University Hospitals Bristol NHS Foundation Trust Annual Report and Accounts 2010 – 2011 University Hospitals Bristol NHS Foundation Trust Annual Report and Accounts 2010 – 2011 Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006 Table of Contents 1. Chairman’s Statement ................................................................................................... 1 2. Chief Executive’s Foreword ........................................................................................... 3 Introduction........................................................................................................................ 3 Histopathology Inquiry ....................................................................................................... 3 Clinical services ................................................................................................................. 3 Research and innovation ................................................................................................... 4 Teaching and learning ....................................................................................................... 5 Board of Directors.............................................................................................................. 5 Looking forward ................................................................................................................. 6 3. Directors’ Report ............................................................................................................ 7 Principal activities of the Trust ........................................................................................... 7 Directors of the Trust ......................................................................................................... 7 Statement as to Disclosure to Auditors .............................................................................. 8 Business Review ............................................................................................................... 8 Our performance in 2010/11, an overview of regulatory risk ratings ............................... 8 Review of quarterly performance ................................................................................... 9 Annual performance against national access standards ................................................ 9 An overview of quality ...................................................................................................11 Contractual performance ..............................................................................................13 Research and Innovation ..............................................................................................14 Our wider role and future developments .......................................................................15 About our staff ..............................................................................................................17 Our values ....................................................................................................................25 Financial performance ..................................................................................................26 4. NHS Foundation Trust Code of Governance ................................................................34 Provisions of the Code .....................................................................................................34 A.1 – Board of Directors ...............................................................................................34 A.2 – Division of Responsibilities ..................................................................................35 C.1.10 – Nominations Committee .................................................................................35 C.2.3 – Information about Elected Governors Standing for Re-election ........................35 E.2.3 – Remuneration of the Non-executive Directors and Chairman ...........................36 Trust Board of Directors....................................................................................................37 Role and Function of the Trust Board of Directors ........................................................38 Membership and Attendance at Board and Committee Meetings ..................................39 Business Interests ........................................................................................................40 Audit and Assurance Committee ......................................................................................41 Internal Audit ................................................................................................................41 External Audit ...............................................................................................................42 Financial Reporting .......................................................................................................42 Other Assurance Functions ..........................................................................................43 Independence of the External Auditor in providing non-audit services ..........................43 Nomination and Appointments Committee ........................................................................43 Finance Committee ..........................................................................................................44 Governance and Risk Management Committee ...............................................................44 Remuneration Committee .................................................................................................45 Performance of the Trust Board of Directors and its Committees ..................................45 Membership Council .........................................................................................................46 Meetings of the Membership Council ............................................................................46 Appointment and removal of Non-Executive Directors ..................................................47 Business interests ........................................................................................................48 Foundation Trust membership ..........................................................................................48 Membership size and variations ...................................................................................48 Analysis of current membership ....................................................................................50 Developing a representative and engaged membership ...............................................50 Evaluation of steps to achieve a representative membership ........................................51 Elections .......................................................................................................................51 Membership Strategy ....................................................................................................52 Membership commentary .............................................................................................53 Public Constituencies ...................................................................................................53 Patient constituency ......................................................................................................53 Staff constituency .........................................................................................................53 Members communicating with their staff, public and patient governors .........................54 Governors by constituency – 1 April 2010 to 31 March 2011 ........................................55 Attendance at Membership Council and Nominations and Appointments Committee Meetings .......................................................................................................................58 5. Appendix A – Biographies of Members of the Trust Board of Directors .........................61 Chairman – John Savage .............................................................................................61 Chief Executive – Robert Woolley .................................................................................61 Non-executive Directors ...............................................................................................61 Executive Directors .......................................................................................................64 6. Appendix B – Remuneration Report .............................................................................66 7. Appendix C – Contact Details .......................................................................................71 Appendix D – Quality Report 2010/11 Appendix E – Annual Accounts 2010/11 Appendix F – Independent Auditors Report to the Board of Governors (Membership Council) 1. Chairman’s Statement Welcome to the Annual Report for University Hospitals Bristol NHS Foundation Trust for the year from 1 April 2010 to 31 March 2011. The Governors and I were delighted to appoint Robert Woolley as Chief Executive of the Trust in September 2010. Robert is providing the Trust with strong leadership as it moves into a time of significant change for the NHS: alterations to funding regimes and changes to the commissioning of services both come at a time of acute economic challenge. The year closes at 31st March with the Trust in a strong financial position and reporting an amber- green