Sheffield Children‟s NHS Foundation Trust Annual Report and Accounts 2012/13 Sheffield Children‟s NHS Foundation Trust Annual Report and Accounts 2012/13 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) of the National Health Service Act 2006 Contents Chairman and chief executive‟s welcome 1 An introduction to Sheffield Children‟s NHS Foundation Trust 2 Directors‟ report 3 Quality report 4 Governance arrangements 5 Remuneration report 6 Financial report 7 Annual accounts 2012/13 3 Sheffield Children‟s Hospital was first established in 1876. Since 1948 it has provided services under the NHS and, in 1992, it was established as an NHS trust. On 1 August 2006, it became Sheffield Children‟s NHS Foundation Trust under the Health and Social Care (Community Health and Standards) Act 2003. For more information, please visit www.sheffieldchildrens.nhs.uk 4 Chairman and chief executive‟s welcome Welcome to our annual report and accounts for ready for building work to commence in summer the year 2012/13. It gives us both great pride to 2013 with the new wing opening in 2015. It is our be able to present the achievements of Sheffield expectation that this will materially improve the Children’s NHS Foundation Trust, over what has current areas of negative patient feedback. been another very successful, yet extremely challenging, year. In parallel with this investment in our facilities is continued service improvement; a constant theme Never before has the health service been under as across the Trust, as individual members of staff much public scrutiny. The publication of Sir Robert and teams, both within and across disciplines and Francis’ report following the Mid Staffordshire NHS organisational boundaries, strive to develop Foundation Trust public inquiry, has placed trusts integrated services that respond to the often under, admittedly justified, pressure to complex needs of our patients and their families. demonstrate continued improvement in the quality of their services. The board of directors The number of patients coming to us for high accepts that the public inquiry has revealed quality specialised care continues to grow as we unacceptable shortcomings in patient care in Mid gain increased recognition as a centre of Staffordshire and is fully committed to reviewing excellence through striving to meet national the report’s recommendations over the coming standards of clinical care while also making real months. We will consult with our families, advances in delivering a better patient experience governors and staff to ensure that the culture of for all our patients. This has only been possible this Trust is centred on ‘Keeping children, young through the continued commitment of all our staff people and families at the heart of what we do’ - whose hard work, compassion and willingness to our newly agreed value statement, developed this embrace new ways of working continues to drive year alongside a framework of values and forward the performance of the Trust. supporting behaviours following input from a wide range of staff and groups across the Trust. At the same time as developing our specialised services, the transfer to the Trust of paediatric We are confident that we can look back over the community services in April 2011 has provided past year and clearly demonstrate that the Trust opportunities to demonstrate our commitment to has made significant progress towards realising the delivering improved health services to local objectives we set ourselves around delivering patients and, welcoming the opportunity to work improvements in clinical quality and the patient with GP commissioners and other local partners, experience. This progress is evidenced within our we are transforming healthcare services for quality report which, at the same time, sets some children in Sheffield, developing new models of challenging quality improvement priorities for the care to provide more care outside the hospital year ahead, recognising the need for the Trust to setting, while also making most effective use of make ongoing quality improvements. resources. Indeed, our drive to improve the patient Throughout the year we have maintained our experience and the quality of our services is at the strong performance against key national targets forefront of our plans to invest in the quality of the with the exception of delivery of the 18-week accommodation within which we already deliver referral to treatment waiting time target. our high quality clinical care. Consistently our, Significant increased demand for some of the otherwise positive, patient survey feedback has Trust’s highly specialised services led the Trust to identified parking, privacy and dignity, parental under perform against this target between June accommodation, and way-finding as areas of and September 2012. Performance is now back on below average patient experience. During 2012/13 track and the Trust has put in place a range of we have made significant progress in moving measures to ensure that this is sustainable. Other forward with plans to develop a new hospital wing. targets and performance against clinical quality Positive review of our plans by Monitor, our indicators have been met and we retain our regulator, at the end of 2012 was an important reputation for infection prevention and control milestone in realising our ambition to improve our which continued to be a top priority for the facilities to a world-class standard. Enabling works organisation. During 2012/13, there were no cases for a £40 million patient wing are now underway of MRSA bacteraemia and, considering the 5 1. An introduction to Sheffield Children‟s NHS FT 1.1 Who we are Sheffield Children‟s NHS Foundation Trust is one of only four dedicated children‟s hospital trusts in the UK providing integrated, highly specialist healthcare for children and young people in Sheffield, South Yorkshire and beyond. We have some of the best medical and surgical services for children in the country and work with children and their families in the local community. We provide a full range of services for local residents as well as specialised services for patients from further afield. Our specialised services receive referrals from the UK and internationally and we have developed pioneering services in trauma and orthopaedics, paediatric transport, genetics and many more. Demand for our services continues to grow year on year and we are increasingly delivering healthcare to patients over a wider geographical area as our reputation for providing outstanding specialist care grows. In 2012/13, we treated more patients than ever before with almost 30,000 patients admitted to hospital as inpatients or day cases and more than 164,000 attending outpatient clinics or being treated in our emergency department. The Trust is committed to being a leader in the field of training and research in children‟s healthcare and we continue to deliver a strong portfolio of research and product innovation. We employ more than 2,500 staff and strive to recruit and retain the best doctors, nurses, allied health workers and other staff; the commitment of our employees is key to the Trust‟s success and reputation. Sheffield Children‟s NHS Foundation Trust is registered without conditions with the Care Quality Commission (CQC), the independent regulator of health and social care in England. 1.2 Our mission statement and strategic direction The purpose of the Trust is set out in the agreed mission statement for the organisation, which is: „Our aim is to provide care and treatment of the highest standard to the children and young people of Sheffield, South Yorkshire and beyond, working closely with children and their families, other partners, and our staff to improve the health, wellbeing and life chances of the younger population.‟ In response to the changing demands of patients, their families and commissioners, and in line with best practice in paediatric care (both nationally and internationally) the Trust is developing the ways in which we work with other providers and partners to ensure that we can deliver and sustain services for the future Many of our departments and clinicians are UK leaders forging the way in paediatric care, in research and in delivering health outcomes and we can demonstrate that several of our specialised services are recognised as UK-wide and international centres. For this reason there has been a significant growth in referrals to the Trust, continuing the trend over recent years and reflecting the pattern that nationally a greater proportion of care for children is being undertaken at specialist centres with skilled staff who care for children on a regular basis. In response to this increase in activity and, as a means to support a strategy which plans for continued modest growth in our specialised services, the Trust has put in place a number of developments which will increase our capacity to provide high quality specialised services. 7 In order to maximise the Trust‟s opportunities to develop further as a specialist provider, it is critical that the focus on continually developing the quality of services remains strong as this is key to our reputation as an expert provider of services. It is also critical to ensure that the Trust‟s role as a provider of high quality research and training continues to be enhanced. The development of a new wing of Sheffield Children‟s Hospital is part of our strategy to position the Trust as a highly specialised paediatric centre. This investment in our facilities and infrastructure will provide world-class facilities within which we can continue to deliver treatment of the highest quality, enhancing both the experience of patients and their carers and, for staff, clinical functionality. In addition to its role as a specialist provider of care for children, the Trust will continue to provide high quality non-specialist general hospital and community services for children and families in Sheffield.