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Annual Report and Accounts 2014-2015

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Annual Report and Accounts 2014-2015 Annual Report and Accounts for the period April 2014 to March 2015 incorporating Quality Account Luton and Dunstable University Hospital NHS Foundation Trust Luton and Dunstable University Hospital NHS Foundation Trust Annual Report & Accounts for the period April 2014 to March 2015 incorporating Quality Account Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 Contents INTRODUCTION 3 FINANCIALPERFORMANCEREPORT 93 Awards and Congratulations 4 Review of Financial Performance 94 About this Report 9 Remuneration report 96 Introduction 10 Fundraising and Charitable Donations 97 Chairman’s Statement 11 ANNUALGOVERNANCESTATEMENT STRATEGY 13 ANDACCOUNTS 101 Strategic Vision 14 Statement of the Chief Executive’s Responsibilities 102 Performance against Corporate Objectives 2014/15 16 Annual Governance Statement 2014/15 103 Service Developments during 2014/15 22 Independent Audit Opinion 110 2015/16 Strategic Approach 25 Foreword to the Accounts 113 Maintaining Performance 29 Statement of comprehensive income 114 Corporate Objectives 2015/16 30 Statement of financial position 115 Responding to the Francis Reports and Statement of changes in equity 116 Improving Quality 31 Statement of cash flows 117 Service Developments planned for 2015/16 33 Notes to the accounts 118 OPERATIONALPERFORMANCEREPORT 37 APPENDIX1QUALITYACCOUNT 155 Principal activities of the Trust 38 What is a Quality Account? 156 Review of Operational Performance 39 About Our Trust 157 Quality 41 1. A Statement on Quality from the Chief Executive 159 Regulatory Performance Ratings 43 2. Report on Priorities for Improvement in 2014/15 161 Research Performance 46 3. Priorities for Improvement in 2015/16 170 Education and Performance 47 4. Statements related to the Quality of Sustainability/Climate Change Performance 50 Services Provided 178 5. A Review of Quality Performance 186 OURPATIENTS,OURSTAFFAND 6. Statement of Directors’ responsibilities in respect of OURPARTNERS 57 the Quality Report 208 Our Patients 58 7. Comments from stakeholders 209 Our Staff 60 8. Independent Auditor’s Assurance Report 214 Equality and Diversity 68 9. Glossary of Terms 216 Working with Our Partners 72 Appendix A - Local Clinical Audits 218 Appendix B - Trust Committee Structure 239 GOVERNANCEREPORT 73 Board of Directors 74 Committees of the Board of Directors 82 Council of Governors 86 Foundation Trust Membership 90 L&D: Introduction INTRODUCTION Awards and Congratulations 4 About this Report 9 Introduction 10 Chairman’s Statement 11 3 ANNUAL REPORT & ACCOUNTS 2014/15 & ACCOUNTS REPORT ANNUAL Awards and Congratulations MacmillanQualityAwardforL&DCancerUnit AwardWinningApprenticeSchemeatL&D During the year, we Over the past year, were delighted to six young adults have receive a Macmillan been engaged in Quality work placements at Environment Award the L&D through a which assesses how scheme called well buildings such Apprentice Steps. as chemotherapy Apprentice Steps is a units provide support and care for people affected by partnership between the L&D, Luton Borough Council’s New cancer. The award coincided with the completion of an Horizons Service and Luton Adult Learning. The project extensive programme of renovation to refurbish and provides accredited learning and work placements for adults upgrade the facility. with learning disabilities and hopefully leads to paid work in the local area. Patients have said how impressed they are with the improvements, and one said it was like moving The pilot project was set up to improve the social and up to business class because the new chairs are so economic prospects for adults with learning difficulties. The comfortable that he can fall asleep while having his partnership has been very successful, and has achieved local chemotherapy treatment. and national recognition winning prizes at the recent Adult Learners’ Week and NHS Eastern region award ceremonies. It is well recognised that an environment where individual privacy and dignity are respected and which is Hazel Watson from L&D’s Training Department said, welcoming, accessible and offers choice and comfort, is “Apprentice Steps has enabled people with a learning beneficial to patients’ recovery. difficulty to gain credible work experience and a third of learners are now able to enrol in a mainstream The Macmillan Quality Environment Mark will help to ensure apprenticeship. The learners are meticulous, detail that people affected by cancer are treated and supported in conscious, have outstanding time keeping and reliability and physical environments of uniformly high quality. many having fantastic IT skills. They have added real value to the Trust and I would strongly recommend Apprentice