hull and east yorkshire hospitals nhs trust annual general meeting 27 september 2013
TRANSCRIPT
HULL AND EAST YORKSHIRE HOSPITALSNHS TRUST
ANNUAL GENERAL MEETING
27 SEPTEMBER 2013
LeadershipDevelopment
PartnershipWorking
ServiceDevelopment
Time forReflection
Robust systems &processes for
Clinical Governance
BoardDevelopment
Elective Access
FinancialManagement
InvolvementStaff
EmergencyAccess
PatientInvolvement
Communications
Teamwork
Themes
Outline
• Finances
• Performance
• Quality and Safety
• Staff engagement
• Francis review
• Issues and Challenges for this next year and beyond…
Finances
How we used all of our money…
FINANCIAL PERFORMANCE REVIEW 2012/13
The Trust achieved all of its financial duties in 2012/13
To Break Even
To Achieve A 3.5% Return on Capital
To Operate Within Our External Finance Limit
To Operate Within Our Capital Resource Limit
BREAK EVEN DUTY
As an NHS Trust we are required to at least break even. For the seventh successive year we achieved an operating surplus.
The £34M we have generated over the last 7 years has been used to repay loans and invest in our property, plant and equipment.
We generate surpluses so that we can ensure a sound financial basis for the future particularly recognising the challenging economic environment.
2006/07
(£M)
2007/08
(£M)
2008/09
(£M)
2009/10
(£M)
2010/11
(£M)
2011/12
(£M)
2012/13
(£M)
0.2
6.8 5.0 7.6 4.6 4.8 5.4
HOW DO WE SPEND OUR MONEY
(£M)
Pay 294
Supplies and Services - Clinical 107
Supplies and Services - Other 14
Premises 21
Depreciation 13
Establishment Expenses 7
Clinical Negligence 10
Other 14
Total 480
Our expenditure in 2012/13 was £480M (excluding impairments), which can be summarised as:
HOW WE SPENT OUR MONEYDuring the year we invested additional resources into a number of clinical services:
DEVELOPMENTS (£000)
Winter Pressures – extra beds, 7 day Therapy and Pharmacy Service 1528
PRH Physiotherapy X-Ray Relocation 250
AAA Screening Service 137
Diabetes Structured Education 128
Neuropsychologist 125
Expansion of Cystic Fibrosis Service 45
Move to Digital Mammography 66
Community Paediatrics – Staffing and IT Equipment 72
Breast Screening Expansion 24
Total 2375
FACTS YOU DIDN’T KNOW ABOUT OUR CATERING
SERVICES……
691,600 PORTIONS OF POTATOES£110,656
832,104 SLICES OF
TOAST £33,284
726,024
PINTS OF
MILK
£246,848
PATIENTS CONSUMED
761,761 MEALS
PATIENTS, VISITORS AND
STAFF CONSUMED 3,010,620 HOT
BEVERAGES
FACTS YOU DIDN’T KNOW ABOUT OUR DOMESTIC
SERVICES……
200,000 CLEANING
CLOTHS ARE
USED EACH YEAR
WE USE 4,320
LITRES OF TOILET
CLEANER
WE USE 292,000
MOPS PER YEAR WITHIN THE TRUST
THE TRUST
WASHING
MACHINES
OPERATE 8760
HOURS PER YEAR
CLEANING MOPS
AND CLOTHS
HOW WE SPENT OUR MONEYWe invested £20M in property, plant and equipment
(£M)
Building Projects
New Emergency Department
Upgrade to the façade of the Hull Royal Infirmary
Programmes
Backlog maintenance
Other
Equipment
Medical and Scientific Equipment
Information technology
TOTAL SPENT
2.51.0
3.12.8
8.81.5
____19.7____
IN SUMMARY
• We’ve had another successful financial year
• Our sound financial management has helped us grow, develop and invest in our clinical services
• The impact of the economic environment will set significant challenges for the NHS over the next few years
Performance
How we delivered national targets…
National Requirements
• A and E 95% in 4 hrs• 18 weeks to treat• Cancer 2 week wait• Cancer 31 days diagnosis• Cancer 62 days• MRSA 7 maximum• C-Diff 60 maximum• Learning Disability
• MET• MET• MET• MET• MET• MET• MET• MET
Quality and Safety
How we made it better for our patients…
Issues
• Mortality
• Complaints
• Never Events and SUIs
• Patient Experience
• Friends and Family Test
