Annual Report and Accounts - The Great Western Hospital

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Great Western Hospitals NHS Foundation Trust Annual Report and Accounts 2011/2012 Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006
Page 1:
Great Western Hospitals NHS Foundat
Page 5 and 6:
CONTENTS 1 Chair and Chief Executiv
Page 7 and 8:
The Great Western Hospital became a
Page 9 and 10:
Underpinning this, our values are t
Page 11 and 12:
3.2 Principal activities of the Tru
Page 13 and 14:
Further Companies Act Disclosures 3
Page 15 and 16:
Business Review / Management Commen
Page 17 and 18:
3. To ensure that staff are proud t
Page 19 and 20:
6. To work in partnership with othe
Page 21 and 22:
With funding received from the Depa
Page 23 and 24:
3.13 Contractual arrangements The T
Page 25 and 26:
Patient care 3.16 Development of se
Page 27 and 28:
3.20 New or significantly revised s
Page 29 and 30:
3.24 Complaints Handling For the Tr
Page 31 and 32:
The Trust actively responds to feed
Page 33 and 34:
3.25 Using patient experience to dr
Page 35 and 36:
The table below shows the CQUIN res
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Action plans based on the Quarterly
Page 39 and 40:
3.27 Development of services with o
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3.29 Health and Overview Scrutiny C
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3.32.5 Interests held by Directors
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4.3 Attendance at meetings of the R
Page 47 and 48:
4.7 Board of Directors’ employmen
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Remuneration Name Title Salary (Ban
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4.8.4 Additional disclosures The Tr
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5.1.2 Elected Governors - Public Co
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5.1.4 Nominated Governors Name Nomi
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5.1.6 Lead and Deputy Lead Governor
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“Eyes and Ears” - An initiative
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5.1.12 Nominations and Remuneration
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Rowland Cobbold, Non-Executive Dire
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Lyn Hill-Tout, Chief Executive (unt
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5.2.3 Length of appointments of Non
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5.2.6 Attendance at meetings of the
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5.3 Audit Committee 5.3.1 The Audit
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5.4 Directors’ responsibility for
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Note: Angela Gillibrand and Rowland
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The Mental Health Act / Mental Capa
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The Trust has a wide range of staff
Page 81 and 82:
5.8.6 Membership Strategy To encour
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5.9 Code of Governance Disclosure S
Page 85 and 86:
6 QUALITY REPORTS Part 1 - Statemen
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Part 2 - Priorities for improvement
Page 89 and 90:
6.3.1 Review of services and partic
Page 91 and 92:
The trust chose not to contribute t
Page 93 and 94:
No. Audit Title Reconstruction Audi
Page 95 and 96:
The reports of 273 local clinical a
Page 97 and 98:
No. Audit Title 15. Non Invasive Ve
Page 99 and 100:
No. Audit Title Antibiotic Prescrib
Page 101 and 102:
No. Audit Title 50. NICE CG111 - No
Page 103 and 104:
Page 105 and 106:
Part 3 - Other Information 6.4 Over
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GRAPH - Clostridium Difficile WCHS2
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GRAPH - Medicine incidents by type
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Harm from falls WCHS: It was not po
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• Rolling educational programme w
Page 115 and 116:
CHART - Relative risk SW Acute Trus
Page 117 and 118:
Following the Trust’s merge in Ju
Page 119 and 120:
Priority 7: Participation on the Re
Page 121 and 122:
All the guidelines have been dissem
Page 123 and 124:
This has been achieved by: • Mont
Page 125 and 126:
• As a result of complaints and c
Page 127 and 128:
CHART - National Sentinel Stroke Au
Page 129 and 130:
Priority 16: To ensure patients are
Page 131 and 132:
6.5 Care Quality Commission (CQC) I
Page 133 and 134:
6.7 Statement of Directors’ respo
Page 135 and 136:
a Quality Account and the opportuni
Page 137 and 138:
Overall, the Trust has good plans t
Page 139 and 140:
Page 139 of 211
Page 141 and 142:
Graph 1 - GWH carbon footprint (ton
Page 143 and 144:
The Trust is working with local bus
Page 145 and 146:
Graph 9 - Total tonnes of waste pro
Page 147 and 148:
The Trust will be working towards a
Page 149 and 150:
Detailed below is a summary of the
Page 151 and 152:
Wiltshire Community Health Services
Page 153 and 154:
providers. Feedback obtained across
Page 155 and 156:
The Musculoskeletal Disorder team a
Page 157 and 158:
10.2.2 Governance risk rating The t
