Annual Report 2010-11 Contents

Bwrdd Iechyd Cwm Taf Health Board Annual Report 2010-11 Contents Message from the Chair and Chief Clinical Services – Service Executive 4 Developments and Improvements 42 About the Health Board 6 Workforce and Organisational The Health Board Development (OD) 47 Committees Job Centre Plus Award Management Arrangements Health & Wellbeing Directors Interests Working in Partnership Governance 10 European Working Time Regulations Workforce Planning Health and Safety Learning and Development Freedom of Information Act 2000 Policy Development and Equal Opportunities Information on Emergency Preparedness Organisational Development (OD) Statement of Internal Control The Future Public Health 19 Our Workforce in Numbers What are our strategic priorities and where do we want Partnership Working 52 to be in 2015? Local Service Boards What are our key achievements this year? Health, Social Care and Wellbeing Partnerships Acute Stroke Services (HSCWB) – Merthyr Tydfi l and Rhondda Cynon Taff Research & Development 30 Children and Young People’s Partnerships – Merthyr Developments Tydfi l and Rhondda Cynon Taff Achievements Community Safety Partnerships – Merthyr Tydfi l and R&D Activity Rhondda Cynon Taff Forward Plan – Aims and Objectives 2011-2012 Welsh Health Specialised Services Patient Care and Safety 34 Committee (WHSSC) 57 Clinical Governance Arrangements Fundamentals of Care Welsh Health Estates 59 Complaints & Compliments 38 Facilities 60 Compliments Looking Forward to 2011-12 63 Performance 41 Financial Performance and Review 64 Waiting Times Targets Cancer Access Targets Accident and Emergency (A&E) Targets Prince Charles Hospital Aberdare Hospital Mountain Ash Hospital St Tydﬁ l's Hospital Royal Glamorgan Hospital Dewi Sant Hospital Ysbyty Cwm Rhondda Ysbyty George Thomas Pontypridd & Cottage Hospital For further copies of this report, copies of the full audited accounts and any information regarding the Health Board, please contact: Mrs Amanda Powell, Head of Corporate Services Cwm Taf Health Board, Ynysmeurig House, Navigation Park Abercynon, Rhondda Cynon Taff CF45 4SN A large print version of this report is available on request. © Cwm Taf Health Board 2011 Mrs Allison Williams, Chief Executive Dr Christopher Jones, Chairman Message from the Chair and Chief Executive It gives us both great pleasure to introduce this the second Annual Report for Cwm Taf Health Board. We hope you fi nd this document both interesting and informative. The Annual Report is an opportunity to highlight levels of immunisation, working with Community our achievements and successes in delivering health Pharmacies to provide access to advice and self- care across Cwm Taf and to demonstrate how we help through to specifi c campaigns such as helping sought to ensure the best use of the resources pregnant mothers to give up smoking. This is a long available to us over the last year. journey to improving the health of people living Firstly, we would like to take this opportunity to in Cwm Taf and one which we are committed to sincerely thank all our staff for their continued hard working really hard, together with our partners in work and dedication to delivering the very best Local Government, other statutory partners and the possible healthcare for our population. From some Voluntary Sector to deliver. of the fantastic feedback we get from local people, Working together, our hospital Consultants, Nurses we know that our staff frequently go the extra mile and General Practitioners have made great progress to support patients and their families during diffi cult in developing services in the community to avoid the times and we are very proud of their efforts to need for unnecessary trips to hospital. From direct- balance the need for quality whilst at the same time access to tests in the community to moving specifi c helping to make the progress necessary to allow us treatments from outpatients to the GP surgery this to achieve our fi nancial and service targets. is all part of a long-term programme of improving This last year has seen many changes and access for our patients in their local community. developments in the way in which we deliver We have been able to secure signifi cant capital services as well as our environments of care. We funds to redevelop services in the Merthyr Tydfi l and have focused efforts on health promotion to assist Cynon Valley areas. This long overdue investment in people in our community to keep well and prevent our hospitals and clinics reconfi rms our commitment ill-health. This has ranged from continued high to provide high quality services as locally as possible. 