2.5 2.83.6 3.7 3.8 4.3 4.3 4.4 4.5 4.6 4.6 4.6
5.66.4 6.8 6.9
9.2Complaint numbersComplaints per 1000 spells 2012/13 against similar sized and local trusts
0123456789
Benchmarking our complaint numbers against other Trusts per 1000 FCE
Never Events and SUIs
Smaller than us
Bigger than us
Same size as us
Category 2011-2012 2012-2013 2013-2014SUIs 10 8 7Never Events 3 3 0
Comparator 2012-2013 Local Trust 1 Local Trust 2 Local Trust 3SUIs 50 16 24Never Events 3 2 4
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Friends and Family data July 2013 Trusts ranked by net promoter scoreSource NHS England July 2013 data
Top Ten Hospitals for number of Inpatient returns
Source NHS England July 2013 data
LEEDS TEACHING HOSPITALS NHS TRUST 2,301
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 2,213
BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST 1,866
EAST LANCASHIRE HOSPITALS NHS TRUST 1,835
HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST 1,771
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST 1,630
BARTS HEALTH NHS TRUST 1,508
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST 1,417
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 1,324
PORTSMOUTH HOSPITALS NHS TRUST 1,316
HEY30%104.6109.82.9%
10.1%3.2%5.0%
11.2%91.7%8.4%39%1.3%
Changes in Senior Doc Numbers at HEY
Staff Engagement
How we listened and responded to our people…
Initiatives
• Pioneer Teams• Make it happen fund• Lottery• Flu day• Big Conversations• Pulse check• Great Leaders• Link Listeners• Golden Hearts• Valentine’s Ball
• Dragon’s Den• Pathfinders• Setting the Standard• Consultant Conference• Nurse Conference• AHP Conference• Pathfinders• Moments of Magic• Summer BBQ• Christmas Tree and Carols
Francis Report
How we responded to national concerns about the NHS…
Progress• Identified quickly top 11 and top 27 most important themes
• Steering Board and sub-groups set up
• Supervisory Ward Sisters
• Nurse Senate established
• Intentional rounding
• Transparency project pilot site
• Setting the standard for Wards developed
• Acuity and dependency levels of patients
• Staffing numbers to be displayed
• Additional nurse staffing on some wards
Issues and Challenges for this next year and beyond
How we face an uncertain future…
Zanussi washing machine
THE FINANCIAL FUTURE
• The NHS, along with the rest of the public sector, faces significant financial challenges. In England, continuing with the current model of care will result in the NHS facing a funding gap of around £30BN between 2013/14 and 2020/21. This estimate is before taking into account any productivity improvements and assumes that the health budget will remain protected in real terms.
• Funding cuts have not impacted on the NHS as much as other public services, despite this we expect little growth in our funding over the next few years, alongside growing demand for our services and the need to maintain and improve the quality of our services.
• We need to save £95M over the next five years in order to remain on a sound financial footing and we will do this by becoming more efficient and more productive.
% G
DP
“The scissors of doom…”
Treasury forecast at 90% GDP
“The scissors of doom…”
“Real” forecast at 161% GDP
Paying off the debt at £1 per second…
• If we owed £1m
• If we owed £1bn
• We owe over £1trillion
11.5 days
33.5 years
33,500 years
Debt is increasing at Debt is increasing at £14,000 per second£14,000 per second
“100 Years Old” Telegrams sent
Year Number Sent1917 341948 3002012 120002048 1,000,000
How our staff feel…
How our organisation feels…
Being Vulnerable…
CQCNHS
EnglandTDA DoH Monitor
We’re here to help….
How our patients must sometimes feel…
How I feel…
Why we do it??
