Annual General Meeting 26 th July 2018
Agenda Chairman’s Report and Welcome Andy Meehan Chairman A look back over the year 2017/18 Andy Hardy Chief Executive Officer Summary of the Financial Accounts Susan Rollason Director of Finance and Strategy Summary of the Quality Account Meghana Pandit Chief Medical Officer Sleep Study Michelle Goodlad Lead Sleep Physiologist Questions from the public
Chairman Andy Meehan Chairman’s Report
Chairman’s Report • Welcome • Changes to the Board 2017/18 • Welcome to: o Lisa Kelly, Chief Operating Officer replacing David Eltringham o Su Rollason, Chief Finance Officer replacing David Moon
Chief Executive Officer Andy Hardy A look back over the year 2017/18
Achievements in the last 12 months
Vital Statistics 2017/18 2016/17 2015/16 2014/15 2013/14 2012/13 Number of people attending an outpatient 665,209 656,191 628,452 608,288 574,242 534,718 appointment The number of people attending Accident & Emergency (A&E) including those in 190,549 187,792 184,979 183,440 176,485 175,349 specialist Children’s A&E The number of inpatients and day cases 169,028 163,834 158,189 149,949 142,389 138,588 (based on admissions) Number of Births 6,174 6,217 6,332 6,223 5,991 5,092 Patients operated in theatres 42,609 42,709 42,786 41,095 41,157 40,564
2017/18 Highlights • State of the art radiotherapy equipment at the Arden Centre • Transformation of the Children’s Outpatient Unit at Hospital of St Cross • A new mobile cardiac catheterisation lab now in place at Hospital of St Cross • Identification of the functions of natural killer cells in the womb by researchers at UHCW and University of Warwick • Maternity Team named the best in country by the Royal College of Midwives
The New Trust Strategy for 2018 - 2021
2018/19 Key Objectives • Safest care and excellent experience • Model employer • Leader in operational performance • Lead the integration of pathways • Front runner in research, innovation and education • Achieve financial sustainability
Chief Finance Officer Su Rollason Summary of Financial Accounts
Financial Performance Overview • The Trust’s total turnover for 2017/18 amounted to £630.6 million. • In year we formally changed our forecast position to a £22.4 million deficit. • In the year 2017/18 the Trust: – Fully delivered a Cost Improvement Programme of £29.1 million, – Delivered a £18.3 million deficit after receipt of sustainability monies. This was £4.1 million better than the agreed forecast, – Further reduced our reliance on agency ensuing we were under the agreed agency ceiling.
Financial Responsibilities • As a public body there are certain obligations we must fulfil in order to demonstrate we are being responsible with taxpayers’ money including: – Break even (so expenditure does not exceed income): (target not achieved) – Remaining within the borrowing and capital expenditure limits set by the Department of Health: • Borrowing: £0.286 million undershoot (target achieved) • Capital: £1.652 million under spend (target achieved) – Paying suppliers on time: 91% of invoices paid on time (target achieved) – Final Accounts audit (clean audit opinion)
Where did the money come from?
How was the money spent?
Financial Outlook • The 2018/19 position continues to be challenging. A range of efficiency programmes have ben identified to support the delivery of the cost improvement target. • The trust is an active participant within Coventry and Warwickshire Sustainability and Transformation Plan.
Chief Medical Officer and Deputy CEO Meghana Pandit Quality Account 2017/18
What is the Quality Account? • It is an annual report about the quality of services at UHCW • The quality of the services is measured by looking at patient safety • The effectiveness of treatments that patients receive • Patient feedback about the care provided
Quality Account Priorities 2017-18 Clinical Effectiveness- Reviewing Mortality Patient Experience - Customer Care Course ACHIEVED ACHIEVED Brilliant Basics forms part of Trust induction for all Continued development of new starters. care bundles. 1300 people have been Understanding patient deaths trained through the initial within 30 days of discharge. training programme. 480 people through staff induction. 1780 in total ! Patient Safety A) Reducing pressure ulcers Patient Safety B) Falls ACHIEVED PARTIALLY ACHIEVED The threshold for falls January 2018 is A multi-professional pressure ulcer forum was established in July 2017 2394 the actual number of falls is to improve governance. 1748 . All patients that have a grade 3 or 4 pressure ulcer have a visit from the Patient Safety Response Team. Falls with moderate harm the threshold Weekly production board/huddle established with the Tissue Viability of 56 the actual number was 36 Team and is attended by the Associate Director of Nursing for Quality and Patient Safety. Part of the NHSI pressure ulcer collaborative Repeat fallers and number of repeat falls continues to meet projected 50% 777 staff members have reduction. taken part in informal education and awareness as part of the Keep on ASKIN campaign.
