-5 60-65 157 138 10 0 accrued benefits and any contingent 2007) Ms J Gillow 12.5-15 140-145 581 500 48 0 spouse’s pension. Real Increase in Alastair Matthews, Director of Finance and Investment My year… CETV reflects the increase in CETV (from 28 August 2007) Mr M Hackett 7.5-10 150-155 508 437 42 0 Stella Gardener, catering effectively funded by the employer. Judy Gillow, Director of Nursing manager, said: “The best bit of my Mrs J Hayward 0-2.5 75-80 231 206 2 0 It takes account of the increase in Fiona Dalton, Director of Strategy and Business year was in November when we accrued pension due to inflation and Development Mr S Jupp 5-7.5 70-75 208 179 17 0 opened Zara’s, a new eating place contributions paid by the employee Elaine Byrne, Acting Director of HR (until 8 January 2008) for patients, visitors and staff at Mr A Matthews 0 0-5 8 0 0 0 (including the value of any benefits Jane Hayward, Director of Organisational Development the Princess Anne Hospital. This transferred). (from 4 February 2008) Mr A Wood 2.5-5 35-40 118 85 9 0 was after ten months of providing Steve McManus, Acting Chief Operating Officer (from 14 a food service in temporary April 2008) accommodation.” Tony Broomes, Annette Davis, John Denham, development officer of Southampton Southampton at Southampton’s City and Region Itchen MP, said: African-Caribbean Action to “Foundation trusts Centre, said: “Afro- Combat Hardship have a reputation Caribbeans are (SCRATCH), said: for being the top traditionally under- “People perceive performers in represented in that southern the NHS and this areas like health. England is a fairly application is an I would urge the wealthy area but endorsement of black community there are pockets of the hospital and its to get involved in poverty – particularly highly skilled staff.” the Foundation on estates and Trust bid. Sign up in inner city to become members, Southampton. I hope that as a Foundation because we need to Trust, SUHT will be better able to recognise have a voice.” this and shape services according to need.” A membership hospital This year we have welcomed more than 10,000 people as members of the hospital.

Members will receive news about the become a member now by visiting NHS Foundation Trusts - at a glance services are continually improving. hospital and can give us their views our website at www.suht.nhs.uk The members of our hospital are on any issue that concerns them - or by calling 023 8079 5199 for an NHS Foundation Trusts work with drawn from our staff, patients and from parking to portering. application form. their patients, staff and communities carers and residents of our local We would like to say a huge thank Recruiting members is one of the to develop services to meet their local communities. you to everyone who has supported steps we are taking to become an needs. Being a foundation trust means the hospital in this way. NHS Foundation Trust in 2009. They recruit members to influence improved financial security for the If you have yet to join, please decision-making and ensure that hospital and its services.

Richard Professor Bill Alan Whitehead, Schofield, Wakeham, Vice- Southampton Test headteacher Chancellor of MP, said: “I am at Redbridge the University of pleased to support Community Southampton, this application and School, said: “This is I hope that people Southampton, said: an important in this city, and the “I support this bid step forward wider region, will by the Trust. Local for the hospital, make the most of people are far more and for us as this opportunity to be responsible and a key partner. involved and have a aware of local need It will allow us say in the future of and are, at times, far to build our their NHS.” more prudent about research links resource allocation than central and to develop government – targeting resources specialist services at the to the areas of greatest need.” leading edge of medicine.”

Assistance with the key points of this document can be made available in written or spoken form. For further advice, please call 023 8079 4688