Annual Review2014-15

The initial welcome and smile of thereceptionist to the human, non jargonalconversations that we have with nursesand doctors, the cleanliness of thebuilding and the willingness to care forher, do everything to make thisexceptionally difficult time asmanageable as it possibly can be.A comment from a card received from the relative of apatient in 2014

About Bolton HospiceOur team of doctors, nurses and other professional staff provide specialist care and supportfor local people with cancer and other life-limiting illnesses and their families, in the hospiceand at home.

We provide care throughout a patient’s illness, so they achieve the best possible qualityof life. This includes end of life care, helping them to achieve a good death incorporatingfour key principles: respect, time to plan, care and support.

We're a charity mainly funded by localpeople. Together we need to raise around£3.2 million a year to continue to provideour services for free.

Help us to keep caring…donate • fundraise • volunteer

Our Services� 18 inpatient bedrooms, some en suite� Outpatient clinics� Day support services� Hospice at home� 24 hour advice� Lymphoedema clinic� Physiotherapy� Occupational therapy� Chaplaincy� Complementary therapy� Social work� Bereavement support� Carers support� Creative therapy� Hair & image services� Education & training

Contact UsBolton Hospice, Queens Park Street,Off Chorley New Road, Bolton BL1 4QT

www.boltonhospice.org.uk

General enquiries: 01204 663 066 admin@boltonhospice.org

Fundraising department: 01204 663 055 fundraising@boltonhospice.org

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A year of transition2014-15 was a year of transition due mostnotably to the retirement of our Consultant DrBarbara Downes. In many ways Dr Downeswas one of the founders of everything thatBolton Hospice stands for: a person centred,compassionate, professional, collaborative,and innovative provider of specialist careand support.

We also completed phase one of our Buildingfor the Future project, expanding our bednumbers and opening our multi-faith prayerand reflection room which now has male andfemale ablution rooms.

Giles House is now fully operational and ourwork in partnership with NHS Bolton ClinicalCommissioning Group, Bolton PeopleAffected by Cancer and Macmillan CancerSupport to open a Macmillan CancerInformation and Support Service hasprogressed significantly, helping us transitiontowards offering a wider range of services.

Looking forward we know there are manychallenges ahead, not least the need toensure that we are financially secure and thatour income is as sustainable as possible in aworld that remains in the grip of austeritymeasures.

Bolton Hospice is proud to be able tocontribute so much to the health careeconomy of Bolton and to work in partnershipwith NHS Bolton Clinical Commissioning Group,Royal Bolton Hospital and Bolton Council inpursuit of our mission to provide the very bestspecialist palliative and end of life care.

None of which would be possible without thesupport of the people of Bolton who sogenerously give of their time and donationsto help make all that we do possible, and forthis we, the patients we care for and theirloved ones say thank you.

Judith Bromley Dr (h.c.) Leigh Vallance(Chairman) (Chief Executive)

Our mission is to provide the verybest specialist palliative and end oflife hospice care for the people ofBolton.

Our vision is for everyone in ourdiverse community with life-limitingillnesses to have equal access toexcellent specialist palliative andend of life care.

Our values are based on:

� Being inclusive and non-judgemental.

� Being open, transparent,accountable and objective.

�Giving support to the wholefamily.

� Constantly striving forexcellence and continualimprovement.

� Being committed to embracing,valuing and respecting diversity.

� Respecting, supporting andcelebrating our volunteers.

� Trust, respect, honesty andintegrity in all we do.

� A compassionate, appropriateand proportionate response tomeeting need.

� Appreciating the value of every£1 donated to our cause andusing it wisely.

What people say about Bolton Hospice

Thank you for your sensitivity during whatwas a very difficult time. The hospice is alovely peaceful environment, but it is you- staff and volunteers - who make it sucha special place.

When our daughter Janine was in thehospice, the care, love and compassionfrom the staff helped Janine and us tocome to terms with what was happening.Janine felt secure at the hospicebecause the truth was always told, theyknew how she was feeling and how tocomfort her.

The hospice were fantastic with Nigel.They treated him like a king - with totaldignity and respect. When he was at thehospice, they let us have a party for hisbirthday and all the staff were terrific withhim.

You hear the word hospice… and fear isa normal reaction but I can say without adoubt any fear you may have hadabout Bolton Hospice will be dispelledthe second you walk through their doors.Love, respect, compassion and empathyradiate.

You are a beautiful & calming place forpatients and relatives going throughdifficult times. The hospice took unbelievable care of

me, there were times when I wanted togive up but a natter with the staff mademe think differently.

My Grandpa was unsure about goingthere but he really enjoys his weekly visitsand we know everyone looks after himreally well. My mother had a few extra wonderful

days all thanks to you. She helped somany people in her life, and your supportat the end of her life was priceless.

The work you do is extremely difficult anddemanding, but you all remain cheerfuland compassionate throughout.

The hospice staff don’t just treat thepatient, they treat the whole familywhich is why we always support themand try to give back a bit of the careand love they gave to us all.

Volunteering is definitely so worthwhileand rewarding that anyone evenconsidering it, should take up theopportunity. You feel so appreciated bythe patients and their families.

The Light up a Life service was lovely,moving and uplifting, an oasis of calmwithin a busy town that allowed time toremember.

Our year in numbers

We cared for 215inpatients.*

627people

took part inour first ever

5km Colour Run.

The average lengthof stay in our inpatient

unit was days.

newpatientsattended daytherapy.

We made 1,378visits to 173 patients in

their own homes.

234 patientsattended599 outpatientclinics.

450 peopleaccessed our 24 hour

advice service.

We raised

£3.62million. We grew our number

of charity shops to .

From skydivesto marathons,people took on achallenge to raisefunds for us.

8,744 peopleplayed our weekly

lottery.

Our volunteers gave hours oftheir time to help us.

16

9

160100,000

91

*our bed capacity was reduced during this year due to building work on the inpatient unit (see next page)

Building for the Future: Phase One CompletionIn November 2014 we completed the first phase of our Building forthe Future Project, funded in part by a grant from NHSEngland and by the generosity of our donors andsupporters.

It involved increasing our inpatient bedroom numbersfrom 14 to 18 by adding four new en suite rooms,converting seven existing rooms to en suites andincreasing their size. The project also improved ourpharmacy facilities and created a new multi-faith spiritualreflection and bereavement support centre on site.

Our achievements

PLACE VisitIn March 2015 some of our service userscompleted a visit to Bolton Hospiceunder the PLACE initiative - Patient-LedAssessments of the Care Environment.The assessors look at five key areas of thehospice from a patient's point of viewand we were delighted to score highly:

� Cleanliness 99.73%� Food 99.49%� Privacy, Dignity & Wellbeing 95.56%� Condition, Appearance &

Maintenance 96.81%� Dementia 83.91%

Partnership with the University of BoltonEducation and training remain high priorities for BoltonHospice and this year we have seen great strides madewith both internal and external education.

The appointment of a part time Band 6 nurse has allowedus to develop a partnership with the University of Boltonto deliver the End of Life Care Module at level 6.

This year we have also launched our ChildhoodBereavement course, which focuses on all aspects of lossand has helped us forge a partnership with the Universityof Bolton to develop Palliative and End of Life Modulesfor healthcare professionals’ mentorship course.

Macmillan Cancer Informationand Support ServiceThroughout the year we have been working closelywith Bolton People Affected by Cancer (BoltonPAC), Macmillan Cancer Support and NHS BoltonClinical Commissioning Group to develop theMacmillan Cancer Information and Support Service.

The service provides advice and support for peoplewho have been directly affected by cancer, andtheir carers, relatives and friends, as well as the

‘worried well’.

Giles House at Bolton Hospice is one of the siteswhere the service will be delivered. It opened inJuly 2015 and hosts a drop-in information centre onthe ground floor of the building, which is next to themain hospice site.

Patient and Family SatisfactionWe continue to value the feedback of thepeople using our services and continuallymonitor satisfaction and suggestions forimprovement.

We are pleased to have scored highly againthis year but recognise that there is no roomfor complacency with the challenge ofmeeting the ever evolving needs of patientsand their families.

� 100% of inpatients stated they hadconfidence in the staff who are caring forthem.

� 99% of day therapy patients feel they were involved as much as they wanted to be indecision making about their care and felt their privacy, dignity and compassion werealways upheld.

� 98% of Hospice at Home patients’ relatives were satisfied that pain and symptoms werewell controlled with the care their loved one received.

