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Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Annual Report and Accounts 2019/20 Cumbria, Northumberland, Tyne and Wear 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 1 © 2019 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust 2 Table of contents 1 Chair and Chief Executive’s introduction 5 2 Performance Report 2.1 Overview of Performance 7 2.2 Performance Analysis 17 3 Accountability Report 3.1 Directors’ Report 30 3.2 Remuneration Report 53 3.3 Staff Report 65 3.4 Disclosures set out in the NHS Foundation Trust code of 81 governance (The Governance Report) 3.5 NHS Oversight Framework 102 3.6 Voluntary Disclosures - Modern Slavery Act Statement 105 3.7 Statement of Accounting Officer’s Responsibilities 107 3.8 Annual Governance Statement 109 4 Annual Accounts 5 Auditors Opinion on the accounts 3 Schedule of Tables Table Title number Figure 1: Our Vision, Values, Quality Goals and Strategic Objectives Figure 2: Membership of the Board of Directors and Attendance Figure 3: Membership of NTW Solutions Board of Directors and Attendance Figure 4: Payment of Trade Invoices Figure 5: Private Patient Income Figure 6: Membership of the Remuneration Committee and Attendance Figure 7: Board of Directors Remuneration Figure 8: NTW Solutions Board of Directors Remuneration Figure 9: Median Remuneration Figure 10: Board of Director Pension Analysis Figure 11: NTW Solutions Board of Director Pension Analysis 2019/20 Figure 12: Employee Expenses and Employee Numbers Figure 13: Sickness Absence Data 1 April 2019 to 31 March 2020 Figure 14: Staff Survey 2019 Compared to Staff Survey 2018 and 2017 Figure 15: High Paid Off Payroll Arrangements Figure 16: Exit Packages: Exit Packages 2019/20 Figure 17: Exit Packages: Exit Packages 2018/19 Figure 18: Audit Committee Attendance 2019/20 Figure 19: Membership of the Council of Governors and Attendance Figure 20: Analysis of Attendance of Board Members at Formal Council of Governors’ Meetings Figure 21: Nominations Committee Membership and Attendance Figure 22: Analysis of Membership as at 31 March 2020 Figure 23: NHS Oversight Framework: Finance and Use of Resources 4 1. Chair and Chief Executive’s Introduction Welcome to the 2019/20 Annual Report and Accounts, the first under our new name of Cumbria, Northumberland Tyne and Wear NHS Foundation Trust (CNTW). Until March 2020 CNTW and the NHS as a whole continued to face uncertainty, both clinically and financially. Some of the issues facing the NHS continued to be the effects of a long period of austerity, growing concern about workforce and recruitment, the changing landscape of the NHS, challenges in terms of governance and integration, and increased demand for care, particularly mental health and disability services. Prior to October 2019, we were known as Northumberland, Tyne and Wear NHS Foundation Trust. Following the transfer of Mental Health and Learning Disability services from the former Cumbria Partnership NHS Foundation Trust, we became Cumbria, Northumberland, Tyne and Wear NHS Foundation. We were proud to welcome nearly 1000 colleagues into our new North Cumbria locality. We spent a significant amount of time prior to the transfer of services working with our colleagues in Cumbria so that we could learn from each other and more importantly, plan together to continue to deliver high quality, safe care and improve our services across the whole Trust for our service users in the future. We have continued to contribute to the wider work on the North East and North Cumbria Integrated Care System including making sure that mental health and disability services are firmly on the agenda. Having said that, there is still a long way to go to make sure that mental health receives the same parity of esteem as physical health and we will continue to champion this cause. A key area for us at CNTW is to continually challenge the stigma associated with mental illness and disabilities and help build our own, and others’ understanding so that we are better able to listen, to accept, and to help in any way we can. We are presenting this report while going through undoubtedly the most challenging time the world has seen in recent times. The COVID-19 pandemic has had a profound impact on the world and has changed how we live, how we shop and travel, how we work, how we socialise and care for one another. People have never before had to think about their personal finances, wellbeing, physical health, the wider economy, climate change, and job security in such a difficult context. Having said that, COVID-19 has also brought about things we never thought we could do, or ever thought we would do. The way we think about others, the way we communicate and appreciate just ‘seeing the face of a loved one’ – albeit virtually. We have changed the way we work to alleviate the pressures on ourselves to travel with the spin off benefit of a positive impact on the climate crisis. We have learned: how resilient we can be; how to look after ourselves including exercise; how to use technology in new ways and how to appreciate the things that until now we may have taken for granted. The NHS has never been more loved, appreciated or respected and we would like express our profound gratitude to our staff, volunteers, partners and Governors. 