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Annual Report and Accounts 2019/20

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Annual Report and Accounts 2019/20 Annual Report and Accounts 2019/20 Bradford Teaching Hospitals 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 Bradford Teaching Hospitals NHS Foundation Trust CONTENTS 1. Introduction .................................................................................................................... 1 1.1. We are Bradford ..................................................................................................... 1 2. Performance Report ....................................................................................................... 1 2.1. Overview of Performance ........................................................................................ 1 2.1.1. Purpose of Section .......................................................................................... 1 2.1.2. Statement from the Chief Executive on Performance ....................................... 1 2.1.3. Purpose and activities of the Foundation Trust ................................................ 3 2.1.4. History of the Trust and statutory background .................................................. 6 2.1.5. Key issues, opportunities and risks affecting the Trust ..................................... 6 2.1.6. Going concern disclosure................................................................................. 6 2.1.7. Summary of Performance ................................................................................ 7 2.2. Performance Analysis ............................................................................................. 8 2.2.1. Measurement of Performance .......................................................................... 8 2.2.2. Analysis of Performance .................................................................................. 9 2.2.3. Environment and Sustainability ...................................................................... 17 2.2.4. Social, Community, Anti-Bribery and Human Rights: Issues and Policies ...... 21 2.2.5. Events since year end .................................................................................... 21 2.2.6. Overseas Operations ..................................................................................... 21 3. Accountability Report ................................................................................................... 22 3.1. Directors’ Report ................................................................................................... 22 3.1.1. The Board of Directors ................................................................................... 22 3.1.2. Better Payment Practice Code ....................................................................... 22 3.1.3. NHS Improvement’s well-led framework ........................................................ 23 3.1.4. Fees and Charges (Income Generation) ........................................................ 25 3.1.5. Income Disclosures........................................................................................ 25 3.2. Remuneration Report ............................................................................................ 26 3.2.1. Annual Statement .......................................................................................... 26 3.2.2. Senior Managers Remuneration Policy .......................................................... 27 3.2.3. Annual Report on Remuneration .................................................................... 30 3.3. Staff Report........................................................................................................... 40 3.3.1. Analysis of Staff Costs and Numbers ............................................................. 40 3.3.2. Staff Policies and Actions .............................................................................. 41 3.3.3. Staff Survey ................................................................................................... 42 3.3.4. Trade union facility time ................................................................................. 45 3.3.5. Consultancy and off-payroll arrangements ..................................................... 46 3.3.6. Exit packages (subject to audit) ..................................................................... 47 3.3.7. Gender pay gap ............................................................................................. 48 3.4. Equality Report ..................................................................................................... 49 3.4.1. Staff Equality.................................................................................................. 49 3.4.2. Workforce Race Equality Standard (WRES) .................................................. 50 3.4.3. Workforce Disability Equality Standard (WDES) ............................................ 50 3.4.4. Gender Pay Gap ............................................................................................ 50 3.4.5. Equality and Diversity Training ....................................................................... 51 3.4.6. Staff Advocates .............................................................................................. 51 3.4.7. Staff Networks ............................................................................................... 51 3.4.8. Equality Analysis ............................................................................................ 52 3.4.9. Equality Objectives ........................................................................................ 52 3.4.10. Staff Survey ................................................................................................ 52 3.5. NHS Foundation Trust Code of Governance ......................................................... 54 3.5.1. Statement of Compliance ............................................................................... 54 3.5.2. Governance and organisational arrangements ............................................... 54 3.5.3. Our Foundation Trust Membership ................................................................ 54 3.5.4. Council of Governors ..................................................................................... 57 3.5.5. Board of Directors .......................................................................................... 63 3.6. NHS Oversight Framework ................................................................................... 76 3.6.1. Introduction .................................................................................................... 76 3.6.2. Segmentation................................................................................................. 76 3.6.3. Finance and Use of Resources ...................................................................... 76 3.7. Statement of Accounting Officer’s Responsibilities................................................ 77 3.8. Annual Governance Statement ............................................................................. 79 3.8.1. Introduction .................................................................................................... 79 3.8.2. Scope of Responsibility .................................................................................. 79 3.8.3. The purpose of the system of internal control................................................. 79 3.8.4. Capacity to handle risk ................................................................................... 79 3.8.5. The risk and control framework ...................................................................... 82 3.8.6. Review of Economy, Efficiency and Effectiveness of the use of resources .... 93 3.8.7. Information Governance ................................................................................ 94 3.8.8. Data quality and governance ......................................................................... 95 3.8.9. Review of Effectiveness ................................................................................. 96 4. Appendices .................................................................................................................. 99 4.1. Appendix 1 – Code of Governance Disclosures .................................................... 99 5. Annual Accounts ........................................................................................................ 103 1. INTRODUCTION 1.1. WE ARE BRADFORD Bradford Teaching Hospitals NHS Foundation Trust (the Trust) was created on 1 April 2004. It serves a local population of around 530,000 and employs over 5,800 people working across 6 sites. Each year we deliver around 6,000 babies, perform over 300,000 operations and see around 500,000 patients in outpatient clinics. Approximately 140,000 people attend our Emergency department each year. Our mission at Bradford Teaching Hospitals NHS Foundation Trust is “to provide the highest quality healthcare at all times”. We are one of the few hospitals around the country which delivers care, teaching and research. To do well in any one of these domains is an achievement. It is an even greater challenge to excel in all three, but that is our ambition. We strive for excellence and are committed to learning from and leading best practice to make sure we are delivering quality care. We aim to have a workforce representative of the communities we serve so we’re the best place for our patients and our people. To this end,
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