SOUTHERN HEALTH AND SOCIAL CARE TRUST ANNUAL REPORT & ACCOUNTS FOR YEAR ENDED 31 MARCH 2015 SOUTHERN HEALTH AND SOCIAL CARE TRUST ANNUAL REPORT & ACCOUNTS FOR YEAR ENDED 31 MARCH 2015 Laid before the Northern Ireland Assembly under Article 90(5) of the Health and Personal Social Services (NI) Order 1972(as amended by the Audit and Accountability Order 2003) by the Department of Health, Social Services and Public Safety on 29 June 2015 SOUTHERN HEALTH AND SOCIAL CARE TRUST ANNUAL REPORT & ACCOUNTS FOR YEAR ENDED 31 MARCH 2015 Contents Pages REPORT FROM THE CHAIR AND THE INTERIM CHIEF EXECUTIVE 4 DIRECTORS‟ REPORT 10 STRATEGIC REPORT 16 FINANCIAL COMMENTARY 25 REMUNERATION REPORT 29 ANNUAL ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2015 40 STATEMENT OF ACCOUNTING OFFICER RESPONSIBILITIES 41 CERTIFICATE OF DIRECTOR OF FINANCE, CHAIR AND CHIEF EXECUTIVE 42 GOVERNANCE STATEMENT 43 CERTIFICATE AND REPORT OF THE COMPTROLLER & AUDITOR GENERAL 84 STATEMENT OF COMPREHENSIVE NET EXPENDITURE 86 STATEMENT OF FINANCIAL POSITION AS AT 31 MARCH 2015 87 STATEMENT OF CHANGES IN TAXPAYERS‟ EQUITY 88 STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2015 89 NOTES TO THE ACCOUNTS 90 STATEMENT OF TRUST‟S RESPONSIBLITIES IN RELATION TO PATIENTS / 153 RESIDENTS MONIES CERTIFICATE AND REPORT OF THE COMPTROLLER AND AUDITOR GENERAL 154 ACCOUNT OF MONIES HELD ON BEHALF OF PATIENTS / RESIDENTS 156 2 SOUTHERN HSC TRUST ANNUAL REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2015 FOREWORD These accounts for the year ended 31 March 2015 have been prepared in accordance with Article 90(2)(a) of the Health and Personal Social Services (Northern Ireland) Order 1972, as amended by Article 6 of the Audit and Accountability (Northern Ireland) Order 2003, in a form directed by the Department of Health, Social Services and Public Safety. CONTACT US Southern Health and Social Care Trust Trust Headquarters Old College of Nursing Craigavon Area Hospital 68 Lurgan Road Portadown BT63 5QQ Telephone: 028 3833 4444 Email: [email protected] www.southerntrust.hscni.net COMMENTS If you have any comments about this report or would like extra copies please telephone 028 3761 3954. DIFFERENT FORMATS This report can be made available on request in large print, on disk, via email, in Braille, on audiocassette or in minority languages for anyone not fluent in English. Telephone: 028 3861 3954. @Crown Copyright 2015 The text in this document (excluding the organisation logos) may be reproduced free of charge in any format or medium providing that it is reproduced accurately and not used in a misleading context. The material must be acknowledged as Crown copyright and the title of the document specified. 3 SOUTHERN HSC TRUST REPORT FROM THE CHAIR AND THE INTERIM CHIEF EXECUTIVE Message from Roberta Brownlee, Chair and Paula Clarke, Interim Chief Executive Report from the Chair and the Interim Chief Executive We have had another very busy year where despite rising demand for services and continued financial challenges, our staff have once again demonstrated their commitment to providing safe, high quality care to local people living in Craigavon, Banbridge, Armagh, Dungannon and Newry and Mourne and to those from outside the Trust area who choose to use our services. We are extremely proud that for the third year running, our acute hospital network – Craigavon and Daisy Hill hospitals - received a CHKS Top 40 Hospital Award. Each year in our very busy hospitals, there are approximately 370,000 outpatient appointments, 117,000 Emergency Department attendances, 30,000 day cases, 56,000 inpatient admissions and over 6,000 births. While managing over half a million patient contacts each year, our staff are committed to delivering a very high standard of care every day and for every patient, so it is a great reward for them to have their hard work recognised. Of course it is also an assurance to local people that their hospitals are amongst the best performing in the UK in terms of both clinical excellence and efficiency. Local people can also be reassured in terms of our commitment to Infection Control. Our staff work tirelessly to ensure high standards of infection control practice and they continue to deliver a wide range of initiatives to protect all of our patients from healthcare associated infections and ensure the Southern Trust sustains the lowest rate of Clostridium difficile regionally. In January 2015, like health and social care right across the UK, we faced one of our busiest winters ever. Despite a 10% increase in attendances over Christmas and into January, our Emergency Departments at both Craigavon and Daisy Hill maintained a steady performance. The weather also added to our pressures when our „snow plans‟ had to be activated during this time. It is a credit to staff working in our hospitals and across community services, that we were able to maintain our standards, treating patients as safely and quickly as possible and ensuring