Welcome to our AGM Sue Jacques, Chief Executive 11 th September 2019 www.cddft.nhs.net
About our Trust We are the largest Trust in the North East, serving a population of over 650,000 Number of sites = 55 (including 2 acute sites, 1 planned care site, 5 community hospitals) Number of #TeamCDDFT colleagues = 7,605 We provide acute & planned hospital care, community services and health and wellbeing services Total Operating Revenue = £487.8m (2018/19 Accounts) www.cddft.nhs.net
Vision and Strategy www.cddft.nhs.net
Our Vision sets our what we want to be known for – what we are here to achieve - which is providing care that is Right First Time, Every Time. Our mission sets out ‘why we exist’ – our purpose – which is to provide safe, compassionate and joined-up care to the populations of County Durham and Darlington.
‘Our Patients Matter’ – the Trust’s strategy gives us a framework for the future which sets out our short-and long- term goals and how we will achieve these. It helps us focus on the actions and outcomes we need in order to achieve our mission - providing the safest, most compassionate and joined-up care for the populations we serve. www.cddft.nhs.net
Some of our facts and figures… https://youtu.be/EKRrI7PufrI www.cddft.nhs.net
A diverse and talented workforce of over 7,000 colleagues #LivingtheValues www.cddft.nhs.net
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Investments & Developments 2018/19 www.cddft.nhs.net
£30 million development – new operating theatres and bereavement suite at Darlington Memorial Hospital www.cddft.nhs.net
We’re a research - led Trust. In 2018/19, we took part in over 90 studies, involving more than 2,000 patients. www.cddft.nhs.net
Our #NextStepHome campaign is promoting less time in hospital helping people return to independence in their place of residences sooner – meaning better outcomes and experience. www.cddft.nhs.net
Building work to transform access to emergency and urgent care was completed at Darlington in April 2019. www.cddft.nhs.net
We were successful in our bid to provide community services. Working more closely with our health and social care partners. www.cddft.nhs.net
NHS70 was an opportunity to recognise and celebrate the efforts of our workforce, and the advancements in care and technology across the NHS. www.cddft.nhs.net
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Performance www.cddft.nhs.net
Unscheduled Care A&E and non-elective 2018-19 Position admissions continued to Target not achieved grow A&E attendances – up 2.6% Non-elective admissions – up 2.4% The Trust was unable to meet the NHSI 4-hour wait standard every month, but we did make significant improvements… www.cddft.nhs.net
Unscheduled Care A&E and non-elective Reduction in More patients More ambulance admissions continued to ambulance delays assessed within 15 handovers within an minutes hour grow More patients Reduced trolley wait Increased use of discharged home times discharge lounges sooner www.cddft.nhs.net
Diagnostics 99% of diagnostics 2018-19 Position should be Target achieved completed within 6 CDDFT ahead of target weeks of referral www.cddft.nhs.net
Referral to Treatment Referral to treatment within 18 2018-19 Position weeks Target not achieved Performance above national Pressures on some average but slightly below NHSI targets specialties due to increasing demand and staffing challenges www.cddft.nhs.net
Cancer performance 2018-19 Position Some targets achieved Consistently better than national 2-week wait: good but with some variable performance due to average, although increasing referrals not all NHSI targets 31-day waiting standard: continue to perform strongly were achieved 62-day wait for treatment: good performance but managing some areas of pressure www.cddft.nhs.net
The Year Ahead 2019/20… www.cddft.nhs.net
Priority areas Maximising staff engagement Unscheduled Care Demand Maintaining a high quality patient Achieving long-term financial environment sustainability IS strategy www.cddft.nhs.net
Our Plans 2019/20 Continue our transformation of integrated community services Remain committed to plans for a new Emergency Care Centre at UHND Continue to build role of BAH and further enhance orthopaedic centre of excellence Improving our emergency and urgent care performance Our plans and strategy are aligned to the NHS Long Term Plan and we positioned well We are also part of the North Cumbria and North East Integrated Care System and two Integrated Care Partnerships Roll out of CDDFT ‘Improvement Matters’ Programme to empower service improvement www.cddft.nhs.net
Thank you www.cddft.nhs.net
Quality Accounts 2018 – 2019 Noel Scanlon, Executive Director of Nursing www.cddft.nhs.net
Quality Accounts Quality Matters – our plan to support the achievement of our vision, Right First Time, Every Time , and is underpinned by our core values. Quality priorities set out for the next three years, to improve patient safety, clinical outcomes and the experience of those who use our care. We review and refresh with stakeholders annually through the Quality Accounts. This is an overview... www.cddft.nhs.net
Quality Accounts How we agree our priorities • Past Performance • Development Requirements • National Priorities • Staff involvement • Stakeholder Input • Council of Governors • Board www.cddft.nhs.net
Quality Accounts In 2018/2019 23 quality targets to improve patient safety, clinical outcomes and the experience of those who need our care
Quality Accounts In 2018/2019 Consistent focus on our priority areas has been rewarded with improved performance and positive movement forwards in terms of meeting our targets
Quality Accounts Highlights & Continued focus: We set ourselves ambitious targets for our patients. Although not all goals met – improvements made and part of continuous journey.