Steps to other potential partnership hosts.” EqualityandDiversity2014-15NHS EmployersPartnersAward L&D’sGastroenterologyTeamarenational We received an champions award from NHS Employers for our A team from L&D’s work on Equality and Gastroenterology Diversity during the Department led by year. The team at the Dr Matthew Johnson Trust, Angela Doak scooped a 4 (Director of HR), prestigious national Sally Gitkin, (Head of Organisational Development and award: The British ANNUAL REPORT & ACCOUNTS 2014/15 & ACCOUNTS REPORT ANNUAL Learning) and Sally Dring (Patient Experience Manager) and Society of Gastroenterology SAGE Award 2014 for the the Trust the Equality lead Robert Jones (pictured left), programme they developed to help patients with have helped to ensure the trust has benefitted from being a Inflammatory Bowel Disease (IBD). NHS Partner. The patients and their GPs have access to an online system This has led to the Trust successfully recruiting over offering support to help manage and monitor their disease 60 Personal, Fair and Diverse (PFD) champions; more effectively which helps to avoid flare ups of severe becoming runners up for an award for the Apprentice illness. This in turn reduces the number of emergency steps programme of work ; developing an equalities hospital admissions for these patients – beneficial to both information pack, supporting the trust to make a year on patients and to the hospital. year improvement in its performance against the NHS Equality Delivery System (E.D.S 2) goals. L&D: INTRODUCTION And not content with winning one award, Matthew and the A&EPerformanceNationallyRecognised team are also finalists for the British Medical Journal’s Team of the Year 2014 and they have also made it to the finals for the EHealth Insider (EHI) national awards in October for the category Best Use of IT to support Healthcare Business Efficiency. What a team! Photo shows IBD Project Nurse Karen Lithgow, Gastroenterology Consultant Dr Matt Johnson and Clinical Nurse Specialist Tracey Price proudly collect their 2014 SAGE award. Governorswhohavecompletedtheirfull termsofoffice In March 2015, the BBC reported about the performance of Hospitals across the country at The L&D became a Foundation Trust with a Council of coping with this year’s additional winter pressures. Governors in 2006. Each Governor is able to stay for We are proud to have been named as the only Trust a maximum of three terms of office and during 2014, in the country to have met the 95% target of all A&E four of our Governors, Bina Gupta, Vic Skates, Rowena admissions being seen with four hours. Harrison and Lesley Groves, reached the end of their third term which equated to eight years service on the This is a fantastic achievement and is thanks to the hard Council of Governors. work and team effort given from staff across all areas of the Hospital. Thank you to everyone for your continued The Trust and the Council of Governors join in thanking hard work and support in putting patients at the heart of them for all their hard work over the years. Their support everything we do. by representing the views of the local people and staff, and helping the hospital to shape its plan for the future L&DVolunteerAwardedtheBritish EmpireMedal Eileen McMahon is the L&D’s longest serving Volunteer has been invaluable. having been with us for 40 years. She offers her unique skills as a Skin Camouflage Practitioner not just to our patients solely, but also via the charity ‘Changing Faces’. Eileen has received a number of awards over the years, Bina Gupta, Rowena Harrison, including the Queens Medal via the British Red Cross for Public Governor Public Governor her Services to Volunteering, but her most recent, the for Luton for Bedfordshire British Empire Medal , or BEM (for her services to the Community 5 has been invaluable. Vic Skates, Lesley Groves, Public Governor Staff Governor for Luton for Nursing & Midwifery Eileen (centre) with the 4 Volunteer Managers she has worked with (L-R) Liz Bagshaw, Karen Bush, Sally Dring and Rhona Harvey 75thAnniversaryArchiveandHistoryTalks LongServiceAwards Over the 75th Anniversary year, Janet and John Graham On Thursday 13th November 2014, the Chief Executive have voluntarily supported the work of our archive and was delighted to spend time, along with other Trust Janet, who trained and worked at the L&D as a nurse. Board members, in the company of staff celebrating has presented many wonderful talks about the L&D’s 75 their long service with the Trust. In recognition of this years within the community. Our thanks go to Janet and we enjoyed Afternoon Tea where many memories were John for their dedication to the Trust. shared about the hospital over the past 25 years. It was a lovely afternoon which was made even better by the enthusiasm and
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