Ambition for the Future

92 Pages·2014·6.02 MB·English

Amb iti on fo r
t h e Fu tu re
Annual Report 2013/14

Annual Report 2013/14
Contents
Strategic Report 4
Directors’ Report 56
Remuneration Report 62
Annual Governance Statement 68
Summary Financial Statements 82
St ra tegi c
R e p o r t
Introduction-
Ambition for
the Futu re
Professor Dean Fathers, Chair
Professor Mike Cooke CBE, Chief Executive
4
Welcome to Nottinghamshire the Patient Experience Network through a competitive tendering
Healthcare’s Annual Report for National Awards for Innovative Use process. We have launched several
2013/2014. This year we have of Technology/Social Media and new services, including Offender
remained patient focused in a time Strengthening the Foundation, and a Health services at HMP Ranby
of turbulence for the NHS and win at the National E-Health Insider and HMP Whatton, and through
wider public sector and continued Awards for Best Use of Social Media. successful partnership working, the
to make a positive difference to the Recovery in Nottingham integrated
lives of people who use our services, The dedication and contribution of
Quality remains
with nearly 2.5 million patient our staff is highly valued and we
contacts in community and inpatient are committed to improving their central to all that
settings. Throughout the year we experience and remaining a desirable
we do, with external
have seen many achievements and place to work. In the national NHS
we remain proud of the quality of Survey, we were in the top 20% of validation providing
our integrated healthcare services, Trusts in the Country, scoring above assurance of this.
the national average in several
Listening and areas including staff engagement, drug treatment service and the
responding to with a 71% response rate. We provision of services to County Sure
were delighted to be ranked 2nd Start Children’s Centres. Financially,
feedback from our
in Stonewall’s Workplace Equality we remain in a strong position,
patients, service Index, our best rating to date and an generating a small surplus which
improvement on last year’s position will be reinvested in patient services
users and carers
of 4th, reflecting our positive and going forward.
remains essential to inclusive value base.
Therapeutic care environments play
continually improve
We continue to drive forward an important role in recovery. This
experiences and
leadership development and enhance year we officially opened our new
outcomes. our unique range of learning Orion Unit at Highbury Hospital for
opportunities. Our Professional adults with intellectual disabilities
our recovery principles; hope, Development Programme for staff and challenging behaviours, and
opportunity and taking back control, in clinical bands 2-4 was launched The Recovery in Nottingham Centre.
as well as our responsiveness and this year, as was our inspirational We celebrated the refurbishment of
integrity as an organisation. premier leadership development Rampton Hospital’s Family Centre
programme Invest to Lead 5; 350 and Highbury Hospital’s Cherry Ward
Our patient satisfaction rates have delegates are participating, with and Silver Birch for older people.
been consistently high with 92% for The healthcare centre at HMP Ranby
The dedication
2013/14. Listening and responding underwent improvements and
to feedback from our patients, and contribution we marked the completion of the
service users and carers remains Enhancing the Healing Environment
of our staff is
essential to continually improve project at HMP Whatton and HMP
experiences and outcomes. This year highly valued and Stocken.
we expanded the ways we do this
we are committed
by launching our innovative ‘Your Quality remains central to all that
to improving their
Feedback Matters’ website. Our we do, with external validation
Service User and Carer Experience experiences and providing assurance of this. Our
Survey received 25,705 responses, Electro Convulsive Therapy clinic
remaining a desirable
totalling an impressive 48,328 since was reaccredited as excellent,
its introduction in 2009. There have place to work. our Department of Psychological
also been 609 postings on our Patient Medicine formally accredited
Opinion website, totalling 1,223 since 1370 people having completed it to for a further two years, and our
it started, with 94 things changed in date. The fantastic achievements of Netherfield Children’s Centre rated
response to these. our staff have also been recognised; ‘outstanding’ by Ofsted.
this includes our eleventh OSCARS Wathwood Hospital received the
We are exceptionally proud of our with 137 nominations, three awards highest overall score for quality in
open and honest approach towards at the East Midlands Leadership the Country and our provision of
involving people in shaping our Academy Awards and two winners, High Secure Services was relicensed
services and enabling their views Andrea Ward and Siyanda Mkewli, by NHS England for a further five
to be heard. Our excellence in this at the National NHS Leadership years. We have welcomed the
area has been recognised nationally, Recognition Awards. Care Quality Commission’s Chief
with us winning several awards Inspection of our services to further
throughout the year. This includes At the same time, we have evidence the high quality care we
two wins and one runner up at successfully won 75% of tenders deliver.
5
Our journey towards full Foundation using experiences to inform needs aacchhiieevvee oouurr aammbbiittiioonnss ffoorr tthhee ffuuttuurree
Trust status has made excellent and develop new technology. We aanndd rreemmaaiinn tthhee iinntteeggrraatteedd hheeaalltthhccaarree
progress, with approval to move are also contributors to the exciting pprroovviiddeerr ooff cchhooiiccee;; ppeerrssoonnaallllyy vvaalluueedd,,
forward with our formal assessment llooccaallllyy rreelleevvaanntt,, nnaattiioonnaallllyy iimmppoorrttaanntt..
and subsequent success in the first Our journey towards
phase of this by Monitor. Thank you
full Foundation Trust
to our Members’ Council who have
status has made
represented stakeholders over the
last four years and congratulations excellent progress,
to our 41 newly appointed PPPrrrooofffeeessssssooorrr DDDeeeaaannn FFFaaattthhheeerrrsss,,, CCChhhaaaiiirrr
with approval to
Governors who will form the Council
of Governors next year when we move forward
become a Foundation Trust.
with our formal
Our contribution to research and assessment.
innovation is building a legacy PPrrooffeessssoorr MMiikkee CCooookkee CCBBEE,, CChhiieeff
for a bright future. The National and innovative Centre for Health Executive
Institute for Health Research (NIHR) Innovation, Leadership and Learning,
Collaboration for Leadership in The Centre for Social Futures and
Applied Health Research and Care The Centre for Dementia.
(CLAHRC), which we host, was
awarded £28.4m for further ground It has been quite a year! Thank This report should be read in
breaking research to improve patient you to everyone involved in these conjunction with our Involvement
outcomes. With the Institute of successes; our patients, service RReeppoorrtt aanndd QQuuaalliittyy RReeppoorrtt,, pprroovviiddiinngg
Mental Health we have established users, carers, staff and partners. a detailed review of the year and
MindTech, one of eight national We have achieved a great deal and highlighting best practice across the
Healthcare Technology Cooperatives, are confident that together we can Trust.
An inspirational leader
This year we received the news from Mike of his decision to
take early retirement in October 2014. I am grateful to Mike for the
outstanding leadership he has shown, not only in his seven years as Chief
Executive of Nottinghamshire Healthcare, but also in his 31 years in the NHS
– a long and successful career.
Since Mike joined the Trust he has devoted his leadership into transforming
it into one of the best examples of a patient focused, staff engaged and
innovative provider. There has been a transformation in the scale, diversity
and innovative nature of what we offer to our patients, service users and
carers, with a strong focus on our values and our strategy to improve health,
save lives and help people recover their lives.
We wish Mike all the best for his retirement and thank him for his
unwavering dedication and ambition for improvement throughout his time
with us.
Professor Dean Fathers, Chair
6
Ruth Hawkins: Executive Quality Commission reporting on the
Director of Finance and qmueanlittayl ohfe tahlteh ,s einrvteiclelesc wtuea lp droisvaibdieli tiyn
Performance and Deputy and community services. This is not
without its challenge but after that
Chief Executive we are confident that Monitor will
be revisiting us for the final Phase 2
of their assessment before a decision
Procurement has
continued to improve
its efficiency but
has also delivered
significant savings.
is made as to whether we can be
put forward to the Secretary of State
for Health for authorisation as a
Foundation Trust. We hope within
2014/15 to have a positive outcome
to what has been a challenging, but
The Trust has continued to and so the number of beds being ultimately service improving journey.
maintain its strong performance commissioned went from quite a slow
despite the continued difficult growth to full capacity more quickly Performance has been good in year
economic conditions and the than planned. The Wells Road Centre for service quality and performance
constrained financial environment also proved an attractive offer for targets but we know there is
within the public sector. Commissioners with beds filled and variability across the Trust’s services
income better than forecast. The Trust and this is an area for further work
The Trust is was also successful in getting a VAT in the coming year. The Performance
refund on elements of its energy costs. Report itself has been worked on
reporting for
during the year to make it easier to
2013/14 a surplus of Finally, some of the risks we had read and understand. This hopefully
£10.033m. We are anticipated did not come to fruition, helps in our ambition to be more
meaning we have not had to spend transparent about how well we are
one of the few Trusts
the contingency we keep for a rainy doing, or not, for members of the
in the country to day! This means that for 2014/15 we public, as well as internally in the
will be able to increase our capital Trust.
exceed our planned
spending on the buildings, from which
surplus. we deliver our services, to £11.3m. In my other area of responsibility,
The Trust’s capital plan for 2014/15 Procurement has continued to
I am delighted to report that once was approved by the Board in March improve its efficiency but has also
again we have met all our statutory so plans can now move ahead. delivered significant savings. The
financial obligations. The Trust is Trust buys many ‘things’ and the
required to achieve at least a break Our financial position is explained better our processes for doing that
even position, ensuring that income more fully on pages 82 – 88 of this are, the more money we can spend
is sufficient to meet expenditure. report. on patient care. That’s important
The Trust is reporting for 2013/14 a and has been achieved through
surplus of £10.033m. We are one This year we have also made good improving our ordering systems,
of the few Trusts in the country to progression on achieving Foundation renegotiating contracts and reducing
exceed our planned surplus and there Trust status. From 1 April 2013 we the number of suppliers we deal
are a number of reasons for this. were able to apply to become a with. I have also taken on Risk
Foundation Trust, due to the changes during the year – making sure we
The Trust always plans on a prudent in the Health and Social Care Act know where our areas of risk are
basis particularly when new services (2012). We took advantage of and developing plans to manage
are starting up. During the year those changes and our application those risks. This is a new challenge
we were able to fill more low and went in on 1 May. We successfully but one that is important for our
medium secure beds than expected. completed Phase 1 with Monitor patients, service users and carers. I
A neighbouring medium secure unit and as this report goes to press we look forward to the challenges of
close to Wathwood Hospital closed are looking forward to the Care 2014/15.
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Dean Howells, Executive (SNAHPIN) has also been launched
Director of Nursing, Quality aconldle raegcueeivse.d as a useful forum for
and Patient Experience The Safeguarding network continues
to ensure that safeguarding is
integrated into our systems. This
year saw the launch of the Trustwide
Domestic Violence and Abuse
Strategy and the development of the
Trust’s Think Family Strategy. Strong
local partnership work has continued
to progress this vital work and
ensure the right action happens at
the right time to safeguard children,
young people and adults. The team
was proud to be shortlisted in the
OSCARS; a great recognition of its
significant achievements.
The Involvement Team received three
national awards for work involving
TThhiiss yyeeaarr,, tthhee LLeeaarrnniinngg aanndd PPrrooggrraammmmee ffoorr CClliinniiccaall BBaannddss 22--44.. service users and carers and for the
Development Department This unique programme is aligned pioneering patient feedback work
has facilitated and supported to the Cavendish Review and has in partnership with Patient Opinion.
the further creation of clinical been cited as best practice in the The dedicated feedback website
training, leadership training Chief Nursing Officer Bulletin. enables people to leave feedback
and professional development Feedback has been very positive and about their experience of services,
across the Trust. The Trust can we look forward to this programme whilst letting staff and the public
confidently report and sustain an continuing throughout the year. see what has been said. The site was
above 80% compliance on Essential The second Clinical Leadership developed as part of the Trust’s aim
Training, facilitating the provision Development Programme for to be the most open and responsive
of high quality, safe care, whilst Band 7 nursing and Allied Health organisation in the NHS and the first
Professionals (AHP) also took place to make all its feedback visible to the
This year saw this year. public and its staff.
the launch of the
Congratulations to Julian Eve for his We were delighted to improve our
Trustwide Domestic
appointment as Associate Director, place in the Stonewall Workplace
Violence and Abuse Learning and Development. I am Equality Index this year being
confident he will continue to lead rated second overall and top NHS/
Strategy and the
the Department from strength to health organisation, reflecting our
development of the strength. commitment to the Equality and
Diversity agenda and the work of the
Trust’s Think Family
The Standing Nursing and Allied team led by Catherine Conchar, who
Strategy. Health Professionals Advisory Council was also recognised at the OSCARS.
(SNAAC), which supports our clinical
also safeguarding employees’ own development programmes, is now in Human Resources colleagues have
welfare in their working practice. its seventh year, led by Claire Knight, significantly progressed the rollout
This is a fantastic achievement for Dietician from Local Services and of the personal electronic staff
all involved in driving forward this deputy chairs from each Division. record and have made savings
important agenda. Along with our Clinical Governance by going ‘paperless’. Thank you
Team, SNAAC has sponsored to management and staff side
The start of 2014 saw the launch of and reviewed our Professional colleagues for their support as panel
our fifth Invest to Lead programme. Guide to Quality, supporting our members for the job evaluation
This highly regarded in-house work towards ongoing quality service. The Executive Mentoring
leadership development programme improvement. This easy read guide Scheme was completed in 2013
continues to successfully equip for staff explains our approach with mentees gaining a tremendous
leaders with the skills to develop and everyone’s responsibility for amount. The Corporate recruitment
themselves and their teams. The first the Trust’s quality agenda. The administration has continued to do
cohort of staff has been through Senior Nursing and Allied Health a great job processing vacancies for
our Professional Development Professionals Integrated Network the Trust and the organisations it
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hosts. We were delighted with the of Nursing and Allied Health nursing across Nottinghamshire.
National NHS Staff Survey response Professionals was awarded an OBE Congratulations also to Catherine
rate and HR will be working with for services to healthcare and Mick Pope, Associate Director, Allied
colleagues to address areas for O’Driscoll, Local Services’ Deputy Health Professionals, who was voted
action. Divisional Nurse, received an as Vice Chair of the Chartered
MBE for services to mental health Society of Physiotherapists, the
Two of our nursing professionals nursing. This is a fantastic accolade professional body and Trade Union
were awarded honours this year. for all nursing professionals and for physiotherapy in the UK.
Janet Sheard, our former Director demonstrates the commitment to
I would like to highlight how
continually impressed I am by our
staff’s commitment to providing
high quality services across the
Trust. I always get great insight and
value from the clinical time I spend
with teams across the Divisions and
the responsiveness of our frontline
teams. Thanks to all nursing and
AHP staff for your continued
support and hard work.
Dr Gopi Krishnan, Executive
Medical Director
Medical education
remains an important
area of work.
I took up my role as Medical In my role I am responsible for Medical education remains an
Director on 1 October 2013, with medical professionalism, including important area of work. I am
my predecessor, Dr Peter Miller revalidation. I have been approved supported in this by Dr Gill Pinner,
moving on to pastures new as by the Trust Board to perform the Director of Medical Education for
Chief Executive at Leicestershire duties of the Responsible Officer. I the Trust. We are finalising a new
Partnership NHS Trust. Adopting am supported in the revalidation role medical education strategy and
a Trustwide role at the same time as by Dr Sue Elcock, Associate Medical are seeking funding to improve
Monitor began its Foundation Trust Director: Revalidation. Revalidation is the medical training infrastructure.
Phase 1 scrutiny of the Trust has moving forward on schedule; thank We look forward to a time when
meant a steep learning curve and a you to all involved for keeping up- large parts of medical training will
busy and challenging few months. to-date with appraisal and feedback. move from inpatient settings to
I have personally had my appraisal community settings. A pharmacy
I still retain a small clinical and feedback and I am en route to strategy has also been developed
commitment at Rampton Hospital. being revalidated. this year, which aims to improve
9
provision of pharmacy services in Applied Health Research and Care) the successful Monitor Phase 1, we
both inpatient and outpatient areas, on whose Boards I sit on and also have hosted Care Quality Commission
adopting newer technologies such as with the Academic Health Science (CQC) inspectors for the next part of
e-prescribing and the use of robots Network and Health Education East the Foundation Trust application.
in dispensing. Midlands. Jointly we are concerned
with research moving to clinical As clinical advisor to the Trust’s
As Trust lead for research and application in as short a period as Health Informatics team, I look
innovation, I have been promoting possible. forward to engaging with frontline
research within the Trust and clinicians in shaping the Trust’s
developing an infrastructure that Working with Dean Howells, Director future technology development
assists research interested clinicians. of Nursing, Quality and Patient to ultimately enhance patients’
I have established strong working Experience, who leads the Trust on outcomes.
relationships with the Institute of quality and risk, I am involved in
Mental Health (IMH) and CLAHRC matters of clinical governance and Looking to the future, there will be
(Collaboration for Leadership in risk management. Following on from further challenges to rise to in light
of austerity measures; however, I
am confident that we will rise to the
challenge of maintaining the safe
and effective delivery of patient care.
Simon Smith,
Executive Director
Local Services
It has been a busy and productive high quality services that intervene
year for the Local Services earlier, are integrated with primary
Division. We are working hard to and physical healthcare and promote
achieve our ambitions as outlined long term sustainable health and
in our Business Plan and Clinical wellbeing.
Strategy. These provide a clear
focus for the Division and detail Throughout the year, the wider
our principle intentions; to provide health and care system has faced
10