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Annual Report 2009/10 ANNUAL REPORT AND ACCOUNTS 2009|10 Guy’s and St Thomas’ NHS Foundation Trust Annual Report and Accounts Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006. contents 1 Chairman’s statement 4 2 Directors’ report 6 3 Operational and financial review 12 4 Our staff, patients and partners 28 5 Teaching and research and development 36 6 Quality report 40 7 Our organisational structure 44 8 Remuneration report 51 9 Annual accounts 53 Annual Report and Accounts 2009/2010 1 Guy’s and St Thomas’ NHS Foundation Trust is part of King’s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between King’s College London, and Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts. King’s Health Partners is one of only five AHSCs in the UK and brings together an unrivalled range and depth of clinical and research expertise, spanning both physical and mental health. Our combined strengths will drive improvements in care for patients, allowing them to benefit from breakthroughs in medical science and receive leading edge treatment at the earliest possible opportunity. For more information, visit www.kingshealthpartners.org. 2 Guy’s and St Thomas’ NHS Foundation Trust Guy’s and St Thomas’ NHS Foundation Trust comprises two of London’s best known teaching hospitals with longstanding reputations for quality and innovation. As well as being one of the most We have a long history of clinical successful Foundation Trusts, we are and scientific excellence. Our National one of the busiest, with around Institute for Health Research funded 900,000 patient contacts every year. comprehensive Biomedical Research We provide a full range of services for Centre, established with King’s local residents as well as specialist College London, is already ensuring services for patients from further that translational research drives afield, including cancer, cardiothoracic better treatment for our patients. and renal services. The Evelina Guy’s and St Thomas’ is one of the Children’s Hospital at St Thomas’ – largest employers in Lambeth and designed with the help of its young Southwark, with almost 11,000 staff. patients – is home to many specialist We work hard to reflect the cultural children’s services, while Guy’s is the and ethnic diversity of the site of the largest dental school in communities we serve and we are Europe. strengthening our partnerships with As part of King’s Health Partners, patients and local people, as well as we are now one of the UK’s first, and neighbouring NHS organisations, local largest Academic Health Sciences authorities, GPs and voluntary Centres and, together with King’s organisations. College Hospital and South London We strive to recruit and retain the and Maudsley NHS Foundation Trusts best doctors, nurses, therapists and and our academic partner King’s other staff and the dedication of our College London, we bring together employees is key to our hospitals’ world-class teaching, research and success. clinical services. Annual Report and Accounts 2009/2010 3 Chairman’s 1 statement King’s Health Partners, our Academic Heath Sciences Centre, has made good progress during 2009/10. Achieving meaningful collaboration in Clinical Academic Groups while maintaining the autonomy and identity of four independent institutions. This has to be based on mutual respect and confidence and has been enhanced by the appointment of Lord Butler to chair the Partnership Board and Professor Robert Lechler as the Executive Director. Both the Trust’s main hospital sites have At a time of financial stringency, seen considerable environmental the Trust Board continues to take its change and improvement during recent responsibilities as stewards of our long months. The advent of the Shard at term future very seriously and will London Bridge, new hotels at Waterloo ensure that the vision of continuing and other external changes will have improvement it has developed is dramatic effects on the local economy. implemented. We are pleased to have It is clear that both the London Bridge the continuing help of generous regeneration zone and the expansion of donors and of Guy’s and St Thomas’ other facilities on the South Bank will Charity under the leadership of Sir create many additional demands. William Wells and Peter Hewitt as the Maintaining relationships with our local newly appointed Chairman and Chief stakeholders, mostly through the South Executive respectively. Bank Partnership, therefore remains an Ron Kerr, our Chief Executive, important responsibility for the Trust continues to inspire the Trust Board Board. It is within this context that the to make ambitious plans at the same first steps in implementation of our time as requiring excellent estates strategy have seen the move of performance. The directors are the medical toxicology service to Mary driving forward important standards and initiatives, and together form an outstanding and talented team of We plan a future in which truly which the Trust should be proud. outstanding