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Cornwall Partnership NHS Foundation Trust Annual Report and Accounts 2019-20

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Cornwall Partnership NHS Foundation Trust Annual Report and Accounts 2019-20 Annual Report and Accounts 2019/20 Cornwall Partnership NHS Foundation Trust Annual Report and Accounts 2019/20 Presented to Parliament pursuant to schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 © 2020 Cornwall Partnership NHS Foundation Trust CONTENTS 01 Chair’s introduction 6 02 Performance overview 11 02 Performance analysis 20 03 Accountability report 43 04 Finance report 123 01 Chair’s introduction Welcome to Cornwall Partnership NHS Foundation Trust’s Annual Report for 2019/20. Thinking back to the start of the financial in mid, north and east Cornwall. Inspectors year, I would never have anticipated that my reported significant improvements from their introduction to the annual report would be previous inspection in April 2019. reflecting on a year in which our Trust and the entire NHS faced the most significant November was also the month we held our health pandemic in our lifetime; one which annual CARE Awards. Over 140 nominations is likely to continue to impact each and every were received across nine categories, and we one of us throughout 2020/21. were delighted to celebrate the achievements and innovations of 28 finalists during the In introducing this report, it is important to Awards ceremony. mention some of the milestones we passed in 2019 and which now feel a lifetime away. As in previous years, we have experienced high demand for our services, especially In September, we opened the doors to during the winter and more recently in Sowenna, Cornwall and the Isles of Scilly’s response to COVID-19. We have continued first specialist adolescent mental health unit. to perform well against the majority of Sowenna provides inpatient and outpatient quality and operational standards. We also care to young people between the ages of met our financial targets, while ending the 13 and 18 and has meant that many young year with a surplus of £2.423m, £2.290m of people have been treated close to family this represents additional funding received and friends. The community’s interest because we achieved our control total. and generosity enabled us to provide an outstanding facility which makes a real It wasn’t until January 2020 that the first difference to the lives of young people every cases of COVID-19 were announced on the day. other side of the world. The response of our colleagues and volunteers has been In November, the Care Quality Commission tremendous. I have been humbled by the (CQC) published the outcome of a focussed way they have responded to the pandemic, inspection of our community child and going above and beyond to care for patients adolescent mental health services (CAMHS) and their families in the most challenging 6 Cornwall Partnership NHS Foundation Trust Annual Report and Accounts 2019/20 of circumstances. We were also delighted I would like to thank two of our Governors to welcome back a number of staff, who who represented our West Constituency returned to the Trust to support the NHS’s whose terms of office ended during 2019/20. response. Joy Gunter who has been a Governor since June 2014 and an active volunteer for the On behalf of the Board of Directors and Trust, and Graham Enoch, who was elected in Council of Governors, I would like to take June 2014. I wish them both well and thank this opportunity to thank everyone across them for their tireless input and support as the Trust for everything they have done, but Governors over a number of years. especially over the last few months. Finally, I would like to thank Dr Steve Watkins The response and support we have received for the expertise he has brought to the Trust; from the community has been heart-warming first as a Governor and more recently as – from small acts of kindness, charitable Non-Executive Director. Steve retired from donations to support staff, through to the the Board at the end of February 2020, but weekly 8.00pm clap for key workers, who will continue to support the Trust as a mental extend far beyond our own colleagues. health act manager. Steve will be replaced on the Board of Directors by Julie Stone. All health and social care partners in Cornwall and the Isles of Scilly have been working together to support each other and to ensure people receive the right care and support, in the right place at the right time. Some of the service and transformational change which has been achieved in such a short space of time has been truly remarkable. As we move into May, we are starting to think about how Dr Barbara Vann, Chair we reset services as lockdown eases, and what our new NHS will look like. Cornwall Partnership NHS Foundation Trust 7 Annual Report and Accounts 2019/20 Highlights