Quality Accounts – Safety Pressure Ulcers 2018-19 Position Ambition not met/achieved Reduction of Avoidable Pressure Ulcers The reporting of pressure ulcer incidents resulted in an increase in incidents being reported by community To have no avoidable grade 3 services that were actually attributable or above pressure ulcers to other care providers and patient’s choice. within acute and community services. 2019/18 – Rapid Review Process implemented to address Ambition 0 Achievement 10 www.cddft.nhs.net
Quality Accounts – Safety Infection Control 2018-19 Position Goal not met but We continue to perform improvements made consistently well MRSA We are one of the best Ambition: 0 Achieved: 2 performers nationally in relation to our rate of Clostridium Difficile Clostridium Difficile Ambition: 18 Achieved: 19 infections per 100,000 bed-days. www.cddft.nhs.net
Quality Accounts – Safety Mortality 2018-19 Position Reduction in Risk Adjusted Mortality Indices to Ambition: met/achieved within ‘as expected’ range (Hospital Standardised Mortality indicators remain Mortality Ratio [HSMR] and within expected levels Standardised Hospital Mortality Indicator [SHMI]) www.cddft.nhs.net
Quality Accounts – Safety Falls Follow Up Patients with Patient Falls (reduction in Fragility Fracture incidence per 1,000 bed days community hospitals) Ambition: met/achieved = Ambition: 8.0 Achieved: 6.0 Ambition Patient Falls (reduction in incidence per 1,000 bed days 50% acute hospitals) Position in Ambition: met/achieved 2018/19 41.2% = Ambition: 5.6 Achieved: 5.5 Trust Ambition not met/achieved but improvements made www.cddft.nhs.net
Quality Accounts – Safety Discharge Summaries 2018-19 Position Percentage GP discharge Goal not met but summaries arriving within improvements made 24 hours = Ambition: 95% = Achieved: 92.2% www.cddft.nhs.net
Quality Accounts – Safety Incident Reporting Incident Reported to NRLS by Rate of patient safety incidents resulting in degree of harm severe injury or death from the National 90 78.5 Reporting and Learning System (NRLS) 80 64.1 70 60 Goal not met but improvements made 50 34.6 40 Within national average for rates resulting 30 19.4 in severe injury or death however number 20 of incidents reported remains low 10 1.8 1.1 0.1 0.2 0.1 0.1 0 No Harm Low (Minor) Moderate Severe Death (inc.near Ambition: 75 th Achieved: 50 th miss) (April to September 2018 data) County Durham and Darlington Foundation All Acute (non specialist) trusts www.cddft.nhs.net
Quality Accounts - Safety Sepsis Improve management of patients identified with Ambition: met/achieved sepsis ensuring patients are Improvement screened appropriately demonstrated www.cddft.nhs.net
Quality Accounts – Safety Duty of Candour To comply with the legal duty Ambition: met/achieved to be open and honest when Embedded Practice things go wrong Demonstrate compliance and monitoring www.cddft.nhs.net
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