Annual General Meeting 28 September 2 r 2015 1 Patient-Centred & Safe Professional Responsive Friendly
Annual General Meeting Nick M ck Marsde den Chair hairman an Patient-Centred & Safe Professional Responsive Friendly
Agenda 1. Introduction and Welcome Nick Marsden, Chairman Peter Hill, 2. Annual Report 2014/15 Chief Executive Malcolm Cassells, Director of Finance & 3. Annual Accounts and Audit Opinion Procurement 2014/15 4. Accident and Emergency Unit (A&E) Nicky Heydon, Deputy Lead Nurse 5. A&E and the Trauma Unit Jason Klein, Consultant in Emergency Medicine 6. Questions and Answers Nick Marsden, Chairman Patient-Centred & Safe Professional Responsive Friendly
Annua nual R Repor ort 2 2014/15 Peter H Hil ill Chie hief E Executiv ive 4 Patient-Centred & Safe Professional Responsive Friendly
District General Hospital Services Diagnostics Emergency Department Maternity Children’s Services Facilities Medicine Surgery Orthopaedics Patient-Centred & Safe Professional Responsive Friendly
Regional Specialist Services Wessex Laser Centre Wessex Rehabilitation Cleft Lip & Palate Genetics Burns Plastic Surgery Patient-Centred & Safe Professional Responsive Friendly
Supra-Regional Spinal Services Patient-Centred & Safe Professional Responsive Friendly
Facts & Figures for 2014/15 Elective Admissions 6,400 Day Cases 22,850 Regular Day Attendees 6,600 Emergency Admissions 28,500 44,000 A&E Attendances 183,700 Outpatients 2,500 Number of Births 170,500 Number of Diagnostic scans (CT, MRI) and X-Ray Patient-Centred & Safe Professional Responsive Friendly
Review of Performance for 2013/14 91.6% Inpatient or day cases treated within 18 weeks - National Target: 90% 98.1% Patients who did not need to be admitted were treated within 18 weeks – National Target: 95% 90.6% Cancer patients treated within 62 days of referral from GP- National Target: 85% 95.2% A&E attendees admitted, treated or discharged within 4 hours – National Target: 95% Patient-Centred & Safe Professional Responsive Friendly
99.1% Patients risk assessed for VTE – (National Average: 90%) MRSA bacteraemia notifications – (target: 0 ) 1 One further case reported but was a contaminant 21 Trust apportioned Clostridium Difficile cases - (National Target: >19) 96.9% Patients who had a CT scan within 24 hours of admission with a stroke– (National Target: 100%) 94.8% Stroke patients who spend 90% of care on Stroke Unit – (National Average is 82.6%) Patient-Centred & Safe Professional Responsive Friendly
What our patients say: Feedback Quality of Care Recommend Hospital REAL-TIME FEEDBACK April 2014 - March 2015 2.1% Overall, how would you rate the quality of care you received? Friends and Family Test April 2014 to March Good - Excellent 2015 Poor - Fair Percentage of patients that would recommend this Hospital to Friends and Family (Inpatients and A&E Attendances) n = 1413 97.9% Extremely 5% Likely and Likely % n = 12179 Dignity & Respect REAL-TIME FEEDBACK April 2014 - March 2015 95% Are you being treated with care and compassion? 0.8% Yes No 309 Complaints n = 1405 99.2% 11 Patient-Centred & Safe Professional Responsive Friendly
What our patients say: National Surveys Patients rate A&E services highly Cancer patients praise their care Positive findings from parents, children and young adults survey 12 Patient-Centred & Safe Professional Responsive Friendly
What our staff say : Staff recommendation of the Trust as a place to work or receive treatment 4.10 4.00 3.90 3.80 3.70 3.60 3.50 3.40 3.30 Salisbury NHS Southampton Royal United Poole Hospital The Royal Gloucestershire Great Western Foundation Trust University Hospital Hospital Bath Bournemouth Royal Hospital Hospital Swindon Hospital Patient-Centred & Safe Professional Responsive Friendly
Achievements Intensive Care facilities improved New Urology Centre opened Two new CT scanners operating Expansion of Mobile Chemotherapy Unit Patient-Centred & Safe Professional Responsive Friendly
Achievements cont… Salisbury Hospital – Top 100 places to work Spinal Centre celebrates 30 years Trust wins military award Hospital signs up to National Safety campaign 15 Patient-Centred & Safe Professional Responsive Friendly