of the year APRIL MAY Celebrating the 70th birthday of the League Nurse leads major new frailty study of Friends One of our Nurse Consultants has devised a Afternoon tea parties were held up and major new study to change the way elderly down the county to thank the Leagues for people with frailty are cared for in the their essential fundraising and support. The community. The HAPPI (Holistic Assessment first League of Friends conference took place and care Planning in Partnership Intervention) on 24 March 1949 and was attended by 175 will develop, implement and test a nurse-led Leagues. intervention to improve healthy living in frail older people. JUNE JULY Virtual reality part of the therapies offered CQC inspection report changes our in Sowenna rating to Good Three therapeutic environments are being The Care Quality Commission published its created for staff to use with young people most recent inspection report which saw to reduce anxiety and stress. The use of an improvement in the Trust’s overall rating the innovative technology has been made to Good. However, inspectors highlighted possible from charitable donations to concerns with regard to CAMHS in the mid the Trust. As virtual reality (VR) is a new and east of the county, issuing the Trust with therapeutic tool, its use will be supported by a warning notice. a research study to evaluate its benefits. 700+ mental health patients benefit Cornwall School Games thanks to clinical research #SkipForSowenna More people with mental health conditions Cornwall School Games named Sowenna are benefiting from access to new treatments as their charity of the year, signing up as the number of clinical research participants to support #SkipForSowenna. A massive increased by 12 percent compared to sponsored, skip took place at the Cornwall 2017/18. We recruited over 750 participants School Games on 28 June 2019 with over to research studies and were the third most 4,000 people skipping all at the same time! improved mental health trust in the country for increasing our research output. 8 Cornwall Partnership NHS Foundation Trust Annual Report and Accounts 2019/20 Highlights of the year AUGUST SEPTEMBER Men urged – Don’t flush your life away Sowenna opens The third phase of our mental health Our £9.3m flagship child and adolescent campaign – Don’t flush your life away - mental health unit - Sowenna - opened its launched this month. The initiative is part doors for the first time. Sowenna, which of an ongoing effort to raise awareness of means success and welfare in Cornish, men’s mental health in Cornwall, which has a provides 14 inpatient beds for young people higher than national average rate of suicide, aged 13 - 18 years. The facilities include an with the most at-risk group being middle- educational wing, parental accommodation aged men. The campaign aims to grab the plus a covered outdoor multi-purpose area attention of men, while in the wash-room of for gym, dance, educational, cinema and their local pub. theatre based activities. OCTOBER NOVEMBER Epilepsy app launched in Australia CQC welcomes improvements Epilepsy Action Australia welcomed the In November, the CQC published an updated launch of the SUDEP and Seizure Safety report after a focussed inspection of child Checklist. The app is the first free clinical and adolescent mental health services checklist tool available in Australia to help (CAMHS) in the mid and east of the county. people with epilepsy and their clinicians Inspectors were happy that the Trust had met discuss and monitor risk factors. The app was all the required standards and praised the developed in Cornwall by SUDEP Action and systems put in place by the Trust to deliver the Trust. sustainable improvements to access and waiting times. Cornwall Partnership NHS Foundation Trust 9 Annual Report and Accounts 2019/20 Highlights of the year DECEMBER JANUARY Board meeting held at state-of-the-art GP Fast-track plans to keep people out of practice hospital The Trust’s December Board of Directors’ We were announced as one of seven meeting was held in the St Clare Medical areas across the country to accelerate Centre, Penzance. The £6m practice has been improvements to help mainly older people built on land bought by ten partners, from stay well at home and avoid long stays three local GP practices. The facility opened in hospital. This will take forward plans in August and offers range of primary outlined in the NHS Long Term Plan to care services, rooms for visiting clinicians, enable community teams to respond to operating theatres and meeting rooms people’s needs and prevent admissions. available for public use. A presentation was The new approach will see urgent support received from Dr Boulter on the new facilities being provided in two hours, or two days for and ways of working which the build had reablement support.
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