Annual Public Meeting for Hinchingbrooke Health Care NHS Trust - - PDF document

annual public meeting for hinchingbrooke health care nhs
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Annual Public Meeting for Hinchingbrooke Health Care NHS Trust - - PDF document

13/07/17 13July 2017 Annual Public Meeting for Hinchingbrooke Health Care NHS Trust Welcome! Welcome Rob Hughes Trust Chairman 1 13/07/17 Looking back over the last year Tonights presentation features the achievements of the


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13/07/17 1

Welcome!

13July 2017

Annual Public Meeting for Hinchingbrooke Health Care NHS Trust

Welcome

Rob Hughes

Trust Chairman

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Looking back over the last year

 Tonight’s presentation

features the achievements

  • f the previous board
  • f directors, and pays

tribute to the efforts of staff in 2016/17

 Thank you to the board

  • f Hinchingbrooke

Health Care NHS Trust for their support as we merged to form North West Anglia NHS Foundation Trust on 1 April 2017

Agenda for this evening

6.05pm: Review of 2016/17 and merger update – Caroline Walker, Deputy CEO 6.20pm: Spotlight on Survivorship – Karen Moseley, Team Leader for Cancer Community Nurses (Hunts) and Eileen Murphy, Macmillan Project manager for Survivorship 6.40pm: Question-and-Answer session 7pm: Close

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Review of 2016/17

Caroline Walker

Deputy Chief Executive/ Finance Director

The year in numbers

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The year in numbers The year’s highlights

 Coming out of Special Measures with a rating of ‘Good’

from the Care Quality Commission (Aug 2016)

 Winning the national Health Business Award for

Outstanding Achievement in Healthcare

 Introducing Schwartz Rounds to support staff in their

wellbeing at work – which has been well received

 Expanding our ambulatory care model to see a greater

number of urgent care patients

 Making positive changes to the care of patients with

dementia – including having one of the country’s first Admiral Nurses

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The year’s highlights

 CQC National Inpatient survey (published June 2016)

placed Hinchingbrooke in the top 20% of NHS Trusts nationally for good patient experience

 Patient Services Team reached finals of the Health

Estates and Facilities Management Association Awards (People Development Award category) and our Head of Facilities (Soft Services) was a finalist in the Leader of the Year category

 Hospital Head Chef was a finalist in the Craft Guild of

Chefs Awards 2017

The year’s highlights

 Successful completion of phases 1 and 2 of the

Woodlands Cancer Centre, in conjunction with Macmillan, which opened in Sept 16

 Successful refurbishment of the pathology lab which

completed in Mar 2017

 Compliance with Cancer Waiting Times standards is

good – all standards achieved for 11 consecutive months

  • f the year
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The year’s challenges

 Failing the 4 hour waiting time standard for A&E patients

(79.78% against the 95% target)

  • Lack of bed capacity and issues with the flow of

patients through our hospitals have contributed to this

 Deficit of £21.17m against a planned deficit of £9.8m

  • Increased reliance upon high cost agency staff

(medical and nursing) to meet gaps in rotas and support increases in activity had driven much of this increased expenditure

 Cost Improvement Plan savings not delivered in full

(£5m savings delivered against a £6.2m target)

The year’s challenges

 Recruitment – some hard-to-fill specialty posts, plus hot-

spot areas identified – hence greater reliance upon agency staff

 Quality Surveillance Rating (a quality performance

indicator considered by NHS providers’ regulator and commissioners) saw Hinchingbrooke Hospital’s risk profile heightened from ‘regular’ to ‘enhanced’ in final quarter of the year due to some quality concerns – this reflected on the risk rating of our new Trust post merger

 Managing staff morale – in the light of the merger with

Peterborough and Stamford Hospitals NHS Foundation Trust

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Formed 1 April 2017

+

Recap – our local health system

 Peterborough and Stamford Hospitals NHS FT

clinically and operationally sustainable (with specific challenges) BUT not financially sustainable

 Hinchingbrooke Health Care NHS Trust neither

clinically nor financially sustainable in current form

 Cambridgeshire and Peterborough is one of the

most financially-challenged health systems in the country – source: NHS England and NHS Improvement

