April 1st 2009 to March 31st 2010

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Graph 13 demonstrates the number of specialitiesthat have participated in Clinical research for2008/09 and 2009/10.* It should be noted that 2009/10 NIHR PortfolioStudy data is not signed off nationally untilJune 30th 2010. We therefore estimate the totalpatient recruitment total to be higher thancurrently reported (as at April 14th 2010).Graph 13Participation in Clinical Research by SpecialityNo. PatientsRecruited3002502001501005002008/092009/10*CancerCardiovascularGastrointestinalGeneric RelevanceInfectionInflammatory an..SpecialityMedicines for ChildrenMusculoskeletalRenal and Urogenit..Reproductive HealthRespiratoryStrokeInformation on the Commissioningfor Quality and Innovation (CQUIN)FrameworkThe Commissioning for Quality and Innovation(CQUIN) payment framework aims to supportthe cultural shift towards making quality theorganising principle of NHS services. In particular,it aims to ensure that local quality improvementpriorities are discussed and agreed at board levelwithin and between organisations. The CQUINpayment framework is intended to embed qualityat the heart of commissioner-provider discussionsby making a small proportion of providerpayment conditional on locally agreed goalsaround quality improvement and innovation.A proportion of the Blackpool, Fylde and WyreHospitals NHS Foundation Trust’s contractedincome in 2009/10 was conditional on achievingquality improvement and innovation goalsagreed between Blackpool, Fylde and WyreHospitals NHS Foundation Trust and any personor body they entered into a contract agreementor arrangement with, for the provision of NHSservices, through the Commissioning for QualityImprovement Payment Framework.The payment mechanism in 2009/10 was thatContracted Commissioners paid 90% of theCQUIN value through block contracts followedby the remaining 10% upon the Trust successfullyachieving the agreed goals. The values ofthese payments are £995,449 and £110,602and therefore the total monetary total for theassociated payments is £1,106,051.Further details of the agreed goals for 2009/10and new agreed goals for the following 12months (2010/11) is available on request from theDirector of Operations 01253 655550.Information Relating to Registrationwith the Care Quality Commission andPeriodic/Special ReviewsBlackpool, Fylde and Wyre Hospitals NHSFoundation Trust is required to register withthe Care Quality Commission and its currentregistration status is compliant with noconditions. The Care Quality Commission has nottaken enforcement action against Blackpool,Fylde and Wyre Hospitals NHS Foundation during2009/10.Blackpool, Fylde and Wyre Hospitals NHSFoundation Trust is subject to periodic reviews bythe Care Quality Commission and the last reviewwas carried out in October 2009 which was theOfsted/ Care Quality Commission joint inspection.118Blackpool, Fylde and Wyre Hospitals
Following the Care Quality Commission’sassessment the Inspectors noted:• Staff in the Accident and EmergencyDepartment pay good attention to thepossible risks to children attending fortreatment posed by adults visiting thedepartment.• A strong embedded safeguarding culture inthe Accident and Emergency Department.• An appropriate awareness of the CommonAssessment Framework which is wellembedded and well regarded by health staff.• The inspection team noted a good exampleof the ‘alert system’ within the Accident andEmergency Department.• The Victoria Safeguarding Centre was seenas a good example of partnership working toimprove both the services and experience ofchildren and young people.Although there were no actions for healthin the combined report the Care QualityCommission has produced a separate report andhave added the following recommendations andmade the following conclusions:• To further develop systems that will identifyoutcomes and evaluation of servicesefficiently.• To monitor performance in regard totimeliness, quality and interventions in healthassessments for Looked After Children (LAC).In view of this Blackpool, Fylde and WyreHospitals NHS Foundation Trust has made thefollowing progress on implementing the aboverecommendations.• The Trust has developed a SafeguardingChildren and Young People Work Planto include Audit to support the Trust toevaluate the service (The work plan alsoincludes training, child protection supervisionand policy development). The ongoing workplan will take into consideration the RevisedWorking Together guide (March 2010).Blackpool, Fylde and Wyre Hospitals NHSFoundation Trust has made the followingprogress by March 31st 2010 in takingsuch action. Contribution to BlackpoolLocal Safeguarding Children’s Board (LSCB)section 11 audits, actions agreed includeidentifying the Named Midwife as theCommon Assessment Framework Lead forthe Trust, Safe Recruitment training forrecruiting managers and improvements havebeen made to the recording of SafeguardingChildren training.• Blackpool, Fylde and Wyre Hospitals NHSFoundation Trust has taken part in the ChildHealth Mapping special review by the CQCin February 2010. The Trust is awaiting thefindings from that review. In the meantime,the Trust has developed an action plan basedon a self-assessment of improvement to bemade.The Trust also participated in an assessment ofperformance by the Care Quality Commissionagainst national standards in relation toHealthcare Associated infections on theNovember 25th 2009. We received no conditionson our registration. The Care QualityCommission has not taken enforcement actionagainst us since the start of the reporting yearfrom April 1st 2009.The Trust retained Clinical Negligence Schemefor Trusts (CNST) Maternity Level 1 on theFebruary 26th 2010 but unfortunately narrowlydid not reach the requirements to meet CNSTMaternity Level 2. The Trust failed on threecriterias to achieve the overall pass rate of 40. Inview of this the Trust has developed an actionplan to achieve Level 2.The Trust has not been required to participate inany special reviews or investigations by the CareQuality Commission during the reported period.A Statement for the Local InvolvementNetworks, Local Authority Overviewand Scrutiny Committee andCommissioning PCTs on their view ofthe Quality ReportThe statements supplied by the abovestakeholders in relation to their comments onthe information contained within the QualityReport can be found on page 125.The Quality Report was discussed with theCouncil of Governors which acts as a linkbetween the Trust, its staff and the localcommunity who have contributed to thedevelopment of the Quality Report.Annual Report and Accounts April 1st 2009 to March 31st 2010 119