4 Cwm Taf Health Board Annual Report 2010-11 During 2010/11 on the Prince Charles Hospital It was, therefore, particularly pleasing that staff site we have opened the new Day Surgery Unit, delivering these services received national awards the new Emergency Care Centre and Orthopaedic and further details are available within the report. and Fracture clinics, newly refurbished Wards 7 & Once again the vast majority of patients were 8 and the Macmillan Cancer Care Unit. Other key satisfied with the care provided to them and many developments have seen the building work start on took the opportunity to make complimentary the new Merthyr Tydfil Health Park, and the opening comments and relay messages of thanks to the of the new Treharris GP practice. Work has also staff. However, despite our very best efforts, we progressed well with the new Cynon Valley Hospital know that sadly we don’t always get things right which will open in the next few months. for our patients and one of the key things we Ysbyty Cwm Rhondda opened its doors to patients have done over the last year is review our systems in January 2010 and has now been operational and processes for resolving concerns when they for 18 months. A new MRI Scanner has been are raised with us. I am pleased to say that by operational in the Royal Glamorgan Hospital since the end of 2010/11 we had put in a new set of April 2011 and approximately 18 patients per day arrangements which, we strongly believe will benefit from this service. be well received by our community. Openness Like all other Health Boards in Wales, the financial and transparency is critical to ensure trust and position over the last 12 months has been extremely confidence in local services and this is something challenging and we have been required to deliver that we and our Board is fully committed to significant financial savings to meet our statutory delivering. financial obligations. In developing and delivering We would like to thank all Board Members these programmes, patient care and safety has including our newly appointed Associate Members been paramount and we are pleased that as well and staff side representatives for their hard work, as breaking even we also received an unqualified expertise and commitment to ensuring that we opinion on the annual accounts from our external continue to deliver the best possible health services auditors. for the people of Cwm Taf. In year progress was also made in our performance We would like to specifically take this opportunity against key performance targets included in Welsh to offer our sincere thanks to Mrs M Foster who Government plans such as the Annual Quality retired as Chief Executive following a long and Framework, National Service Frameworks and other distinguished career in healthcare management health care strategies. and also to Dr Chris Turner for all his support as an We are committed to further developing and Independent member of the Board during his term enhancing effective joint working with partner of office with us. organisations through continuing to roll forward Finally, we believe that the Board is better placed “Setting the Direction - Primary and Community to meet the challenges ahead – developing primary Services Strategic Delivery Programme” and and community services, improving standards, embedding our locality arrangements. The strengthening governance, creating financial establishment of a Joint Local Service Board with sustainability and above all improving the health our two Local Authorities has progressed well and and well being of our communities. this is enabling us to develop joined up Health and Social Services Strategies and single plans in services such as Children and Young People. We are determined to ensure that quality, safety and strong governance are at the heart of our organisation. Accordingly, we are working jointly with Healthcare Inspectorate Wales to review our current arrangements and agree how we can further enhance and improve them. We are very proud of the excellent standards of care that we are providing to our local population. Cwm Taf Health Board Annual Report 2010-11 5 About the Health Board About the Health Board Our vision is to prevent ill health, protect good health and promote better health by providing services as locally as possible and reducing the need for hospital inpatient care wherever possible. Local Health Boards are statutory bodies established The Health Board by and accountable to the Welsh Government. Cwm Taf Health Board was established on 1 The organisation is led by a Board of Directors made October 2009 and provides a full range of high up of a Chairman, Vice Chairman, Independent quality hospital and community based services to Members, a number of Executive Directors and the residents of Rhondda Cynon Taf and Merthyr Associate Members. The Chairman, Vice Chairman, Tydfil. Independent Members and Associate Members are appointed for fixed term periods by the Welsh The development of the NHS in Wales is guided by Government and the date of the current term for key strategic documents including “Designed for each is shown below. Executive Directors are full Life”, “Improving Health in Wales” and “Setting time NHS Professionals, are appointed by the Board, the Direction – Primary and Community Services and hold full permanent contracts of employment.

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