2017/18 Annual Members Meeting Sir Thomas Hughes-Hallett Chairman - - PowerPoint PPT Presentation

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2017/18 Annual Members Meeting Sir Thomas Hughes-Hallett Chairman - - PowerPoint PPT Presentation

May 04, 2023 237 likes •966 views

2017/18 Annual Members Meeting Sir Thomas Hughes-Hallett Chairman Lesley Watts Chief Executive Lesley Watts >1m catchment 6,500 area 280,000 sta ff and volunteers A&E attendances 760,000 3,500 Delivering

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2017/18

Annual Members’ Meeting

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Sir Thomas Hughes-Hallett

Chairman

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Lesley Watts

Chief Executive

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Lesley Watts

Delivering quality >1m


catchment area

6,500


staff and volunteers

3,500


clinical staff

18,868


members

30


governors

660


allied health professionals

280,000

A&E attendances

760,000

  • utpatient

attendances

137,000


inpatient admissions

11,600


babies delivered

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Lesley Watts

The people
 we serve

UB2 TW5 TW7 TW3 TW4 TW14 TW2 TW1 TW13 TW8 W7 W13 W5 W3 W4 TW9 TW10 SW14 SW13 W6 W12 W14 W11 SW6 SW15 SW18 SW11 SW10 SW5 W8 W2 SW7 SW3 SW19 SW1X SW1W
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What we have achieved:

Performance

Lesley Watts

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Lesley Watts

What we have achieved:

Quality

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What we have achieved:

Finance

Lesley Watts

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What we have achieved:

Culture and values

Lesley Watts

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Lesley Watts

Reflections on our performance and reputation

What We Found We rated well-led at the trust level as good. The trust had successfully merged the two former trusts and this merger had been undertaken sensitively to ensure cohesion acknowledging and adopting the best practice from both. At the same time the trust maintained financial surplus as well as achieving all major targets such as the national access standards for A&E 4 hour waits, most Referral to Treatment (RTT) and Cancer.

Louis’ Valentine story

Mum Helen had this message for us: “Just to say a massive thank you from us. It’s never fun having to stay in hospital when your little one is ill but the staff went
  • ut of their way to make Louis happy and
that means the world to us.” Theresa May, Jeremy Hunt and NHSI note CWFT’s outstanding response to major incidents A d d i t i
  • n
a l N a t i
  • n
a l T r a i n e e s a p p
  • i
n t e d f
  • r
2 1 8 / 1 9 r e f l e c t i n g
  • u
r g r
  • w
i n g i n f l u e n c e a n d r e p u t a t i
  • n
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Lesley Watts

Well-led organisation providing high quality care

Staff in Post SHMI WM CW CWFT In-year Finances 81 96 M a r c h 1 4
  • £
5 m £ 6 m M a r c h 1 5 75 88 £ 2 m
  • £
8 m M a r c h 1 6 86 £ 1 1 m M a r c h 1 7 83 £ 1 5 m 5 7 4 5 5 3 3 4 5 9 8 1 4 8 7 6 CWFT M a r c h 1 8 82 £ 2 7 m 6 3 3 9 £38m
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Lesley Watts

Proud of our staff and what they have achieved

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Sandra Easton

Chief Financial Officer

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Financial performance

Chelsea and Westminster Hospital NHS Foundation Trust

2017/18

Sandra Easton

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What is an annual report?

