Item 8 - Sheffield Health and Social Care

2.3 The Board of DirectorsThe Board of Directors provides a wide range ofexperience and expertise that is essential to theeffective governance of the Trust. Its memberscontinue to demonstrate the visionary leadershipand oversight that enables the organisation tofulfil its ambition.At the end of 2012/13, the Board of Directorscomprised of six Non-Executive Directors, includingthe Chair, and five Executive Directors, including theChief Executive.2.3.1. The Non-Executive Team• Professor Alan Walker (Chair)• Susan Rogers MBE (Vice – Chair)• Councillor Mick Rooney(Senior Independent Director)• Martin Rosling• Mervyn Thomas• Anthony Clayton2.3.2. The Executive TeamAt the end of 2012/13 the Executive Teamconsisted of:• Kevan Taylor (Chief Executive)• Clive Clarke (Deputy Chief Executive)• Professor Tim Kendall (Executive Medical Director)• Liz Lightbown (Chief Operating Officer/Chief Nurse)• Paul Robinson (Executive Director of Finance)During 2012/13 the following also held a positionon the Board of Directors:• Mick Rodgers (Deputy Chief Executive andExecutive Director of Finance) retired on the28th February 2013Further and more detailed information about theBoard of Directors and the changes during 2012/13can be found in Section 7 of this report.2.3.3. Directors’ statement as to disclosureto the AuditorsFor each individual who is a Director at the timethat this Annual Report was approved, so far asthe Directors are aware, there is no relevant auditinformation of which the Trust’s Auditor is unaware;and the Directors have taken all the steps that theyought to have taken as Directors in order to makethemselves aware of any relevant audit informationand to establish that the Trust’s Auditor is aware ofthat information.2.3.4. Going concernAfter making enquiries, the Directors havea reasonable expectation that the Trust hasadequate resources to continue in operationalexistence for the foreseeable future. For thisreason, they continue to adopt the goingconcern basis in preparing the accounts.2.3.5. Accounting policies statementAccounting policies for pensions and otherretirement benefits are set out in the AnnualAccounts in Section 15 (note 1) of this reportand details of senior employees’ remunerationcan be found in the Remuneration Report inSection 3 of this report.2.3.6. Our AuditorsExternal audit services were previously provided tothe Trust by The Audit Commission. When this wasdisbanded in 2012, the staff previously engaged onour contract were transferred to KPMG. Thereforewe novated the current contract across to KPMGfor the remainder of the contract (until 31st March2015). The Council of Governors approved thedecision, on the basis that it was the best optionin terms of providing continuity, and also due toKPMG providing a similar service to the other NHSorganisations in Sheffield.2.4 Operating and Financial Review2.4.1 An overview of our principle activitiesWe provide mental health, learning disability,substance misuse, community rehabilitation andprimary care services to the people of Sheffield.We also provide some of our specialist services tothe wider region. We are a provider of integratedservices that meet people’s mental, physical,psychological and social care needs. An overviewof our principle activities over the year issummarised in the sections below.2.4.1.1 Acute and Inpatient DirectorateThe Acute and Inpatient Directorate manages theinpatient services at the Michael Carlisle Centre atNether Edge, The Longley Centre on the NorthernGeneral Hospital site and the Forest Close site onMiddlewood Road. The services included in thedirectorate provide care and treatment in residentialsettings for people of all ages with acute mentalhealth problems, those with longer term mentalhealth needs, and also has a number of beds forpeople in a low-security forensic setting.2012/13 has seen a number of significantdevelopments and achievements in thedirectorate which are outlined below:• In the last year we have taken on theresponsibility for commissioning services forpeople who have been previously managed outof the city. This is providing an opportunity todeliver services closer to home, ensuring highquality standards and saving money to reinvestin mental health provision in Sheffield• 2012/13 has seen the directorate focus ondelivering Respect training for all staff. Thistraining emphasises the importance of staffde-escalating situations and being able to providesafe methods for managing any challengingbehaviour. The training has been providedfor staff alongside service users who havecontributed to the planning and delivery of thetraining. The feedback from staff who haveparticipated in the training has been very positive.There has been an overall reduction in the use ofseclusion for service users since this training hasbeen delivered. This is part of the directorate’sfocus on delivering compassionate care for allthe people who use our inpatient wards• The focus on enhancing the compassionate carewe deliver in the year ahead will continue to beparamount to the services we deliver. We willcontinue to develop the support and supervisionwe offer to all staff, the directorate will buildon developments in psychology in the last yearto ensure that all service users have access totrained psychologists, and we will listen and acton the views of service users and their carers• Risk assessment and management are keyto delivering safe and effective care. Thedirectorate has continued to train all staff inassessing and managing risk. We have reviewedthe forms for monitoring risk and planning withthe aim that staff only spend the necessarytime completing forms to provide effectivesystems. This has included the implementationof electronic record keeping on all our inpatientwards. The directorate is developing careplanning to ensure good engagement of serviceusers with meaningful recovery care plans• The 22 beds provided at Forest Lodge forlow-secure forensic service users have beenreviewed as part of the Royal College ofPsychiatrists National Accreditation Programme.This external review identified that the service isproviding a high standard of care. Forest Lodgeis commissioned regionally and has achievedall the quality standards identified through thecontract monitoring processCommunal area on Rowan Ward1314