London Strategic Health Authority 2012-13 Annual Report and Accounts You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/ © Crown copyright Published to gov.uk, in PDF format only. www.gov.uk/dh 2 London Strategic Health Authority 2012-13 Annual Report 3 NHS London Annual Report 2012/13 1 | Page TABLE OF CONTENTS LOOKING AFTER LONDON ........................................................................... 5 NHS London ........................................................................................................................... 5 Our vision and values ............................................................................................................. 5 Directors’ statement .............................................................................................................. 6 Chairman’s statement ............................................................................................................ 7 Chief executive’s foreword .................................................................................................... 9 Urgent care .......................................................................................................................... 12 Planned care ........................................................................................................................ 12 Staying healthy ..................................................................................................................... 12 General Practice Outcome Standards .................................................................................. 13 SAFETY & QUALITY CARE FOR PATIENTS ............................................... 14 Local Supervising Authority ................................................................................................. 14 Maternity Care ..................................................................................................................... 15 Health Visiting and Family Nurse Partnership Programme ................................................. 15 Energise for Excellence and High Impact Actions for Nursing and Midwifery (E4E/HIA).... 16 Allied Health Professionals .................................................................................................. 17 Safeguarding children .......................................................................................................... 17 Safeguarding Adults at Risk ................................................................................................. 18 Continuing healthcare .......................................................................................................... 19 Dignity in care for older people ........................................................................................... 20 Patient Safety Action Team ................................................................................................. 21 London Harm Free Care Campaign ...................................................................................... 21 Mental Health Homicide Independent Investigations ......................................................... 22 Friends and Family Test ....................................................................................................... 22 Medical revalidation ............................................................................................................ 22 Case Study: Dementia Strategic Clinical Network Programme ........................................... 23 SERVICE TRANSFORMATION .................................................................... 25 Strategic planning and service change implementation ..................................................... 25 Transforming Primary Care .................................................................................................. 26 Integrated Care .................................................................................................................... 27 NHS 111 ................................................................................................................................ 28 Transforming cancer services across London ...................................................................... 30 Innovation ............................................................................................................................ 31 2 | Page PUBLIC HEALTH .......................................................................................... 33 London 2012 ........................................................................................................................ 33 Emergency preparedness .................................................................................................... 35 Public Health prevention ..................................................................................................... 36 LONDON’S WORKFORCE ........................................................................... 38 Education Commissioning and Workforce Planning ............................................................ 38 Leadership Development – Leading for Health ................................................................... 40 External Workforce Management ....................................................................................... 41 LETB development ............................................................................................................... 42 TRANSITION ................................................................................................ 43 People Transition ................................................................................................................. 43 Handover & Closure ............................................................................................................. 43 The Interim Operating Model .............................................................................................. 43 PROVIDER DEVELOPMENT ....................................................................... 44 Changing the provider landscape in London: Foundation Trust solutions for the remaining NHS trusts ............................................................................................................................ 44 Foundation Trust pipeline .................................................................................................... 44 Creating synergy through Trust mergers and acquisitions .................................................. 44 Changing the provider landscape in London: Social enterprise .......................................... 45 Case-study: South London Healthcare NHS Trust – Unsustainable Provider Regime ......... 46 COMMISSIONING DEVELOPMENT ............................................................ 48 Case Study: Development Support Programme –– Mock Site Visits ................................... 49 FINANCE ...................................................................................................... 51 NHS London financial performance ..................................................................................... 53 Revenue resource limit ........................................................................................................ 53 Capital resource limit (CRL) .................................................................................................. 53 Cash limit .............................................................................................................................. 53 Off-Payroll Engagements ..................................................................................................... 53 Directors’ Remuneration ..................................................................................................... 54 Pension scheme ................................................................................................................... 54 International financial reporting standards (IFRS)............................................................... 54 CORPORATE RESPONSIBILITY ................................................................. 55 Equality and Diversity .......................................................................................................... 55 Managing our Estate ............................................................................................................ 55 Supporting a sustainable NHS in London and preparing for climate change ...................... 56 Patient engagement ............................................................................................................. 58 3 | Page The public and patient advisory group ................................................................................ 58 Freedom of information ...................................................................................................... 59 Complaints ........................................................................................................................... 59 INFORMATION MANAGEMENT AND TECHNOLOGY ................................ 60 London Programme for IT: Delivering RIO ........................................................................... 60 London Programme for IT: Delivering Cerner...................................................................... 60 London Health and Social