Agenda 2pm Welcome and introductions – Angela Schofield, chairman 2.10pm Presentation of annual report – Debbie Fleming, chief executive 2.25pm Presentation of annual accounts – Paul Miller, finance director 2.35pm Membership and governor update – Sandra Yeoman, governor 2.45pm Q&A chaired by Angela Schofield 2.55pm Group discussions on priorities for improving services 3.05pm Feedback on priorities for improving services 3.15pm Clinical presentation on developments in maternity care – Mr Daniel Webster, clinical director for obstetrics & gynaecology 3.35pm Q&A on clinical presentation 3.45pm Close of presentations Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Debbie Fleming, chief executive Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Contents • Our vision and philosophy of care • Highlights of the year • Performance in 2013/14 • Feedback: – Care Quality Commission – Patients – Staff • Proposed merger • Looking to the future – Redefining our strategy – Transformation programme Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Our vision • Our vision: To provide excellent, patient-centred emergency and planned care to the people we serve • Our unique philosophy of care – The Poole Approach: Friendly, professional, patient-centred care with dignity and respect for all Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Highlights of the year • May 2013: Health minister praises innovative nursing care at Poole Health Minister Dr Dan Poulter visited the medical investigations unit and older people’s unit, and praised their ‘patient - focused approach’ • August 2013: ‘Fantastic’ matrons receive Mayor of Poole’s first ever recognition award Award recognised matrons’ role in improving local health services and changing the way the hospital cares for patients Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Highlights of the year • November 2013: Older people’s unit recognised by NHS medical director Rapid assessment and consultant evaluation (RACE) unit handed a seven-day care award by Sir Bruce Keogh at national conference • December 2013: Innovative joint research project wins prestigious award Joint project with Bournemouth University to develop an ‘epidural simulator’ training tool won at Institution of Engineering & Technology Awards Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Highlights of the year • January 2014: Maternity staff recognised for outstanding contribution to midwifery Three maternity staff were awarded prestigious Royal College of Midwives awards for achievements in midwifery care and support • March 2014: Medical investigations unit (MIU) receives national acclaim MIU is named runner-up at Nursing Times awards in recognition of its innovative and unique approach to nurse-led care Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Performance and progress • Strong performance against national standards set by the health regulator, Monitor: – All cancer targets relating to surgery, radiotherapy and chemotherapy achieved – 18-week referral-to-treatment achieved for admitted and non-admitted patients – Low rates of hospital-acquired infections such as C-difficile and MRSA – A&E four-hour wait achieved in all but final quarter – significant pressures experienced from Dec 2013 Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Performance and progress • Good performance against local targets designed to ensure we are delivering effective and appropriate care: – Achieved standard for ensuring patients who have suffered a stroke receive the right specialist care – Over 95% of fractured neck of femur (broken hips) operations carried out within 48 hours – Challenges during busy months in performing all diagnostic tests within required timeframes, but ended year achieving key targets – Worked with partners to keep delayed discharges to a minimum – further work needed Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Feedback from the CQC • Care Quality Commission (CQC) visited for two routine inspections during 2013/14: – May 2013 – three-day unannounced inspection • Range of patient feedback - every comment was positive • Inspectors identified the need for a review of some internal processes – January 2014 – one-day unannounced inspection • Inspectors were satisfied that action had been taken in all key areas identified in May review • Ended the year fully compliant with all CQC standards for acute hospitals • New intelligent monitoring reports introduced in October 2013: – Reports assess trusts on a range of key risk factors and award bandings – from band 1 (high risk) to band 6 (low risk) – Poole rated band 5 in October; band 4 in March Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report What our patients said • Positive feedback in surveys: – 2013 National Cancer Patient Experience Survey 93% of patients rated care as excellent or very good – 2013 National Maternity Services Survey Services satisfactory in vast majority of areas – improvements to time midwives spend with patients – 2014 National Inpatient Survey ‘Better performing’ in key areas including food and pain control – improvements to mixed sex bathrooms – Friends & Family Test 77.5% of patients ‘extremely likely’ to recommend Poole; 88% of comments positive Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report What our staff said • Staff survey 2013: – 2013 survey saw a significant improvement in results, with an excellent response rate – Trust featured in the top 20% in seven key areas including: • Staff motivation • Staff engagement, including communication between senior management and staff • Ability to contribute to improvements at work – Areas for improvement included: • Staff experiencing physical violence or harassment from patients, relatives or the public • Pressure to attend work when feeling unwell Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Proposed merger • Proposed merger with the Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust: • Boards agreed to pursue a merger in 2012 as a means of securing clinical and financial sustainability • Review carried out by competition authorities (Competition Commission) in 2013 • October 2013 - authorities completed review and made a decision to prohibit merger on grounds it would result in a substantial lessening of competition which could impact on patient choice • Poole board took immediate steps to refocus on future as a standalone trust, ensuring priority remained the delivery of high-quality patient-centred care Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Looking to the future: redefining our strategy • Appointment of new chief executive and key board members • Three key areas of strategic focus: – Implementation of a robust and sustainable transformation programme to increase efficiency and improve the way we deliver care – Involve staff, stakeholders, patients and the public in the development of a future strategy to meet the needs of the local community – Participation in the Dorset-wide review of clinical services, led by Dorset Clinical Commissioning Group Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual report Looking to the future: Transformation programme • Transformation programme designed to return the organisation to financial and operational health • Programme will deliver savings of £13.6m over the next 2 years • Effective implementation is critical – short-term savings must be achieved whilst longer terms plans are developed • Need to challenge ourselves to think and work differently, and transform how we operate • Initiatives to improve the way we work include: – Better theatre utilisation – Reductions to unnecessary length of stay – Shaping our workforce around the needs of patients as healthcare changes • Programme is underpinned by robust governance to ensure quality of care is maintained Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual accounts Paul Miller, finance director Poole Hospital Annual Members’ Meeting ● 25 September 2014
Presentation of annual accounts Financial performance summary • The Trust has achieved its key financial objectives in the year to March 2014 • This was achieved in the year when the planned merger with the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust did not proceed (October 2013) and the associated Monitor investigation into future financial sustainability was positively concluded in March 2014 Poole Hospital Annual Members’ Meeting ● 25 September 2014
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