- Page 1: Great Western Hospitals NHS Foundat
- Page 6 and 7: 1 CHAIR AND CHIEF EXECUTIVE’S REP
- Page 8 and 9: 2 OUR TRUST 2.1 Vision - Your healt
- Page 10 and 11: 3 DIRECTOR’S REPORT General Compa
- Page 12 and 13: 3.3.2 The Brunel Treatment Centre O
- Page 14 and 15: 14 In relation to the use of financ
- Page 16 and 17: Checklist, a World Health Organisat
- Page 18 and 19: organisations to adapt to these cha
- Page 20 and 21: TABLE - Wiltshire Community Activit
- Page 22 and 23: The Trust is currently reviewing it
- Page 24 and 25: Enhanced Quality Governance Reporti
- Page 26 and 27: The Trust is using its foundation t
- Page 28 and 29: of implementing the programme. Incl
- Page 30 and 31: As part of the corporate back offic
- Page 32 and 33: What patients and service users hav
- Page 34 and 35: 3.25.3 Patient Surveys The PICKER I
- Page 36 and 37: 3.25.5 Annual Inpatient Survey The
- Page 38 and 39: CHART - Percentage of patients who
- Page 40 and 41: 3.28 Working with our partners to s
- Page 42 and 43: 3.31 Statement as to disclosures to
- Page 44 and 45: 4 REMUNERATION REPORT Information n
- Page 46 and 47: 4.5 Remuneration of senior managers
- Page 48 and 49: 4.8 Pension Benefits and Remunerati
- Page 50 and 51: The accounting policies for pension
- Page 52 and 53: 5 NHS FOUNDATION TRUST CODE OF GOVE
- Page 54 and 55:
There is currently a vacancy for th
- Page 56 and 57:
5.1.5 Attendance at meetings of the
- Page 58 and 59:
In addition, in preparing the Trust
- Page 60 and 61:
5.1.11 Council of Governors Meeting
- Page 62 and 63:
5.2 Board of Directors 5.2.1 The Bo
- Page 64 and 65:
Roger Hill, Non-Executive Director
- Page 66 and 67:
Helen Bourner, Director of Business
- Page 68 and 69:
5.2.4 Statement about the balance,
- Page 70 and 71:
5.2.9 Significant Commitments of th
- Page 72 and 73:
5.3.2 The work of the Audit, Risk a
- Page 74 and 75:
5.6 Nominations Committee 5.6.1 The
- Page 76 and 77:
5.7 Mental Health Act / Mental Capa
- Page 78 and 79:
5.8 Membership 5.8.1 Membership The
- Page 80 and 81:
The groupings of the members in the
- Page 82 and 83:
5.8.8 Membership development propos
- Page 84 and 85:
G.1.2 - The Board should clarify in
- Page 86 and 87:
and Governors. We have also commenc
- Page 88 and 89:
Regulation 1. To sustain compliance
- Page 90 and 91:
Audit / confidential enquiry title
- Page 92 and 93:
Audit Title Submitted/Required (%)
- Page 94 and 95:
No. Audit Title Learning From The P
- Page 96 and 97:
No. Audit Title 8. Diabetes Ketoaci
- Page 98 and 99:
No. Audit Title Audit Summary/Learn
- Page 100 and 101:
No. Audit Title Audit Summary/Learn
- Page 102 and 103:
6.3.4 Registration with Care Qualit
- Page 104 and 105:
Steering Group, provides a quarterl
- Page 106 and 107:
Clostridium Difficile: The goal for
- Page 108 and 109:
Priority 2: To reduce harm associat
- Page 110 and 111:
Priority 3: To reduce harm associat
- Page 112 and 113:
Pressure ulcers Community: The comm
- Page 114 and 115:
Safe care of the patient receiving
- Page 116 and 117:
CHART - Serious Incidents grouped b
- Page 118 and 119:
The three top serious incident caus
- Page 120 and 121:
West conference call in August 2011
- Page 122 and 123:
Priority 9: To review the clinical
- Page 124 and 125:
Priority 12: To undertake nutrition
- Page 126 and 127:
• A regular ongoing training prog
- Page 128 and 129:
Community: • Q1 Performance April
