Business Reviewthe Trusts can pool the staff resources toincrease the medical staff available <strong>and</strong>ensure patients have access to the bestcare possible. The temporary transferremains under review with commissioners<strong>and</strong> local health overview <strong>and</strong> scrutinycommittees updated.4.11 Our strength is our staffOne of the Trust’s strengths, <strong>and</strong> thereason for consistently performing well,is its staff. Without their extraordinarycommitment <strong>and</strong> dedication the Trustwould not have been able to achieve thesuccesses mentioned within this <strong>Report</strong>.The Foundation Trust is a significantemployer in the area with 3,543.93 wholetime equivalents as of 31 March 20<strong>13</strong>.Staff turnover is below the nationalaverage <strong>and</strong> generally staff regard theTrust as a good place to work - asdemonstrated in staff surveys carried outduring the year (further details can befound over the next few pages).Sickness absence for the Trust at the endof <strong>2012</strong>/<strong>13</strong> was 3.72% against a target of3.50%. The national average was 2.6%(Office of National Statistics).During the year, the Board of Directorsagreed funding to increase the levelof nursing on all wards to meet <strong>Royal</strong>College of Nursing guidance. This is aratio of one nurse to eight patients on allgeneral wards <strong>and</strong> one nurse to sevenpatients on all elderly care wards duringday shifts. The hospital also recruitedall 35 newly qualified nurses out on thewards.Informing <strong>and</strong> consulting ourstaffDuring <strong>2012</strong>/<strong>13</strong> the Trust consulted itsstaff <strong>and</strong> staff side representatives on anumber of issues, including:l specialist nurse reviewl day surgery unit - change to shiftpatterns to include occasional night<strong>and</strong> weekend cover. Consultationmeetings took place during July <strong>and</strong>August with formal notice of the newshift pattern starting in December<strong>2012</strong>. This was a minor organisationalchangel telecoms (switchboard) - transferof staff. Consultation began on 22October <strong>2012</strong> with the transfer of 11staff taking place on 1 December <strong>2012</strong>l IT consultation - consultation startedin February 20<strong>13</strong> to transfer 35members of staff from Poole <strong>Hospital</strong>to RBCH <strong>and</strong> 35 RBCH members ofstaff are also currently undergoingconsultation on the restructurel occupational health - Consultationstarted in September <strong>2012</strong> to transferthe Occupational Health Departmentat Poole <strong>Hospital</strong> to RBCH. It wascompleted on 1 December <strong>2012</strong>. Thisaffected five permanent staff <strong>and</strong>three who were working via the staffresource pool <strong>and</strong> one via agency40<strong>Annual</strong> <strong>Report</strong> <strong>and</strong> <strong>Accounts</strong> <strong>2012</strong>/<strong>13</strong>
Business Reviewl molecular pathology - consultationwith three members of staff due to astructure changel Two consultations in the Eye Unit.The first was to change acute referralclinic times at the weekend as from 1April 20<strong>13</strong>. The other was to close theEye Unit ward at weekends. Patientswould be cared for at the Derwentinsteadl procurement - consultation beganon the 1 October <strong>2012</strong> for 30 daysaffecting approximately 17 staffConsultation with staff happensdirectly through face to face briefingopportunities, written briefings for linemanagers across the organisation <strong>and</strong>details in Trust publications.As well as formal consultation, theTrust makes available information on,for example, the Trust’s performance,good news, events <strong>and</strong> developments,as well as ensuring good internalcommunications. This is carried outthrough:l regular meetings with staff siderepresentativesl monthly ‘Ask the Exec’ sessionswhere staff can hear from the Trust’sexecutive directors <strong>and</strong> ask questionsl bi-monthly staff newsletter - Buzzwordl monthly Core Briefl a well-used intranet sitel an induction for new staff - heldmonthlyl open day for staff <strong>and</strong> members of thepublicl briefings at directorate <strong>and</strong> ward levelas <strong>and</strong> when neededl a summary from each Board ofDirector’s meetingl internal briefing system via leaders inthe organisationl a weekly bulletin for staff circulated viaglobal emaill fortnightly face to face leaders’briefing with the Chief ExecutiveAsk the ExecsAsk?