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Annual Report 2006 2 1. Oxford Radcliffe Hospitals NHS Trust Annual Review 2006 Annual Report 2006 2. Oxford Radcliffe Hospitals NHS Trust Annual Review 2006 Foreword Sir William Stubbs, Chairman The Oxford Radcliffe Hospitals NHS Trust efficient journey through their treatment. (ORH) has an international reputation for By improving our performance in this way clinical excellence and in recent years the and removing bottlenecks and duplication Trust has been able to improve its facilities we will not only enhance patients’ and efficiency to match and support this experience, we will reduce costs. This reputation. work is an obvious extension of the macro- view provided by the Strategic Review of This has taken us from being a no-star our services that we have been undertaking trust, with costs above the average, to over the past two years. a two-star trust that is among the most efficient Trusts in England. This journey has The task ahead is not a small one, meant reduced waiting times, improved but it is achievable, particularly with diagnostic equipment, new services and the extraordinary dedication and new and improved infrastructure. resourcefulness of our staff. Despite this exemplary performance we Despite the challenging times of the past and beyond, with state-of-the-art cancer are, however, in a position where the year, we have had the pleasure of seeing the services. A particularly important element county’s funding levels have for some time new Oxford Children’s Hospital and new of the Private Finance deal that has not matched the levels of demand - and West Wing nearing completion on the John made this project possible is the built- this meant that last year we received £12.4 Radcliffe site. The new Children’s Hospital in up-grading and maintenance of our million less than we were anticipating based will vastly improve the way we treat our radiotherapy apparatus - meaning that on the number of patients we treated. youngest patients - hopefully making their we are now guaranteed the very best and This problem has continued into 2006/7, time in hospital easier and less distressing. most up-to-date equipment for the next and the county as a whole - that is acute 30 years. providers like us and our commissioning The new West Wing will house the partners - now needs to make savings majority of services now based at the Finally I would like to thank all the Trust’s of £58 million to bring expenditure back Radcliffe Infirmary, which is closing in staff for their tremendous professionalism in line with anticipated income. As the January 2007. It will be sad to see the and commitment; my fellow Trust Board largest element in the county’s healthcare Radcliffe Infirmary pass from medical members for their wisdom, time and economy, the ORH must reduce its use after nearly 300 years of service to support; and all the members of the expenditure by £33 million as its share of the development of medical science; the public who are taking part in the public the savings programme. buildings are, however, passing to the consultation on our proposed service University of Oxford who will no doubt changes. We have put together a taskforce of ensure that they retain their important medical and non-medical staff to ensure place in the life of the City. 2006/7 will be a time of profound change in that any service changes make long term the NHS but I believe the ORH is equipped strategic sense, and are committed to Another significant development for the to thrive regardless of where these changes maintaining high standards of care and Trust is the construction of the new take us. patient safety. A key element of the Cancer Centre on the Churchill site. programme is improved performance This will be the biggest Cancer Centre - ensuring each patient has a smooth and in Europe and will provide the region, Sir William Stubbs Chairman 3. Oxford Radcliffe Hospitals NHS Trust Annual Review 2006 About the Oxford Radcliffe Hospitals NHS Trust The John Radcliffe Hospital was united with The Trust, also, works closely with many the Churchill Hospital as the Churchill John other partner organisations within and Radcliffe Hospital in 1993, and the Oxford beyond the NHS, such as patient groups, Radcliffe Hospitals NHS Trust (ORH) Oxfordshire County Council Directorate was formed in 1994. The Trust took over of Social and Health Care and the Health responsibility for the Horton Hospital in Overview and Scrutiny Committee. We 1998 and for the Radcliffe Infirmary in 1999. value these partnerships and are working to strengthen and develop them. This The ORH is one of the largest acute collaboration includes county-wide teaching hospital trusts in the UK, emergency planning. currently providing a wide range of general and specialist services from four