Salford Royal NHS Foundation Trust Annual Report and Accounts 1 April 2013 to 31 March 2014 Salford Royal NHS Foundation Trust Annual Report and Accounts 1 April 2013 to 31 March 2014 Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006 Contents 1 An Introduction to Salford Royal NHS Foundation Trust Page 6 2 An Overview from the Chairman and Chief Executive Page 10 3 Strategic Report Page 14 Delivery of the 2013/14 Annual Plan including Quality Accounts Page 15 Looking Forward to 2014/15 including Principal Risks and Uncertainties Page 174 4 Director’s Report Page 186 Composition of the Board Page 188 Quality and Performance against Mandatory Standards Page 189 Annual Governance Statement Page 196 5 Governance and Organisational Arrangements Page 202 Foundation Trust Membership Page 203 Council of Governors Page 206 Board of Directors Page 211 Remuneration Report Page 223 Statement of the Chief Executive’s Responsibilities as the Accounting O!cer of Page 225 Salford Royal NHS Foundation Trust Independent Auditor’s Report Page 226 6 Financial Review (part of the Directors Report) Page 228 Foreword to the Accounts Page 234 Accounts for the Period 1 April 2013 to 31 March 2014 Page 235 Salford Royal NHS Foundation Trust - Annual Report and Accounts 2013/14 5 1 An Introduction to Salford Royal NHS Foundation Trust 6 1 The Salford Royal NHS Foundation Trust is a statutory body, which became a public bene#t corporation on 1 August 2006 following its approval as a NHS Foundation Trust by the Independent Regulator of the NHS Foundation Trusts (Independent Regulator) authorised under the Health and Social Care (Community Health and Standards) Act 2006 (the 2006 Act). The principal location of business of the Trust is: The Trust is registered with the Care Quality Commission Salford Royal, Stott Lane, Salford, without conditions and provides the following Greater Manchester, M6 8HD Regulated Activities across the stated locations: Accommodation for persons who require nursing In addition to the above, the Trust has registered the or personal care following locations with the Care Quality Commission; Accommodation for persons who require Community Clinics and O!ces: treatment for substance misuse The Maples, Simpson Road, Worsley, Treatment of disease, disorder or injury. Salford, M28 1LT Assessment of medical treatment for persons Wigan Renal Satellite Unit, Boston House, detained under the Mental Health Act 1983 Frog Lane, Wigan, WN6 7LB Surgical procedures Bolton Renal Satellite Unit, Minerva Road, Farnworth, Bolton, BL4 0JR Diagnostic and screening procedures Rochdale Renal Satellite Unit, Transport services, triage and medical advice Whitehall Street, Rochdale, OL12 0NB provided remotely Community Clinics and O!ces: Termination of pregnancies Sandringham House Nursing Care (District Nurses and Health Visitors) Barton Moss Young O"enders Institute Family Planning Services Eccles Gateway Salford Royal NHS Foundation Trust provides community Heartly Green and hospital services and it’s core purpose is to provide Little Hulton Health Centre clinical, academic and service excellence ensuring the Ordsall Health Centre patient experience is at the forefront of care. Pendleton Gateway Salford Royal is a large teaching Trust providing The Foundation Trust’s head o!ce is at: community and hospital services, some 850 beds, over 6000 sta" and providing a comprehensive range of Chief Executive’s O!ce, services to the 240,000 population of Salford, as well Salford Royal NHS Foundation Trust, as a wider range of services across Greater Manchester, Stott Lane, the North West and beyond to meet the complex Salford, needs of patients nationally. Greater Manchester, M6 8HD The organisation provides over one million community and hospital contacts for patients across: 0161 789 7373 [email protected] Adult and Children’s Community Services Emergency and Elective Inpatient Services Daycase Services Outpatient Services Diagnostic and Therapeutic Services. Salford Royal NHS Foundation Trust - Annual Report and Accounts 2013/14 7 1 It also includes: the full range of acute and specialist medical services include gastroenterology incorporating endoscopy & alcohol outreach, Cardiology, Diabetes & Endocrinology including Weight Management and Respiratory Medicine. The Metabolic Medicine service also sits within the Division providing specialist metabolic services to the national patient population. The Emergency Department provides services for Adults and Children with links to the Royal Manchester Children’s Hospital at Central Manchester Foundation Trust and partner Trusts in the Trauma Collaborative. The Trust was accredited as a key component of the Greater Manchester Trauma Centre Collaborative