Portsmouth Hospitals NHS Trust Annual Report 2018/2019 Annual report and accounts 2018 – 2019 Contents CHAPTER 1 – PERFORMANCE REPORT.............................................................................................................. 6 OVERVIEW .......................................................................................................................................................... 6 About the Trust .............................................................................................................................................. 6 Working alongside our military personnel ..................................................................................................... 7 Private Patients .............................................................................................................................................. 7 A caring and charitable hospital .................................................................................................................... 8 Research and Innovation ............................................................................................................................... 8 Organisational structure ................................................................................................................................ 9 Did you know? ................................................................................................................................................ 9 Our strategic direction ................................................................................................................................... 9 Care Quality Commission ............................................................................................................................. 10 Key issues and risks ...................................................................................................................................... 10 Adoption of going concern ........................................................................................................................... 10 Year at a glance ........................................................................................................................................... 11 Statement from Chief Executive Officer on organisational performance .................................................... 13 Performance summary ................................................................................................................................. 14 Performance analysis ................................................................................................................................... 14 Performance ................................................................................................................................................. 14 A safe hospital – measuring our performance ............................................................................................. 16 A safe hospital - infection prevention .......................................................................................................... 17 Improved participation and engagement .................................................................................................... 17 NHS Choices ................................................................................................................................................. 18 Freedom of Information ............................................................................................................................... 18 Customer care .............................................................................................................................................. 19 Ensuring a sustainable future ...................................................................................................................... 20 Emergency preparedness, resilience and response ...................................................................................... 20 Financial performance ................................................................................................................................. 21 CHAPTER 2 – ACCOUNTABILITY REPORT ........................................................................................................ 22 CORPORATE GOVERNANCE REPORT DIRECTORS’ ACCOUNTABILITY REPORT .................................................. 22 PORTSMOUTH HOSPITALS NHS TRUST BOARD OF DIRECTORS ........................................................................ 22 Non-Executive Directors ............................................................................................................................... 22 Executive Directors ........................................................................................... 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BOARD EFFECTIVENESS .................................................................................................................................... 28 REGISTER OF INTERESTS ................................................................................................................................... 29 DISCLOSURE OF INTERESTS .............................................................................................................................. 29 SHADOW COUNCIL OF GOVERNORS ................................................................................................................ 29 COUNTER-FRAUD ............................................................................................................................................. 30 COST ALLOCATION/SETTING OF CHARGES FOR INFORMATION ....................................................................... 30 INFORMATION GOVERNANCE .......................................................................................................................... 30 DIRECTORS’ CONFIRMATION CONCERNING AUDIT INFORMATION ................................................................. 31 ANNUAL GOVERNANCE STATEMENT ............................................................................................................. 32 REMUNERATION AND STAFF REPORT ............................................................................................................ 50 INVESTING IN STAFF AND WORKFORCE ............................................................................................................ 50 REMUNERATION COMMITTEE ......................................................................................................................... 50 REMUNERATION POLICY .................................................................................................................................. 50 REMUNERATION TABLES .................................................................................................................................. 50 PENSION LIABILITIES ......................................................................................................................................... 50 RESOURCING .................................................................................................................................................... 51 VOLUNTEERS .................................................................................................................................................... 51 Portsmouth Hospitals NHS Trust 2 Annual Report 2018-2019 CELEBRATING VOLUNTEERS ..................................................................................................................................... 52 HEALTH, SAFETY AND WELLBEING .................................................................................................................... 52 RAISING STAFF CONCERNS ............................................................................................................................... 52 FAIR PAY POLICY ............................................................................................................................................... 53 MANAGING STAFF SICKNESS ............................................................................................................................ 53 STAFF NUMBERS AND COSTS............................................................................................................................ 53 STAFF ENGAGEMENT AND CONSULTATION ..................................................................................................... 54 THE NATIONAL NHS STAFF SURVEY 2018 ......................................................................................................... 55 QUARTERLY STAFF FRIENDS AND FAMILY SURVEY .......................................................................................... 56 WORKFORCE RACE EQUALITY STANDARD (WRES) ........................................................................................... 57 WORKFORCE DISABILITY EQUALITY STANDARD (WDES) .................................................................................. 58 OFF-PAYROLL ENGAGEMENTS .......................................................................................................................... 59 EXIT PACKAGES ................................................................................................................................................. 59 EXPENDITURE ON CONSULTANCY ........................................................................ ERROR! BOOKMARK NOT DEFINED. CHAPTER 3 – FINANCIAL STATEMENTS..........................................................................................................