Fstaff ANNUAL REPORT AND ACCOUNTS 2019-20 Southern Health And Social Care Trust Annual Report and Accounts For year ended 31 March 2020 Laid before the Northern Ireland Assembly under Article 90(5) of the Health and Personal Social Services (NI) Order 1972 (as amended by the Audit and Accountability Order 2003) by the Department of Health on 17 July 2020 CONTACT US Southern Health and Social Care Trust Trust Headquarters, Old College of Nursing, Craigavon Area Hospital, 68 Lurgan Road, Portadown BT63 5QQ Telephone: 028 3833 4444 Email: [email protected] Web: www.southerntrust.hscni.net COMMENTS If you have any comments about this report or would like extra copies please telephone 028 3756 3983. DIFFERENT FORMATS This report can be made available on request in large print, on disk, via email, in Braille, on audiocassette or in minority languages for anyone not fluent in English. Telephone: 028 3756 3983. @Crown Copyright 2020 The text in this document (excluding the organisation logos) may be reproduced free of charge in any format or medium providing that it is reproduced accurately and not used in a misleading context. The material must be acknowledged as Crown copyright and the title of the document specified. Contents Pages 1. Performance Report Performance Overview …………………………………………………… 1-3 Trust Purpose and Activities……………………………………………… 4-5 A Year Across the Trust and Staff Highlights…………………………… 6-9 2. Performance Analysis Ministerial Priorities 2019-20……………………………………………… 10 How the Trust Performed………………………………………………………. 10-18 Research and Development………………………………………………. 19-20 Financial Performance……………………………………………………... 20-27 Sustainability Report……………………………………………………….. 28-34 3. Accountability Report Overview Overview……………………………………………………………………… 36 Governance Report Directors’ Report …………………………………………………………… 37-41 Statement of Accounting Officer Responsibilities ……………………… 42 Non-Executive Directors’ report…………………………………………… 43-44 Governance Statement ……………………………………………………. 45-80 Remuneration and Staff Report Remuneration Report …………………………………………………… 81-92 Staff Report …………………………………………………………………. 93-98 Accountability and Audit Report Complaints Management……………………………………………………. 99 Compliance with Regularity of Expenditure ..……………………………… 100 Rural Needs…………………………………………………………………… 100 Statement of Losses and Special Payments……………………………… 100-102 Audit Certificate………………………………………………………………. 103-105 4. Financial Statements Consolidated Annual Accounts Foreword ……………………………………………………………………… 107 Statement of Comprehensive Net Expenditure……………………………. 108 Statement of Financial Position …………………………………………….. 109 Statement of Changes in Taxpayers’ Equity……………………………….. 110 Statement of Cash Flows ……………………………………………………. 111 Notes to the Accounts ……………………………………………………….. 112-157 Accounts of Monies held on behalf of Patients and Residents Statement of Trust Responsibilities ………………………………………… 159 Audit Certificate ………………………………………………………………. 160-161 Statement of Account of Monies Held ……………………………………… 162 1 Performance Report Southern Health and Social Care Trust Annual Report & Accounts 2020 Performance Overview Message from Our Chair and Chief Executive Mrs Roberta Brownlee, MBE Chair Mr Shane Devlin Chief Executive We all greatly appreciate that now more than ever before, health and social care and indeed our society at large has been facing the biggest public health challenge of our lifetime. As our staff, both frontline and support services have worked so hard to deal with the Covid-19 pandemic, we are once again reminded of their flexibility, innovation, resilience and total dedication to the health and wellbeing of local people. There are approximately 380,000 people living in the Southern Trust area – and potentially every one of these will at some time throughout the year need our help, for themselves, or a family member - in a hospital or community setting, or even in their own home. Indeed, every day our 13,612 employees go above and beyond for local people. Whilst we all recognise the ongoing challenges we face in health and social care, this report highlights some of our achievements throughout what has been another very busy year. You will read about the dedication of our staff to their patients, clients and community; how they strive to continually improve their services and in many cases excel in delivering high, quality care on a local, regional and national basis. 