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A43406 Epsom & St Helier AR Epsom and St Helier University Hospitals NHS Trust Annual Report 2008-09 If you or someone you know cannot read this document, please advise us of your/their specific needs and we will do our best to provide the information in a suitable format or language. Contact the communications department on 020 8296 2406 or email [email protected]. St Helier Hospital Epsom Hospital Sutton Hospital Wrythe Lane Dorking Road Cotswold Road Carshalton Epsom Sutton Surrey Surrey Surrey SM5 1AA KT18 7EG SM2 5NF Tel: 020 8296 2000 Tel: 01372 735 735 Tel: 020 8296 2000 These are the main hospitals that we run our services from. However, our doctors, nurses and other staff also work from a number of other sites, as well as 11 renal centres for patients needing dialysis. For more information, visit www.epsom-sthelier.nhs.uk. 2 Epsom and St Helier University Hospitals NHS Trust Annual Report 2008-09 Contents Introduction from the Chairman 4 About us 6 Executive and Non-Executive Directors 8 Looking back over the past 12 months 11 Priority 1: Delivering safe clinical services including meeting all central targets 18 Priority 2: Improving the patient experience, including ensuring that healthcare acquired infections are kept to a minimum 20 Priority 3: Improving the staff experience to ensure that the Trust becomes an employer of choice 24 Priority 4: Ensuring that the Trust provides safe and secure services for the future 28 The accounts 32 New doctors Natalie Watson and Rajiv Sharma www.epsom-sthelier.nhs.uk 3 Introduction from the Chairman Welcome to our 2008-09 Annual Report. Here you Additionally, C. difficile rates dropped by 45% in will learn more about our work over the last year and 2008-09 compared to the previous year. plans for the future. Meeting the standards proves that our decision to 2008-09 will be recorded as one of our best years to make infection control our number one priority has date, with the Trust meeting all of the key standards paid off. It will also reassure local people about how that the government sets for hospitals. Doing well seriously we take keeping our hospitals safe and clean, against these is great for the Trust and, more as this is an issue we know they are concerned about. importantly, excellent news for our patients. Extra efficient A&Es The table below shows how we scored against some The emergency access target ensures that people who of the key standards: use our A&E departments are not having to wait too long to be treated. As such, the government expects Standard 98% of patients to be treated, discharged or admitted Finances – end year with ACHIEVED within a maximum of four hours. This is a huge balanced books (with £4.9 million challenge, especially when you consider how busy our surplus) A&Es were over the winter as a result of the cold Infection control – have ACHIEVED weather and record snowfall. no more than 44 cases (34 MRSA/ Achieving 98.1% against this standard was an of MRSA bacteraemia and 156 C. difficile) excellent achievement. Our A&E teams, as well as all 290 C. difficile the other staff who help to make sure things run Emergency access – 98% of ACHIEVED smoothly, should be extremely proud. all patients attending Accident (98.1%) & Emergency (A&E) to be Patients wait less time treated, admitted or The 18 week wait standard is one of the government’s discharged in four hours newest targets. Patients referred to the Trust should start 18 week wait – the time from ACHIEVED their treatment within 18 weeks which, as those who know the NHS well will agree, is an astounding GP referral to treatment time (92%) improvement on years gone by. A lot of hard work went for patients who have surgery into helping the Trust exceed the targets for both (target 90%) admitted and non-admitted patients. 18 week wait – the time from ACHIEVED GP referral to treatment time (96%) Money matters for patients who are not I am extremely pleased to report that the Trust ended admitted to hospital the financial year with a surplus of just over £4.9 million. This is an excellent turnaround on previous years and will (target 95%) allow us to pay off most of our historic debt. Reducing infections to a minimum However, we must continue to work hard to make our The commitment our staff and volunteers have shown services even more efficient so that we can ensure we in reducing the number of infections aquired in our are getting best value for public money. This will allow hospitals has been amazing. This helped us meet the us to clear our remaining debt and invest millions of government’s standards and, as figures released by the pounds redeveloping our hospitals. Health Protection Agency show, the number of cases of MRSA (bacteraemia) at the Trust’s three hospitals during Investing in our hospitals 2008-09 were the lowest since records began. We have continued to invest in improving our buildings and infrastructure, as well as replacing vital equipment. 