5 Finally, we would like to thank our service users and their carers who have helped us to respond to COVID-19 by adhering to the Government’s call to stay at home, maintain social distancing and changing how you live so the NHS can continue to save lives. We thank you all. Ken Jarrold John Lawlor Chairman Chief Executive 23 June 2020 23 June 2020 6 2. The Performance Report 2.1 Overview of Performance This report has been prepared on a ‘group’ basis and will refer to Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Group as ‘CNTW’ or ‘the Group’. The CNTW ‘group’ includes NTW Solutions Limited, our wholly owned subsidiary company. Sections of this report that is relevant to the NHS services provided by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust will be referred to as ‘the Trust’. This overview will provide an understanding of the CNTW Group, including the services we provide, our organisational vision and values, strategic direction and potential risks as well as a summary of our performance during 2019/20. Our History Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (CNTW) was formed on 1 October 2019 following the transfer of mental health and learning disability services from North Cumbria to Northumberland, Tyne and Wear NHS Foundation Trust. Northumberland, Tyne and Wear NHS Trust (NTW) was established on 1 April 2006 following the merger of three Trusts: Newcastle, North Tyneside and Northumberland Mental Health NHS Trust, South of Tyne and Wearside Mental Health NHS Trust and Northgate and Prudhoe NHS Trust. The Trust achieved authorisation as an NHS Foundation Trust on 1 December 2009. As a Public Benefit Corporation CNTW has members. We have four membership constituencies to represent stakeholder interests: Public constituency; Service users and carers constituency; Staff constituency; and Partner organisation constituency. Our Services CNTW provides a wide range of mental health, learning disability and neuro- rehabilitation services to a population of 1.7 million people across North Cumbria and the North East of England as well as providing specialist services nationally. We are one of the largest mental health and disability organisations in the country with an income of approximately £380 million. We employ over 7,000 staff, operate from over 70 sites and provide a range of services including many regional and national services. We support people in the communities of North Cumbria, Northumberland, Newcastle, North Tyneside, Gateshead, South Tyneside and Sunderland working 7 with a range of partners to deliver care and support to people in their own homes and from community and hospital based premises. Our main hospital sites are: Carleton Clinic, Carlisle Walkergate Park, Newcastle upon Tyne; St. Nicholas Hospital, Newcastle upon Tyne; St. George’s Park, Morpeth; Northgate Hospital, Morpeth; Hopewood Park, Sunderland; Monkwearmouth Hospital, Sunderland; and Ferndene, Prudhoe. 8 Chief Executive’s Statement on the Performance of the Trust 2019/20 was another successful, if at times challenging, year for the Trust. We broadly delivered on all aspects of performance, achieved our financial objectives for the year, played a significant role in developing partnerships across health and social care, and welcomed services in North Cumbria into the Trust. But we also recognise areas of challenge and areas where we have more to do. These include; tackling unacceptably high waiting times for Children and Young People, supporting people with Learning Disabilities in a system that has been rocked by closures and disruption arising out of the distressing and disturbing events at Whorlton Hall; supporting Children and Young people who need in-patient care, as a number of units across the country have been required to close due to CQC action; ensuring that we eliminate restrictive practices and minimise use of restraint; and ensuring that we continue our journey to being a truly person-centred organisation. Over the years we have achieved a great deal of stability, have achieved and retained our CQC ‘Outstanding’ status, and gained a strong reputation as a leader in change. We recognise that we need to use this solid grounding to go further, to push for better, and especially now, as I write in the shadow of COVID-19, use this to re-imagine the future so that we can better support the people and communities that we serve.
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