1 | P a g e Southern Health and Social Care Trust Annual Report & Accounts 2020 This year we celebrated the completion of two key developments, the £1 million Direct Assessment Unit at Daisy Hill Hospital and the £3.37 million Aseptic Suite at Craigavon. Developed through the Daisy Hill Pathfinder Project, the Direct Assessment Unit is having a really positive impact. Helping 2,871 patients in its first year, the team are treating people who need urgent medical attention but are not critically ill, freeing up time and space in the Emergency Department for those who need immediate life-saving care. The £3.37 million Aseptic Suite at Craigavon Hospital is located beside the Macmillan Building. The state-of- the-art unit is used for the preparation of highly specialised medications like chemotherapy. The building is known as the ‘McWilliams Suite’ in memory of our pharmacy colleague, Gillian McWilliams who sadly passed away from cancer a number of years ago. Of course our staff are our greatest asset and this year, there has been a real focus on developing our workforce. To mark International Nurses Day in May, we launched our Nursing and Midwifery Action Plan which aims to address some of the challenges facing nursing and midwifery into the future. In June, we celebrated our annual Excellence Awards which is always a lovely opportunity to recognise and celebrate staff who provide outstanding care and support for patients, clients and their families. Dr Kathryn Boyd, Consultant Haematologist, was announced as Overall Winner after also receiving the ‘People’s Choice - Award for Outstanding Care and Compassion’. Also in June, we were delighted that our acute hospital network (Craigavon Area and Daisy Hill) was yet again named amongst the top 40 hospitals in the UK. This award recognises that the Southern Trust is providing high quality care and treatment in our hospitals and it is a real credit to our staff, despite the growing demands and continued challenges they face every day, that they are clearly making a huge difference to hundreds of thousands of patients. In November, we were delighted to team up with Newry, Mourne and Down District Council to host our first major careers event which was a huge success. Around 1,000 young people from local post primary schools, the Southern Regional College and general public, attended the event to see and experience the wide range of career opportunities available across the Trust. We had another very busy winter period this year, along with the challenges of industrial action from November through to January, when we welcomed the commitment of our new Health Minister and Executive to address the ongoing workforce issues. In February we were delighted to welcome Minister Robin Swann on his first visit to the Southern Trust. The Minster met Trust Board members and staff side representatives on the Craigavon site before visiting the Bluestone Unit, the Emergency Department and the Respiratory Ward to speak with these teams and learn about their work. 2 | P a g e Southern Health and Social Care Trust Annual Report & Accounts 2020 Throughout the year we received great support from the local community and service users and thanks to such generosity, the Trust has benefitted from £224,195 in voluntary donations. These contributions help us to buy additional equipment and comforts to enhance quality of care and patient and client experience right across our services. On behalf of all of our staff, we thank everyone who has made such donations. As an organisation, we also want to give back to our local community and our very generous staff whole heartedly embraced our 2018-2020 Charity Partnership with PIPS Upper Bann and PIPS Hope and Support. In total we raised £50,269 over the two years for these fantastic organisations through a range of events like raffles, coffee mornings, sponsored activities and a gala ball. We have always enjoyed effective partnership working with the community and voluntary sector, councils, other agencies and elected representatives. The strength of these relationships has never been more evident than during the current pandemic. We sincerely thank all of these partners, who along with colleagues from other health and social care organisations have worked tirelessly to support our own staff and protect the broader population. What we have achieved by all working together at this time has been so impressive. We have learned many lessons that we will use as we aim to recover services and as we strive to improve the health and wellbeing outcomes of our local population into the future. Roberta Brownlee, MBE Shane Devlin Chair Chief Executive 3 | P a g e Southern Health and Social Care Trust Annual Report & Accounts 2020 Trust Purpose and Activities The Southern Health and Social Care Trust is an integrated health and social care Trust with an annual budget of £810m employing 13,612 (11,228 whole time equivalent) staff and managing an estate worth £299m. The Trust provides health and social care services to the council areas of Armagh, Banbridge and Craigavon; Mid-Ulster and Newry, Mourne and Down. The