Contribution of Patients, Public, Volunteers and Governors Patien ents a and P Public I Involveme ement: • Patients Involved in over 30 projects – using patient stories, focus groups and Real Time Feedback Volunteers: • Over 650 volunteers give over 1,900 hours a week of extra support, helping on wards and departments, acting as guides and supporting one off projects • Other volunteers: cover all types of work and includes, Stars Appeal, ArtCare, League of Friends, WRVS and Pets as Therapy Governors: s: • 27 Governors (Public, Staff and Nominated) representing over 17,100 members • Link with membership, statutory duties, support services and sample patient experience Patient-Centred & Safe Professional Responsive Friendly
Our Focus for 2015/16 Challenges: • Increasing demand • Staff Recruitment • National and local initiatives to keep people out of hospital • Financial situation • CQC Inspection Area eas f for impr provemen ment: • Rapid treatment of sepsis • Reduction in falls resulting in fracture or serious harm • Prevention and treatment of acute kidney injury • End of Life Care Patient-Centred & Safe Professional Responsive Friendly
CQC inspection • Trust inspection 1 to 4 December • CQC look to see that services are safe, effective, responsive, caring and well led • Current risk rating / very low(Band 6) • Key focus on patients’ experience (gather information from commissioners, patients, voluntary groups, Healthwatch, staff) • Public listening event • Governor Focus Group • Rating: outstanding , good, requires improvement, inadequate, • Publication of results : CQC Report. Display ratings throughout hospital 18 Patient-Centred & Safe Professional Responsive Friendly
CQC Inspection St Elsewhere…… Safe Effective Caring Responsive Well ell L Led ed Overall all A&E G G G G G G Med/COP G RI G RI RI RI Surgery G RI G RI G RI C.Care G O/S G G G G Mat / Inadequate G G Inadequate G Inadequate F.Planning Children O/S O/S O/S G G G End of Life G G G G G RI G Ot.pts & G RI G G G Diagnostics RI RI RI G R/I G RI Patient-Centred & Safe Professional Responsive Friendly
Ratings poster 20 Patient-Centred & Safe Professional Responsive Friendly
Results so far (Acute Hospitals) 2 Outstanding 32 Good 90 Requires Improvement Outstanding Good 16 Inadequate Requires Improvement Inadequate 0 20 40 60 80 100 Patient-Centred & Safe Professional Responsive Friendly
Financial Performance 1 April 2014 to 31 March 2015 Ma Malc lcolm Ca Cassells lls Direct Dir ctor or of of Finan Finance ce an and d Procu ocurement nt Patient-Centred & Safe Professional Responsive Friendly
Summary Facts for 2014-15 The SFT accounts for 2014-15 include the consolidation of Salisbury District Hospital Charitable Fund together with the subsidiary accounts of Odstock Medical Ltd, and Salisbury Trading Ltd. We planned (excl charitable funds) a surplus of £806k but recorded a deficit of £1, 1,914k 4k. Year on year the Dept of Health has been cutting the tariff under which we get paid by 4% in real terms. This has resulted in the need for large savings which is becoming unrealistic. We failed to achieve our savings target of £7.9m and achieved £6. £6.3m 3m. The national quality emphasis has added to our costs without supporting income. In addition the ability to recruit to key clinical posts has become more difficult. In 2014/15 we spent £8. £8.2m 2m on agency staff compared with £6. £6.0m 0m the previous year in order to maintain services. Each day on average the Hospital spends over £0.5m Net Current Assets fell to £11. 1.9m 9m from £14.6m Our Operating Surplus fell to £3. £3.8m 8m from £8.2m in the previous year Increased in-patients treated due to non-elective work and big increase in day case work Positive External Audit Report Patient-Centred & Safe Professional Responsive Friendly
Our pe performance sin since b bein ing a a FT T (exclu ludes subsi sidiar iarie ies a s and charit itable funds) s) 25,000 surplus (+)/deficit (-) year end cash 20,000 working capital 15,000 £000 10,000 5,000 0 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15E -5,000 Patient-Centred & Safe Professional Responsive Friendly
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