Annual Report & Accounts 2010/11 - James Paget University Hospitals

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Page 4 James Paget University Hospitals NHS Foundation Trust Annual Report 2010/11 www.jpaget.nhs.uk
Contents Welcome 6 About the Trust 9 Taking care of our patients 11 Listening and responding to our patients 20 Operating and Financial Review 27 • Our vision and objectives 27 • Our performance 32 • Stakeholders and commissioners 36 • Financial performance 38 • Sustainability 45 • Equality 46 • The Future 47 A year in our life 48 Service developments 49 Our staff 56 Our volunteers/fundraising 63 Governance 65 Our directors 66 Audit Committee 71 Our governors 72 Our members 76 Remuneration report 79 Senior managers’ salaries and benefits 83 Senior managers’ pension entitlements 84 Independent Assurance - Quality Report 85 Abbreviations 87 Useful contacts and how to get here 89 Quality Report Financial Statements www.jpaget.nhs.uk James Paget University Hospitals NHS Foundation Trust Annual Report 2010/11 Page 5
Page 1: James Paget University Hospitals NH
Page 6 and 7: Welcome From our Chairman, John Hem
Page 8 and 9: identify and address concerns and m
Page 10 and 11: Our Core Values Our values are the
Page 12 and 13: Those with dementia The increasing
Page 14 and 15: Quality A full quality report can b
Page 16 and 17: Education and Practice Development
Page 18 and 19: Care Quality Commission regulations
Page 20 and 21: Listening and responding to our pat
Page 22 and 23: ‘Coffee machine was broken’ Rep
Page 24 and 25: Patient Advice and Liaison Service
Page 26 and 27: Consultations There have been no fo
Page 28 and 29: • The work in QIPP development ha
Page 30 and 31: of Directors and Governors Council
Page 32 and 33: Our performance Regulatory Ratings
Page 34 and 35: Indicator Measure National Standard
Page 36 and 37: Our commissioners The main commissi
Page 38 and 39: Financial Performance The Trust ach
Page 40 and 41: Patient Care Income 31 March 2011 (
Page 42 and 43: Capital investment 2010/11 £’000
Page 44 and 45: Better Payments Practice During the
Page 46 and 47: Equality Over the last year signifi
Page 48 and 49: A year in our life April 2010 • O
Page 50 and 51: patients are admitted to our Emerge
Page 52 and 53: Midwifery-led Birthing Unit (MLBU)
Page 54 and 55:
Support Services The areas that pro
Page 56 and 57:
Our staff The Trust is the largest
Page 58 and 59:
In 2010, the staff response rate to
Page 60 and 61:
Occupational health Our occupationa
Page 62 and 63:
Case Study - Project Search The Tru
Page 64 and 65:
Lowestoft Hospital League of Friend
Page 66 and 67:
Our directors As a Foundation Trust
Page 68 and 69:
Non Executive Directors Jean Mason
Page 70 and 71:
Feedback has been received and the
Page 72 and 73:
Our governors The Governors Council
Page 74 and 75:
Elections Governors standing for th
Page 76 and 77:
Our members The Trust has two membe
Page 78 and 79:
• Tracker form developed to recor
Page 80 and 81:
Governors Council Nomination and Re
Page 82 and 83:
Trust Remuneration Policy Executive
Page 84 and 85:
Senior managers’ pension entitlem
Page 86 and 87:
disclosure of this report within th
Page 88 and 89:
HSMR ICU IG IT Inpatient INTRAN JPU
Page 93:
James Paget University Hospitals NH
Page 96 and 97:
Contents Page Foreword by Chief Exe
Page 98 and 99:
The old and the very young are know
Page 100 and 101:
Statement of directors' responsibil
Page 102 and 103:
Current position: Patient Falls 120
Page 104 and 105:
Priority 1b: Patient safety - Reduc
Page 106 and 107:
Five work streams have been agreed
Page 108 and 109:
No Commissioning for Quality and In
Page 110 and 111:
No Commissioning for Quality and In
Page 112 and 113:
The services provided by James Page
Page 114 and 115:
Clinical Audits Audit Name Applicab
Page 116 and 117:
(NHSBT UK Transplant Registry) Audi
Page 118 and 119:
Case Study 2: Upper Gastrointestina
Page 120 and 121:
The Trust has a dedicated lead for
Page 122 and 123:
NHS number and GMC code validity Ja
Page 124 and 125:
What others say about the Trust Car
Page 126 and 127:
Current Position: Inpatient Pressur
Page 128 and 129:
Metric 3 - Venous Thromboembolism (
Page 130 and 131:
Monthly CVC BSI Rates 14 12 Rate of
Page 132 and 133:
Metric 8 - Nutrition & Hydration Ma
Page 134 and 135:
Patient Safety Incidents As at 18 t
Page 136 and 137:
Never Events Never Events are serio
Page 138 and 139:
Existing Commitments and National P
Page 140 and 141:
Patient Experience National In-pati
Page 142 and 143:
An action plan has been developed f
Page 144 and 145:
Maternity National Survey The respo
Page 146 and 147:
Question Area Conclusions Recommend
Page 148 and 149:
Case Study: Health Service Ombudsma
Page 150 and 151:
Patient Experience Measures Patient
Page 152 and 153:
• 100 Key Scores Comparison 90% 8
Page 154 and 155:
NHS Great Yarmouth & Waveney NHS Gr
Page 156:
Glossary of Abbreviations A&E C dif
Page 161 and 162:
Contents Page Statement of Accounti
Page 163 and 164:
Annual Governance Statement Scope o
Page 165 and 166:
Annual Governance Statement continu
Page 167 and 168:
Independent Auditor's Report to the
Page 169 and 170:
Foreword to the Accounts James Page
Page 171 and 172:
Statement of Financial Position As
Page 173 and 174:
Page 175 and 176:
Notes to the Accounts 1 Significant
Page 177 and 178:
Notes to the Accounts continued - -
Page 179 and 180:
Notes to the Accounts continued 1.6
Page 181 and 182:
Page 183 and 184:
Notes to the Accounts continued 2 S
Page 185 and 186:
Page 187 and 188:
Notes to the Accounts continued 6 O
Page 189 and 190:
Page 191 and 192:
Notes to the Accounts continued 11
Page 193 and 194:
Page 195 and 196:
Notes to the Accounts continued 14.
Page 197 and 198:
Page 199 and 200:
Page 201:
Notes to the Accounts continued 27.
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