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Brief history of our hospitals

Ongoing regulatory oversight – no solution

Hinchingbrooke Peterborough & Stamford

 2005: Trust in financial deficit and

clinically unsustainable

 2009: Strategic Health Authority

announces Hinchingbrooke franchise tender

 2010: Peterborough in joint bid with

Serco to operate Hinchingbrooke

 2012: Circle awarded franchise and

begins managing Hinchingbrooke

 2015: CQC rates it inadequate with

lack of clinical sustainability

 2015: Circle withdraws early from

contract, citing unsustainable losses

2002-2008: In financial surplus

2010: Move to PFI building, Trust reports a £45m deficit in 2010/11

2012: Monitor-appointed Contingency Planning Team (CPT) finds Trust clinically/operationally sustainable, but financially unsustainable

2012: National Audit Office and CPT identify approx £20-25m shortfall between PFI cost and tariff

Working together

 2015: Regulator-led strategic outline case

recommends closer collaboration between Hinchingbrooke and Peterborough & Stamford

 Nov 2015: Both trusts commence business case

and agree to explore four levels of collaboration:

  • Option 1 - Do nothing for now
  • Option 2 - Shared back office function
  • Option 3 - As per option 2, plus two boards,
  • ne executive team and one operational
  • rganisation
  • Option 4 - One organisation
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Working Together

 May 2016: Outline Business Case approved by

both Trust boards – agreement given to proceed to Full Business Case

 Nov 2016: Both Trust boards agree Full Business

Case and set merger date as 1 April 2017

The clinical case for change

 Some services in both organisations deemed

clinically fragile pre-merger - further services at risk in medium-term

 Contributory factors:

  • Smaller teams compared to teaching trusts/

larger hospitals can make recruitment harder

  • Agency spending caps
  • 7-day working requirements
  • Junior Doctors’ contract/provision of rest

 For both organisations, collaboration largely

resolves clinical sustainability issues

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Increasingly unsustainable services

 As identified in the Business Case:

Hinchingbrooke

  • Acute Medicine
  • Cardiology
  • Diagnostic Imaging
  • Interventional

Radiology

  • Haematology
  • Nephrology
  • Neurology
  • Ortho-Gerontology
  • Palliative care
  • Stroke

Peterborough & Stamford

  • Diagnostic Imaging
  • Gastroenterology - 7 day

bleed service

  • Interventional radiology
  • Ortho-Gerontology
  • Stroke

Clinical benefits of merging

 Merging joins all clinical teams under a single

  • perational management structure:
  • larger teams
  • medical staff working equitably across sites
  • shared workload, rotas, out of hours cover

 Merger maximises opportunities for:

  • Single governance arrangements
  • Greater opportunities for training/sub-specialism
  • Recruitment/retention and reduce agency use
  • Clinical consistency through shared best

practice

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Merger benefits in summary

 Addresses service vulnerability – particularly for

the population of Huntingdon, which has been disproportionately disadvantaged

 Clinical collaboration strengthens the provision of

a number of services across both sites to ensure long term, sustainable, high quality health services for the populations of Peterborough, South Lincolnshire and Huntingdonshire

 Merger saves £9m recurrently  Part of journey to financial sustainability

Our hospitals

 Hinchingbrooke Hospital

304 beds, A&E Dept, 23-bed Treatment Centre, The Park Maternity Unit, private patient ward, outpatient services

 Peterborough City Hospital

635 beds, Emergency Dept, Women’s and Children’s Unit (inc maternity), Cancer Unit, Renal Unit, outpatient services

 Stamford and Rutland Hospital

22 beds, Minor Injuries Unit, day case surgery and

  • utpatients services
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The area we serve

 Serving a

growing catchment of 700,000 people

 Two main clinical

commissioning groups

 6,000 staff  450 volunteers

Executive Team

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Non-Executive Team Local voices represented

 Public governors elected in three constituencies

– 6 representing Greater Peterborough – 6 representing Huntingdonshire – 5 representing South Lincolnshire

