Annual Report and Accounts 2019-20 Contents About our annual report ...................................................................................................... 2 A note about abbreviations .................................................................................................. 2 Chair and chief executive’s foreword .................................................................................... 3 1 Performance report ............................................................................................... 4 1.1 Performance overview ........................................................................................ 4 1.1.1 Purpose of overview section ........................................................................................ 4 1.1.2 Statement from the chief executive .............................................................................. 4 1.1.3 The nature and purpose of our organisation ................................................................ 6 1.1.4 Our business model ..................................................................................................... 6 1.1.5 Our strategy ................................................................................................................ 7 1.1.6 Financial performance during 2019-20 ......................................................................... 8 1.1.7 Financial outlook ......................................................................................................... 9 1.1.8 Key issues and risks ..................................................................................................... 9 1.1.9 Emergency preparedness ............................................................................................10 1.1.10 Performance summary ..............................................................................................11 1.2.Performance analysis ........................................................................................11 1.2.1 Healthcare performance in Leeds ...............................................................................11 1.2.2 Performance highlights ..............................................................................................12 1.2.3 Sustainable development ...........................................................................................13 1.2.4 Improving quality .......................................................................................................15 1.2.5 Engaging people and communities .............................................................................18 1.2.6 Reducing health inequalities .......................................................................................24 1.2.7 Performance in primary care ......................................................................................27 1.2.8 Performance in mental health ....................................................................................33 1.2.9 Performance in planned care: cancer ......................................................................... 39 1.2.10 Equality and diversity ................................................................................................41 1.2.11 Delivering the Leeds health and wellbeing strategy 2016-2021 ................................. 43 1.2.12 Working with our partners ...................................................................................... 49 1.2.13 Safeguarding ........................................................................................................... 56 1.2.14 Requests for information ......................................................................................... 58 2 Accountability report .......................................................................................... 59 2.1 Corporate Governance Report .......................................................................... 59 2.1.1 Members Report .........................................................................................................59 2.1.2 Statement of Accountable Officer’s Responsibilities ................................................... 67 2.1.3 Governance Statement .............................................................................................. 69 2.2 Remuneration and staff report ........................................................................ 81 2.2.1 Remuneration report ..................................................................................................81 2.2.2 Staff report ................................................................................................................91 2.3 Parliamentary accountability and audit report ................................................. 94 3 Independent auditor’s report .............................................................................. 95 4 Annual accounts ................................................................................................. 98 1 About our annual report The annual report and accounts for the year ending 31 March 2020 have been prepared as directed by NHS England and NHS Improvement (NHSEI) in accordance with section 232 (Schedule 15, Paragraph 3) of the National Health Service Act 2006. The directions issued by NHS England require clinical commissioning groups to comply with the requirements laid out in the Manual for Accounts issued by the Department of Health and Social Care (DHSC). The Manual for Accounts complies with the requirements of the Government Financial Reporting Manual, which the Department of Health Group Accounts are required to comply with. Due to the current coronavirus pandemic, the requirements for the contents of annual reports been revised nationally; this means there may be some omissions against previous and future such publications. However, as we began to draft our report before the pandemic began, we have followed the structure outlined in previous DHSC templates, including the three core sections: • Performance report - including an overview, performance analysis and performance measures • Accountability report - including the members report, corporate governance report, annual governance statement, remuneration and staff report • Annual Accounts. A note about abbreviations Throughout this report, we use a number of abbreviations. These are always explained in full the first time they appear, but the most common ones are: • CCG - Clinical commissioning group • LTHT - Leeds Teaching Hospitals NHS Trust • LCH - Leeds Community Healthcare NHS Trust • LCC - Leeds City Council • LCP - Local care partnership • LYPFT - Leeds and York Partnership NHS Foundation Trust • NHSEI - NHS England and NHS Improvement (now a single organisation) • WYH HCP - West Yorkshire and Harrogate Health and Care Partnership (also referred to as West Yorkshire and Harrogate Integrated Care System / ICS) • YAS - Yorkshire Ambulance Service 2 Chair and chief executive’s foreword Our annual report has been pulled together Right now though, we ask that people recognise at an extraordinary time for people, not just the efforts that people have made to stand tall in Leeds or this country but across the world and show that we are in this together. Naturally as we deal with the coronavirus (COVID-19) we’ll talk about our NHS heroes but we’re also pandemic. At the time of writing in early April, mindful of all those other key workers who have sadly we’ve already seen over 10,000 people lose put so much on the line to help every single one their lives due to COVID-19 in this country, and of us. Again, we’ve seen a number make the that figure will rise. ultimate sacrifice. Our annual report is a document that shows how The city has come together, as would be we have performed and how we have used your expected, to support our patients in different money as taxpayers to deliver the best possible care settings and rapidly develop new ways of care for local people. This year this feels less working to ensure we can provide safe care pertinent than in other years - yet we do want to while following social distancing guidance where recognise that you still have every right to hold needed. But this extends beyond patients and on us to account. Therefore we have completed to how we’ve supported people in the city, such this as fully as possible but some data may not as through our 8,000 volunteers who signed up be as accurate as we’d like as colleagues have to the community care volunteer programme. been redeployed to help support the Leeds effort We’ve continued to deliver other essential public against COVID-19. services that all have an impact on health and wellbeing, so our bins are collected, housing As a result our foreword this year is not about support is provided and people needing welfare celebrating what the CCG and its partners have support can get it. achieved this year. It’s a moment to pause and reflect as we are aware that people reading this The one thing we’re really proud of is that Leeds in a few months’ time may well have had to say has demonstrated that it’s a compassionate city goodbye to people close to them. and why we really are stronger together. That’s why we’ll get through this with our usual grit, We’re mindful of this and want to say that every determination and sense of solidarity. reported death is one life too many that’s been cut short. Furthermore we know that we have Thank you. lost many of our own health and care colleagues Gordon and Tim to COVID-19 on our shores and beyond.