and NHS Foundation Trust

Our Trust A great place to work with you all the way

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County Durham and Darlington NHS Foundation Trust

Contents

ABOUT COUNTY DURHAM AND 03 DARLINGTON NHS FOUNDATION TRUST

OUR STRATEGIC DIRECTION 2012-15 SUMMARY 09

ABOUT THE TRUST CARE GROUPS 12

ABOUT THE TRUST THE BOARD 14

AROUND COUNTY DURHAM 16 AND DARLINGTON

with you all the way 01 County Durham and Darlington NHS Foundation Trust is one of the largest integrated care providers in England, serving a population of 600,000 people. We are a high performing organisation with a track record of success.

Acute services: University Hospital of North Durham

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About County Durham and Darlington NHS Foundation Trust

County Durham and Darlington NHS Foundation Trust is one of the largest integrated care providers in England, serving a population of around 600,000 people. We are a high performing organisation with a track record of success. We have been listed in the CHKS 40 top hospitals for the last four years, Acute services: Darlington Memorial Hospital and were named as one of Dr Foster’s Trusts of the Year in 2009. status which secures both hospitals In Darlington Memorial these The Trust has been an integrated as acute sites for at least the next include: upper limb surgery, ENT, acute and community services provider three years. bariatric surgery and upper gastro since 2011, and a foundation trust intestinal surgery. since 2007. A £40 million investment in upgrading the infrastructure at Darlington In University Hospital these include: Acute services Memorial Hospital will be completed revision orthopaedic surgery, vascular The Trust provides acute hospital in 2012. This includes an expansion surgery and hyper-acute stroke. services at Darlington Memorial of accident and emergency, a new Hospital and University Hospital of intensive therapy unit, and new energy University Hospital is a sub-regional North Durham. Core services at each centre and engineering services. centre for plastic surgery and of these sites include accident & dermatology, providing these services The Trust is also developing a emergency; acute medicine; critical for a population of more than 1 million portfolio of centres of excellence at care; emergency and planned surgery; across County Durham and South each hospital in a range of specialties, orthopaedics; women and children, of Tyne. operating on a hub and spoke model, and a full range of support, diagnostic to ensure local sustainability. These The hospitals work closely with the services and outpatients. include new services, but also include tertiary centres at Newcastle upon Tyne Both Darlington Memorial and UHND services where each hospital has a Hospitals and James Cook University have been accredited with trauma unit traditional strength. Hospital in Middlesbrough.

A £40 million investment in upgrading the infrastructure at Darlington Memorial Hospital will be completed in 2012.

with you all the way 03 Elective services Hospital provides local hospital services for its community, and planned care in a range of specialties for the population of County Durham and Darlington. Bishop Auckland’s centres of excellence include an arthroplasty unit for low-risk hip and knee replacement; an ophthalmology unit, with its own operating theatre where the cataract surgery is performed; and bowel screening investigations as part of the national screening programme.

Bishop Auckland also has a specialist Elective services: Bishop Auckland General Hospital centre of rehabilitation excellence including stroke, orthogeriatrics, and neurorehabilitation, staffed by highly skilled nursing staff and experienced therapists, supported by consultant teams. A midwifery unit offers care to women with low risk pregnancies. Community services The Trust provides community services from six community hospitals and 80 other community based locations, as well as providing care in patients’ homes. Community hospitals provide a range of services including elderly care and respite beds, outpatients and diagnostics. They provide a Community services: Community Hospital hub for other services and staff. Community hospitals are located in: • (Richardson Adult community services include equipment loans; wheelchair Community Hospital) community nursing; intermediate care; service and mental health. nutrition and dietetics and therapies. • Chester-le-Street Specialist services are provided • Children’s services include for patients with conditions therapies, nutrition, health visiting such as multiple sclerosis, • Sedgefield and school nursing. lymphoedema, respiratory disease, • Shotley Bridge Other community services include diabetes, and patients requiring • Stanley (Health Centre) six urgent care centres; home palliative care.

04 www.cddft.nhs.uk The Trust provides community services from six community hospitals and 80 other community based locations, as well as providing care in patients’ homes.

Community services: care in the home

with you all the way 05 Under the strategy of “prevention first”, the Trust is developing its approach to making every patient contact an opportunity to improve health.

Rehabilitation: Bishop Auckland Hospital

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Health and wellbeing innovative approaches to improving which focuses on smoking cessation access to lifestyle advice and for patients in hospital and “Action The Trust’s Health and Wellbeing healthier choices. on Alcohol” providing screening, services include health promotion and advice and treatment programmes health improvement activities provided Under the strategy of “Prevention for clients and patients. in a range of settings across County First”, the Trust is developing its Durham and Darlington. approach to making every patient The Trust hosts two regional contact an opportunity to improve health and wellbeing organisations: Healthworks, located in Easington health. We are implementing two Fresh and Balance, which are aimed in East Durham, is a pioneering major health improvement at reducing smoking and alcohol service which is taking new and programmes – “Routes to Quit”, consumption across the North East.

Health and wellbeing: focus on undernutrition

with you all the way 07 Our vision “with you, all the way” encapsulates our commitment to put our patients at the centre of our activities, to ensure a high quality experience and outcome for all the people we serve, wherever they receive our services.

Elderly care

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Our strategic direction 2012-15

The challenge facing modern healthcare systems is to meet the needs of an ageing population by transforming the way that Prevention and care is provided to people enablement with long term conditions. This means supporting people, usually older people, with complex health needs to live Patient independent lives. It is widely centred recognised that the response care to this challenge must see less Quality reliance on acute hospital care Care closer hospital and more focus on an to home integrated system. care

County Durham and Darlington NHS Foundation Trust is now one of the largest integrated care providers in England. Our aim is to become a Our strategic challenges nationally recognised high quality provider of patient centred health and healthcare services for our local During 2011, we worked with quality experience and outcome community and beyond. staff and stakeholders including GPs, for all the people we serve, wherever commissioners, local authorities, and We are giving priority to they receive our services. patient representatives to articulate providing as much care as possible our vision of integrated patient Three strategic challenges closer to home, aligning community centred care. underpin our vision to deliver and hospital services to improve patient centred care:- the quality of acute admission and Our vision “with you, all the way” discharge and improving services encapsulates our commitment • Prevention and enablement - for older people - especially those to put our patients at the centre Making every patient contact an with long term conditions. of our activities, to ensure a high opportunity to improve health

