Annual Report and Accounts - The Great Western Hospital

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Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 2. Segmental Analysis The Trust's Board has determined that the Trust operates in two material segments which is Great Western Hospitals and Wiltshire Community Health Services. This is reflected in the Trusts' Contracts. GWH WCHS Total Operating Income £'000 £'000 £'000 NHS Clinical Income 185,747 75,860 261,607 Private Patients 3,797 3,797 Other Non Mandatory/Non Protected Revenue 3,079 512 3,591 Research & Development Income 700 (44) 656 Education and Training Income 6,839 16 6,855 Misc Other Operating Income 9,615 4,354 13,969 Total Income 209,777 80,699 290,475 3. Income from Activities (by Type) Restated Year Ended Year Ended 31 March 31 March 2012 2011 £000 £000 NHS Foundation Trusts 324 0 NHS Trusts 448 13 Primary Care Trusts 259,332 179,172 Local Authorities 1,503 1,347 Private Patients 3,797 3,040 Non-NHS: Overseas patients (non-reciprocal) 320 74 NHS Injury Cost Recovery scheme 1,565 1,515 267,289 185,161 NHS Injury Cost Recovery scheme income is shown gross and is subject to a provision for doubtful debts of 10.5% (2010/11 9.6%) to reflect expected rates of collection. The increase in income from NHS Foundation Trusts and NHS Trusts relates to income for services provided by Wiltshire Community Services. Restated 3.1 Income from Activities (by Class) Year Ended Year Ended 31 March 31 March 2012 2011 £000 £000 Elective income 39,919 41,367 Non elective income 73,366 64,218 Outpatient income 38,643 36,824 A & E income 7,783 7,433 Other NHS clinical income 38,189 32,279 Community contract income 65,593 0 Private patient income 3,797 3,040 267,289 185,161 3.2 Private Patient Income Year Ended Base Year 31 March 2012 2002/3 £000 £000 Private patient income 3,797 1,587 Total patient related income 267,289 99,359 Proportion (as percentage) 1.4% 1.6% Please note: The proportion of Private Patient Income to the total patient related income of the Trusts should not exceed its proportion whilst the body was an NHS Trust in 2002/03 (the base year). With the exception of private patient income, all of the above income from activities arises from mandatory services as set out in the Trust's Terms of Authorisation from Monitor. Page 191 of 211
Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 4. Other Operating Income Year ended Year ended 31 March 31 March 2012 2011 £000 £000 Research and Development 656 573 Education and Training 6,855 6,512 Charitable and other contributions to expenditure 805 644 Non-patient care services to other bodies 2,448 2,215 Staff recharges 2,065 1,532 Other Income 10,356 6,075 23,185 17,551 Analysis of Other Operating Income Charitable and Other Contributions to Expenditure Macmillan Nurses 108 108 Prospect Hospice 98 77 Contributions from suppliers to support staff posts 584 449 Charitable Funds Recharge 15 10 Total 805 644 Non-patient care services to other bodies Mortuary 31 27 Renal 381 289 Sterile Services 377 663 Drugs provided to other NHS bodies 587 675 Bowel Screening Programme 223 68 Other Misc amounts 849 493 Total 2,448 2,215 Other Income includes Car Parking (Staff & Patients) 1,090 993 Estates recharges 1,548 329 IT recharges 47 47 Pharmacy sales 6 7 Clinical Excellence Awards 177 176 Catering 232 25 Property Rentals 2,655 1,101 Payroll & Procurement Services 214 78 Occupational Health Service 168 163 Dietetics 77 72 Ultrasound Photo Sales 51 32 Heart Improvement Programme 942 1,426 Transport services 282 Other 2,867 1,626 Total 10,356 6,075 The increase in Estates recharges relates to management services relating to community sites rented to other bodies £900K The increase in Property rentals relates to £1.5m income from sites within the Wiltshire Health Community Servcies contract which transferred in 2011/12 The increase in Payroll & Procurement services relates to the provision of these services to NHS Swindon , NHS Wiltshire and Royal National Hospital for Rheumatic Diseases. The increase in Catering relates to services provided through the Wiltshire Community Health Services contract. The increase in Transport services relates to the take on of this service with the transfer of Wiltshire Community Health Services in 2011/12 Page 192 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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Audit / confidential enquiry title
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Audit Title Submitted/Required (%)
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No. Audit Title Learning From The P
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No. Audit Title 8. Diabetes Ketoaci
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No. Audit Title Audit Summary/Learn
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No. Audit Title Audit Summary/Learn
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6.3.4 Registration with Care Qualit
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Steering Group, provides a quarterl
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Clostridium Difficile: The goal for
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Priority 2: To reduce harm associat
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Priority 3: To reduce harm associat
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Pressure ulcers Community: The comm
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Safe care of the patient receiving
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CHART - Serious Incidents grouped b
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The three top serious incident caus
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West conference call in August 2011
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Priority 9: To review the clinical
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Priority 12: To undertake nutrition
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• A regular ongoing training prog
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Community: • Q1 Performance April
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The survey results demonstrate that
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6.6 Performance against key nationa
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6.8 Statements from Primary Care Tr
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6.8.4 Wiltshire Primary Care Trust
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6.9 Independent Assurance Report to
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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 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
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Page 381 and 382: Steps which have been put in place
Page 383 and 384: 14.8 Conclusion I have not identifi
Page 385 and 386: SHA - Strategic Health Authority SW
Page 387 and 388: Great Western Hospitals NHS Foundat
Page 401: Great Western Hospitals NHS Foundat
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Annual Report and Accounts - The Great Western Hospital

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