Kingston Hospital NHS Foundation Trust Annual Report & Accounts 2019-20 Kingston Hospital NHS Foundation Trust Annual Report & Accounts 2019-20 Presented to Parliament pursuant to Schedule 7, Paragraph 25(4) (a) of the National Health Service Act 2006 Kingston Hospital NHS Foundation Trust - Annual Report & Accounts 2019-20 3 ©2020 Kingston Hospital NHS Foundation Trust Kingston Hospital NHS Foundation Trust - Annual Report & Accounts 2019-20 4 CONTENTS Performance Report ..................................................................................................................... 7 Overview of Performance ..................................................................................................................7 Financial Review of 2019-20 ............................................................................................................. 12 Going Concern ................................................................................................................................. 16 Accountability Report ................................................................................................................ 18 Directors’ Report ......................................................................................................................... 18 Board of Directors ............................................................................................................................... 18 Single Oversight Framework ............................................................................................................. 23 Well-Led Framework ........................................................................................................................... 24 Quality Governance ............................................................................................................................ 24 Freedom to Speak Up ........................................................................................................................ 24 Patient Advice and Liaison Service (PALS) .................................................................................... 25 Complaints ........................................................................................................................................... 25 Emergency Preparedness, Resilience and Response (EPRR) ................................................... 26 Working with our Partners .................................................................................................................. 26 Declarations ......................................................................................................................................... 28 Statement of the Chief Executive's responsibilities ............................................................... 29 as the Accounting Officer of Kingston Hospital NHS Foundation Trust ............................. 29 Remuneration Report ................................................................................................................. 30 Staff Report.................................................................................................................................. 35 Staff Numbers and Gender Profile ............................................................................................... 35 Staff Engagement ............................................................................................................................ 36 NHS Staff Survey Report ............................................................................................................... 37 Recruitment & Retention ................................................................................................................ 40 Objectives for Pay & Reward......................................................................................................... 41 Health & Wellbeing .......................................................................................................................... 41 Sickness Absence ........................................................................................................................... 42 Countering Fraud and Corruption ................................................................................................. 42 Learning, Development & OD ....................................................................................................... 42 Diversity & Inclusion ........................................................................................................................ 43 Trade Union Facility Time .............................................................................................................. 44 Compliance with the NHS Foundation Trust Code of Governance ...................................... 47 Kingston Hospital NHS Foundation Trust - Annual Report & Accounts 2019-20 5 Governance Arrangements ............................................................................................................ 47 Directors............................................................................................................................................ 48 Chairman .......................................................................................................................................... 48 Deputy Chairman ............................................................................................................................ 48 Senior Independent Director .......................................................................................................... 48 The Board ......................................................................................................................................... 48 Directors’ Remuneration................................................................................................................. 49 Appointment, Re-election and the Nominations Committees ................................................... 49 Directors and their Independence................................................................................................. 49 Register of Directors’ Interests ...................................................................................................... 50 Trust Auditors ................................................................................................................................... 50 Board Committees .......................................................................................................................... 50 Attendance at Board and Committee Meetings (2019-20) ....................................................... 50 Company Secretary ........................................................................................................................ 53 Statement of Compliance with the NHS Foundation Trust Code of Governance ................. 53 Council of Governors and Membership ....................................................................................... 53 Annual Governance Statement ................................................................................................. 57 Appendices 1 – Quality Report 2 – Annual Accounts for 2019-20 Kingston Hospital NHS Foundation Trust - Annual Report & Accounts 2019-20 6 Performance Report Overview of Performance There is no doubt that 2019-20 was an exceptional year and one that will long be remembered. When we put together our strategic plan for the year ahead at the beginning of 2019 we could not have predicted that by the final month of the year our plans, and indeed normal life, would be so affected by the Covid 19 pandemic. However, we were well prepared to cope with all that was asked of us and we finished the year in a strong position. Our values truly reflect who we are and how we care for each other and our patients. Our operational achievements consistently put us within a small group of top-performing trusts in London, and we delivered our financial plan at the year end. We would like to say thank you to our exceptional workforce; these results are an outstanding achievement and we do not take their commitment for granted. Throughout the year our workforce performance indicators were strong, and we were delighted to receive feedback from our staff through the NHS staff survey which placed Kingston Hospital in the top ten trusts in the country. Three quarters of staff said that they would recommend the Trust as a place to work, putting the hospital significantly above the national average for NHS trusts. When asked if they would recommend the hospital as a place to receive care, 82% of the hospital’s staff confirmed that they would, again putting the Trust in the top-performing group of hospitals and the second best score in London. There remains more work for us to do in the areas of bullying and harassment at work and in helping to reduce the pressure of work. In keeping with our focus on staff health, wellbeing and resilience, we have planned a package of psychological interventions to help staff during the slowing down of the pandemic and to support longer term emotional resilience. Demand for the Hospital’s services presented some challenges in 2019-20. Non-elective attendances grew at twice the national average, creating capacity issues on a daily basis and competing demands for diagnostics. Despite this unprecedented demand we maintained good performance against the key regulatory targets and progress was made towards our goal of making every