RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:05 Page 1 A lifetime of specialist care Annual Review 2019 RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:05 Page 2 | annual ReVIeW 2019 2 | Royal BRompton & HaRefIeld nHS foundatIon tRuSt RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:05 Page 3 annual ReVIeW 2019 | Contents Introduction from the chair and chief executive 04 About us 07 Professor Tim Evans – in memory 08 Our vision and values 09 CQC report 10 Performance and achievements 13 Evolution of Darwin 14 Our clinical expertise and specialist services 16 A dedicated service for children and young people 24 Rehabilitation and therapies 28 Research highlights 30 Sharing our expertise 32 Listening to our patients 34 The healing arts 36 Our charities 38 Our profile in the media 40 Governance 42 Royal Brompton & Harefield NHS Foundation Trust accounts 44 Other formats If you would like a copy of this report in another format, please contact the communications team at [email protected] or on 0330 12 88671. [email protected], 0330 12 88671 Bu raporun Turkçe kopyası için lutfen komunikasyon bölumundeki communications team ’la görusun. [email protected], 0330 12 88671. If you would like a copy of this report in large print, please contact the communications team at [email protected] or on 0330 12 88671. Royal BRompton & HaRefIeld nHS foundatIon tRuSt | 3 RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:05 Page 4 | annual ReVIeW 2019 Introduction from the chair and chief executive We are pleased to present this annual Royal Brompton Hospital and returning to work within four weeks. review. It reflects a year that has seen Professor of respiratory and sleep Traditional aortic valve surgery entails the Trust’s commitment to excellence medicine at Imperial College, was cutting through the chest with an in patient care recognised across elected President of the European incision of up to 30cm, and a recovery many platforms. Respiratory Society (ERS). ERS brings time of up to six months. together physicians, healthcare In its 2018 inspection of our services, professionals, scientists and other At Royal Brompton, doctors have the Care Quality Commission (CQC) experts working in respiratory treated the largest number of awarded a rating of ‘Good’ and medicine. It is the largest respiratory premature babies in Europe with identified several areas of outstanding society in the world – covering not pioneering catheter interventions. practice; recognising our “systematic only Europe, but forging strong global Babies with patent ductus arteriosus approach to continually improving the links, particularly across Asia and (PDA) – a life threatening congenital quality of services, and safeguarding Australasia. heart defect – have benefited from a high standards of care by creating an new procedure that takes just 20 environment in which excellence in Dr Nick Hopkinson, honorary minutes and avoids the need for open clinical care flourishes”. consultant chest physician at Royal heart surgery, a complex procedure in Brompton Hospital and reader in tiny babies. Babies were referred by 20 Commending our clinical teams for respiratory medicine at Imperial different neonatal intensive care units the compassion shown to patients, College, was appointed medical across the country, as the Trust is the the CQC reported that: “Feedback from director of the British Lung Foundation only centre in the UK to have a patients confirmed that staff treated (BLF). The Trust has close links with the specialist referral team. them well and with kindness…staff BLF – the leading national umbrella involved patients and those close to charity that funds research into, and Our experts joined forces with the west them in decisions about their care and supports people affected by, lung London cancer alliance, hosted by treatment…and provided emotional disease. cancer centre The Royal Marsden, to support to minimise their distress”. diagnose patients with lung cancer Dr Sonya Babu-Narayan, consultant earlier, by using mobile CT scanners in Three of the four core services cardiologist at the Trust and clinical the community. They recruited 2,284 inspected were rated good (Children’s senior lecturer at Imperial College, was patients to over 200 research and Young People’s Services, Critical appointed associate medical director programmes that will contribute Care and Surgery at Royal Brompton for the British Heart Foundation (BHF). towards better patient care and Hospital) and one, Surgery at Harefield The BHF funds over £100 million of outcomes. They were awarded funding Hospital, was rated outstanding. research each year into heart and from the National Institute for Health circulatory conditions. Research Invention Innovation (i4i) The Trust’s ECMO service for adults Programme to study how artificial with severe acute respiratory failure Many others were recognised by intelligence can diagnose a rare (SARF), was highly praised at the