<strong>Annual</strong> <strong>Report</strong> <strong>and</strong> <strong>Accounts</strong> <strong>2012</strong>/<strong>13</strong> 41?Core BriefAprilFrom: Tony Spotswood, Chief ExecutiveThank you fromBoard of DirectorsThe Board of Directors would liketo express its sincere thanks toall staff in responding so well tothe emergency pressures we arefacing.Emergency admissions to thehospital remain at a high level.Over the past year, RBCH hasalso seen a significant increasein ambulance admissions incomparison to other local hospitals.Even with these increasednumbers, we continue to be ahigh-performing trust in relationto ambulance h<strong>and</strong>overs, withover 95% being h<strong>and</strong>led within30 minutes.There were no hospital acquiredMRSA cases in <strong>2012</strong>/20<strong>13</strong> <strong>and</strong> inMarch there were no wards closedOpensessionHave you got any questions about the Trust that youwould like to ask our Chief Executive?If so, come along <strong>and</strong> ask - this is your chance to askthe questions you would like answers to.the ExecsYou can also email your questions in advance to theCommunications Department at comments@rbch.nhs.ukdue to norovirus. Considering thepressures the hospital is under,these are very impressive numbers<strong>and</strong> it is down to excellentmanagement <strong>and</strong> control ofinfection by ward staff <strong>and</strong> theinfection control team.While the level of emergencyactivity has been extraordinary,infection control remains high,single-sex wards have beenmaintained <strong>and</strong> staff sicknesslevels are low, indicating weare managing effectively as anorganisation. This is excellentconsidering the pressures we areunder <strong>and</strong> is in large part down tothe commitment <strong>and</strong> hard work ofour staff. Thank you.Tony Spotswood,Chief Executive?Tony Spotswood, Chief Executive.Thursday16th Mayat 12.30pmin theRBH Lecture TheatreLunch will be provided20<strong>13</strong>Second place for <strong>Bournemouth</strong>nurse in national thrombosis awardCongratulations to Hayley Flavell, ConsultantNurse of Anticoagulation at the <strong>Royal</strong><strong>Bournemouth</strong> <strong>Hospital</strong> (RBH), who scoopedsecond place at the British Journal of Nursingawards.The award for Thrombosis Nurse of the Yearrecognised excellence <strong>and</strong> commitment acrossthe UK to drive forward care <strong>and</strong> servicesprovided by thrombosis <strong>and</strong> cardiac nurses.Hayley has worked as a nurse consultant atRBH for over four years <strong>and</strong> has specialisedin the field of anticoagulation <strong>and</strong> thrombosissince 1998 when she set up one of the firstcommunity deep vein thrombosis (DVT)CompetitionCommissioninvestigationpausedThe Competition Commission(CC) has paused its investigationinto the proposed mergerbetween RBCH <strong>and</strong> Poole<strong>Hospital</strong> NHS FoundationTrust. This is so both trustscan respond to the detailedinformation requests made bythe CC.It is not yet known how long theCC will pause the investigation.The CC process <strong>and</strong> full reviewwas expected to last 24 weekswith the potential for this to beextended to 32 weeks should itwish.We will let you know when theinvestigation resumes.<strong>Hospital</strong>Wednesday29th MayOpen Dayat 12.30pm in theHoward CentreChristchurchWednesday 12 June 20<strong>13</strong>Lunch will be providedl Atrium exhibition l Educational presentationsl Department st<strong>and</strong>s l Competitions...<strong>and</strong> lots more20<strong>13</strong> - Issue 210am - 4pmservices. Her work within the hospital Trusthas seen the development of robust VenousThromboembolism (VTE) preventionpolicies <strong>and</strong> tailored patient informationleaflets <strong>and</strong> videos. As a result, thePathology Department at RBH iscurrently being reviewed to becomean exemplar centre.Hayley said: “I was extremely flattered to benominated for the award <strong>and</strong> was humbledto be with so many outst<strong>and</strong>ing nurses.”The Thrombosis Nurse of the Yearaward ceremony took place in Londonon 22 March.10.30am: Hip Arthritis: New treatments <strong>and</strong>Prevention Dr Robert Middleton, Consultant Orthopaedic SurgeonThe <strong>Royal</strong> <strong>Bournemouth</strong> <strong>and</strong> Christchurch <strong>Hospital</strong>s Staff MagazineFriends <strong>and</strong>Family TestA number of presentations will be held throughout the day in the Chapel11.30am: Underst<strong>and</strong>ing Dementia12.30pm: Cherishing the Skin You’re InDr Sue Hazel, Consultant in Geriatric MedicineDr Ian Pearson, Consultant Dermatologist1.30pm: Medicine <strong>and</strong> the New Media Professor DavidKerr, Consultant Physician in the <strong>Bournemouth</strong> Diabetes <strong>and</strong> Endocrine Centre2.45pm: Underst<strong>and</strong>ing ArthritisDr Neil Hopkinson, Rheumatology ConsultantPlaces at these talks are limited so if you would like to attend,NHS WinterHeroesJigsaw plansplease call: 01202 704271 to book your placeor email: communications@rbch.nhs.ukStaff engagement...much more insideupdate NHS Change DayNews n Focus on n Secret lives of n Noticeboard n FundraisingIn addition to the internal communicationmethods mentioned above, the Trustuses other methods to engage with staff,including awareness st<strong>and</strong>s outside thestaff restaurant, poster campaigns <strong>and</strong>directorate <strong>and</strong> departmental meetings.The NHS Employers staff engagementtoolkit has shown a strong link betweenstaff engagement <strong>and</strong> Trust performance,including quality of services, financialmanagement <strong>and</strong> patient satisfaction.In the <strong>2012</strong> Staff Survey the Trust’sscore of 3.72 was above (better than)average when compared to acutetrusts of a similar size. (You can readmore about our survey results frompage 43).