NHS Ayrshire & Arran Annual report 2016 / 17 1 “2016/17 was an exciting “In May, Woodland View, improvement to ensure Message from time for us in terms of new the new £46million mental patients and service users our Chairman builds. February saw the health and community have the best experience we new Emergency Department facility in Irvine, opened its can offer. (ED) at University Hospital doors to its first patients. The “We couldn’t do any of this “Welcome to our annual Ayr open its doors. The ED is facility has 206 private en- without our staff. Our staff report. part of the Building for Better suite bedrooms for inpatients are our most important asset Care programme, which will distributed throughout 13 “2016/17 was a particularly and I would like to thank see £27.5 million invested in ward areas. Woodland View challenging year. And you them for their hard work ‘front door’ services at both provides state-of-the-art will read more about the and commitment during a our acute hospitals. surroundings for patients, financial pressures in the challenging year.” staff and service-users, as finance section of this “In April, the Combined well as a cafe and shop for report. However, you will Assessment Unit (CAU) the local community to also read about the exciting at University Hospital enjoy. work going on across the Crosshouse opened, which organisation to improve was also part of the Building “Across health and social services. You will read for Better Care programme. care, our teams have worked about the wonderful work The CAU is a 24-hour unit hard to provide safe and of our volunteers; about with ten rapid assessment effective care for patients the achievements of our spaces, 11 ambulatory care and service users when they staff; and about how we spaces, and 35 single en-suite have needed emergency or are embracing innovative rooms to provide treatment. planned care and treatment. Dr Martin Cheyne, Chairman, ways of working to improve And the CAU at University I realise how difficult this Ayrshire and Arran NHS Board quality. Hospital Ayr also opened in can be with the demands June 2017. on our service, but I believe that we are all focussed on 2 Message from our Chief Executive “2016/17 was undoubtedly one of the most challenging “Each year, I host two ‘Quality Improvement in Action’ events years I have faced in my time as Chief Executive, both in to showcase improvement activity. It is fantastic to hear terms of financial pressures and unprecedented demand about the fantastic work going on across the organisation. on our services. Yet, I am heartened to see our teams across From empowering patients to self manage, to improving health and social care have faced these challenges with access for patients from care home staff, I am encouraged to professionalism and dedication, putting the person at the see how, by introducing small changes, our staff are making a centre of care. big difference to patient care. “Not only do our teams across NHS Ayrshire & Arran and the “2016 also saw us hosting our first hackathon. This event took three Health and Social Care Partnerships deliver the highest a creative, person-centred approach to develop innovative standards of safe and quality care to our patients, they solutions for unscheduled continue to improve and develop our services. care. During the event, teams worked together “The NHS across Scotland continues to evolve and transform. to develop ideas for new And here is Ayrshire and Arran, we are no different. We are approaches to improve committed to the principles of the triple aim as we move people’s experiences and through this process of transformational change: improving outcomes. the patient experience of care; improving the health of populations; and reducing the cost of health care. “2017/18 will be another challenging year. However, “NHS Ayrshire & Arran has a strong track record of delivering I know that we will take continuous improvement across all areas of service, which the opportunity to reflect is entirely down to the hard work and commitment of staff. on what we do well, and John Burns On my travels around the organisation I have the privilege of improve on the things we Chief Executive, hearing about the breadth and depth of improvement activity could do better.” that is making a real difference for patients, families and staff. NHS Ayrshire & Arran 3 2016 - 2017 8,140,720 3,401 prescription items babies born dispensed in the community 384,821 114,344 registered NHS Ayrshire & Arran patients in ED the community - in numbers attendances 21,584 108,588 patients admitted planned to hospital operations 7,314 (including children) children admitted to hospital 4 Our year in pictures May 2016: Woodland View, the new £46million mental health and April 2016: community facility in