Strategic issues & future aspirations
Richard Parker OBE Chief Executive www.dbth.nhs.uk
Setting the scene Doncaster and Bassetlaw Teaching Hospitals serve a 114,000 in Worksop opulation of more than 444,000 across South orkshire, North Nottinghamshire and the urrounding areas. 330,000 in Doncast We were one of the first 10 trusts in the country to chieve Foundation Trust status and are one of only x Teaching Hospitals in the Yorkshire region. www.dbth.nhs.uk
123,200 472,000 + 175,200 515,250 78,500 4,700 7,900 174,550 Our activity www.dbth.nhs.uk
The golden thread True north Objectives Breakthrough Objectiv Divisional Breakthroug Objectives Team and department objectives Individual objectives Our True North
500 72,000 corporate/admin Our workforce www.dbth.nhs.uk
Slide 6 Adam Tingle, 06/10/19 AT64
In 2018/19 we In 2018/19 our In 2018/19 we spent spent £11.2m on maintenance 5% of our budget on our estate . backlog was £60m . our estate. Our estate www.dbth.nhs.uk
Patients in 2018/19 Best cancer patient feedback in the region. Low rates of infection (701 days without MRSA). Implementation of better ways of working. Introduction of a number ‘ person-centred care’ projects . 99% of patients said we were ‘ caring and compassionate’. Digital transformation and Quality Improvement in progress. www.dbth.nhs.uk
People in 2018/19 Fantastic feedback from learners. Trust organisational restructure into ‘Divisions’. Introduction of Trust ‘ Leadership ’ offer. Emergency Departments within top 20% for performance. PLACE ’ significantly improved and region-leading . Colleagues nominated for numerous awards and accolades. www.dbth.nhs.uk
Four Hour Access Target Cancer targets 92.64% 6/8 National average was All achieved except two, 88%. better than national average. Referral To Treatment Rolling 12 month HSMR 88.8% 93.3 National average was Trust target of 100 86.7%. Performance 2018/19 (1/2) www.dbth.nhs.uk
Never Event 1 C.Diff and MRSA cases Below Trust below trajectory Statutory & 84.73% Essential Training (SET) Complaints raised 412 Trust performed better than target. Sickness Absence 4.51% Performance 2018/19 (2/2) www.dbth.nhs.uk
Prevention in 2018/19 75% of clinical staff vaccinated against the flu in four weeks. Further 100 Day challenge work in ENT, Urology and Cardiology. We have been a key partner with ‘ Complex Lives ’ work in the area. We are undertaking smoking-cessation ‘QUIT’ work for patients. Further work with Macmillan Cancer Support in Outpatients. Further exploratory work with System Perfect to better understand local health care provision and need. www.dbth.nhs.uk
Partners in 2018/19 UK’s first-ever Foundation School in Health launched. Regulator accredited services such as Pathology and Endoscopy. Further work as partners within the Integrated Care System Agreement to work closely with Sheffield Children’s NHS FT. Refurbished DRI’s dining room , entrance and new eateries. Our Hyper Acute Stroke Services to provide regional care and funding for new CT Suite received in part from Cancer Detection Trust. www.dbth.nhs.uk
Qi in 2018/19 300 colleagues involved in 190 Quality Improvement (Qi) projects. Over 2,000 members of Team DBTH trained in our Qi way. Our improvement methodology is now embedded in all forms of training, such as ‘Leading to Outstanding’. A few examples of the above work can be seen our recent Trauma and Orthopaedic and Antenatal projects. Qi is now part and parcel of what we do as a Trust and will continue to help us on our journey to ‘Outstanding’. www.dbth.nhs.uk
Future challenges Workforce vacancies (Specific challenges in certain areas) Maintaining multiple large sites . Increasing demand. Modernisation and digital transformation . Challenging financial landscape . Activity and delivering to local and national targets (new challenge in 2019/20 related to NHS pensions). www.dbth.nhs.uk
Cancer waiting times In 2018/19 we achieved 62 and 31 day wait cancer targets. We did not achieve our two week wait (2ww). National test site – review and recommendations. Rapid Diagnostic Centre in the region. Excellent cancer patient experience scores. www.dbth.nhs.uk
Maternity Services Hospital Services Review was completed May 2018. The report recommended: 1. ‘Hosted Networks’ for services 2. Partnership between DBTH and Sheffield Children’s Hospital 3. Workforce planning across the system 4. Introduction of a early warning monitoring system. Any reconfigurations only taken forward if deemed essential. www.dbth.nhs.uk
Thank you, any questions?
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