An Associated University Hospital of Brighton and Sussex Medical School

Annual General Meeting 2015

Welcome and overview Alan McCarthy Chair

6pm Welcome Alan McCarthy Chair

6.10pm Our year Michael Wilson Chief executive

6.35pm Annual accounts Paul Simpson Chief finance officer

6.45pm Clinically led: Children’s team – inpatient and day case survey

Joanne Farrell Matron Dr Catherine Greenaway Consultant paediatrician and clinical lead for paediatrics

7.00pm Questions Chaired by Alan McCarthy

7.30pm Close Alan McCarthy

Refreshments The Atrium

Agenda

Recognition of improvement: • Care Quality Commission • Foundation Trust application • Virginia Mason

Delivered on plans eg: • St Luke's Radiotherapy Centre • Lane Fox REMEO Respiratory Centre • Earlswood Diabetes and Endocrine Centre

Maintaining sustainability: • Clinical • Financial

Overview

Welcome – governors and members

Members – target of 9,000, currently 10,200

28 Governors, including: Public Patient Staff Nominated governors

from our partner organisations

Overview

Our year Michael Wilson Chief executive

Our people Clinically led – positive impact on the people we care for

Succeeded in meeting clinical standards and delivering high quality care

Learning and education opportunities – enables our staff to grow their knowledge and skills

Positive patient experience National staff survey – rated us in the top 20% of acute

Trusts for motivation and as a place to work

Support of over 200 volunteers and the Friends of East Surrey Hospital

Developing our Trust

Direct impact on patient experience Friends and Family Test – consistently the best in

the region Patient Opinion and Your Care Matters – giving

patients a range of feedback options

Developing our Trust CQC Building on our plans Our priority – focus on excellence Rated as one of the safest hospitals in the

country Engaged staff – we know we have a really

engaged workforce

SASH Charity – re-launched to focus on proactive fundraising to invest in enhancing patient care In 2014-15 funds have been spent on additional resourcing to care for our elderly patients – including both a dementia nurse and falls nurse

Built four new theatres and refurbished six theatres – part of £14million theatre development project. We have ten theatres at East Surrey Hospital along with four theatres at our day surgery unit at Crawley Hospital

Built two new wards – Capel Annexe and Tilgate Annexe providing more beds and flexibility to care for patients

Developed our patient car park – providing more parking spaces for patients and visitors

Opened The Earlswood Centre – hub for diabetes and endocrine care

Developing our hospital

Developing our health campus

East Surrey Macmillan Cancer Support Centre

2014-15

2015-16: continuing to develop range of care for local people

Developing our health campus

Our quality

Patient safety

0 MRSA and 24 C Diff Serious incident closure backlog addressed

Falls - number of patients who suffered major harms has decreased by 21%

Clinical effectiveness Standardised Hospital Mortality Index of 93.07

Re-admissions – negative outlier but data issues

JAG Accreditation (endoscopy)

Responsive Emergency Department– consistent delivery

Referral to treatment (RTT) – Achieved although some specialty challenges

Diagnostics – Achieved Cancer – Achieved

Caring No mixed sex breaches

Children’s inpatient survey Your Care Matters expanding and driving

change

Well led Clinical leadership programmes

Nurse recruitment Patient safety committee

Our culture

• Dignity and respect

• One team

• Compassion

• Safety and quality

Voted one of the Top 120 Best Places to Work

Slide 15

Virginia Mason Institute Development Programme

Action for leaders: Update team

Ambitious development programme – part of new initiative launched by Jeremy Hunt, Secretary of State for Health

SASH selected as one of just five NHS Trusts in the country Led by clinicians and leaders from the Virginia Mason Institute Virginia Mason Hospital: USA’s ‘Hospital of the Decade’ Virginia Mason clinicians and leaders will mentor and work with SASH

leaders and teams to teach and share principles and systems to help us to continue to improve patient safety and experience

Virginia Mason Production System(VPMS) is a leader in setting patient care quality standards in the US

Competitive application process – including site visit and presentation following shortlisting

Annual accounts Paul Simpson Chief finance officer

Financial performance

Trust costs

Reference costs

index value

2006/07 1162007/08 952008/09 862009/10 942010/11 972011/12 892012/13 922013/14 92

• Reference costs (average unit cost per patient treated compared to all other trusts) are translated into an index where 100 is the ‘average’

• SaSH is treating more patients

and investing in services while keeping its reference cost better than average.

• Each year the Trust must deliver a minimum 4% efficiency gain to stand still

Financial plan • Aligning money and quality

• In fourth year of plan

• NHS financial climate has changed significantly

Children’s team – inpatient and day case survey

Joanne Farrell

Matron Dr Catherine Greenaway

Consultant paediatrician and clinical lead for paediatrics

Clinically led

In 2014-15 the children’s team provided 37,109 outpatient

appointments for children and young people There were 9,734 inpatient admissions On average 4,500 babies are delivered each year Child assessment unit saw 5,648 patients in 2014-15 Team includes paediatricians with specialist interests and

specialist nurses and therapists We have a 30 bed children’s ward – Outwood with 23 acute beds,

including three oncology cubicles and five beds for adolescents Neonatal service - 20 cots. Caring for pre-term babies from 27

weeks and sick full-term babies

Clinically led

• Survey focused on young patients who were admitted to hospital as inpatients or for treatment as day case patients

• 137 acute and specialist NHS Trusts across England participated

• Received feedback about the care of nearly 19,000 young patients

National children and young people’s inpatient and day case survey

• A total of 300 children - who were inpatients or day

cases during July, August and September 2014

• Split between the following categories: • All parents and carers (0-15yrs) • Children and young people (8-15yrs) • Parents and carers (0-7yrs)

Survey – the details

Children and young people’s views

Areas where we were rated better than other trusts

Parents and carers of 0 to 7 year olds said: • Their child was well looked after by hospital staff • Staff treated them with respect and dignity

All parents and carers said: • Staff asked if they had any questions about their child's

care • They were given written information about their child's

condition or treatment to take home • 94% of parents and carers agreed that their child’s

experience had been positive

Parent and carer views

“Absolutely outstanding care from the moment we walked through the door – could not have asked for more.”

Overall experience

Survey - feedback

“My daughter was really well looked

after from the minute we got to A&E everything was

explained throughout her stay in A&E and on the

ward.”

“Staff on the children’s ward are a credit to the NHS

– friendly, knowledgeable and dedicated.”

“I really liked how friendly the nurses were. The doctors

were very clear about what is

going to happen and what I should

do.”

Overall experience was overwhelmingly positive when compared to the national data and shows us to be the best performing acute Trust in our region

We will continue to develop and improve the high quality care we provide

Thank you – any questions?

Alan McCarthy

Chair