Page 159 and 160:
11 OTHER DISCLOSURES IN PUBLIC INTE
Page 161 and 162:
13 AUDITOR’S OPINION AND CERTIFIC
Page 163 and 164: 14 ANNUAL GOVERNANCE STATEMENT 14.1
Page 165 and 166: • the key controls to mitigate ag
Page 167 and 168: 14.4.6 Organisation Culture The Tru
Page 169 and 170: 14.5 Review of economy, efficiency
Page 171 and 172: Process Board Role and Conclusions
Page 173 and 174: 15 GLOSSARY OF TERMS BARS - Blood A
Page 175 and 176: 16 FOREWORD TO THE ACCOUNTS 16.1 Fo
Page 177 and 178: Great Western Hospitals NHS Foundat
Page 209: Great Western Hospitals NHS Foundat
Page 216 and 217: CONTENTS 1 Chair and Chief Executiv
Page 218 and 219: The Great Western Hospital became a
Page 220 and 221: Underpinning this, our values are t
Page 222 and 223: 3.2 Principal activities of the Tru
Page 224 and 225: Further Companies Act Disclosures 3
Page 226 and 227: Business Review / Management Commen
Page 228 and 229: 3. To ensure that staff are proud t
Page 230 and 231: 6. To work in partnership with othe
Page 232 and 233: With funding received from the Depa
Page 234 and 235: 3.13 Contractual arrangements The T
Page 236 and 237: Patient care 3.16 Development of se
Page 238 and 239: 3.20 New or significantly revised s
Page 240 and 241: 3.24 Complaints Handling For the Tr
Page 242 and 243: The Trust actively responds to feed
Page 244 and 245: 3.25 Using patient experience to dr
Page 246 and 247: The table below shows the CQUIN res
Page 248 and 249: Action plans based on the Quarterly
Page 250 and 251: 3.27 Development of services with o
Page 252 and 253: 3.29 Health and Overview Scrutiny C
Page 254 and 255: 3.32.5 Interests held by Directors
Page 256 and 257: 4.3 Attendance at meetings of the R
Page 258 and 259: 4.7 Board of Directors’ employmen
Page 260 and 261: Remuneration Name Title Salary (Ban
Page 262 and 263: 4.8.4 Additional disclosures The Tr
Page 264 and 265:
5.1.2 Elected Governors - Public Co
Page 266 and 267:
5.1.4 Nominated Governors Name Nomi
Page 268 and 269:
5.1.6 Lead and Deputy Lead Governor
Page 270 and 271:
“Eyes and Ears” - An initiative
Page 272 and 273:
5.1.12 Nominations and Remuneration
Page 274 and 275:
Rowland Cobbold, Non-Executive Dire
Page 276 and 277:
Lyn Hill-Tout, Chief Executive (unt
Page 278 and 279:
5.2.3 Length of appointments of Non
Page 280 and 281:
5.2.6 Attendance at meetings of the
Page 282 and 283:
5.3 Audit Committee 5.3.1 The Audit
Page 284 and 285:
5.4 Directors’ responsibility for
Page 286 and 287:
Note: Angela Gillibrand and Rowland
Page 288 and 289:
The Mental Health Act / Mental Capa
Page 290 and 291:
The Trust has a wide range of staff
Page 292 and 293:
5.8.6 Membership Strategy To encour
Page 294 and 295:
5.9 Code of Governance Disclosure S
Page 296 and 297:
6 QUALITY REPORTS Part 1 - Statemen
Page 298 and 299:
Part 2 - Priorities for improvement
Page 300 and 301:
6.3.1 Review of services and partic
Page 302 and 303:
The trust chose not to contribute t
Page 304 and 305:
No. Audit Title Reconstruction Audi
Page 306 and 307:
The reports of 273 local clinical a
Page 308 and 309:
No. Audit Title 15. Non Invasive Ve
Page 310 and 311:
No. Audit Title Antibiotic Prescrib
Page 312 and 313:
No. Audit Title 50. NICE CG111 - No
Page 314 and 315:
Page 316 and 317:
Part 3 - Other Information 6.4 Over
Page 318 and 319:
GRAPH - Clostridium Difficile WCHS2
Page 320 and 321:
GRAPH - Medicine incidents by type
Page 322 and 323:
Harm from falls WCHS: It was not po
Page 324 and 325:
• Rolling educational programme w
Page 326 and 327:
CHART - Relative risk SW Acute Trus
Page 328 and 329:
Following the Trust’s merge in Ju
Page 330 and 331:
Priority 7: Participation on the Re
Page 332 and 333:
All the guidelines have been dissem
Page 334 and 335:
This has been achieved by: • Mont
Page 336 and 337:
• As a result of complaints and c
Page 338 and 339:
CHART - National Sentinel Stroke Au
Page 340 and 341:
Priority 16: To ensure patients are
Page 342 and 343:
6.5 Care Quality Commission (CQC) I
Page 344 and 345:
6.7 Statement of Directors’ respo
Page 346 and 347:
a Quality Account and the opportuni
Page 348 and 349:
Overall, the Trust has good plans t
Page 350 and 351:
Page 139 of 211
Page 352 and 353:
Graph 1 - GWH carbon footprint (ton
Page 354 and 355:
The Trust is working with local bus
Page 356 and 357:
Graph 9 - Total tonnes of waste pro
Page 358 and 359:
The Trust will be working towards a
Page 360 and 361:
Detailed below is a summary of the
Page 362 and 363:
Wiltshire Community Health Services
Page 364 and 365:
providers. Feedback obtained across
Page 366 and 367:
The Musculoskeletal Disorder team a
Page 368 and 369:
10.2.2 Governance risk rating The t
Page 370 and 371:
11 OTHER DISCLOSURES IN PUBLIC INTE
Page 372 and 373:
13 AUDITOR’S OPINION AND CERTIFIC
Page 374 and 375:
14 ANNUAL GOVERNANCE STATEMENT 14.1
Page 376 and 377:
• the key controls to mitigate ag
Page 378 and 379:
14.4.6 Organisation Culture The Tru
Page 380 and 381:
14.5 Review of economy, efficiency
Page 382 and 383:
Process Board Role and Conclusions
Page 384 and 385:
15 GLOSSARY OF TERMS BARS - Blood A
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16 FOREWORD TO THE ACCOUNTS 16.1 Fo
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