- Page 130 and 131:
The survey results demonstrate that
- Page 132 and 133:
6.6 Performance against key nationa
- Page 134 and 135:
6.8 Statements from Primary Care Tr
- Page 136 and 137:
6.8.4 Wiltshire Primary Care Trust
- Page 138 and 139:
6.9 Independent Assurance Report to
- Page 140 and 141:
7 SUSTAINABILITY REPORTING 7.1 Stro
- Page 142 and 143:
Graphs 3 and 4 show energy consumpt
- Page 144 and 145:
Graph 7 - Water consumption in WCHS
- Page 146 and 147:
8 EQUALITY REPORTING 8.1 Equality d
- Page 148 and 149:
9 STAFF SURVEY REPORT 9.1 Our staff
- Page 150 and 151:
It was agreed that we would focus o
- Page 152 and 153:
Appraisal rates. The overall rate f
- Page 154 and 155:
A quarterly “Voluntary Service Ma
- Page 156 and 157:
10 REGULATORY RATINGS REPORT 10.1 M
- Page 158 and 159:
10.3.2 Explanation for differences
- Page 160 and 161:
12 STATEMENT OF ACCOUNTING OFFICER
- Page 162 and 163:
Page 162 of 211
- Page 164 and 165:
14.4 The risk and control framework
- Page 166 and 167:
Risk Licence to operate (compliance
- Page 168 and 169:
The governors and wider stakeholder
- Page 170 and 171:
Steps which have been put in place
- Page 172 and 173:
14.8 Conclusion I have not identifi
- Page 174 and 175:
SHA - Strategic Health Authority SW
- Page 176 and 177:
Great Western Hospitals NHS Foundat
- Page 178 and 179:
Great Western Hospitals NHS Foundat
- Page 180 and 181:
Great Western Hospitals NHS Foundat
- Page 182 and 183:
Great Western Hospitals NHS Foundat
- Page 184 and 185:
Great Western Hospitals NHS Foundat
- Page 186 and 187:
Great Western Hospitals NHS Foundat
- Page 188 and 189:
Great Western Hospitals NHS Foundat
- Page 190 and 191:
Great Western Hospitals NHS Foundat
- Page 192 and 193:
Great Western Hospitals NHS Foundat
- Page 194 and 195:
Great Western Hospitals NHS Foundat
- Page 196 and 197:
Great Western Hospitals NHS Foundat
- Page 198 and 199:
Great Western Hospitals NHS Foundat
- Page 200 and 201:
Great Western Hospitals NHS Foundat
- Page 202 and 203:
Great Western Hospitals NHS Foundat
- Page 204 and 205:
Great Western Hospitals NHS Foundat
- Page 206 and 207:
Great Western Hospitals NHS Foundat
- Page 208 and 209:
Great Western Hospitals NHS Foundat
- Page 212:
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:
Great Western Hospitals NHS Foundat
- 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
- Page 386 and 387:
16 FOREWORD TO THE ACCOUNTS 16.1 Fo
- Page 388 and 389:
Great Western Hospitals NHS Foundat
- Page 390 and 391:
Great Western Hospitals NHS Foundat
- Page 392 and 393:
Great Western Hospitals NHS Foundat
- Page 394 and 395:
Great Western Hospitals NHS Foundat
- Page 396 and 397:
Great Western Hospitals NHS Foundat
- Page 398 and 399:
Great Western Hospitals NHS Foundat
- Page 400 and 401:
Great Western Hospitals NHS Foundat
- Page 402 and 403:
Great Western Hospitals NHS Foundat
- Page 404 and 405:
Great Western Hospitals NHS Foundat
- Page 406 and 407:
Great Western Hospitals NHS Foundat
- Page 408 and 409:
Great Western Hospitals NHS Foundat
- Page 410 and 411:
Great Western Hospitals NHS Foundat
- Page 412 and 413:
Great Western Hospitals NHS Foundat
- Page 414 and 415:
Great Western Hospitals NHS Foundat
- Page 416 and 417:
Great Western Hospitals NHS Foundat
- Page 418 and 419:
Great Western Hospitals NHS Foundat
- Page 420:
Great Western Hospitals NHS Foundat