� 100% of bereaved relatives felt the hospice had adequate facilities for theirbereavement support.

� 100% of patients and carers felt complementary therapies helped them cope with thesymptoms associated with their illness or carers role.

� 100% of inpatients’ relatives felt very satisfied with the practical support in the daysbefore death.

I nc

om

eG

en

era

tion=£3,823,18

9

Investment Income,£199,928

Donations &Fundraising,£1,032,886

Retail, £764,703

Lottery,£474,724

Events,£326,827

Legacies, £1,024,121

NHS Bolton ClinicalCommissioningGroup, £952,440

How we raised our money

Our total income was £4,892,763

NHS England Grantfor Building Project,

£65,866

Other, £51,268

Governance, £29,2931p in every £1

Our total spending was £4,130,764

…and how we spent it

Our full audited accounts are available at www.boltonhospice.org.ukor by calling 01204 663 066.

Income Generation,£1,030,280

25p in every £1

Patient Care, £3,071,19174p in every £1

For every £1we spend on

income generationwe raise £3.71

Our future plans

Our Longer Term Ambitions are:� Financial sustainability.� Further developing as a centre of excellence.� Being an integral part of the Health Care Economy.� Keeping true to our core values and mission.� Aspiring to be a lead provider.� Expansion of services where viable and appropriate.� Increasing support to families including children.� Maintaining our Lymphoedema Services.� Increasing Education and Training.

Our Strategic Objectives are:� To remain the number one provider of excellent specialist palliative and end of life care.� To be financially robust and prudent in all we do.� To provide a safe, welcoming, inclusive and therapeutic environment.� To be the recognised hub of specialist knowledge, training, education and community

awareness.� To remain true to our core principles, values and charitable objects.� To ensure we deliver our vision, mission and purpose.

What will Success look like?� Decreasing the operational budget financial deficit (excluding exceptions).� Electronic Patient Records and Performance Data collection that is easy, speedy and

meaningful.� Better funding from the NHS.� Lean processes adopted wherever feasible.� Expansion of training and education.� More attractive physical environment by embracing therapeutic design.� Managers who manage all aspects of staff care, support and direction including HR

processes and Health & Safety.� Looking at the potential for nurse led clinics.� Volunteer roles expanded.� Dynamic Workforce Strategy produced.� Wing B upgrade completed.� Greater community contact.� Dementia friendly services.

Help us to keep caringWe rely on the support of local people as we can only fundraise in Bolton. We need to raisearound £8,500 every day, which equates to around £350 every hour. You can help us inthe following ways:

DonateWe’re extremely grateful for all donations, large or small. You canmake a one off or regular donation to support our work and if youare a UK taxpayer we can claim gift aid which will make yourdonation worth even more!

VolunteerWe are supported by hundreds of dedicatedvolunteers. There are opportunities to volunteerin the hospice, in our shops, in your local areaor at our events.

PlayOur weekly lottery costs just £1 to play, givingyou a chance of winning a top prize of£1,000 every week!

Remember usPlease consider leaving a gift to BoltonHospice in your Will. Legacies pledged in thepast are supporting our work today, andlegacies pledged today will ensure that wewill be here in the future too.

Take partWe have lots of events that you can getinvolved in, from overseas treks to ladieslunches and bike rides to skydives. Why notorganise your own event or fundraisingactivity at work, school or in your localcommunity?

ShopVisit one of our charity shops to pick up abargain, and don’t forget to donate anyunwanted goods to your local Bolton Hospiceshop too.

Thank you

Behind everyone who accessesour services, there are thousands ofcompassionate people dedicatedto helping them and the hospice.Thank you to everyone who is a

part of this.

“I am so grateful that it was possible for you to admit myhusband to the hospice and I saw daily how much effort thenursing staff put into making him as comfortable as he couldbe. All of you worked so hard to make it possible for him todie with dignity and without pain and for that words cannotexpress my gratitude.”A comment from a card received from the relative of a patient in 2014

Bolton Hospice, Queens Park Street, Off Chorley New Road, Bolton BL1 4QTwww.boltonhospice.org.uk

General enquiries:01204 663 066 / admin@boltonhospice.org

Fundraising department:01204 663 055 / fundraising@boltonhospice.org

Follow us:

Bolton Hospice is a registered charity number 518704

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