Birmingham Community Healthcare NHS Trust Birmingham Community Healthcare NHS Trust Annual Report 2010/11 1 Contents Section 1 Statement From the Chair 3 Message From the Chief Executive 5 Section 2 Welcome to Birmingham Community Healthcare NHS Trust 6 Section 3 Our services 7 Section 4 Where we provide services: 10 Activity figures 11 Our values 11 Section 5 Our year at a glance 12 Section 6 Management commentary 14 How we measure performance 15 How we are performing 16 Section 7 Meet our Trust Board 27 Section 8 2010/11 Financial position 30 Section 9 Annual accounts 32 Section 10 Income and expenditure accounts 37 Section 11 Independent auditor’s report to the Board of Directors of 47 Birmingham Community Healthcare NHS Trust Front cover picture: Ann Arscott (centre), who is receiving speech therapy following a stroke, pictured with (left) clinical psychologist Sue Wright and speech and language therapist Leona Bramble. 2 BCHC Annual Report 2010/11 Statement From the Chair Welcome to our 2010/11 annual report; brought to you at a momentous time in the development of community health services across the city of Birmingham and beyond. I am particularly pleased to present the first annual report of Birmingham Community Healthcare NHS Trust as it marks the formal transition of what was South Birmingham Community Health into a fully fledged NHS Trust on 1st November 2010. This represents a major step in our journey towards becoming authorised as a Community Foundation Trust. The year 2010/11 also saw the Trust transfer in community services from neighbouring Primary Care Trusts, reflecting the Department of Health’s Transforming Community Services policy. As a result of these services joining us, we are now in a position to link the best in community healthcare across our city of one million people and into the wider West Midlands region. We are now one of the largest providers of community-based healthcare services in the country, operating from over 400 sites and providing over 100 different services. Our services are now delivered by over 5,000 employees. I would like to take this opportunity to welcome staff that are new to the Trust as a result of the service transfers and to thank all of our staff - from whichever former Primary Care Trust they came - for their hard work in making this transition possible and for their continuing commitment to the successful integration of services. This annual report spans a period in which a number of significant achievements have been made - not just for the Trust as an independent organisation, but more importantly for the provision of healthcare to the individuals and communities we serve. The structure of the NHS is changing again but ultimately the forms of the organisations delivering services are relatively unimportant; it is only the results for patients and service users that matter. As a Trust we know that change occurs when services are moved and that it does bring with it some challenges. We have risen to these by redoubling our efforts to ensure that our patients and service users are at the heart of everything that we do. In addition to the successful transfer in of services and staff, we have worked hard to ensure that we continue to achieve the highest standards. We were successfully registered with the Care Quality Commission (CQC) following our establishment as an NHS Trust and we have continued to meet their essential standards of quality and safety. Our excellent record in meeting infection control targets has been maintained during 2010/11 and at the same time we have met our other performance and financial targets. None of this could have been achieved without the hard work and dedication of our staff. I would like to publicly thank them for their magnificent efforts in maintaining service performance at a time of large scale organisational change. Looking forward we aim to continue to set the pace for the effective transformation of community services. We will build upon the work that already undertaken to redesign services and provide better care for the individual and better value for the NHS. Although much has been achieved in the last year 3 we are mindful of the challenge that lies ahead as we continue on our journey towards Foundation Trust status. We will continue to work hard to ensure that this is achieved. Finally, I want to thank my colleagues on the Trust Board for their hard work over the last year. Working together, the Trust Board and our staff have achieved the successes that I have outlined above. We believe this good start paves the way for the future success of Birmingham Community Healthcare as a leader in community services. Philip Davis Chair 4 BCHC Annual Report 2010/11 Message From the Chief Executive It is a privilege to introduce the first annual report for Birmingham Community Healthcare NHS Trust and indeed to have been appointed as its Chief Executive. 2010/11 was a significant year in many respects for the organisation and our establishment as a statutory NHS Trust on the 1st November 2010 was a key milestone in the organisation’s development; this was followed by the integration of the core community services across Birmingham on the 1st December 2010. We ended the year in a financially stable position which will prepare us well for the financial challenges ahead and also support crucially our ability to sustain financial viability and maintain safe and effective service delivery. We place great importance on the experiences of service users when they receive care and over the past year we have demonstrated an increasing commitment to put quality of care at the top of the Board agenda ensuring a joined up approach from ward and team to Board level. Collectively, all of these achievements provide a firm foundation for us to move forward on our journey to Foundation Trust status and demonstrate continuous improvement along the way. I am particularly grateful to all of our staff for the hard work, effort and dedication that they have shown throughout 2010/11 and I look forward to the next stages of our journey together. Tracy Taylor, Chief Executive 5 Welcome to Birmingham Community Healthcare NHS Trust Who we are Our aims Birmingham Community Healthcare was Our vision is to work with, for and in the established as an NHS Trust on 1st November community to deliver excellent, accessible 2010. The Trust was formerly known as South person-centred community health services for Birmingham Community Health, or the provider people throughout their lifetime. We aspire to be arm of the Primary Care Trust NHS South the service of choice, the partner of choice and Birmingham, and although we had been operating the employer of choice and this report sets out the independently from the PCT since April 2008, progress that we have made in 2010/11 towards we remained a part of it in legal terms. achieving this. The granting of NHS Trust status was a major landmark in that it saw the establishment of the former South Birmingham Community Health as a separate legal entity from the Primary Care Trust and an organisation in its own right. What we do At the time of our establishment as an NHS Trust we provided what are known as ‘core community services’ to the population of South Birmingham and some of our more ‘specialist community services’ to the city of Birmingham and to the wider West Midlands region. In line with Department of Health policy, on 1st December 2010 a number of community services from our neighbouring Primary Care Trusts, Heart of England Teaching PCT and Birmingham East and North PCT transferred to us, and we now provide core community services to the population of Birmingham, in addition to the specialist community services that we provide to the wider West Midlands. On 1st February 2011, community I was so grateful to get the dental services from Sandwell and Dudley also care I needed at home. It’s been transferred to us and we are now responsible for these services. absolutely fantastic – like having the hospital come to you. A table setting out the full range of services that we provide and where we provide them can be Patrick Holohan, found on pages 8 and 9 of this document. Rapid response service user 6 BCHC Annual Report 2010/11 Our services We provide an extensive and diverse range of services across the city of Birmingham and these are delivered through three clinical divisions. A summary of our services and where they are provided is set out below and the tables on the following two pages describe our services in further detail. Division Name Example of Services Provided Area Covered Adults and Community District nursing, community podiatry City of Birmingham and physiotherapy, community inpatient facilities and offender healthcare. Children and Families Universal children’s services including health City of Birmingham visiting and mainstream school nursing Specialist Services comprising: Birmingham Dental A range of dental services and training for West Midlands region Hospital dental students Community Dental Orthodontics, special care, surgical dentistry Birmingham, Sandwell and Services and paediatric dental surgery Dudley Rehabilitation Services In-patient neuro-rehabilitation, brain and West Midlands region spinal injury clinics, wheelchair service, amputee rehabilitation and prosthetics Learning Disability Services Birmingham Community Assessment and City of Birmingham Treatment Centre, respite and short care breaks, supported living and community forensic services. 7 Adults and Community Division Citywide Services: