dorset healthcare annual members’ meeting 2019

Annual Members’ Meeting 2019

Dorset HealthCare

Welcome

Andy Willis

Trust Chair

Working in hubs

The Retreat, Dorchester

AMM 2019

Patient Story - Angela Watson

Watch on YouTube by copying this link into your internet browser: https://www.youtube.com/watch?v=Q_1j7SCPhbQ&t=8s

AMM 2019

Eugine Yafele

Chief Executive

AMM 2019

Council of Governors report 2018/19

Jan Owens

Lead Governor

Council of Governors

Holding the Board to account - main issues

• Care of our workforce

• Conditions of our buildings and equipment

• Children’s health service especially Mental Health

Council of Governors

Public Engagement

3 Meetings

• Sturminster Newton

• Poole

• Weymouth

Purpose

• For members to contribute to Dorset HealthCare strategy 2020 - 2025

Council of Governors

Council of Governors

Members and the public asked for: • Commitment to greater public

information and engagement

• Promotion of integrated services to benefit patients

Council of Governors

Please … • Keep communicating with us

• Join our membership

Current number of public members: 4,916

Grown by 12% this year

Council of Governors

Thank you

To all our Members for their support To Governors leaving the Council today – Pat Cooper, Joy Ford, Sue Howshall, Anna Webb and Jack Welch

Council of Governors

Welcome

To our newly elected governors. I look forward to working with you.

AMM 2019

Dorset HealthCare’s finances, 2018/19

Matthew Metcalfe Finance Director

2

The Trust’s Finances

31 Mar 2019 Actual

£m

31 Mar 2019 Plan

£m

Reported surplus 7.2 1.8

Operating surplus (adjusted) 5.7 3.4

PSF Funds 7.9 2.5

Cost savings 6.9 8.4

Agency cost 5.1 3.7

Capital expenditure 13.3 21.5

Financial Results

3

£7.9m, 3%

£211.5m, 80%

£9.6m, 3%

£18.2m, 7% £18.5m, 7%

NHS England Clinical commissioning groups

Other income from patient care Local authorities

Other operating income

Increase of £19.1m, 8% from 2017/18

Total Income £265.7m

Income

Expenditure

4

2018/19 £m 2017/18 £m

Staff costs 192.7 184.5

Purchase of Health Care 11.2 7.7

Supplies and Services 17.0 17.2

Depreciation 6.3 5.9

Impairment 2.4 (0.5)

Other operating expenditure 24.9 21.7

Total operating expenditure 254.5 236.5

Expenditure

Capital Investment

5

2018/19 £m

IM & T 3.9

Backlog maintenance 3.7

Other 2.7

Douglas House conversion for Seastone & Nightingale Court 1.3

Equipment 0.8

Linden Unit – bathroom refurbishment and M & E upgrade 0.3

League of Friends funded capital 0.2

Alumhurst Road – 8 bed CAMHS PICU 0.2

St Anns – 8 bed unit 0.2

Total 13.3

Capital investment

6

DHC Provider Sector

Surplus / (Deficit) on a Control Total Basis 3.0% (1.0)%

Cost Savings as a % of Operating Expenditure 2.7% 3.6%

Agency & Contract Staff as a % of Total Pay Costs 2.6% 4.4%

Comparison to provider sector

AMM 2019

Thank you and break

Urgent care services in Dorset

Dorset HealthCare

Dr Steve Tomkins October 2019

What you’ll hear today

1. Where we are on our 111

journey

2. What bumps in the road we’ve

hit so far

3. How we see things developing

in the future

Introducing….

A&E Dept

SUMMER COUGH

4 hours in A&E. If only someone

had told me that I could have gone

to my local pharmacy

STOMACH ACHE

I didn’t know how else to speak

to a GP on a Sunday, so I went

to A&E

ANXIETY ATTACK So very stressful in

A&E. No-one knew my

mental health history

MUM FELL I phoned NHS111. No-one

knew mum, so the ambulance was called to

take her to A&E. She’s still in hospital 3 weeks later

SPRAIN If only NHS111 had sent me to

the Minor Injuries Unit

How can it

feel now,

when

people need

help and

advice?

SEVERE CHEST PAIN

Why were the emergency

services too busy to get Dad the help

he needed?

Where did things start ?

Specialist

paramedics

Night

nursing

Out of hours

visiting

service

Out of

hours GP

service

999

ambulance

Urgent

treatment

centres

Accident &

emergency

x3

On-call

mental health

teams

Mental

health 24/7

phone line

and retreats

Acute

hospital on-

call teams

Primary Care (GPs)

Who’s working together?

Your options when you need urgent care

During the day

Out of hours

• Contact your GP

• Go to an urgent

treatment centre

• Go to the retreat

• Call 111 or go to

111.nhs.uk online

Call 111 or go to

111.nhs.uk onine

Access to the whole range of

services provided by all

organisations

Home visit bases Treatment centres

Where we are on the journey

Where we are on the journey

Where we are on the journey

We have good cover except on

Saturdays

We need more doctors, nurses,

supervisors and others

We’re working hard to recruit

Where we are on the journey

Demand is going up

Threshold for contacting is going down

Workforce challenges

Productivity

Bumps in the road

Our partnership vision

Take three doctors…

And the results…

Patients tell their story only once

High quality care building on

existing services and

relationships

24/7 Dorset care, seamless

Waitless - showing

you the fastest route to

getting the support you

need

Harnessing technology

Looking to the future

Exciting times!

And now for something completely different

So how will it work...?

Questions