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Blackpool, Fylde andWyre HospitalsN
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ContentsPageChairman and Chief Exec
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The Trust again achieved its financ
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Hospital HighlightsThe Trust contin
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“On August 24th 2009 my wife was
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Location Map ofBlackpool, Fyldeand
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Enhancing Patient SafetyImproving p
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Our StaffThe Blackpool WayThe Trust
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Working Time DirectiveFor doctors,
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AppraisalThe Trust made further imp
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Security managementThe Local Securi
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Our FinancesIncome andExpenditurePe
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Chart 4: A&E Attendances10000080000
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Chart 9 shows the increase in expen
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In addition the Trust, as part of t
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Financial InstrumentsThe Trust does
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Our PerformancePerformance against
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Summary of MRSA Performance2007/200
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Information GovernanceComplianceInf
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Delivering Our PlansImproving the P
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As stroke is the third largest caus
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Table: Environmental Performance in
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Our Future PlansStrategic OverviewI
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Continuous ImprovementDuring 2009 t
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Effective risk and performancemanag
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The Board of Directors comprises se
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Profile of the BoardVoting members
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Malcolm Faulkner (Non-Executive Dir
Page 67 and 68: Nick Grimshaw (Director of Human Re
Page 69 and 70: Council of GovernorsThe Council of
Page 71 and 72: STAFF ELECTED GOVERNORSROLEClass 1
Page 73 and 74: NameStaff GovernorsDr Tom KaneSam W
Page 75 and 76: Governor Attendance - Membership Co
Page 77 and 78: MembershipOver the past 12 months,
Page 79 and 80: Membership Report for Blackpool Fyl
Page 81 and 82: Audit CommitteeRole of the AuditCom
Page 83 and 84: • Consideration of alternative me
Page 85 and 86: Remuneration ReportThe membership o
Page 87: Salary and pension entitlements of
Page 90 and 91: “I would like to compliment the s
Page 92 and 93: Part 1: Quality Narrative1.1 A Stat
Page 94 and 95: 2.1 Progress of Performance onQuali
Page 96 and 97: Graph 3Clostridium DifficileNumber
Page 98 and 99: Reducing Medication errors by 50% b
Page 100 and 101: 100Audit ImprovementFor all prescri
Page 103 and 104: Coronary Artery Bypass GraftSurgery
Page 105 and 106: Heart FailureMeasureOct 08 -Dec 08T
Page 107 and 108: Table 2 identifies actions to be ta
Page 109 and 110: Improving Outcomes For Patients Who
Page 111 and 112: Improving Local Patient ExperienceS
Page 113 and 114: Graph 11Overall Trust NCI Performan
Page 115 and 116: The national clinical audits and na
Page 117: The Clinical Audit Committee is pro
Page 121 and 122: Part 3 QualityImprovement Prioritie
Page 123 and 124: 3.1 Overview of Performanceof the T
Page 125 and 126: Statement from External Agencies1.1
Page 127 and 128: Glossary of abbreviationsPage No. A
Page 129 and 130: Glossary of TermsPage No. Abbreviat
Page 131 and 132: Annex C: Statement in respect of In
Page 133 and 134: The Audit Committee is a sub-commit
Page 135 and 136: 4.11 Annual Quality ReportThe Direc
Page 137 and 138: • Comments made by External Audit
Page 139 and 140: • adequate accounting records hav
Page 141 and 142: Annex E: Accounts for the periodApr
Page 143 and 144: STATEMENT OF COMPREHENSIVE INCOME F
Page 145 and 146: STATEMENT OF CHANGES IN TAXPAYERS
Page 147 and 148: 1. Accounting policies and otherinf
Page 149 and 150: Held for sale assetsAssets intended
Page 151 and 152: Gains and losses recognised in the
Page 153 and 154: The charge is calculated at the rea
Page 155 and 156: 2. Operating segments2009/10 Medici
Page 157 and 158: 4. Other Operating IncomeYear ended
Page 159 and 160: 5.4 Operating leasesAs lessee5.4.1
Page 161 and 162: 7. Gains/(losses) on disposal of as
Page 163 and 164: 11. Property, plant and equipmentPr
Page 165 and 166: 12. Capital commitmentsCommitments
Page 167 and 168: 15. Other financial assets31st Marc
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20. Provisions20.1 Provisions analy
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22. ContingenciesContingent liabili
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26. Related party transactionsBlack
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27. Transition to IFRS - first time
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April 1st 2009 to March 31st 2010

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