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Annual Report and Accounts 2010/11

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Annual Report and Accounts 2010/11 Annual Report and Accounts 2010/11 Royal Bolton Hospital NHS Foundation Trust Annual Report and Accounts 2010/11 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) of the National Health Service Act 2006 Contents 1 Foreword 7 2 Directors’ Report 12 3 Remuneration report 18 4 Disclosures for NHS Foundation Trust Code of Governance 21 5 Quality Report 32 6 Staff Survey 69 7 Regulatory ratings 70 8 Other Public Interest Disclosures 73 9 Statement of accounting officer’s responsibilities 78 10 Statement on internal control 79 11 Independent auditor’s report 90 12 Annual Accounts 2010/11 95 ‐ 5 ‐ Page Royal Bolton Hospital NHS Foundation Trust Annual Report and Accounts 2010/11 1 Foreword 1.1 Chairman’s Welcome It has been a successful year in many ways. We have continued to improve on our mortality rates. We are financially stable and have been planning for the integration with our community provider arm in the next financial year. This year each of our specialties has undertaken a thorough review led by our clinicians. This continues our commitment to have a clinically led service, supported by able and experienced managers. The year has seen changes to our Trust Board. David Fillingham left the Trust in June 2010 and Lesley Doherty, previously Director of Nursing and Performance, was appointed as Chief Executive in October. Andrew Cogan was appointed as Director of Operations in January 2011 and Dee Sissons was appointed as Director of Patient Safety Experience and Chief Nurse in March 2011 to start in May 2011. Carol Davies and Ebrahim Adia joined us as new Non‐Executive Directors. The Board of Directors has a rich experience of hospital and community services. I have been very impressed by our staff’s team work, vision and commitment. I know that this will continue under our renewed Board of Directors and as we move forward to becoming an integrated care organisation Cliff Morris 31st May 2011 Chairman Royal Bolton Hospital NHS foundation Trust Lesley Doherty, Chief Executive and Cliff Morris Chairman ‐ 7 ‐ Royal Bolton Hospital NHS Foundation Trust Annual Report and Accounts 2010/11 Page 1 Foreword 1.2 Chief Executive’s Welcome This has been a year of many changes and challenges. A new Government and new requirements under a new Secretary of State for Health. Here in Bolton we had the departure of David Fillingham, CEO, to take up a Chief Executive post leading in quality across the North West. It was subsequently a great privilege for me to be appointed as CEO in October, having been a Director in the Trust since 2003. This achieves a long held ambition of mine to lead an organisation such as Bolton, supporting staff to provide quality health services. We have also been planning for organisational change as we look forward to becoming a new integrated care organisation providing community services as well as the inpatient and outpatient services we currently provide. I have been meeting with staff from both the hospital and the community and with partners and local stakeholders, such as the local area forums, PCT and Links, to ensure that our joint aim for excellence for patients becomes a reality. There have been highs and lows. The Ombudsman Report on Care of Elderly published in February, and in particular a patient experience from Bolton in 2005, were reminders that each of our patients deserves not only a high standard of care, but also that this is delivered with respect. We are a different organisation now than we were at that time. Our work on the Exemplar Programme and our quality improvement process, Bolton Improving Care System (BICS), have made genuine rapid improvement in patient care, safety and experience. 2010/11 has seen the fruition of that work and has led to significant improvements as this annual report describes. It is of great importance that we ensure that our staff are trained, skilled and supported. It is a key value of the Trust that we respect our staff whatever their role and invest in them as individuals as we know, without doubt, that this not only improves job satisfaction but also has a direct impact on the quality and standard of care given. Our staff survey demonstrates we are getting things right by involving staff in change and decisions and how best to provide care. By being a good employer we are already directly impacting on good patient care. We still need to improve, however. Patients needing urgent care and particularly those who access our A&E services are not always seen in a timely manner. We are working across Bolton with GPs and community teams to improve the services we jointly provide for patients requiring urgent access to care. The NHS, as with many public sector organisations, faces challenges in the future. We know, however, that we have the right approach, the right team and the