professional associations, medical inherited lung condition, and launched Extracorporeal Life Support colleges and national charities. the UK’s first international postgraduate Organisation (ELSO) awards for course in heart failure; and received a Excellence in Life Support. Harefield But our clinicians are not motivated by 95 per cent recommendation score in Hospital was presented with the silver accolades. Across both our sites, the annual Friends and Family Test. award, and Royal Brompton Hospital talented teams of doctors, nurses and received the prestigious platinum allied health professionals strive every So it is not news to us that we have award. This certification is the highest day to offer patients the very best some of the most talented, skilled and distinction given by ELSO, and Royal specialist care that is available, committed teams in the NHS within Brompton was the only centre in anywhere in the world. our Trust. We know that clinical England to achieve it. leadership is vital if we are to move This year saw pioneering innovation in forward and continue to break new Several of our talented colleagues minimally-invasive heart valve surgery ground in treatment and research, and were recognised for their expertise at Harefield Hospital transform the it is particularly encouraging to see the and clinical leadership. lives of patients. Using a small 6cm enthusiasm shown by clinical incision between the ribs, minimally- colleagues for our planned Professor Anita Simonds, consultant in invasive techniques mean a quicker collaboration with King’s Health respiratory and sleep medicine at recovery time with many patients Partners (Guy’s and St Thomas’ NHS 4 | Royal BRompton & HaRefIeld nHS foundatIon tRuSt RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:06 Page 5 annual ReVIeW 2019 | our clinicians join teams from King’s Health partners to discuss how patients describe what they would like to see in a new partnership best to work together FT, King’s College Hospital, South Being part of a wider network will Our plans will take time to develop London and Maudsley NHS FT, and provide the opportunity to do things and deliver; transformation on this King’s College London University). differently, to design new models of scale requires detailed planning and care using the best of the best from engagement. But whatever else We already work closely with each partner organisation. Working as changes in the environment around colleagues at Guy’s and St Thomas’ in one team, at scale, our combined us, it is patients who remain our focus, particular, and over the past 12 months capability will place us in the global and our commitment to them will it has become apparent that there is a top five for world-leading heart and continue to guide everything that very real appetite among clinical teams lung research and personalised care. we do. to investigate closer ways of working. Although central to our vision is the development of a new purpose-built clinical academic facility on the St Thomas’ Hospital and Evelina London Children’s Hospital site, which will take around 10 years to complete, clinical Baroness Sally morgan Bob Bell Chair Chief executive and research links with colleagues across King’s Health Partners are 22 January 2020 22 January 2020 growing stronger by the day, with joint clinics and services developing in several areas. We are confident that the greatly enhanced opportunities that this collaboration offers, and the strength of our brand, will attract clinicians and researchers from other countries to this new hub of expertise and opportunity. Training and education opportunities, in particular, will be world-leading, supporting not only recruitment but retention. Royal BRompton & HaRefIeld nHS foundatIon tRuSt | 5 RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:06 Page 6 | annual ReVIeW 2019 6 | Royal BRompton & HaRefIeld nHS foundatIon tRuSt RBH annual review 2019-FINAL.qxp_Layout 1 24/01/2020 11:06 Page 7 annual ReVIeW 2019 | About us Royal Brompton & Harefield NHS Foundation Trust is the largest specialist heart and lung centre in the UK and one of the largest in Europe. The Trust is a partnership of two life. Over the years our experts have hospitals – Royal Brompton in been responsible for major medical Chelsea, West London, and Harefield, breakthroughs including performing near Uxbridge – which are each the first successful heart/lung known throughout the world for their transplant in Britain, implanting the first Our values guide and expertise, standard of care, and coronary stent, founding the largest support every decision we influential research. centre for cystic fibrosis in the UK, and pioneering intricate heart surgery for make to ensure our care is We are a specialist trust, providing newborn infants. safe, of the highest quality treatment for people with heart and and available to everyone lung disease only. This means our We treat patients from all over the UK who needs it.