hospitals: In 2005/2006: the Radcliffe Infirmary, the Churchill and • 525,710 people attended outpatient John Radcliffe Hospitals in Oxford, and the appointments Horton Hospital in Banbury. Services from the Radcliffe Infirmary will move to the • 123,852 people attended the emergency John Radcliffe early next year. At the end of departments 2005/6 we employed approximately 9,900 • 91,482 people were admitted as people, provided around 1,500 beds and, inpatients for emergency assessment and had a turnover of £480 million. treatment The Trust has a national and international • 77,673 patients were treated as daycases reputation for the quality of its clinical and 23,180 were treated as inpatients. care, teaching and research in many areas, • 8,098 babies were delivered. including in particular neurosciences, cancer services and gastroenterology. The The Trust’s strategic objectives are as ORH works closely with the University follows: of Oxford’s Medical Sciences Division and • To be a provider of hospitals and services Oxford Brookes University’s School of of choice for patients and staff, based Health and Social Care, and is a renowned on outstanding clinical and customer- teaching and education base for doctors focused patient care, and valued by the and nurses. communities we serve. The Trust provides general hospital • To be a pre-eminent academic medical services to people in Oxfordshire and centre, with an international reputation neighbouring counties, and specialist based on clinical excellence, specialist services on a regional and national expertise and our contribution to basis. Our main commissioners are the medical advances and teaching. Primary Care Trusts in Oxfordshire, • To achieve financial sustainability through Buckinghamshire, Berkshire within Thames income growth, improvements to Valley, Wiltshire, Northamptonshire and clinical and non clinical leadership and Gloucestershire. The Trust sits within management, efficiency and productivity, the newly created South Central Strategic and intelligent service re-design. Health Authority that covers the territory formerly covered by the Thames Valley and Hampshire & the Isle of Wight Strategic Health Authorities. 4. Oxford Radcliffe Hospitals NHS Trust Annual Review 2006 Clinical services In addition to a range of corporate services and nursing and medical directorates, the Trust’s clinical services are grouped into three divisions, each with a number of directorates. The directorates include those with services on more than one site, such as general surgery and women’s services, and those based on a single site, such as cardiac services and neurosciences. Division A Division B Division C • Acute and emergency medicine • Cancer services - medical and clinical • Children’s services and clinical and geratology - acute general oncology, clinical haematology, pain relief genetics - paediatric medicine, medicine, Horton medicine, emergency unit and palliative care paediatric surgery, specialist children’s departments in Oxford and Banbury, services, community paediatrics, geratology • General surgery, vascular and neonatal, paediatric intensive care, and trauma - emergency surgery, clinical genetics • Emergency access - operational gastrointestinal medicine and surgery, managers, emergency admissions, endocrine surgery, breast surgery, • Women’s and sexual health emergency access teams trauma surgery and orthopaedic surgery - obstetrics and maternity services, gynaecology and genitourinary medicine • Cardiac services - cardiology, • Critical care, anaesthetics and cardiothoracic surgery, technical theatres - intensive care unit, neuro- • Laboratory medicine and clinical cardiology, and cardiac investigative and intensive care unit and Horton critical sciences - cellular pathology, diagnostic services care unit. Anaesthetics provide a service biochemistry, haematology, microbiology, not only within the Trust but also to all immunology and genetics • Renal services - urology, renal other Trusts in Oxford medicine and dialysis, transplantation • Radiological sciences - general • Specialist surgery and radiology, CT, MRI, medical physics & • Specialist medicine - dermatology neurosciences - ENT, cleft clinical engineering, neuroradiology and services, Oxford Centre for Diabetes, lip and palate surgery, plastics nuclear radiology Endocrinology and Metabolism, and reconstructive surgery, haemophilia unit, clinical immunology, ophthalmology, oral and maxillofacial • Pharmacy and therapies - pharmacy, infectious diseases, respiratory medicine. surgery, neurosurgery, neurology, physiotherapy, dietetics, speech and neuropathology, neuropsychology and language therapy, and occupational neurophysiology. therapy. 5. Oxford Radcliffe Hospitals NHS Trust Annual Review 2006 Reviewing
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