1 2 South Warwickshire NHS Foundation Trust Annual Report and Accounts for 2018/19 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 ©2018 South Warwickshire NHS Foundation Trust 5 Contents Performance Report NHS Improvement’s Single Oversight Overview: pages 7-29 Framework: pages 74 • Chairman’s Message Remuneration Report: pages 75-79 • Chief Executive’s Message • About the Trust • • Trust Structure Directors’ Remuneration and Pension • Service Profile / Principal Activities Benefits • 2019/20 Objectives Staff report: pages 80-95 • Partnerships, Stakeholders and Key Strategic Relationships • Staff Survey • Risks and Uncertainties • Workforce information • Trends and Factors affecting the Trust • Social, Community and Human Rights • Key Developments in 2018/19 Performance Analysis: pages 30-50 Council of Governors and Membership: pages 96-108 • Review of 2018/19 objectives • Council of Governors Structure • Trust performance against national targets • Governor Profiles • Activity for the Trust over the last three • Map of Constituencies years • Meetings of the Council of Governors • Financial Performance Review • Sub-committees of the Council of • Current and Future Developments Governors • Environmental and Sustainability • Trust Membership • Patient Experience • Community Engagement Quality Report Pages 109-203 Accountability Report Accounting Officer’s Responsibilities Statement and Directors’ Report: pages 51-74 Annual Governance Statement: • Directors’ Statement pages 204-222 • Appointments and Roles • Board Profiles and Register of Summary of Financial Statements • Interest and Auditor’s Statement: • Executive Leadership Structure page 223 • Disclosure of Corporate Governance Arrangements • Board Statements • Board Committees • Board and Committee Membership 6 Performance Report • Overview • Performance Analysis 7 Overview The purpose of the Overview is to give the user a short summary that provides them with sufficient information to understand the organisation, its purpose, the key risks to the achievement of its objectives and how it has performed during the year. 8 9 Chief Executive’s message 10 The NHS celebrated its 70th anniversary during 2018/19. This milestone enabled so many of us to reflect on 11 Please note throughout this annual report and accounts; • ‘Trust’ refers to information regarding South Warwickshire NHS Foundation Trust • If information is relevant to both South Warwickshire NHS Foundation Trust and SWFT Clinical Services Ltd, this will be referenced as the ‘Group’ • If content is regarding Foundation Group activities (incorporating South Warwickshire NHS Foundation Trust, Wye Valley NHS Trust and George Eliot Hospital NHS Trust) this will be referred to as the ‘Foundation Group’ About the Trust The Trust employs approximately 4,382 members of staff and delivers services to half a million people across Warwickshire. In addition Young People and Family services are provided in Coventry and Solihull. • Ellen Badger Hospital – Continuing rehabilitation, help with medicines management and assistance for those with reduced mobility is provided across Ellen Badger Hospital’s rehabilitation ward and day hospital. A First Aid Centre is also located on site to treat a range of minor injuries and illnesses. Major redevelopment work is planned following approval by the Trust in early 2018. • Leamington Spa Hospital – Adult rehabilitation services are provided to inpatients from Feldon Ward and a number of outpatient clinics are also offered. Also located on the site, the Central England Rehabilitation Unit (CERU) offers state-of-the-art facilities to enable patients with acquired brain injuries to receive specialist neuro-rehabilitation. A national centre of excellence, CERU contains 42 beds across Campion and Chadwick wards. • Out of Hospital Services – In support of the Trust’s strategy, an increasing focus is placed on providing care in the heart of communities and reducing the need to admit in to acute hospitals. Staff provide a broad mix of care throughout Warwickshire, treating patients through home visits and clinics at locations such as Cape Road Clinic, Camp Hill Clinic and the Orchard Centre. In Coventry and Solihull a range of services are offered to children, young people and families. • Stratford-upon-Avon Hospital – Following major redevelopment work, the hospital has been expanded to consist of two buildings. Building One is spread across three floors and houses an ophthalmology unit, The Rigby Cancer Unit, an outpatient pharmacy and health and wellbeing hub Café Lomas. An Outpatients Department and a Minor Injuries Unit, together with the Nicol Unit, is located in Building Two. • Warwick Hospital – Acute services provided at Warwick Hospital include