that care to our vulnerable clients continued during this challenging time. Not only have staff maintained high standards in challenging times, but they have also shown innovation and a commitment to continuous improvement through many new developments throughout the Trust this year. We are delighted that many of these developments have been recognised, locally, nationally and internationally and supported us in continuing to ensure that people living in the Southern area receive the best possible standards of care. 4 In the Southern Trust we are committed to using technology where possible to improve the care we provide. We have made significant investment in a wide range of technological developments and being recognised at the first ever eHealth Awards in October was a fitting tribute to the work of our clinical, managerial and ICT staff who have embraced the potential of technology in delivering safe, high quality care. We were the first Trust in Northern Ireland to introduce an Electronic Discharge Summary for GPs which is greatly improving patient safety through increased accuracy and timeliness of discharge information. Our PARIS system also contributes to patient safety by giving a much fuller profile of a patient which can be used by both community and hospital services. Another first of its kind – a new video conferencing speech and language service is allowing a small team of therapists to reach more stroke clients across a dispersed geographical area, offering more intensive support and a quicker recovery. Other technological developments include; increased access to web based video links between patients and clients in their own homes; the introduction of iPads to help hospital consultants update patient information and make decisions more efficiently during ward rounds; and we now also have bedside entertainment systems in our Renal Unit at Daisy Hill and Cancer Centre in Craigavon, helping to improve the experience for those patients who have to spend a lot of time having dialysis or chemotherapy. These dual purpose systems also contribute to patient care by allowing staff to check and update clinical information at the bedside. The fact that our IT training programme was ranked in fifth place throughout the UK and first in Northern Ireland reinforces our commitment to embrace technology to enable change and help improve the delivery of safe and high quality health and social care. As the Southern Trust population continues to grow at well above the Northern Ireland average, it is critically important that we have the skills, expertise and high quality facilities to continue to meet this demand, so we have greatly welcomed a number of major capital investments this year to improve our buildings. Inpatient Mental Health and Learning Disability Services have received a £4.7 million boost with the opening of two new wings at the existing Bluestone Unit on the Craigavon Area Hospital site. The new „Dorsy‟ unit is for the assessment of adults with a learning disability whilst „Rosebrook‟ is now home to the Trust‟s psychiatric intensive care unit. As part of our Transforming Your Care plans, we want to ensure that where possible we can support people with mental health issues or learning disabilities to lead as normal a life as possible within their own communities where the majority of people who need a service will receive care and support. These new developments at Bluestone complements our wide 5 range of community services, ensuring that we can rapidly respond to those clients most in need of short periods of hospital care. The final phase of a £15.5 million theatre development at Craigavon theatre has now been completed and following last year‟s £4.6 million new theatre development at Daisy Hill, an additional £1million has been spent upgrading the original theatres and replacing the Day Procedure Unit. £485,000 has also been invested the replacement of equipment in two of Daisy Hill‟s three x-ray rooms to new digital technology. One room was replaced in 2014 so the entire department will be operating from a digital platform following this work. The former Health Minister, Jim Wells has visited both sites during the year to see progress on some of these developments. In December he officially opened our new dedicated outpatients centre for Neurology at Craigavon, which we are delighted to say is the first of its kind in Northern Ireland. In January the Minister toured Daisy Hill Hospital where he saw the new Midwifery Led Unit, which is giving low risk mothers the option to deliver in a home from home environment, and met with Paediatric staff to hear all about our exciting £15million plans to modernise hospital services for children and young people across the Trust. All planned paediatric surgery for the Trust will be centralised in a new £8.4m purpose built centre of excellence at Daisy Hill and a further £6.9m will be used to upgrade paediatric services at Craigavon Area Hospital.