Annual Members and Public Meeting 2019 Salford Royal NHS Foundation - - PowerPoint PPT Presentation

Annual Members and Public Meeting 2019

Salford Royal NHS Foundation Trust (Salford Royal) and Pennine Acute Hospitals NHS Trust (Pennine)

Chairman’s Welcome

Mr James Potter Chairman

• From 1 April 2017, Salford Royal and Pennine, came together to form the

Northern Care Alliance NHS Group (NCA)

Introduction to the Northern Care Alliance

• As the NCA was formed, the Salford Royal Council of Governors

established a subcommittee, known as the Group Council of Governors.

• The Group Council of Governors is composed of the Salford Royal

Council of Governors, plus elected Shadow Governors from the Pennine constituencies.

• Over the last 12 months there have been four

Council of Governors meetings

Group Council of Governors

Group Council of Governors - Changes

Welcomed Stepped Down − David Davis, Public Bury & Rochdale − John Rodgers, Public Bury & Rochdale − Brian Davis, Public Bury & Rochdale − Eduard Sieg-Hogg, Staff Elected Oldham − Ruth Boaden, Appointed University

• f Salford

− Councillor Julie Reid, Appointed Manchester City Council − Councillor Wendy Cocks, Appointed Rochdale Council − Councillor Karen Leach, Appointed Bury Council − Luise Fitzwalter, Public Bury & Rochdale − Sylvia Edney, Public Bury & Rochdale − Marie Douglas, Public Bury & Rochdale − Robert Scott, Public Oldham − Fabhia Chowdhury, Public Oldham − Maurice Gorton, Public Oldham − Julia Riley, Staff Elected Oldham − Georges Na Man Kwong, Staff Elected Oldham − Mireia Cassou, Staff Elected North Manchester − Nick Grey, Appointed Salford

Group Council of Governors : By-Elections (February 2019)

Name Constituency/Organisation Term of Office Ends Jimmy Allen Oldham Care Organisation (Public) 3 years (2019) Mohammed Jahan Oldham Care Organisation (Public) 3 years (2020) David Edwards Oldham Care Organisation (Public) 3 years (2020) Eduard Sieg Hogg* Oldham Care Organisation (Staff) 3 years (2019) Allan Cordwell* Oldham Care Organisation (Staff) 3 years (2020) Mark Taylor North Manchester Care Organisation (Staff) 3 years (2020) * Uncontested

Group Council of Governors : Public Elections (July 2019)

Name Constituency/Organisation Term of Office Ends Gill Collins Salford Care Organisation 3 years (2022) Mark Duman Salford Care Organisation 3 years (2022) Paul Attwell Oldham Care Organisation 3 years (2022) Patricia McWilliam-Fowler Bury & Rochdale Care Organisation 3 years (2022) Nicholas Filer Bury & Rochdale Care Organisation 3 years (2022) Syed Abidi North Manchester Care Organisation 3 years (2022) Sandra Breen Rest of England and Wales 3 years (2022) Aaron Davies Rest of England and Wales 3 years (2022)

Group Council of Governors : Staff Elections (July 2019)

Name Constituency/Organisation Term of Office Ends Lynn Jones Salford Care Organisation 3 years (2022) Lubana Ahmad Salford Care Organisation 3 years (2022) Gemma Liveseley Oldham Care Organisation 3 years (2022) Jay Patil Oldham Care Organisation 3 years (2022) Craig Wood* Bury & Rochdale Care Organisation 3 years (2022) Mark Mustard* Bury & Rochdale Care Organisation 3 years (2022) Ezmi Mulhearn* North Manchester Care Organisation 3 years (2022) * Uncontested

• Mrs Carmen Drinkwater

Appointed for a three year term commencing on 1st April 2019

• Mr Tim Crowley

Appointed for a three year term commencing on 1st June 2019

• Mr Jim Potter (Chairman)

Reappointed for a one year period commencing on 1st July 2019

Non-Executive Director Appointments

Now let us review:

• The NCA’s achievements during 2018-19
• 2018-19 Annual Accounts and Audit Opinions for

Salford Royal and Pennine

• The NCA’s plans for 2019-20…

Followed by:

• Information about the work of the Group Council of

Governors

Chief Executive’s Report

Raj Jain Chief Executive

2018-19 Another year in which our teams excelled in bringing to life our values These remain the bedrock, they are owned by staff and we are proud of them

• Awards
• Innovations
• Ratings
• That “personal touch” and

more….. 2018-19 Our staff delivered many successes

North Manchester - Achievements in Quality

Bury & Rochdale - Achievements in Quality

Oldham - Achievements in Quality

Salford - Achievements in Quality

• We were unable to achieve the 95% national

standard for treating patients within 4 hours in the Emergency Department,

• We did not achieve the 92% national standard for

the number of patients waiting less than 18 weeks for referral to treatment.

