Northumberland, Tyne and Wear NHS Foundation Trust Annual Report and Accounts 2018 to 2019 Northumberland, Tyne and Wear NHS Foundation Trust Annual Report and Accounts 2018 to 2019 Presented to Parliament pursuant to Schedule 7, Paragraph 25 (4) (a) of the National Health Service Act 2006 1 © 2019 Northumberland, Tyne and Wear NHS Foundation Trust 2 Table of contents 1 Chair and Chief Executive’s introduction 5 2 Performance Report 2.1 Overview of Performance 6 2.2 Performance Analysis 14 3 Accountability Report 3.1 Directors’ Report 30 3.2 Remuneration Report 51 3.3 Staff Report 63 3.4 NHS Foundation Trust Code of Governance 77 3.5 NHS Improvement’s Single Oversight Framework 96 3.6 Modern Slavery Act Statement 98 3.7 Statement of Accounting Officer’s Responsibilities 100 3.8 Annual Governance Statement 102 4 Quality Report 5 Annual Accounts 6 Auditors Opinion on the accounts 3 Schedule of Tables Table Title number Figure 1: Our Vision, Values, Quality Goals and Strategic Objectives Figure 2: Performance against NHSI Use of Resources Metric 2018/19 Figure 3: Membership of the Board of Directors and Attendance Figure 4: Membership of NTW Solutions Board of Directors and Attendance Figure 5: Payment of Trade Invoices Figure 6: Private Patient Income Figure 7: Membership of the Remuneration Committee and Attendance Figure 8: Board of Directors Remuneration Figure 9: NTW Solutions Board of Directors Remuneration Figure 10: Median Remuneration Figure 11: Board of Director Pension Analysis Figure 12: NTW Solutions Board of Director Pension Analysis 2018/19 Figure 13: Employee Expenses and Employee Numbers Figure 14: Sickness Absence Data 1 April 2018 to 31 March 2019 Figure 15: Staff Survey 2018/19 Compared to Staff Survey 2017/18 & 2016/17 Figure 16: High Paid Off Payroll Arrangements Figure 17: Exit Packages: Exit Packages 2018/19 Figure 18: Exit Packages: Exit Packages 2017/18 Figure 19: Audit Committee Attendance 2018/19 Figure 20: Membership of the Council of Governors and Attendance Figure 21: Analysis of Attendance of Board Members at Formal Council of Governors’ Meetings Figure 22: Nominations Committee Membership and Attendance Figure 23: Analysis of Membership as at 31 March 2019 Figure 24: Single Oversight Framework: Finance and Use of Resources 4 1. Chair and Chief Executive’s Introduction Welcome to the 2018/19 Annual Report and Accounts for Northumberland Tyne and Wear NHS Foundation Trust (NTW). It has been a challenging year, not only for NTW but for the NHS as a whole, both clinically and financially including continuing austerity, growing concern about workforce and recruitment, the changing landscape of the NHS and challenges in terms of governance and integration, and increased demand for care. At a local level, we were delighted that as part of the Government announcement of additional funding for the NHS, NTW were allocated £54m which will be used to develop our secure inpatient facilities and inpatient services in Newcastle and Gateshead. NTW has contributed to the wider work on the Integrated Care Systems across the North East and Cumbria and has ensured that mental health and disability services are firmly on the agenda. Having said that, there is still a long way to go to make sure that mental health receives the same parity of esteem as physical health and we will continue to champion this agenda.. A key area for us at NTW is to continually challenge the stigma associated with mental health and mental illness and help build our own, and others’ understanding so that we are better able to listen, to accept, and to help in any way we can. We are very proud to introduce this report which shows that once again, service users and carers, staff and volunteers have worked together to ensure that we have continued to deliver high quality and safe services to our patients. That is not to say that we’re complacent and our teams across the Trust would never allow us to become so – and that is one of many things that makes NTW special. We are in no doubt that the future will see even more challenging times for the NHS, but with the support of our service users, carers, staff, governors, partner organisations and commissioners we will continue to do everything we can to provide the best possible care for the people who need our services. We would like to thank the Council of Governors, our Board colleagues and all of our staff and volunteers for everything they do. Ken Jarrold John Lawlor Chair Chief Executive 22 May 2019 22 May 2019 5 2. The Performance Report 2.1 Overview of Performance This report has been prepared on a ‘group’ basis and will refer to Northumberland, Tyne and Wear NHS Foundation Trust Group as ‘NTW’ or ‘the Group’. The NTW ‘group’ includes NTW Solutions our wholly owned subsidiary