right strategy to face the future with optimism and tenacity as a successful integrated care organisation. Our annual report provides the information to support that. Lesley Doherty Chief Executive 31st May 2011 ‐ 8 ‐ Royal Bolton Hospital NHS Foundation Trust Annual Report and Accounts 2010/11 Page 1 Foreword 1.3 Trust Profile Royal Bolton Hospital NHS Foundation Trust is a busy acute Trust providing hospital services from its site at the Royal Bolton Hospital in South West Bolton, close to the boundaries of Salford and Wigan. Due to its location, the hospital has a non‐elective catchment population of 310,000, compared with a resident Bolton population of 262,000. In fact it is the busiest hospital for emergencies in Greater Manchester, receiving around 28% more ambulance arrivals than any other hospital. In 2010/11, the Royal Bolton Hospital: • had 108,485 attendances to Accident and Emergency • had 42,982 non elective admissions (including obstetrics) • delivered 4,730 babies • had 622 inpatient beds, 32 day case beds and 15 endoscopy beds Making it Better 2011/12 will see the culmination of the Making it Better project to transform the Royal Bolton into a specialist centre for maternity, paediatric and neonatal care. A £20 million investment has seen an expansion of both facilities and staffing to cater for women and babies from Bury and Salford as well as Bolton. The facilities include a specialist new neonatal unit – one of three tertiary centres in Greater Manchester providing care to the sickest and smallest babies. Better Care Together Subject to formal approval, the majority of clinical and provider services currently provided by Bolton Primary Care Trust (NHS Bolton), will transfer to the management of the Trust, resulting in a new‐style organisation providing integrated healthcare in both the hospital and community setting. The value of services to be transferred is £71m and involves around 1,560 members of staff. The Trust has engaged widely in developing its vision and high level strategy for the integrated organisation. In summary: Our Vision: By 2016 we will match the best integrated care organisations internationally for the quality and efficiency of our services. Our Aims: We will strive for excellence – putting the people we care for at the centre of how we plan and deliver our services. We have three fundamental aims: • best care for better health (for our patients and our community) • responsible use of resources (for the taxpayer) • staff, patients and the public – valued, respected and proud. Our core purpose: • a major provider of urgent/unplanned care to Bolton and beyond • a specialist provider of women’s and children’s services in hospital and community • a local provider of community‐based services aimed at preventing ill health and harm • a provider of a defined range of planned elective and diagnostic services across patient pathways ‐ 9 ‐ Royal Bolton Hospital NHS Foundation Trust Annual Report and Accounts 2010/11 Page 1 Foreword 1.4 A year of good news Once again the Royal Bolton Hospital has celebrated a year of improvements, developments and recognition. Here are some of the highlights. April Our catering manager, Margaret Meadows, was named as 'Healthcare Caterer of the Year' in the annual Cost Sector Catering Awards, one of the most respected awards schemes in the industry. She was nominated for the award for her excellent leadership and providing quality services at the best value for money. May The first completed facilities opened under the Making it Better programme to transform services for women, children and babies opened. The new extension to the delivery suite in the Princess Anne Maternity Unit took seven months to complete and includes seven new delivery rooms and the latest high tech facilities for mothers in labour. In May our staff and patients were honoured by the arrival of royalty when Her Royal Highness, Princess Alexandra, visited the eye unit of the hospital to look around and present certificates to members of staff. The Princess was given a behind the scenes tour of our renowned eye unit and heard about our pioneering work to treat people with age‐related macular degeneration, she then met with staff who had successfully completed our Exemplar programme to improve standards on wards. In June we were awarded £123k through the region‐wide Advancing Quality programme in recognition of the way we treat patients who have had a heart attack, been admitted with pneumonia or had a hip or knee operation. Royal Bolton Hospital was in the top five hospitals for meeting the standards on pneumonia and the top ten for heart attack and hip or knee. Only the top fifty per cent of hospitals receive financial rewards. In July the Mayor and Mayoress of Bolton, Councillors John and Lynda Byrne, visited during National Transplant Week to sign the Organ Donation Register and meet our award winning bereavement and donor team.
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