• Our IT infrastructure remained unreliable and on
• ccasion a hindrance to staff
• But our priority is always patients safety, and our

staff continue to do us proud

But we faced considerable challenges

• Despite working with partners in each locality all our Care Organisations

experienced significant increases in demand for urgent care, and in certain specialties

• The NAAS system celebrated its 10th anniversary at the Salford Care

Organisation in 2018

• By March 2019, 35 out of 43 wards and 11 community services had

achieved SCAPE (Safe, Clean and Personal Every Time) status, demonstrating excellent leadership and high quality care.

• NAAS was first introduced in September 2016 at Pennine. In 2018/19,

50% of our wards had achieved ‘green’ status, and 2 of these have additionally achieved SCAPE status.

• Julie Winterbottom, Clinical Matron, A&E, Oldham Care Organisation

How we maintain quality in the face of challenges:

Example 1: The Nursing Assessment and Accreditation System (NAAS)

Improvements achieved:

• 100% of wards engaged in the #EndPJParalysis campaign
• 23% reduction in falls, and 17% reduction in length of stay

for the ‘Top 5 wards’ engaged in the campaign

• Winner of two awards at the National End PJ Paralysis Awards

Further improvements identified:

• Expand the initiative into community services
• Launch of the ‘Dining Companions’ scheme enabling

volunteers to spend mealtimes with inpatients

Example 2: End PJ Paralysis

The NCA is committed to providing equitable care irrespective of place of dying, for every patient, every family and every time. Improvements include:

• Bereavement Support Groups
• Continued improvement of mortuary environment and facilities
• Swan car park vouchers for those visiting loved ones at end of life
• Seven day week working for the Bereavement Service
• Appointment of Mental Health Bereavement Liaison Worker
• Staff trained and empowered to offer mementos every time to every

family At the first ever Greater Manchester Health and Care Champion Awards in July 2018, the NCA’s SWAN bereavement team was awarded the collaboration award for its exemplary work providing support to the victims and their families following the Manchester Arena bombing in 2017

Example 3: End of Life Care

− New sensory room on the PANDA Unit and Autism Information Board − Daily activities for patients on the Intermediate Care Unit, including a ‘mocktail’ afternoon − New wheelchairs purchased for use at the Main Entrance of North Manchester − Water dispensing machines installed in Children’s Outpatients − Launch of the ‘Dining Companions’ scheme, enabling volunteers to spend mealtimes with inpatients

− Volunteer Film

Example(s) 4: Improving Patient Experience

Pam Town, Lead Nurse for Day Surgery & Pre Op, Bury & Rochdale Care Organisation

• Pam was instrumental in the success of a partnership with Elms Bank

School, Pure Innovations and Fairfield General Hospital, which has led to a supported internship programme. Tom Kural, Cancer Manager & Assistant Directorate Manager for Urology, North Manchester Care Organisation

• Tom was key to the successful implementation of the Best Timed Prostate

Pathway at North Manchester General Hospital. Glynn Smurthwaite, Consultant Anaesthetist, Salford Care Organisation and Phil Pattinson

• Dr Smurthwaite used 3D Digital Surgery to offer pioneering surgery to

Helen.

Celebrating Excellence

An Impossible Position

2014

2018

• Staff recruitment and retention remains one of the biggest challenges

affecting NHS Trusts across the country; despite this we bucked the trend:

• Pennine’s nursing vacancy rate fell from 13.86% to 7.66% as at end of

2019

• Salford has one of the lowest vacancy rates in the NHS (nursing)
• Steady reduction in Pennine and Salford Royal’s medical vacancy rate in

2018/19

Our People

• We launched the new People Strategy. This aims to increased staff satisfaction,

the support they have to do their job and help them in their career aspirations. Activities included:

• A new Contribution Framework the clearly aligns NCA objectives and staff

activities, and provides feedback on values

• A new Talent Management Programme, that is aimed at supporting staff in

their career ambitions and ensuring we have “bench strength” in our leadership positions

• Focus on the CPD needs of our staff, prioritising L&D training programmes

towards

• Collaborated with Staff Side Organisations to develop and implement policies

and practices to engage staff in more meaningful ways

Our People

• Establishment of NCA Group Education structure –providing wide, experience
• pportunity incorporating broad range of clinical disciplines
• University of Manchester Annual NCA Review-excellent performance with

supportive educational culture

• SRFT undergraduate OSCE pass rates - 97%
• Bury/Rochdale Care Organisation-undergraduate education - Rochdale Infirmary,

a new and well received learning environment for year 1 students

• SRFT postgraduate education –exceptional feedback from the 2019 GMC survey

results

• NMGH postgraduate education -challenges in educational experience

particularly in surgery, yet significant improvement in paediatrics - utilisation of Group capability to support with input from SRFT education leaders

NCA Medical Education

• During 2018/19, the NCA was the top recruiting NHS organisation to

National Institute for Health Research (NIHR) Clinical Research Network studies in England, recruiting almost 44,000 patients across 342 different studies.

