Annual General Meeting 2020 An Associated University Hospital of Brighton and Sussex Medical School
Welcome and overview Richard Shaw Chair
Agenda 4.30pm Welcome Richard Shaw Chair 4.35pm Our year Michael Wilson CBE Chief executive Mr Ian Maheswaran 4.45pm COVID-19: our response and looking ahead Chief of surgery 4.55pm Annual accounts Paul Simpson Chief finance officer Jane Dickson 5.00pm The best dementia-friendly hospital in the UK Chief of nursing and midwifery 5.10pm Building for the future: our new neonatal unit Dr Avinash Aravamudhan Lead consultant paediatrician 5.20pm Questions Chaired by Gillian Francis-Musanu 5.55pm Close and thank you Richard Shaw Chair
Our year Michael Wilson CBE Chief executive
Overview
One Team • 5,000 SASH staff • 10,000+ members • 200+ volunteers • 100+ Friends of East Surrey Hospital • Radio Redhill volunteers • Macmillan staff and volunteers • Buster and our other therapy dogs • Jasmine our therapy cat
Working together • Directors • Non executive directors • Governors from the public and partner organisations
Our year We ended 2019/20 with a We launched a major surplus of recruitment drive, and £7.1million. reduced our nursing vacancy rate to virtually 0 . Each year our staff are invited to complete the national NHS Staff Survey . We were delighted that our staff ranked SASH the best nationally when asked if they would recommend it as a place to work and if patient care was the top priority.
Our year We were named best dementia friendly hospital in the country. We were one of the first trusts in the country to launch a dedicated system for video appointments for patients . We have already provided 5500 video appointments.
Our year And built a brand new neonatal unit for some of our smallest patients. We opened state of the art facilities for women and children and dental patients.
Quality safe care Mortality is lower Falls remain under than expected for the national our patient group average Building on our Safety Pin Outstanding rating with a Trust wide safety real focus on Safe and One of the top Consistent delivery messages written Effective care performers in the of 98% harm free by clinicians and country on the care sent to all staff emergency each week department waiting time standard
Our SASH+ transformation work and Lean for Leaders course continued to develop. We give staff from across SASH the opportunity to learn the tools and techniques to make change; reduce variation and improve patient care.
Working with our partners
Developing SASH Charity • New three year strategy developed and launched • New fundraising campaign (Olive’s Appeal) raised over £100,000 • 37 runners raised over £12,000 at Run Reigate • Successful in our bid to become Gatwick Airport’s next Charity Partner • We funded thousands of pounds of schemes, including a refurbishment of the multi-faith chapel, the NHS Rainbow Badges, heat pads for patients having chemotherapy, artwork and much more.
COVID-19 Thank you to our incredible staff.
COVID-19 • Enormous effort to reorganise our services to prepare our response • We quadrupled our ventilated beds • Staff across the Trust worked in new and unfamiliar roles • 160 people moved to support intensive care directly
COVID-19 As of 27 July: • Total patients treated following a positive test: 1102 • 868 discharged home • At its peak we had around 150 positive inpatients in East Surrey Hospital • The speed, skill and dedication of our staff has been remarkable throughout.
COVID-19 We remember all those who have lost their lives to this terrible virus.
Supporting our staff Our risk assessment was rolled out for all staff • Peer-to-peer support through critical incident stress management, chaplaincy • support and our confidential care employee assistance programme We’re investing in additional psychological support • Free wellbeing apps and support line provided by the NHS • Since April we’ve held regular peer-to-peer sessions for staff from black, Asian • and minority ethnic backgrounds due to the emerging evidence of increased risk.
COVID-19 Thank you to our community • We appreciate your support, your donations, your clapping and your good wishes. • We are hugely grateful for your continued efforts to follow the national guidance.
Mr Ian Maheswaran Chief of surgery
We expanded our intensive • care footprint and capacity very quickly This enabled us to care for • more patients who needed critical care support Whole wards moved • locations and new teams were formed.
