Better care for patients - University Hospital Southampton NHS

Report
Annual general meeting
27 September 2011
Welcome and introduction
Mr John Trewby
Chair
The financial year
2010/11
Alastair Matthews
Director of finance and
investment
Annual report and accounts
• Full accounts on Trust website
• Summarised accounts in annual report
• Surplus of £2.9m before impairments of £3.3m
- Income of £514m
- Costs of £511m
• Surplus was underpinned by £33m of savings
• Trust not receiving full tariff for its activity
• Net liquidity improved but requires further
improvement in 2011/12
Annual costs of £511 million
How is it spent?
Clinical negligence
insurance
Research &
development
Other supplies
PDC dividend
Other
Premises &
depreciation
Clinical supplies &
services
Staff costs
1090 doctors
4023 nurses & HCA
921 scientific & theraputic
1563 estates, admin and
other
Annual income of £514 million
What are the main sources?
Other
R&D
Education
NHS Hampshire
Other
Southwest
Other SHIP
NHS Southampton City
Audit Commission - annual audit letter
Unqualified Audit Opinion

Proper arrangements to secure value for
money

• Improving levels of engagement across the Southampton Health System
• Sound assurance, risks and performance management processes
• Key actions:
•deliver cost improvement programme
•work with local partners to improve activity management
•improve cash and liquidity position
•implement service changes e.g. major trauma centre
Biomedical research
in Southampton
Professor Iain Cameron
Dean of faculty of medicine
University of Southampton
Surgical frontiers
Mr Tim Underwood
MRC clinical scientist
University of Southampton
Managing intestinal
failure
Dr Trevor Smith
Consultant gastroenterologist
Intestinal failure
SUHT intestinal failure (IF) service
•
Phased opening of IF unit from April 2010
•
High standards of care compared to NCEPOD
•
CRS: five fold reduction
– savings £180K
•
18 complex IF operations – ten able to stop HPN
– savings £0.5-1m
•
HPN avoided in six out of 16 referrals;
– savings ~£0.5m
•
Regional clinical network
Nutrition and catering:
our journey to excellence
Judy Gillow
Director of nursing
Nutrition
Our journey to excellence
• Where we were
• Where we are now
• Where we plan to be
Nutrition – Where we were two years ago
• Change in catering contract
• Inconsistent patient feedback
• Media articles
reduced patient/public confidence
• Early implementation of new system/roles for nursing
and catering staff
• Inconsistent nutritional screening
• ANT nutrition link nurses in place
Nutrition in 2011
Where we are now
Logistics and quality improved and destination Excellent
How
• Meeting CQC and BAPEN standards
• PEAT Scores “excellent” (2/4)
• Catering and SUHT staff working in
partnership
• Introduction of patient protected meal times
• Nutrition screening much improved
Nutrition in 2011
On the right path
• Red trays
and beakers
in use
• Meal time co-ordinator role being implemented
• Improved patient
feedback from . . . .
Achieving nutrition excellence going forward
• Trust quality priority
• Rigorous monitoring framework
• Improved patient feedback
• Recognition as a biomedical nutrition research
centre
• Successful implementation of mealtime assistant
initiative
Review of the year:
Turning the
2020Vision into a
reality
Mark Hackett
CEO
A changing health economy
•
GP commissioning
•
Reconfiguration at regional and local level
•
QIPP savings to be delivered
•
Research and education funding
•
Tariff reductions
•
Emergency demand rising in tertiary centres
•
Developing world class hyper-acute services
Responding to change
•
Developing our working relationships with GPs
•
Working closely with partners to agree our five year strategy
•
Embracing requests to change the way we receive referrals
•
Delivering savings of £33 million
•
Growing our research and how we develop it into new treatments
•
Investing in new services, facilities and equipment
•
Improving the effectiveness of local and regional services
•
Improving patient safety and outcomes
•
Improving staff satisfaction
Better care for patients
•
Keeping you safe:
- MRSA at all time low
- Record reductions in C. difficile
- Exemplar site for blood clot prevention
- Preventing falls in hospital
- Preventing pressure sores
- Safer operating theatres
- Managing deteriorating patients
Better care for patients
•
Improving your outcomes:
- Vascular surgery
- Cardiac surgery/cardiology
- Colorectal
- Stroke
- Cancer
- Intensive Care
- Upper GI
- Intestinal Failure Unit
Better care for patients
•
Improving your experience of receiving care:
- Parking improvements
- Same sex accommodation
- Access to services
- Supporting patients with learning disabilities
- Acute oncology unit
Clinical service developments
Major Trauma Centre
Vascular and stroke services
Clinical service developments
Children’s congenital heart surgery
Children’s hospital
Clinical service developments
Cancer services
Obstetrics and maternity
Neurosciences
Cardiac services
Respiratory services
Gastro-intestinal
Interventional radiology
Future developments
Closer partnerships with providers and GPs
•
Cancer
•
Child health
•
Emergency care
•
Day surgery
•
Cardiac
•
Chronic diseases – COPD/heart failure
•
Radiology services
Research and development
Challenges ahead
•
High quality services that patients admire
•
Timely access to our services
•
Developing children’s heart surgery
•
Delivering our 2020Vision
- Managing our regional role
- Delivering excellent emergency and local services
- Improving services to community for chronic disease
•
Investing in staff capacity and capability to be a great place to
work
•
Managing with less resources
Questions?

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