Sandra Easton

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Sandra Easton

Statement of comprehensive income 2017/18

2017/18 2016/17 £000s £000s Operating income from patient care activities 556,312 517,492 Other operating income 101,605 107,476 Total operating income from continuing operations 657,917 624,968 Operating expenses
  • 604,895
  • 595,361
Operating surplus/(deficit) from continuing operations 53,022 29,607 Net finance costs
  • 14,836
  • 13,840
Other gains/(losses) 13
  • 807
Share of profit of associates/joint arrangements 229 357 Gains/(losses) arising from transfers by absorption
  • Surplus for the year from continuing operations
38,428 15,317 Adjust for exceptional items Other comprehensive income Asset impairment/revaluation 12,833 5,608 Gains/(losses) of disposal of non-current assets
  • 807
2016/17 STF funding received in 2017/18 268
  • Donated asset adjustment
  • 293
312 Total 12,808 5,113 Surplus/(Deficit) adjusted for exceptional items 25,620 10,204
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SLIDE 19 £0m £8m £16m £24m £32m £40m 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18

Surplus 2009/10–2017/18

Sandra Easton

£38.4m surplus
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Clinical income 2009/10–2017/18

Sandra Easton

£150m £240m £330m £420m £510m £600m 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18
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Cost Improvement Programme (CIP) 2009/10–2017/18

Sandra Easton

0% 1% 2% 3% 4% 5% 6% 7% 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18
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Sandra Easton

Capital programme

In 2017/18 we invested £37.9m in capital

Start of NICU/ICU project (£2.2m) Fire safety
 (£5.5m) Medical equipment updates (£5.4m) Electronic patient record (£16.5m)

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Sandra Easton

Looking ahead

2017/18 plan is for a surplus of £22.7m Use of resources rating of 1 CIP requirement £25.1m Capital programme £51.9m

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Sandra Easton

Annual report questions

1. Which England squad visited the Trust in December 2017?

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Sandra Easton

Annual report questions

1. Which England squad visited the Trust in December 2017? England rugby 7s

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Sandra Easton

Annual report questions

2. How much did the Trust spend on drugs in 2017/18? How much did the Trust spend on clinical negligence costs in 2017/18?

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Sandra Easton

Annual report questions

2. How much did the Trust spend on drugs in 2017/18? How much did the Trust spend on clinical negligence costs in 2017/18?

  • £86m (compared to £346m on staff)
  • £16m on clinical negligence
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Sandra Easton

Annual report questions

3. What does 1,141.12 and 466.82 tonnes represent?

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Sandra Easton

Annual report questions

3. What does 1,141.12 and 466.82 tonnes represent? Clinical tonnes and landfill waste (down 10% on 2016/17)

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Sandra Easton

Annual report questions

4. On what did we achieve 94.4% in 2017/18?

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Sandra Easton

Annual report questions

4. On what did we achieve 94.4% in 2017/18? Total time in A&E less than 4 hours compared to 95% target (92% in 2016/17)

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Sandra Easton

Annual report questions

5. What percentage of Freedom of Information (FOI) requests did we answer within 20 days?

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Sandra Easton

Annual report questions

5. What percentage of Freedom of Information (FOI) requests did we answer within 20 days? 91.1% compared to a target of 90%

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Deloitte LLP

Auditor

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Chelsea and Westminster Hospital NHS Foundation Trust External audit report to the Governing Body on the audit of the Trust’s financial statements and Quality Report for the year ended 31 March 2018

Issued on 20 September for the meeting 27 September Deloitte Confidential: Public Sector
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We have completed the external audit of the Trust for the year ended 31 March 2018. This report includes information on our approach and opinion.

Introduction

This presentation summarises the findings of our external audit of the Trust’s financial statements for the year ended 31 March 2018. We also performed testing on the Trust’s Quality Report. Our findings from that work are set out in a separate report to you. We provided detailed reports, on both our audit of the Trust’s financial statements and our work on the Trust’s Quality Report, to the Trust’s Audit Committee and Board in May 2017. On 25 May 2018, we signed
  • ur audit opinion on the Trust’s financial statements.
We have issued an unmodified audit opinion, with no reference to any matters in respect
  • f the Trust’s arrangements to secure economy, efficiency and effectiveness in the use of
  • resources. The full opinion on the financial statements can be found in the Annual
Report. We have issued a modified quality report opinion as a result of our work undertaken on Referral to Treatment (RTT) incomplete pathways and A&E 4 hour wait indicators. This modified opinion can also be found in the Annual Report. Deloitte Confidential: Public Sector