Community services are provided within our patients’ (GMTCC) on 30 March 2012. Within Greater homes and at the range of community locations Manchester, trauma patients will bypass their local detailed on page 7. hospital and be taken to a Trauma Unit or Centre to be stabilised and transferred as appropriate to the The majority of the Trust’s acute services are provided collaborative hospital most relevant to their clinical at the main Salford Royal site. Additionally the Trust needs. Components of the Trauma model are provided provides specialist services at The Maples Neuro- across the Divisions including access to Neurosurgery, rehabilitation Centre and Renal Dialysis provided at General Surgery, Trauma and Orthopaedics, Critical satellite units in Wigan, Bolton and Rochdale. Outpatient Care, Diagnostics and Rehabilitation. services for Neurology and Dermatology are provided across Greater Manchester and into Cheshire. Mental health support to our emergency department & inpatient wards is provided by Greater Manchester The Trust’s Divisional Structure acknowledges the West Mental Health Foundation Trust who provide a 24 di"erent populations (and associated commissioning hour Mental Health Liaison team. arrangements) served by Salford Royal. Details of services provided by the four Clinical Divisions are Division of Surgery described below: The Division of Surgery provides Surgical Services Division of Salford Healthcare including Breast Surgery, Colorectal Surgery, Upper Gastrointestinal Surgery, General Surgery, The Division of Salford Health Care provides the Gynaecology, Trauma and Orthopaedics, Urology, Oral majority of our community based services, including Surgery and Orthodontics to the population of Salford. Children’s services with PANDA, Health visiting and school nursing, Community & District Nursing, Specialist Cancer Services are provided to the patients Intermediate Care, GP out of hours and the Care of the North West Sector (Salford, Wigan and Bolton) Homes Medical Practice. The Division delivers and Specialist Surgery (Cancer and other services) services to the population of Salford and includes the across a wider Greater Manchester population. Emergency Department, Emergency Assessment unit, The Intestinal Failure and adult bowel lengthening Acute Medicine, Specialist Medicine & Ageing and surgical service is provided for a national population. Complex Medicine. The Division also provides Clinical Health Psychology services as well as community based sexual health and oral services. Salford Royal NHS Foundation Trust - Annual Report and Accounts 2013/14 8 1 Division of Neurosciences & Renal Medicine The Division of Neurosciences and Renal Medicine provides a comprehensive surgical and medical Neuroscience service to the population of Greater Manchester incorporating regional Stroke services, Neurology, Neurophysiology and Neuro-rehabilitation provided at ‘The Maples’ and on site Neuro- rehabilitation wards. The Trauma Assessment Unit managed by Most of our Podiatry clinics run from Health Centres Neurosurgery and additional Neuro-rehabilitation and Gateways across Salford including; Irlam, Little capacity has been developed to support the Major Hulton, Ordsall, Pendlebury, Swinton, The Willows, Trauma Centre. The Trust operates a Stereotactic Eccles, Pendleton, Walkden and Higher Broughton. Radiosurgery Service as part of the Christie at Salford Acute services run from Salford Royal within the initiative. The Division provides Specialist Spinal hospital setting. services across Greater Manchester including specialist From April 2014, the Division will also manage all hotel spinal surgery and non-invasive treatments. services for the Trust. The Renal department provides an inpatient and The Radiology Service provides a wide range of outpatient service to the western sector of Greater general and neuroradiology diagnostic and screening Manchester and satellite dialysis services in Salford, services including CT, CTVC, MR and Gamma across Wigan, Bolton and Rochdale. New dialysis capacity is Greater Manchester. opening in Oldham early 2014. Pathology at Wigan & Salford (PAWS) is fully The Division also provide ENT and skull base surgery operational with the central laboratory on the Salford and comprehensive Pain Management Services. Royal Site and a “hot laboratory” on the Royal Albert hospital site in Wigan. Division of Clinical Support Services and The Division also manage Critical Care services Tertiary Medicine including the Intensive Care, Surgical High The Division of Clinical Support Services and Tertiary Dependency and Neuro High Dependency Units. Medicine provides a comprehensive range of clinical Tertiary Medical services include Dermatology,