with you all the way 09 • Care closer to home - Streamlining • An excellent patient experience – has brought together health patient services, providing more care Evidence shows that better outcomes and social care teams and which in community based settings and in are linked to a better experience. is improving services for children the home. Working closely with Patient experience is the focus of and families across the County. the NHS outcomes framework GP colleagues to maximise the • We have introduced a 7 day rapid for 2012/13. potential of the community hospitals, assessment service for older people. our Urgent Care Centres, and our • Improving efficiency – The Trust This means swifter assessment and community-based staff, to provide is required to reduce its costs by diagnosis for older people following local urgent care, planned care, £20 million in each of the next two arrival at hospital, and in other diagnostic out-patient and years, and although plans are well locations with the emphasis on rehabilitation services. In addition, developed for next year, we need avoiding hospital admission we will develop Bishop Auckland to develop plans for 2013/14, and wherever possible implement these successfully. Hospital as a Centre of Excellence • We are working with Macmillan for rehabilitation, elective and • Being a best employer – Cancer Support to help more other specialist services. Evidence shows that high levels of patients spend their last days staff motivation and satisfaction are • Quality hospital care - Sustaining in their preferred place of care. related to better patient experience and developing Darlington Memorial and outcomes. Our rate of response • Both Darlington Memorial and and the University Hospital of North to staff survey, and scores on UHND achieving trauma unit status Durham as major local providers of indicators show where we need which secures both hospitals as acute hospital services. We will also to make an improvement. acute sites for at least the next continue to develop both Darlington three years. We have established and Durham as centres of excellence Implementation centres of excellence at Darlington for specialist services such as Major developments are already Memorial Hospital for bariatric bariatric surgery and hyperacute taking place: services for people from Durham and the Tees Valley and at UHND stroke care. Where appropriate we • Implementation of two major health for hyper-acute stroke services. will continue to develop partnerships improvement programmes - Routes Our £40 million investment in with other neighbouring foundation to quit which focussed on smoking renewing the Darlington site is trusts - especially for highly cessation for patients in hospital specialised services. and Action on alcohol which nearing completion providing screening, advice and We want to maintain our Three care groups have been treatment programmes for clients position as a top performing established to develop detailed and patients. plans on a service by service basis. Foundation Trust by continuing Each Care Group’s clinical to deliver excellent performance • With Tees, Esk and Wear Valleys representation has been increased against all quality and business Mental Health Foundation Trust at Executive Directors Group so standards required by our and Darlington Borough Council, that each care group now has four commissioners and regulators. we are providing better care for dementia patients. Ward 51 at clinical representatives. We are therefore structuring our Darlington has been established operational plans for delivering as a centre of excellence for Next steps our clinical strategy around dementia care in hospital and this The Trust will be sharing this document four outcomes:- best practice is now being spread internally and externally during the early part of 2012 in order to hear • The best health outcomes right across the Trust. views of all stakeholders. for patients – we need to ensure • With Durham County Council, higher standards of care and we have established the ‘One You can also email improved outcomes. Point’ children’s services which [email protected]

10 www.cddft.nhs.uk We want to maintain our position as a top performing Foundation Trust by continuing to deliver excellent performance against all quality and business standards required by our commissioners and regulators.

with you all the way 11 ABOUT THE TRUST CARE GROUPS

Therapies: Bishop Auckland Hospital

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Our services operate hospital admissions and outreach Each care group is led by a clinical in three care groups: into the community director, and an assistant chief operating officer. Each group has Surgery and diagnostics includes Care closer to home includes all surgical specialties, pathology a further three clinical leads and women’s and children’s services, a supporting nursing and therapies, and community nursing and radiology provided in hospital management structure. and other services provided in the and community settings community and in community hospitals. There are strong links between Clinical directors, leads and associate Acute and long term conditions the care groups to support the chief operating officers meet the includes A&E and urgent care, acute development of more streamlined chief executive and directors at hospital services, and new services services across care pathways, and a weekly executive directors’ which provide an alternative to links to health and wellbeing services. group meeting.

Chief Executive/Executive Directors Group

Care Closer Acute and Long Surgery and to Home Term Conditions diagnostics

Health and Wellbeing

Clinical directors, leads and associate chief operating officers meet the chief executive and directors at a weekly executive directors’ group meeting.

with you all the way 13 ABOUT THE TRUST THE BOARD

The Chairman and members of the Governing Council

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The Board has five executive directors, including the Chief Executive, five non-executive directors and a non-executive Chairman. The roles of the executive directors are below: Chief Executive

Executive Director Executive Director Executive Medical Executive Director Director of HR Director of Estates of Nursing and of Commercial Director of Finance and OD and Facilities Patient Experience Services

The Board committee structure is outlined below.

Board of Directors

Investments Committee Audit and Charitable Funds Committee Committee

Remuneration Nominations Committee Committee

Transforming Clinical Services Task Force

Quality & Healthcare Business & Executive Workforce Governance Operations Directors’ Group & OD

with you all the way 15 AROUND COUNTY DURHAM AND DARLINGTON

Durham Cathedral

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County Durham and Darlington lies at the heart of a region whose history has helped shape the British nation. It is a region of great natural beauty, historic battlefields, castles and cathedrals.