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Financial statement audit Expressing an opinion on the Trust’s accounts and whether they give a “true and fair” view. We issued an unmodified (“clean”) opinion for the year ended 31 March 2018 financial statements, including the remuneration report. Use of resources Reporting by exception if we are not satisfied the Trust has made proper arrangements for security economy, efficiency and effectiveness in the use of resources. We did not report any exceptions. Annual Governance Statement Reporting by exception if the Annual Governance Statement is incomplete or inconsistent with our understanding. We did not identify any issues requiring comment in our audit opinion. Quality Report Specified testing of the Quality Report, including testing two national indicators. Our report was modified in respect of the 18 week Referral to Treatment incomplete pathway and 4 hour A&E waiting times metrics. We noted recommendations in our private report to the Governors. Responsibilities of the external auditor
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Executive Summary - Financial Statement Audit

We issued an unmodified (“clean”) opinion on the financial statements

Significant audit risks

The detail of our work and findings in respect of these risks is set out in our Audit Report on page 180 of the Annual Report.

NHS revenue and provisions Property valuations Capital additions

Deloitte Confidential: Public Sector Current year (£m) Prior year (£m) Increase/ (Decrease) (£m) % Increase/ (Decrease) Revenue 657.9 625.0 32.9 5% Operating surplus / (deficit) for the year 53.0 29.6 23.4 79% Surplus for the year 38.4 15.3 23.1 151% Gross land and buildings value 378.5 353.0 25.5 7% Net Assets 391.0 317.9 73.1 23%

Management override of controls

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Executive Summary - Quality Report

We qualified our conclusion on both 18 weeks referral to treatment (RTT) and the 4 hours A&E waits metrics.

Deloitte Confidential: Public Sector Content and consistency review Form an
  • pinion
Interviews Review content Document review We have completed our content and consistency review. From our work, nothing has come to our attention that causes us to believe that, for the year ended 31 March 2018 the Quality Report is not prepared in all material respects in line with the criteria set out in the ARM). Overall conclusion Content Are the Quality Report contents in line with the requirements
  • f the Annual Reporting Manual?
Yes Consistency Are the contents of the Quality Report consistent with the
  • ther information sources we have reviewed (such as
Internal Audit Reports and reports of regulators)? Yes Detailed data testing Identify improveme nt areas Interviews Identify potential risk areas Performance indicator testing NHS Improvement requires Auditors to undertake detailed data testing
  • n a sample basis of three mandated indicators. We perform our
testing against the six dimensions of data quality that NHS Improvement specifies in its guidance. From our work, we are unable to conclude whether for the year ended 31 March 2018, the indicators in the Quality Report subject to limited assurance are reasonably stated in all material respects in accordance with the ARM and the six dimensions of data quality set out in the “Detailed Guidance for External Assurance on Quality Reports 2017/18”. 4 Hours A&E 18 Week RTT Local Indicator - 62 Day Cancer Recommendations identified? ✔ ✔
  • Overall Conclusion
Modified Opinion Modified Opinion No opinion required The six dimensions of data quality: Accuracy Is data recorded correctly and is it in line with the methodology. Validity Has the data been produced in compliance with relevant requirements. Reliability Has data been collected using a stable process in a consistent manner over a period of time. Timeliness Is data captured as close to the associated event as possible and available for use within a reasonable time period. Relevance Does all data used generate the indicator meet eligibility requirements as defined by guidance. Completeness Is all relevant information, as specific in the methodology, included in the calculation.
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Council of Governors report 2017/18

Simon Dyer

Lead Governor

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What does the Council

  • f Governors do?