Accident and Emergency, Diagnostic and Pathology, Main and Day Surgery Theatres in addition to an Intensive Care Unit and Coronary Care Unit. Maternity care is also provided at Warwick Hospital, including a Special Care Baby Unit and the Bluebell Birth Centre, a midwifery-led birthing unit. These, along with a large number of other services, make the hospital the Trust’s largest site. SWFT Clinical Services Ltd SWFT Clinical Services Ltd is an established wholly owned subsidiary of the Trust which when awarded Foundation Trust status in 2010 became one of the first in the country to set up a limited company as a business subsidiary. The company commenced its operations in March 2011. The company has been founded using a traditional business sector model which gives it the ability to identify and deliver a flexible approach across a range of non-clinical estates and facilities services and private health provision. All surpluses made by the company’s trading activities are either reinvested in to the business, gifted to charitable organisations or returned to the Trust. 12 Vision - “Together with others we will use all of our expertise and resources to support and improve the wellbeing of our communities.” Values Safe - We put safety above everything else • Keep patients, service users and staff safe • Take personal responsibility • Deliver high quality care • Listen, value and support our staff Effective - We will do the right thing at the right time • Proactively seek to make improvements • Work in partnership • Deliver evidence based care • Engage and involve Compassionate - We offer compassionate care to everyone • Friendly, helpful and courteous • Sensitive to individual needs • Respect privacy, dignity, diversity and choice • Offer care we would want for ourselves and our loved ones Trusted - We will be open and honest • Treat everyone with openness, honesty and respect • Decisions driven by our local communities and a public service ethos • Commitment to excellence • Maintain professional standard 13 Strategy In April 2018 the Trust launched a revised version of our strategy. The strategy continues to focus health not illness with an emphasis ‘Helping You to Help Yourself’ and is delivered through our engaged and passionate workforce. The revised strategy identifies key partnerships to support our vision of achieving integration and is a visual representation how more care is being delivered outside of hospitals. This collaborative approach is supporting us to promote prevention and move away from being an illness service. 14 Trust Structure South Warwickshire NHS Foundation Trust (SWFT) is an integrated organisation that provides acute and community NHS health services across the whole of Warwickshire and children’s services in Coventry and Solihull. The Trust is comprised of four operational divisions - elective care, emergency care, support services and women’s and children’s, as well as the Out of Hospital Care Collaborative and a social enterprise named SWFT Clinical Services Ltd. The Trust is regulated by a separate independent body, NHS Improvement (previously known as Monitor), who awarded the organisation a licence to operate as a Foundation Trust (FT) on 1 March 2010. This was done under terms of authorisation which outline the core services provided by the Trust. Monitor oversees the work of the Trust to ensure it is meeting all of its commitments. The Trust is accountable to a Membership base made up of employees and members of the public. The Membership has an input into the Trust’s activities by electing a Council of Governors to whom the Board of Directors is accountable. The Board of Directors consists of a Chairman, six voting and one non-voting Non-Executive Directors and six voting and three non-voting Executive Directors. Further information on the Board of Directors and details about the Council of Governors is in the Accountability Report. In 2013 SWFT Clinical Services Ltd was formally registered as a Social Enterprise and received the Social Enterprise Mark in January 2014. Its Board of Directors is made up of; Tony Boorman, Chair, Kim Li, Ann Pope, John Coyne, Andy Phalp and David Moon. Jayne Blacklay stood down as Chairman/Non-Executive Director on 26 November 2018. Since 2017/18, SWFT Clinical Services Ltd accounts have been consolidated into the Trust’s overall financial statements. The Foundation Group In June 2018, George Eliot Hospitals NHS Trust (GEH) joined the ‘Foundation Group’ that was formed in 2017 when South Warwickshire NHS Foundation Trust (SWFT) formalised its collaboration with Wye Valley NHS Trust (WVT). All three organisations face similar challenges and have a common strategic vision for how these can be solved. While all three trusts