Darlington and Bishop Auckland are historic market towns and Durham’s Norman Cathedral, a world heritage site, provides a magnificent backdrop for a city of winding streets, picturesque walks and stunning views. In the rural Durham Dales, Hamsterley Forest and High Force are destinations for walkers, and there are attractive villages such as Staindrop and Stanhope. High Force Waterfall on the River Tees in County Durham Bowes Museum, near Barnard Castle, is a magnificent building which houses the largest selection of fine decorative To the North there is the celebrated Education arts in Britain, as well as some of the cultural and social life of There is a high standard of educational best examples of old masters outside Newcastle/Gateshead. Further North the National Gallery. Nearby, Raby is the Tyne Valley and Northumbria facilities, a comprehensive range of Castle dating from the 14th century National Park. The North East coastline nursery, infant, junior and secondary is famed for its interior and setting. is dotted with picturesque fishing schools. There are also independent schools in Bishop Auckland, Darlington The Beamish Open Air Museum, a few villages and larger resorts. and Durham and the surrounding miles out of Durham shows Edwardian Housing towns. Many establishments boast a buildings and artefacts, which have been painstakingly moved and rebuilt Choice of housing is varied all within high level of attainment and attract providing a trip through time. easy distance of the hospitals. Ranging pupils from a wide area. from apartments and terraced town Darlington provides easy access to houses to the most exclusive There are highly regarded Universities, the North Yorkshire Moors and the “executive” housing there is an and further education is well provided Yorkshire Dales, both offering some abundance of locations to choose for at colleges in Darlington, Durham, truly remarkable scenery and unspoilt from, from town centres to pleasant and Middlesbrough, Newcastle and countryside. rural villages. Sunderland.

Darlington provides easy access to the North Yorkshire Moors and the Yorkshire Dales, both offering some truly remarkable scenery.

with you all the way 17 In Newcastle, the Theatre Royal is visited by the National Theatre, Royal Ballet, Opera North and the Royal Shakespeare Company

Newcastle Theatre Royal

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Culture and social County Durham and Darlington offers a wide range of cultural and social activities. There are theatres based in Bishop Auckland, Darlington and Durham, which provide a variety of performances throughout the year. In Newcastle, the Theatre Royal is visited by the National Theatre, Royal Ballet, Opera North and the Royal Shakespeare Company. Gateshead Sage hosts performances ranging from orchestral to celebrated solo artists. There is a growing range of high quality restaurants and cafes across the area. Shopping Gateshead Sage The busy indoor and outdoor markets and the excellent selection of stores and specialist shops in the town centres at Darlington and Durham Sport Communication links provide the focus for shopping. The North East is passionate about The area of County Durham and good sport. Newcastle United, Darlington is bisected by the A1M, Two of the largest shopping centres Sunderland and Middlesbrough and there is good access to Newcastle in Europe are close by. The Metro football clubs are within easy reach, and Durham & Tees Valley Airports Centre at Gateshead is a complete as are the Newcastle Falcons for Rugby both of which host a range of standard shopping and entertainment Union, and the Riverside is host carriers and low cost airlines. complex with over 300 retail outlets, to Durham County Cricket Club. multiscreen cinema, fairground and Darlington and Durham have main antiques village. Eldon Square in There is plenty of provision for soccer, line east coast stations with direct Newcastle boasts the largest John rugby, swimming, golf, climbing, access to London in approximately Lewis and Marks and Spencer outlets walking, canoeing, and angling and 2 hours 30 minutes. outside London and has an excellent many other sports at the five multi- selection of retail stores. purpose district sports centres.

The busy indoor and outdoor markets and the excellent selection of specialist shops in Darlington and Durham provide the focus for shopping.

with you all the way 19 County Durham and Darlington NHS Foundation Trust with you all the way

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