 Staff governors elected by colleagues

– 3 at Hinchingbrooke Hospital – 3 at Peterborough City Hospital – 1 at Stamford Hospital

 Council of Governors meetings held quarterly –

first meeting took place in May

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Our vision

Working together to be the best at providing

  • utstanding care

for local communities

Our goals

Working together to be the best at providing

  • utstanding

care for local communities Delivering

  • utstanding

care & experience Recruiting, developing & retaining

  • ur

workforce Improving & developing

  • ur services

& infrastructure Delivering financial sustainability Working together with local health & social care providers

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Our shared values

 Our shared values are based on suggestions and

themes from:

  • 30 staff listening events held across all three hospitals
  • Public and staff engagement stands at all sites
  • Staff values survey, which received over 650 responses

 We put patients first  We are caring and compassionate  We work positively together  We are actively respectful  We seek to improve and develop

The first day – Saturday 1 April 2017

 Trust leadership structure was in place from Day 1  Executive team and senior leaders were present on

all three hospital sites to support teams on duty on the first weekend and beyond

 New North West Anglia NHS FT signage up at all

three hospitals

 New website went live (www.nwangliaft.nhs.uk)

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The first month – April 2017

 Focus firmly upon continuing delivery of safe services

from Day 1 – detailed plan drawn up to support clinical and operational teams

 No unanticipated issues encountered  Staff briefings and exec walkabouts took place to get to

know Hinchingbrooke teams better

 Integration of corporate services began following

consultation process

 New patient administration system contract signed -

implementation programme began 3 April

May /June 2017

 Corporate service integration well under way

(for example: finance and procurement, HR, Estates and Facilities, Executive Support team etc)

 Operational structure decided following

consultation – move to three divisions:

  • Emergency and Medicine
  • Surgery
  • Family and Integrated Support Services

 New divisions in operation from 3 July

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Operational Divisions management

Looking ahead – widening services

 Trust to take over the provision of outpatients and

imaging services at Princess of Wales Hospital, Ely and Doddington Hospital

 We will also provide imaging services at North

Cambs Hospital, Wisbech and dermatology services at the City Care Centre, Peterborough

 These staff will transfer under TUPE to our Trust on

1 Sept 2017

 Path lab team at Hinchingbrooke will transfer from

the Pathology Partnership to our Trust on 1 August

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Looking ahead – using our estates

HINCHINGBROOKE HOSPITAL

 Board of Hinchingbrooke Health Care NHS Trust

announced that Ryhurst Ltd had been chosen as the preferred partner for the Strategic Estates Partnership in Summer 2016

 No agreement signed – board did not have business

case approval from the regulator, NHS Improvement

 This remains the case today  North West Anglia NHS FT board currently looking

at the opportunities within the plan

 No decisions made at present

Strategic Estates Partnership recap

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Strategic Estates Partnership plan

Looking ahead – using our estates

STAMFORD & RUTLAND HOSPITAL

 £2m redevelopment programme due to

complete at the end of July

 Includes new MRI scanner and imaging dept,

new outpatients dept, second ultrasound room, improved physiotherapy gym, new pain management dept, new clinic rooms and waiting areas

 Serving more patients closer to home  Open day planned for Autumn to showcase the

facilities

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Looking ahead – using our estates

PETERBOROUGH CITY HOSPITAL

 New build facility at the front of the Emergency

Department (ED) to provide a GP streaming service

 To be operational in readiness for winter – and

help reduce demand on the busy ED

 Trust successfully bid for £650,000 funding to

provide this service at the PCH site - announced in April

Spotlight on Survivorship

Karen Moseley and Eileen Murphy

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Next year….

 One Annual Public Meeting to review our first full year of

  • peration as North West Anglia NHS Foundation Trust

 Members events to be held at all three hospital sites over

the remainder of this year and next

  • Focus on subjects that are of the most interest to you
  • Please feedback to our staff members in the room on

the subjects you want to know more about

  • Please also tell us what you thought to this event so

we can improve for the future – feedback forms provided

Your questions?

Please remember to fill out a feedback form and hand to a member of staff on your way out