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Annual Report 2019-20

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Annual Report 2019-20 Annual Report 2019/20 Introduction Our vision: Our Services Bedfordshire Cambridgeshire Luton Norfolk Peterborough Suffolk Improve the health and Our portfolio of services in 2019/20 were Adult services wellbeing of people across the provided from GP surgeries and health centres, community settings such as schools, children’s District nursing/ diverse communities we serve. community matrons centres and people’s own homes, as well as from the following main sites: Specialist nurses/long Our mission: • Bedfordshire: term conditions Kings Brook and the Child Development Neuro-rehabilitation Provide high quality care Centre in Bedford and a range of community through our excellent people. based facilities; Specialist services • Cambridgeshire: Community dental Our values Brookfields in Cambridge, Doddington services, Dental Access Oral health MOS only MOS only Hospital, Princess of Wales Hospital in Ely, Centres, and minor oral promotion North Cambridgeshire Hospital in Wisbech, surgery - MOS only Oaktree Centre and Hinchingbrooke Hospital in Huntingdon; Musculoskeletal services Honesty Ambition • Luton: Sexual health services Luton Treatment Centre, Redgrave Children and Young People’s Centre and a range of Children’s services community based facilities; Health visiting Empathy Respect • Norfolk: (see note) Breydon Clinic in Great Yarmouth, Oak Street Clinic in Norwich and Vancouver House in School nursing Kings Lynn and a range of community based (see note) facilities; Therapies • Peterborough: Our objectives Rivergate, Midgate and Kings Chambers; and Community nursing 1 Provide outstanding care • Suffolk: Audiology Orwell Clinic in Ipswich, Regent Road in 2 Collaborate with other Lowestoft, Abbey View in Bury St Edmunds, Community organisations and a range of community based facilities. paediatricians Family Nursing 3 Be an excellent employer Partnership 4 Be a sustainable organisation National Child Measurement Programme School immunisation programme Emotional Health and Wellbeing service (see note) Note: these services in Peterborough are provided in partnership with Cambridgeshire and Peterborough NHS Foundation Trust 2 Introduction 3 Contents Introduction 2 Performance Report 6 Chair and Chief Executive’s Welcome 8 Overview 10 Performance Analysis 12 STRATEGIC OBJECTIVE 1 – Provide outstanding care 12 STRATEGIC OBJECTIVE 2 – Be an excellent employer 35 STRATEGIC OBJECTIVE 3 – Collaborate with other organisations 42 STRATEGIC OBJECTIVE 4 – Be a sustainable organisation 44 Looking to the future 48 Accountability Report 50 Corporate Governance Report 52 Governance Statement 54 Remuneration and Staff Report 2019/20 72 Remuneration and Staff Report 74 Staff Report (subject to audit) 80 Independent Auditor’s Report to the Directors of Cambridgeshire Community Services NHS Trust 88 Annual Accounts 2019/20 94 Notes to the Accounts 101 Glossary for Key Performance Indicators 140 Performance Report Chair and Chief Executive’s Welcome 8 Overview 10 Performance Analysis 12 Looking to the future 48 96% Chair and Chief of 29,278 service users surveyed would Executive’s Welcome recommend our services to friends and families. As we look back over 2019/20, it is hard not to focus solely on the unparalleled challenges presented by COVID-19 in the last month of the year. This pandemic highlighted the incredible resilience In response to the COVID-19 pandemic, there People who used our services echoed this positive start to achieve the ambitious plans outlined in of the NHS, as staff across the country battled were many examples of staff working above and message, with 96% of 29,278 service usersWe continued to receiveour three invaluable year Strategy. support Thisfrom reflects hundreds the of priorities dedicated volunteers, as well to reduce the impact of the virus. We are so beyond their usual high levels of commitment; surveyed saying they would recommendas our charities such asset the out Dreamdrops in the NHS children’sLong Term charity, Plan andthe Arthur builds Rank Hospice charity, and the Friends of Hospital at Home in Peterborough, all of whom provided a vital role in helping proud of the compassion and commitment introducing new ways of delivering care to ensure services to friends and families. Of course, not all on the innovation and service redesign that has us improve the quality of services we provide. Without their dedication and support, our task demonstrated by our staff and colleagues in all people were able to access the services they feedback is positive and we encouragedwould service be even harder.already taken place. partner organisations. Sadly, many thousands of needed, including: users to share their experiences - you can read Enjoy reading our annual