Simon Dyer

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Areas where governors made an impact last year

Simon Dyer

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Results of the elections held in November 2017 and January 2018

Simon Dyer

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Patient governor

  • Christopher Digby-Bell (elected)

Simon Dyer

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Public governors

  • City of Westminster:


Martin Lewis (elected)

  • London Borough of Richmond upon Thames: 


Fiona O’Farrell (elected unopposed)
 Johanna Mayerhofer (elected unopposed)

  • Royal Borough of Kensington and Chelsea:


Richard Ballerand (elected)

Simon Dyer

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Staff governors

  • Contracted class:


Jodiene Grinham (elected)

  • Medical and dental class:


Prof Mark Nelson (elected)

Simon Dyer

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Forthcoming elections October 2018

Simon Dyer

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Simon Dyer

Non-executive director appointments

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Trust membership

Total membership as at the end of
 March 2018 was 18,868

Simon Dyer

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Simon Dyer

Membership and engagement strategy

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Simon Dyer

Why become a member?

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Simon Dyer

Election timetable

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Simon Dyer

Get in touch

Vida Djelic (Board Governance Manager)

  • 020 3315 6716
  • vida.djelic@chelwest.nhs.uk

Priscilla Gyewu (Membership Officer)

  • 020 3315 6725
  • priscilla.gyewu@chelwest.nhs.uk
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Clinical presentations

Role of volunteers in end-of-life care Winter planning

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Role of volunteers in
 end-of-life care

Rachael Allsop

Head of Volunteering Services

Dr Louise Robinson

Consultant in Palliative Care

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Rachael Allsop and Dr Louise Robinson

The person in the patient

Antonia’s story

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Rachael Allsop and Dr Louise Robinson

Antonia

58-year-old lady

  • Cancer of unknown primary with pancreatic and bone metastases

Reason for referral to Specialist Palliative Care

  • Pain control
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Rachael Allsop and Dr Louise Robinson

Assessment

  • 7th Day Adventist
  • Wondering what will
happen to her
  • Concern about leaving
loved ones
  • Fear of the unknown
  • Low mood
  • Anxiety
  • Fear
  • Frustration
  • Feeling helpless
  • Altered body image
  • Pain in legs and hips
  • Issues with toileting
  • Mobility—bedbound
  • Dry mouth
  • Supportive family
  • Distressed as couldn’t
return home
  • Retired music teacher
and singer missed music

Physical Spiritual Emotional Social

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Rachael Allsop and Dr Louise Robinson

MDT approach

Patient’s family Mulberry Centre SPCT CNS SPCT OT Chaplaincy Medical team Nursing team Psychiatric liaison SPCT consultant Antonia

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Rachael Allsop and Dr Louise Robinson

Antonia

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Rachael Allsop and Dr Louise Robinson

Antonia

Holistic care from the palliative care MDT

Mulberry Centre: Psychological support Mulberry Centre: Complement ary therapies SPCT OT/CNS: Personalised goal-setting Chaplaincy: spiritual support
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Rachael Allsop and Dr Louise Robinson

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Rachael Allsop and Dr Louise Robinson

“You matter because you are you,
 and you matter to the end of your life. “We will do all we can not only to help you
 die peacefully, but also to live until you die.”

—Dame Cicely Saunders, 1918–2005

Nurse, physician and writer Founder of hospice movement

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Rachael Allsop and Dr Louise Robinson

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End-of-life volunteer opportunities

Supporting administration Befriending

Rachael Allsop and Dr Louise Robinson

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Winter planning

Dr David Shackleton

Consultant in Emergency Medicine

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Dr David Shackleton

Attendances have increased by 8% in one year

4,500 4,700 4,900 5,100 5,300 5,500 5,700 5,900 6,100 6,300 6,500 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 2016-2017 2017-2018
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Dr David Shackleton

What have we achieved under this pressure?

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Dr David Shackleton

What are we doing to prepare for this winter?

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Your questions

Sir Thomas Hughes-Hallett

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Closing remarks

Sir Thomas Hughes-Hallett

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2017/18

Annual Members’ Meeting