Annual Report and Accounts - The Great Western Hospital

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Graph 1 – GWH carbon footprint (tonnes of Carbon Dioxide equivalent) 14000 12000 10000 8000 6000 4000 Emissions as a result of Business Travel - Rail Emissions as a result of Business Travel - Road Emissions as a result of Business Travel - Air Emissions as a result of Oil Comsumption 2000 Emissions as a result of Gas Consumption 0 Emissions as a result of Electricity Consumption 2007/08 2008/09 2009/10 2010/11 2011/12 Graph 2 – WCHS carbon footprint (tonnes of carbon dioxide equivalent) 5000 4500 4000 3500 3000 2500 2000 1500 1000 500 0 Emissions as a result of Business Travel - Road Emissions as a result of Oil Consumption Emissions as a result of Gas Consumption Emissions as a result of Electricity Consumption 2011/12 2010/11 2009/10 2008/09 2007/08 Page 141 of 211
Graphs 3 and 4 show energy consumption in kwH at the Great Western Hospital and WCHS sites since 2007/08 respectively. Spend on energy has reduced in Wiltshire with the closure of buildings, but increased at the Great Western Hospital in this financial year. The reason for this is being investigated at the moment, but is likely to be due in part to increasing the amount of cardiac diagnostic equipment. Over the next year the Trust has plans to spend over £330,000 on capital schemes that will continue to reduce the amount of energy being consumed. Other projects such as LED lighting is being considered on all sites and smaller more visible changes such as the installation of PIR light switches in offices and store rooms has continued. Graph 3 – Energy consumption at GWH in KwH 40000000 35000000 30000000 25000000 20000000 15000000 10000000 oil gas electricity 5000000 0 2007/08 2008/09 2009/10 2010/11 2011/12 Graph 4 – Energy consumption by WCHS (KwH) 18000000 16000000 14000000 12000000 10000000 8000000 6000000 oil gas electicity 4000000 2000000 0 2007/08 2008/09 2009/10 2010/11 2011/12 Page 142 of 211
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Great Western Hospitals NHS Foundat
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CONTENTS 1 Chair and Chief Executiv
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The Great Western Hospital became a
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Underpinning this, our values are t
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3.2 Principal activities of the Tru
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Further Companies Act Disclosures 3
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Business Review / Management Commen
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3. To ensure that staff are proud t
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6. To work in partnership with othe
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With funding received from the Depa
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3.13 Contractual arrangements The T
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Patient care 3.16 Development of se
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3.20 New or significantly revised s
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3.24 Complaints Handling For the Tr
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The Trust actively responds to feed
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3.25 Using patient experience to dr
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The table below shows the CQUIN res
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Action plans based on the Quarterly
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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
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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
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5.8.6 Membership Strategy To encour
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5.9 Code of Governance Disclosure S
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6 QUALITY REPORTS Part 1 - Statemen
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Part 2 - Priorities for improvement
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6.3.1 Review of services and partic
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The trust chose not to contribute t
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No. Audit Title Reconstruction Audi
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The reports of 273 local clinical a
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No. Audit Title 15. Non Invasive Ve
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No. Audit Title Antibiotic Prescrib
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No. Audit Title 50. NICE CG111 - No
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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
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CHART - Relative risk SW Acute Trus
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Following the Trust’s merge in Ju
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Priority 7: Participation on the Re
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All the guidelines have been dissem
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This has been achieved by: • Mont
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• As a result of complaints and c
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CHART - National Sentinel Stroke Au
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Priority 16: To ensure patients are
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6.5 Care Quality Commission (CQC) I
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6.7 Statement of Directors’ respo
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a Quality Account and the opportuni
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Overall, the Trust has good plans t
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Graph 1 - GWH carbon footprint (ton
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The Trust is working with local bus
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Graph 9 - Total tonnes of waste pro
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The Trust will be working towards a
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Detailed below is a summary of the
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Wiltshire Community Health Services
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providers. Feedback obtained across
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The Musculoskeletal Disorder team a
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10.2.2 Governance risk rating The t
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11 OTHER DISCLOSURES IN PUBLIC INTE
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13 AUDITOR’S OPINION AND CERTIFIC
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14 ANNUAL GOVERNANCE STATEMENT 14.1
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• the key controls to mitigate ag
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14.4.6 Organisation Culture The Tru
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14.5 Review of economy, efficiency
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Process Board Role and Conclusions
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15 GLOSSARY OF TERMS BARS - Blood A
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16 FOREWORD TO THE ACCOUNTS 16.1 Fo
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1 CHAIR AND CHIEF EXECUTIVE’S REP
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2 OUR TRUST 2.1 Vision - Your healt
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3 DIRECTOR’S REPORT General Compa
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3.3.2 The Brunel Treatment Centre O
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14 In relation to the use of financ
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Checklist, a World Health Organisat
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organisations to adapt to these cha
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TABLE - Wiltshire Community Activit
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The Trust is currently reviewing it
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Enhanced Quality Governance Reporti
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The Trust is using its foundation t
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of implementing the programme. Incl
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As part of the corporate back offic
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What patients and service users hav
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3.25.3 Patient Surveys The PICKER I
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3.25.5 Annual Inpatient Survey The
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CHART - Percentage of patients who
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3.28 Working with our partners to s
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3.31 Statement as to disclosures to
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4 REMUNERATION REPORT Information n
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4.5 Remuneration of senior managers
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4.8 Pension Benefits and Remunerati
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The accounting policies for pension
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5 NHS FOUNDATION TRUST CODE OF GOVE
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There is currently a vacancy for th
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5.1.5 Attendance at meetings of the
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In addition, in preparing the Trust
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5.1.11 Council of Governors Meeting
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5.2 Board of Directors 5.2.1 The Bo
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Roger Hill, Non-Executive Director
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Helen Bourner, Director of Business
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5.2.4 Statement about the balance,
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5.2.9 Significant Commitments of th
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5.3.2 The work of the Audit, Risk a
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5.6 Nominations Committee 5.6.1 The
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5.7 Mental Health Act / Mental Capa
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5.8 Membership 5.8.1 Membership The
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The groupings of the members in the
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5.8.8 Membership development propos
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G.1.2 - The Board should clarify in
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and Governors. We have also commenc
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Regulation 1. To sustain compliance
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Page 313 and 314: 6.3.4 Registration with Care Qualit
Page 315 and 316: Steering Group, provides a quarterl
Page 317 and 318: Clostridium Difficile: The goal for
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Page 323 and 324: Pressure ulcers Community: The comm
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Page 327 and 328: CHART - Serious Incidents grouped b
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Page 333 and 334: Priority 9: To review the clinical
Page 335 and 336: Priority 12: To undertake nutrition
Page 337 and 338: • A regular ongoing training prog
Page 339 and 340: Community: • Q1 Performance April
Page 341 and 342: The survey results demonstrate that
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Page 345 and 346: 6.8 Statements from Primary Care Tr
Page 347 and 348: 6.8.4 Wiltshire Primary Care Trust
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Page 355 and 356: Graph 7 - Water consumption in WCHS
Page 357 and 358: 8 EQUALITY REPORTING 8.1 Equality d
Page 359 and 360: 9 STAFF SURVEY REPORT 9.1 Our staff
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Page 363 and 364: Appraisal rates. The overall rate f
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Page 367 and 368: 10 REGULATORY RATINGS REPORT 10.1 M
Page 369 and 370: 10.3.2 Explanation for differences
Page 371 and 372: 12 STATEMENT OF ACCOUNTING OFFICER
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Page 375 and 376: 14.4 The risk and control framework
Page 377 and 378: Risk Licence to operate (compliance
Page 379 and 380: The governors and wider stakeholder
Page 381 and 382: Steps which have been put in place
Page 383 and 384: 14.8 Conclusion I have not identifi
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Page 387 and 388: Great Western Hospitals NHS Foundat
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Annual Report and Accounts - The Great Western Hospital

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