4 Epsom and St Helier University Hospitals NHS Trust Annual Report 2008-09 At Epsom, we have completed a £1.2 million Valuing our staff and volunteers refurbishment of Croft and Britten wards and opened We know that our staff and volunteers are our most a cutting-edge neutral pressure room which will be valuable asset and that we would not have achieved used for treating patients with infectious diseases like so much without their hard work, commitment tuberculosis (TB). At St Helier, we are investing and dedication. £2.8 million on a much needed refurbishment of the maternity unit and have recently unveiled a new We continue to work hard to make the working lives £650,000 state-of-the-art gamma camera to detect of our staff and volunteers better and were pleased illnesses such as prostate and cervical cancer. that the results of our 2008 annual staff survey showed significant signs of improvement. For example, such a In addition, we will spend a further £9.2 million high number of our staff feel satisfied with the quality improving our hospitals over the next year, including a of work and patient care they are able to deliver that £500,000 extension to the A&E observation ward at we are in the top 20% of trusts across England. St Helier and the refurbishment of Alex and Buckley wards at Epsom. We will also invest £250,000 to Working in partnership make our IT facilities even better. We work closely with many partners, both in the NHS and outside. We have very good relationships with Whilst this investment is vital, we will need to spend a our two local primary care trusts – Sutton and Merton lot more if we are to radically improve the Primary Care Trust and NHS Surrey – and with our environment in which we treat our patients. It is for strategic health authority, NHS London. We continue this reason that, in October, the Board agreed plans to work with our educational partners at Merton to invest millions of pounds on a redevelopment of College, Kingston University and St George’s Hospital St Helier. These plans include demolishing Ferguson Medical School to develop the NHS workforce of House and replacing it with a brand new building the future. which will house the majority of the hospital’s wards and clinics. All going well, we would expect to see We also receive invaluable support from a number of building work start in 2012. charities and voluntary groups who contribute a huge amount to many aspects of life at the Trust, from Epsom Hospital also needs investment, so we are befriending and supporting patients to running the developing a vision for the site which will be ready by hospitals' shops and radio stations. This includes the the autumn. Once finalised, we will be able to put League of Friends at Epsom, Sutton, St Helier and together detailed plans to spend up to £70 million Queen Mary’s hospitals. on the hospital, making it fit for the future. I would like to take this opportunity to formally thank Improving the patient experience all of our staff and volunteers, as well as our partners, The experience that patients have in our hospitals is of for their continued support, enthusiasm and the utmost importance. As well as being treated commitment to further improving the care we give quickly and safely, they must receive a personalised our patients. service, enhanced by good communication and a commitment to ensuring their privacy and dignity are respected at all times. We have worked hard on improving the experience our patients have and were pleased with the results of this year’s 2008 annual inpatient survey, which showed we had made significant improvements in a number of John Davey key areas. This includes being in the top 20% of Chairman hospitals in England for patients feeling there were enough nurses on duty to provide care and patients not wanting to complain about their care. www.epsom-sthelier.nhs.uk 5 About us Our values and priorities The Trust has four key values which describe how the organisation operates as well as four key priorities to ensure our services are of the highest quality: Our values • Put the patient first; • Work as one team; • Respect each other; • Strive for continuous improvement. Our priorities • Deliver safe clinical services, including meeting all Staff and supporters of Queen Mary’s Hospital for central government targets; Children celebrate the hospital’s 100th birthday • Improve the patient experience, including keeping healthcare acquired infections to a minimum; • Improve the staff experience to ensure that the Trust is an employer of choice; Our hospitals • Ensure that the Trust provides safe and secure The Trust’s two main acute sites, both of which have services for the future.
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