Quality Account 2017/18 Highlights • New training package for incident investigators has been developed and introduced • Seven Day Patient and Advice Liaison Service • New Friends and Family Test questionnaire • QUESTT tool in use across the Trust
Quality Achievements- Patient Safety • Winner HSJ National Patient • Root Cause Analysis and Safety Team of the Year 2018 Refresher Training for • Improved Incident Reporting Investigators • 100% of eligible doctors • PSR respond to all moderate revalidated in first cycle harm and above incidents (2013-2018) • Increase in use of Datix for recording of actions • Human Factors Training • Learning teams in place • Baywatch
Quality Achievements-Clinical Effectiveness • Published the Care Bundle • Mortality Training Policy Programme • Online Mortality Review • Improvements in clinical forms updated guideline compliance • Consultant Peer Review for • Morbidity Scorecard Mortality Reviews • Mortality Dashboard
Quality Achievements-Patient Experience • Patient Information leaflets - 97% leaflets in date • New Friends and Family Test • Patient Experience and Engagement Delivery Plan 2018-21 published • Involvement Hub • Complaints action module implemented • New Action log for responding to patient feedback • Bedside booklets with “How may I help you?”
Quality Priorities 2018/19 Patient Safety: Year on year improvement against baseline (55%) for WHO 5 moments for hand hygiene and reduce avoidable infections Clinical Effectiveness: To provide care in line with national and local evidence based guidance Patient Experience: Establish a process for reviewing the patient environment and acting upon issues effectively with support from the process of PLACE
A Co-development approach to Quality Account 2018/19 An engagement event will take place in the Autumn to engage with staff, patients and stakeholders about what’s important from their perspective and how we celebrate quality achievements made through the year .
Where can the Quality Account 2017/18 be accessed? • UHCW NHS Trust’s NHS Choices page • UHCW website: www.uhcw.nhs.uk/about- us/quality • Hard copies of the full document are available on request by calling the Patient Insight Team on 02476965196.
Principal Sleep Physiologist Michelle Goodlad The New Complex Sleep Service At UHCW NHS Trust
History Of The Sleep Service At UHCW NHS Trust • Since 1997 there has been a respiratory sleep service at UHCW NHS trust • In the beginning there was just a diagnostic service with patients going to Stoke-on-Trent & Oxford hospitals for treatment • In 1999 we commenced a CPAP treatment service allowing patients to be treated in their local area
The Current Sleep Service • The Trust has an well established sleep disordered breathing service diagnosing and treating patients from both in the local area and the surrounding counties • We perform approx. 400 home sleep studies/year. • We now have over 3,000 patients on CPAP and in the last 3 years expanded the service to include: Clinics at St Cross Hospital Fast track sleep service for occupational drivers Hold clinics at local prisons Annual patient support meetings
We are now ready to take the next step towards… A Complex Sleep Service.
What Is A Complex Sleep Service? Specialises in diagnosing and treating sleep conditions such as: • Excessive daytime sleepiness e.g. narcolepsy or idiopathic hypersomnia • Parasomnia e.g. Sleep walking, night terrors and sleep behaviour disorders • Nocturnal epilepsy • Restless leg syndrome and other movement disorders of sleep • Insomnia • Traumatic stress disorders (PTSD)
Why Do We Need A Complex Sleep Service? • To become a tertiary centre, delivering a comprehensive, neurological and respiratory sleep medicine service • Have the ability to investigate & treat a wide range of sleep disorders • Be involved in research both as a team and to collaborate with other disciplines • Increase the profile of the sleep service and hospital
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