Annual Report and Accounts 2013/14
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Annual Report and Accounts 2013/14 Central Manchester University Hospitals NHS Foundation Trust Annual Report and Accounts – 2013/14. Presented to parliament pursuant to Schedule 7, Paragraph 25 (4) of the National Health Service Act 2006. 1 2 Contents Message from Chairman and Chief Executive ................................ 4 Strategic Report ...................................................... 6 Directors Report ..................................................... 18 Working with our Patients and Visitors .................................... 20 Equality, Diversity and Human Rights ..................................... 30 Corporate Social Responsibility .......................................... 36 Staff Recognition .................................................... 38 Carbon Reduction/Sustainability ......................................... 42 Infection Prevention and Control ......................................... 46 Research and Innovation ............................................... 48 News over the Year ................................................... 52 Activity and Performance .............................................. 84 Quality Report ....................................................... 85 Monitor's Regulatory Ratings .......................................... 192 Council of Governors ................................................ 194 Membership ....................................................... 204 Board of Directors ................................................... 210 Statement of Compliance with the NHS Foundation Trust Code of Governance .... 220 Annual Audit Committee Report ........................................ 221 The Remuneration and Nominations Committee Report ...................... 226 Statement of Chief Executive’s Responsibilities as the Accounting Officer of Central Manchester University Hospitals NHS Foundation Trust ......... 227 Annual Governance Statement ......................................... 228 Annual Accounts ................................................... 244 Our Vision is: to be recognised as leading healthcare in the NHS, excelling in quality, safety, patient experience, research, innovation and teaching, dedicated to improving health and well-being. Our Values: Pride Dignity Empathy Respect Consideration Compassion 3 Message from the Chairman & Chief Executive Welcome to our sixth annual report as a Foundation Trust. We would like to begin this report by thanking our staff for all their hard work and dedication over the year. It has always been and continues to be a privilege to work in an organisation where so many staff, on daily basis, go that extra mile to ensure our patients receive the very best care. Throughout the year concerns about the quality and nurses and all partner organisations in Trafford to safety of hospital care continued to be in the national design future hospital services for the people of spotlight including: the second report of Sir Robert Trafford which are safe, affordable and high quality. Francis QC into the failings at Mid Staffordshire NHS The new model means that the sickest patients are Foundation Trust (February 2013) followed by the cared for in specialist hospitals whilst retaining local published findings of Sir Bruce Keoghs Review of 14 access to a broad range of high quality services for Hospitals (July 2013) and in August 2013 the Report patients with less serious needs. of Professor Don Berwick. In addition to delivering excellent patient services we A common theme from these reports is that there also aspire to excel in the area of research. We were needs to be an organisational focus on the basic delighted therefore to have received the news that standards and components of care. To assure ourselves our Manchester Academic Health Science Centre that we have safe standards of care across all of our (MAHSC) had received re-designation as one of only hospitals and community services we have introduced six elite accredited partnerships in the country; we our own Quality Reviews, conducted by members of are the only one outside the South-East of England. our own staff, visiting clinical areas other than their MAHSC represents a partnership between The own, using a process similar to that used in the Keogh University of Manchester and six NHS organisations, reviews. including ourselves. The MAHSC accreditation is a quality stamp for the world-class clinical research we Our Quality Report provides more detail about how do in Manchester which is subsequently translated this process enables us to continue to learn and into cutting edge clinical treatments for patients. This improve and also how we encourage feedback from year saw our staff also collect three awards at the first our patients on their experience of care in Central ever Greater Manchester Clinical Research Awards Manchester. these being Principal Investigator of the year; Research Trafford Hospital, had in the past, been subject to Nurse of the Year and Highest Recruiting Trust into close scrutiny because of concern about the quality clinical research trials. of its services. Last year we were able to report that We have also received recognition for our excellent standards of patient safety had been brought into services through the numerous television documentary line with national norms. As a result in this same year series and programmes. We are proud to observe the we received the decision by the Secretary of State care and compassion of so many of our staff filmed at to support the new clinical service model at Trafford our hospitals as they go about their day to day roles. General Hospital, which was then implemented It is rewarding to know that these programmes are towards the end of 2013. being seen by several million viewers watching the We have worked in close collaboration with doctors, amazing work of our staff. 4 In terms of specific events this year’s Annual Report provides an overview of those which have occurred over the last 12 months. We would like to highlight some of the key ones: The opening of a new dialysis unit in Stockport so patients can attend for their is available which details all our charitable activities dialysis nearer to home. and we would like to thank all our supporters who Our hospital school based in the Children’s fundraise in so many different ways. Our charity Hospital was declared ‘outstanding’ by Ofsted – events during the year have included The Great the highest grading possible. Manchester Run; Big T Break, Many Hands Campaign and the Discovery Ball. We were the first hospital in Europe to transplant kidneys into a pair of identical 9 year old twin To summarise, this year has not been without its brothers on the same day from the same donor. challenges as is the case for many NHS organisations, however the Trust continues to learn, progress and We held our first Equality, Diversity and Human achieve excellence because of our dedicated staff to Rights fortnight. whom we are indebted. Our Eye Bank reached it’s 20,000th donation. As a Foundation Trust we are directly accountable to As part of the regeneration scheme we are also in our members, local population, communities, partners the process of building a new hospital in Altrincham and other organisations with whom we work. As a town centre which will house high quality facilities Member of the organisation you have an opportunity, for a range of clinical specialties. We are also building through your elected representatives, to shape our a new Hybrid Theatre Suite at the MRI, which future. will transform the care and treatment of patients News and up-dates throughout the year can be found undergoing minimally invasive procedures; and on our website (www.cmft.nhs.uk) and you can also Citylabs, a building on the site of the old Eye Hospital follow us on Facebook and Twitter. which will be opening in the summer of this year to provide state-of-the-art laboratory and office space. Looking further forward into 2014 we celebrate the bi-centenary of the Manchester Royal Eye Hospital which was founded in 1814. We have a programme of activities and events planned throughout the year and we hope you can join us on our open day on 21st October 2014. We are also running a charitable appeal alongside the celebrations to support the future work of the hospital. It is important to remember that even in a publically Peter W Mount CBE funded service such as ours, charitable funding needs Chairman to play a major part in our activities. A separate report Mike Deegan Chief Executive 5 Strategic Report Executive Summary Central Manchester University Hospitals NHS brand new facilities. We have taken responsibility Foundation Trust (CMFT) is a major specialist for local NHS community services and acquired and teaching hospital providing local acute and and re-shaped hospital services in Trafford working community services to the populations of Manchester closely with local clinical commissioning groups in and Trafford, together with complex specialist and both cases. We are now in the process of reviewing tertiary hospital services to patients from the whole of our vision and strategic aims, and updating our key the North West and further afield. priorities for the coming year. These are summarised in our plan-on-a-page (see page 14). CMFT is also the Corporate Trustee to the CMFT Charity (registration no 1049274) and has sole power Our clinical service strategy remains primarily focused to govern the financial and operating policies of the on developing our specialised