review, seeing the people in our communities across the country later how we used this rich source of information • deploying ipads to support the delivery of Our focus for 2015/16great is work on ach ofieving our staff our ambitiousto improve plans outcomes for the future, aligned to the – patients, NHS and care staff, and key workers to further improve services. system-wide priorities identified by our commissioners and which are responsive to the advice and guidance to care homes; for the patients we care for and the breadth of - lost their lives to this dreadful disease and specific needs of the local populations we serve. Central to this is working collaboratively Having successfully led the Trust as our Chair improvement that has happened over the our hearts go out to their families, friends and • introducing video consultations across a wide with our staff, GPs, social care practitioners and hospital clinicians, to develop seamless since January 2015 and prior to that as a Non- past twelve months. colleagues and we place on record here our range of our services; care irrespective of organisational boundaries. Executive Director for almost 3 years, Nicola heartfelt condolences. We look forward to another successful year • extending our children’s community nursing Scrivings’ term of office drew to a close Inin line with our five year plan, we will continue to submit bids to expand the geographic area in 2020/21. Throughout the year, our unwavering focus was services to deliver support at weekends to November 2019. Nicola was an exceptionalacross which we provide the specialist, high quality services that now makes up our portfolio. on delivering high quality care as close as possible children with complex needs; Chair, guiding the Trust with tenacity, integrityThis will enable other commissioners and populations to benefit from our expertise in providing these specialist services, which focus on health promotion and prevention of ill to or in people’s own homes, and the very best and a real passion for putting patients first. We • establishing single points of telephone and health. outcomes for those we serve. This included digital contact to streamline access to services; will continue to build on her legacy as we look successfully contributing to multiple system-wide and forward to delivering our exciting plans forThe the Government policy prior to the May 2015 General Election was that NHS Trusts, as an partnership initiatives such as: future. We thank Oliver Judges, Non Executiveorganisational form, could not continue long term. As a smaller organisation providing • establishing urgent dental care services to Director for stepping in to the Chair rolespecialist on an services, we will determine during 2015 our future organisational form in the • the Cambridgeshire and Peterborough Best maintain access to emergency dental services. interim basis until March 2020. context of what is in the best interests of patients andMary our staff.Elford Whilst we await policy Start in Life 5-year strategy; guidance from the new Government on options availableChair in relation to organisational form, A trust-wide survey undertaken in May 2020, We also thank the Dreamdrops children’s charity • our multi-agency enhanced models of we will take forward development work to evidence our viability as a stand-alone highlighted early learning from our response to and the Friends of Wisbech Hospitals. Thereorganisa is notion, whatever form that takes. We anticipate23 thatJune this 2020 process will take care programme in Luton for older people the pandemic. Our staff identified many positive doubt that their outstanding support helpedapproximately us two years to come to fruition, during which time we will continue to operate as vulnerable to unplanned hospital admissions; examples of how the Trust had: supported their improve the quality of services we provide.an NHS Trust. We will of course involve staff, commissioners and the Trust Development • delivering a wide range of innovative services health and well-being; rolled out technology to Authority in these deliberations. It has been another challenging year financially to families across Bedfordshire in partnership support home working and engagement with Please enjoy reading our annual review and we look forward to a successful year in service users and partners; and empowered for the Trust but we successfully achieved an with East London NHS Foundation Trust; 2015/16. creative solutions and swifter decision-making. operating surplus of £243,000. Because the • improving outcomes for families across Moving forward, we will ensure these innovations Trust managed its budget to the plan agreed Norfolk; predominantly through our Healthy are embedded across the Trust and utilise at the beginning of the year, we were awarded
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