• All 3 of our Clinical Research Facilities (Fairfield, Salford and Oldham)

were shortlisted in the Pharma Times International Clinical Researcher

• f the Year Awards, with Oldham achieving 2nd place
• Neurosciences became a designated MAHSC domain, in recognition of

its strengths and ability to become a world class research centre

• Victoria O’Loughlin, Assistant Director for Nursing

(Research and Innovation)

Research and Innovation

Progress on developing the NCA Group More than hospitals

Successfully submitted a Strategic Case that progress the transaction

• f Bury,

Oldham and Rochdale acute services.

• The operational and financial outlook for the NHS continues to be

challenging, with the need to make year on year cost savings.

• Salford Royal: Despite a very challenging year, Salford Royal’s financial

position for 2018/19 was an £15.8m surplus.

• Pennine: Financial position in 2018/19 was an operating deficit of

£65.4 million

Financial Position

The Salford Royal and Pennine Annual Report and Accounts 2018/19 presents a fair and balanced picture of the year. The reports allow us the opportunity to highlight significant developments to services and improvements to care and outcomes which have occurred throughout the year.

Annual Report and Accounts 2018/19

Unqualified Audit Opinion: Financial statements give a true and fair view of the financial position of the group (charity) and of the Trust as at 31 March 2019.

• Deliver agreed trajectories for mandatory standards, AED 4hr target, Cancer

Waiting Times, elective waiting times and list size, diagnostic waiting times

• Deliver the financial plan in a more sustainable way
• Deliver significant improvement in staff experience and staffing metrics
• Develop and launch the new Patient & Service User Strategy
• Continue to pursue ‘quality improvement’ to assure safe, reliable and

compassionate care

• Embed NES community transfer
• Implement key actions to stabilise Pennine IT

Plans for 2019/20

Lead Governor’s Report

Mr David Pike Lead Governor

Role of the Council of Governors

In broad terms, the Council of Governors is responsible for:

• Holding the Non-Executive Directors individually

and collectively to account for the performance of the Trust

• Representing the interests of members, patients and

members of the public.

Fulfilling our Statutory Duties

Governors have a number of statutory duties. During the year we:

• Approved the appointment of the new Chief Executive, Mr Raj Jain
• Provided input to the appraisals of the Non-Executive Directors and

the Chairman;

• Appointed 2 new Non-Executive Directors and reappointed the

Chairman

• Represented the interests of members and the public through the

Group Council of Governors and Care Organisation Subgroups

• Held the Non-Executive Directors to account by seeking assurance
• n the Trust’s operational performance and key strategic work

programmes.

Growing a representative membership

Growing a representative membership

Each year we review our membership to identify under represented groups. During 2018-19 we:

• recruited more young members aged 14-18 by visiting

local schools and colleges During 2019-20, we will again focus on increasing the number of young people, male members and veterans

Engaging with Members and the Public

• Each year, we lead an engagement project to provide

meaningful feedback to the Group Board.

• In 2018-19 we chose Elective Access. Governors were invited

to attended the evaluation session of the Elective Access Transformation (EAT) programme to contribute and look at the feedback staff and service users Also:

• Observe & Act
• Volunteer Buddying
• Man A Stand

Engaging with members and the public

We also listen to what our patients and visitors are saying from a number of different sources…

• Medicine for Members Events
• ‘Man a stand’ on hospital sites
• Patient Opinion, NHS Choices and Social Media
• PALS and Complaints
• Feedback from the community through engagement with partner
• rganisations including Healthwatch
• Patient Experience Measures e.g. National Inpatient Surveys, and

Friends and Family Test

Engaging with members and the public

On ward G1 at The Royal Oldham Hospital patients reported long waits in the discharge lounge We extended our private ambulance service in the discharge lounge, from 11am – 9 pm, 7 days a week The Team now have a support worker with a tabard ‘happy to help’ printed on, patients are really pleased and now know who to ask Day Surgery patients at North Manchester were unsure who to ask about their procedures as the nurses looked so busy

Engaging with members and the public

Patients did not always feel there was time to discuss their experience with staff in clinic Listening Clinics which give patients more time to discuss their hospital experience are being set up in Bury/Rochdale Estates to install signage to direct patients/visitors to the new PALS Office also a sign with the PALS number at the Main Entrance PALS desk left unmanned with no PALS contact number to ring at Salford Royal Main Entrance

Mr Jim Potter Questions and Answers