Never before has our One Team value been so evident:
We’ve found other ways to see patients: All hospitals suspended non-urgent appointments and procedures • We increased video consultations from 10 a week before COVID-19 to • up to 500 per week in June.
And helped patients keep in touch with loved-ones too • We implemented visiting restrictions to reduce the spread of infection • We continued facilitating visits in exceptional circumstances • We used technology more than ever to help • We introduced a message service • Lots of staff telephoned loved-ones every day
We recruited over 100 people to the RECOVERY research trial Thank you to those taking part to help us learn more about the virus • We are taking part in a number of other important national studies too. •
Over 800 people have recovered following treatment for coronavirus at East Surrey Hospital
Next steps We have resumed all surgical specialties • We have rigorous processes to safely see patients face-to-face • We are continuing to use video and phone appointments where clinically • appropriate
Thank you to our community Please continue to follow the guidance and help us prevent the spread of infection.
2019/20 Annual accounts Paul Simpson Chief finance officer
Audit and approval • Annual accounts 2019-20: Approved by Trust’s Audit and Assurance Committee in June 2020 - on behalf of the Board • Accounts received an unqualified external audit opinion from PricewaterhouseCoopers LLP on 24 June 2020 • No material issues *note: this diagram shows a schematic (this one is AMU) used to validate the valuation of the hospital site remotely by • the auditors. Neil Pritchard (CAD Audit completed remotely Technician from the Estates Office & unsung hero) had to shade the schematics according to value per m 2 . He had to do this for the entire site. Slide 31
Financial surplus: • SASH ended 2019/20 with an income and 25.0 expenditure surplus of £7.1m [after technical adjustments] 15.0 5.0 (£m) 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 (5.0) (15.0) £4.3m of this financial surplus is from additional • Underlying surp/(def) Provider Sustainability Funding awarded to the (25.0) Net surp/(def) Trust for effectively managing its financial position (35.0) 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 Underlying surp/(def) 0.9 (5.0) (4.6) (0.2) (0.0) (12.8) (26.4) (27.8) (12.2) (2.6) (2.7) (0.2) (2.2) (11.9) (9.2) (4.3) (5.2) (7.2) -4.3 5.3 1.3 4.2 Net surp/(def) 0.9 (5.0) (4.6) (0.2) 6.7 (4.1) (26.4) (10.8) (12.2) 0.0 7.0 7.6 1.0 (6.1) 0.3 0.3 (2.4) (6.5) 3.7 13.6 11.2 7.1
Financial surplus: • This is our fourth consecutive year of surplus… 25.0 15.0 5.0 (£m) 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 (5.0) (15.0) ..allowing us to properly Underlying surp/(def) recover the cash deficit (25.0) Net surp/(def) from our past and halve our borrowing (35.0) 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 Underlying surp/(def) 0.9 (5.0) (4.6) (0.2) (0.0) (12.8) (26.4) (27.8) (12.2) (2.6) (2.7) (0.2) (2.2) (11.9) (9.2) (4.3) (5.2) (7.2) -4.3 5.3 1.3 4.2 Net surp/(def) 0.9 (5.0) (4.6) (0.2) 6.7 (4.1) (26.4) (10.8) (12.2) 0.0 7.0 7.6 1.0 (6.1) 0.3 0.3 (2.4) (6.5) 3.7 13.6 11.2 7.1
Value for money: Reference • PwC gave an unmodified Cost (£) per cost/national weighted cost collection [favourable] opinion on value for activity unit index money 2006/07 116 2007/08 95 • In 2019/20 SASH continued to treat 2008/09 86 more patients and make significant 2009/10 94 investments in services while 2010/11 97 improving our productivity 2011/12 89 2012/13 92 • …this keeps our reference cost low 2013/14 92 – among acute trusts SASH has the 2014/15 88 lowest reference cost and 2nd 2015/16 86 £3,010 lowest cost per [weighted activity] 2016/17 83 £2,930 unit in England 2017/18 83 £2,903 2018/19 82 £2,791
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