care remains accessible They have been joined this year by Hugh Risebrow who, as Commercial for our local population. Director, will bring forward innovative ways in which we can develop our Sheridan House near Guy’s, the expertise and facilities to the benefit opening of Biomedical Research Centre of the Trust and patients. We were facilities in the Guy’s Tower, and the also pleased to welcome Professor temporary relocation of major non- Frank Nestle, who replaced Professor clinical services from St Thomas’ Robert Lechler as the university’s Hospital to York Road, thus enabling nominee to the Board. essential expansion of the accident and In planning its response to emergency department to begin. imminent financial and regulatory All these plans are shared with pressures, the Board is looking to create Governors, local community groups, new sources of revenue but, more patients, and our elected importantly, we are eager to offer the representatives. clinical and other skills of specialist staff 4 Guy’s and St Thomas’ NHS Foundation Trust Showing we care The Trust has embarked on an attitude-changing initiative this year. The Showing we care campaign is designed to encourage everyone to think about their behaviour and how it affects patients, visitors and their own colleagues and, in turn, our services. A number of schemes are in place to help put these principles into practice, including In your shoes, which is an opportunity for senior managers to get an insight into the daily lives of colleagues. Non- Executive Director Jan Oliver, below, has worked as a cleaner and a catering assistant on the wards and in the kitchen, whilst Chief Nurse Eileen Sills has worked on the switchboard and as a recruitment assistant. We are also improving the information we provide to patients, launching a campaign to tell them what they should expect, and continuing to roll out new ideas to promote dignity, and respect for patients. to complement the work of other providers, so widening access for patients. With the absolute priority that the NHS rightly gives to the safety and quality of patient care, Guy’s and St Thomas’ is in a prime position to take a lead in providing excellence beyond our immediate local boroughs. We plan a future in which truly outstanding care remains accessible for our local borough populations but which reaches out to many more patients who need highly specialised services. This clinical strategy is well aligned with broader NHS priorities. Much Board attention has been given to specialist services at St Thomas’ which sit in the heart of London but are not comfortably located within a narrowly defined sector. In this centenary year of her death, our Showing we care initiative reinforces the example and teaching of Florence Nightingale. Her simple maxims “do no harm” and “treat every patient as an honoured guest” should always be at the heart of our values. While we are never complacent about performance, we believe that the staff who look after patients and their families strive to achieve these aims. As a leading Foundation Trust we need to set exemplary standards and I am daily grateful to those who share this ambition. Patricia Moberly Chairman Annual Report and Accounts 2009/2010 5 Directors’ 2 report Guy’s and St Thomas’ continues to deliver excellent patient care, whilst seeking to maintain a strong financial position that will allow us to drive forward quality and service improvements for our patients in the future. That said, striking a balance between quality and service delivery and a healthy financial position, with surpluses to reinvest, has proved increasingly difficult as the external financial environment has started to tighten. There have been significant Executive was delighted to announce achievements during the year, despite the first Clinical Academic Group the inevitable and growing focus on leaders in March, with a rolling cost reduction and savings plans. programme of appointments now Most notably, we have continued to underway. A formal partnership work with King’s College Hospital and agreement is also expected to be South London and Maudsley NHS signed shortly. Foundation Trusts and our shared Work to develop an overarching academic partner King’s College clinical strategy is progressing well, London to develop King’s Health involving closer working between Partners as one of the UK’s first ourselves and King’s College Hospital Academic Health Sciences Centres in particular, as we develop a broad (AHSCs). and shared understanding of the role of each of our main hospital sites and King’s Health Partners identify the areas where we expect to There have been many successes and be world-class. Areas where we want important milestones as we strive to to grow our collective research bring health research, teaching and strength have also been identified and include obesity, cancer, liver and It will challenge us to ensure that vascular disease, as well as public health and children’s services.
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