Irvine, welcomed its first patients on Friday 6 May 2016. NHS Ayrshire & Arran’s new state-of-the-art Combined Assessment Unit (CAU) at University Hospital Crosshouse Kilbirnie grandmother, Margaret (Pearl) King (72), became opened its doors to patients on Saturday 23 April 2016. the first Woodland View patient through the doors and she was delighted to cut a ribbon to formally open the facility. The CAU is a 24-hour unit with ten rapid assessment spaces, 11 ambulatory care spaces, and 35 single en-suite Woodland View has 206 private en-suite bedrooms for rooms to provide treatment, with most patients only inpatients distributed throughout 13 ward areas, and staying in the unit up to a maximum of 48 hours. accommodates people who need a level of care and rehabilitation that can only be provided by a stay in hospital. 5 June 2016: July 2016: August 2016: More than 100 teams of five from NHS Pupils from Carrick Academy NHS Ayrshire & Arran held a graduation Ayrshire & Arran team took part in the in Maybole and Auchenharvie event to recognise and celebrate Summer Step Count Challenge, with the Academy in Stevenston took part in clients’ commitment and completion Just Saying team scooping the top prize a national training programme to of the Family Nurse Partnership after completing completed a whopping help reduce the numbers of young programme. 6,974,772 steps in eight weeks. As well as people taking up or trying smoking. The event provided the opportunity the winning team, four other teams from The ASSIST programme aims to to celebrate clients’ achievements on NHS Ayrshire & Arran finished in the top reduce smoking among young the start of their journey as parents. ten out of 860 teams in Scotland. people aged 12 to 13 by training Over two and a half years, clients The Summer Step Count Challenge is a influential students to spread the on the programme learned about workplace walking challenge hosted by word on new norms of behaviour their pregnancy and how to care for Scottish charity, Paths for All. The teams of through their established social themselves and their baby, how to five measured the distance walked each networks. support their baby to grow, develop day using a pedometer, app or activity and learn to work towards a better tracker from 18 April to 12 June 2016. future for themselves and their family. 6 September 2016: October 2016: Keen fourth, fifth and sixth year pupils from 12 secondary NHS Ayrshire & Arran’s Resuscitation Team and anaesthetic schools from all over Ayrshire took the opportunity to find colleagues took on the challenge of training as many young out more about careers in the NHS at a special ‘Awareness people as possible in one day. The theme for European Restart Day’ at University Hospital Ayr. The event was one of several a Heart Day this year was ‘Kids Save Lives’. initiatives and programmes through which NHS Ayrshire & The team visited Auchinleck Academy and Grange Academy in Arran supports local schools. Kilmarnock and trained a total of 800 pupils and staff in life- The pupils took part in interactive information sessions saving CPR skills. The day was also supported by HeartStart and competed in an Inter-Schools Challenge. Greenwood Ayrshire, Laerdal, Cardiac Services, Kilmarnock Fire Station, Academy emerged victorious at the end of the morning Kilmarnock Football Club and NHS Ayrshire & Arran’s Medical session, while Cumnock Academy (pictured) took the title in Photography department. the afternoon. Both received a trophy donated by Morrison Construction, which was awarded by Dr Martin Cheyne, Chairman of Ayrshire and Arran NHS Board. 7 November 2016 December 2016 January 2017 Stroke patients in Ayrshire are reaping the The children’s wards at University Staff at Ayrshire Maternity Unit at benefits of the new acute stroke unit in Hospital Crosshouse were treated University Hospital Crosshouse University Hospital Crosshouse. The unit, to some special visits as local welcomed their first baby of 2017. which looks after seriously ill patients who communities donated toys, Baby girl, Violet Gromett, was not only have suffered acute stroke, was opened in cheques, and teddy bears. the first baby born in Ayrshire in 2017, November 2016 and is making a positive And as though that was not enough she was the first baby born in Scotland. difference to the long-term outlook for excitement for one week, Santa She made her entrance to the world at patients. Claus himself showed up at the 12.07am on New Year’s Day weighing In the past, patients were often taken to annual Christmas party, making 8lb 14oz. Mum Sheryl Bell and dad Glasgow for thrombolysis treatment. Now, the children very happy by taking David Gromett live in Ayr, and Violet is patients presenting with a suspected requests and handing out gifts.