company. Sections of this report that is relevant to the NHS services provided by Northumberland, Tyne and Wear NHS Foundation Trust will be referred to as ‘the Trust’. This overview will provide an understanding of the NTW Group, including the services we provide, our organisational vision and values, strategic direction and potential risks as well as a summary of our performance during 2018/19. Our Services NTW provides a wide range of mental health, learning disability and neuro- rehabilitation services to a population of 1.4 million people in the North East of England as well as providing specialist services nationally. We are one of the largest mental health and disability organisations in the country with an income of approximately £300 million. We employ over 6,000 staff, operate from over 60 sites and provide a range of services including many regional and national services. We support people in the communities of Northumberland, Newcastle, North Tyneside, Gateshead, South Tyneside and Sunderland working with a range of partners to deliver care and support to people in their own homes and from community and hospital based premises. Our main hospital sites are: Walkergate Park, Newcastle upon Tyne; St. Nicholas Hospital, Newcastle upon Tyne; St. George’s Park, Morpeth; Northgate Hospital, Morpeth; Hopewood Park, Sunderland; Monkwearmouth Hospital, Sunderland; and Ferndene, Prudhoe. Our History Northumberland, Tyne and Wear NHS Trust (NTW) was established on 1 April 2006 following the merger of three Trusts: Newcastle, North Tyneside and Northumberland Mental Health NHS Trust, South of Tyne and Wearside Mental Health NHS Trust and Northgate and Prudhoe NHS Trust. The Trust achieved authorisation as an NHS Foundation Trust on 1 December 2009. As a Public Benefit Corporation NTW has members. We have four membership constituencies to represent stakeholder interests: 6 Public constituency; Service users and carers constituency; Staff constituency; and Partner organisation constituency. 7 Chief Executive’s Statement on the Performance of the Trust Throughout 2018/19 we have continued to work on the development of our enabling strategies which support the Trust’s strategic ambitions into clear objectives and actions. These strategies include areas such as workforce, equality and diversity, service, user and carer involvement, psychological services and nursing. Our full Trust Strategy and enabling strategies are available on our website at https://www.ntw.nhs.uk/about/publications/. Alongside these areas of focus, each clinical business unit has set out its own objectives and priorities to enable the delivery of the Trust’s strategy at local service level. Our ambition is for every service, team and individual member of staff to be able to see and understand their own contribution towards the delivery of high quality, patient centred care, and the achievement of the Trust’s strategy and objectives. The Trust has in place an appraisal process to ensure that appraisals across the Trust are aligned to the Trust’s strategy and values, and that personal objectives reflect this. During the year, the Trust has continued to move forward with the major change programmes of work which significantly underpin our strategic ambitions. These are: Care Environment Development and Re-provision Programme (CEDAR) This programme brings together and coordinates a significant capital development to provide state of the art secure in-patient facilities for adults and young people on one sight and adult acute in-patient facilities for the population of Newcastle and Gateshead. The latter element of the scheme fulfils the preferred outcome of the ‘Deciding Together’ consultation undertaken in 2017 by Newcastle Gateshead CCG regarding the provision of in-patient facilities to meet the needs of their local population. Transforming Services for people with a learning disability This programme aims to work across the Trust and partners to improve and develop services for people with a learning disability and/or autism. Mental Health Work Stream for the North East and Cumbria Integrated Care System (ICS) NTW continues to play a major role in developing the North East and Cumbria ICS with our Chief Executive, John Lawlor, acting as joint Senior Responsible Officer for the mental health work programme. This brings together representatives from health and social care organisations across the area to develop standards, share best practice and spread innovative practice, which can enable organisations and communities across the patch to meet our shared aspirations for improving mental health care across the ICS footprint, in line with the aims of the NHS Long Term Plan. In particular, there is a strong focus on bringing together support