Transcript Slide 1

Welcome to
The Princess Alexandra Hospital’s
Local Healthcare Event
Agenda
6:15pm
Introduction
Gerald Coteman, Chairman
6:20pm
Innovations in Emergency Medicine
Dr Alice Dain, Clinical Director for Emergency
6:35pm
Developments in Maternity Services
Wendy Matthews, Associate Director for Women’s and Children’s Health
6:50pm
Now and in the Future
Chris Pocklington, Chief Executive
7:05pm
The Finances
Gordon Flack, Executive Director of Finance
7:15pm
Questions to the Speakers
7:30pm
Close
Gerald Coteman, Chairman
Background
• Experience
• Family contact with NHS
• Determination
Personal Priorities
• Excellent health outcomes and excellent service
• Reinforcing our role in both managing and preventing
ill-health
• Achieving improvement through partnerships with:
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Our staff – the guardians of the modern health service
Our other health partners – especially the PCT
Other key influencers of health and well-being
And crucially our patients, their families and their carers
Challenge
• NHS Under Pressure
• Demand and expectation
• Financial constraints
• Trust Board
• Maintain a course of sound finances – underpinned by
achievement of FT status
• Engagement with our key constituencies – more visible, more
accountable
Thank You
• Staff
• Tim Escudier
• Other members of the Board
• Chris, our CEO, and his executive team
Maternity Services at
The Princess Alexandra Hospital
Wendy Matthews,
Associate Director for Women’s and
Children’s Health
Overview
• 3,800 Births
• Home Births
• Antenatal Care
• Postnatal Care
Maternity Unit
• Labour Ward
• Antenatal Ward
• Postnatal Ward
• Maternal and Fetal Assessment Unit
• Antenatal Clinic
Birthing Unit
• Birthing Suite
• Postnatal Facilities
• Home from Home
Birthing Unit Pool Room
Neonatal Intensive Care Unit
• Level II Unit
• 16 cots:
2 ITU cots
4 HDU cots
10 SCBU cots
Staff
• Consultants
• Multi-skilled Midwives
• Number of Specialist Roles
• Maternity Care Assistants
• Other Team Members
• Training
Philosophy of Care
• Partnership with Women and their Families
• Support Choice, Control and Continuity
• Follow National Institute of Clinical Excellence Guidelines
What The Princess Alexandra Hospital
Maternity Service Offers
• Quality
• National Awards:
• Bereavement
• Continence in Midwifery
• Vulnerable Women
• Quality Care Commission rating – ‘Better Performing’
• Individualised Care
User Feedback From Dr Forster
7th – 13th September 2009
User Feedback From Dr Foster
14th – 20th September 2009
Growth from East Herts
2003/4 to 2008/9
Number of deliveries & episodes
Quantity of all 'deliveries' and 'rest of pregnancy' episodes from
East and North Herts PCT area being seen at PAH
for the 6 year period of 2003/4 to 2008/9 (76% increase)
1200
1000
800
600
400
200
0
Apr 03 March 04
Apr 04 March 05
Apr 05 March 06
Apr 06 March 07
Year
Apr 07 March 08
Apr 08 March 09
Future Developments
• New Antenatal Clinic at Herts and Essex Hospital,
Bishops Stortford
• Nuchal Translucency Service
• New Neonatal Intensive Care Unit and Expansion of
Maternity
Any Questions?
Innovations in
Emergency Medicine
Dr Alice Dain,
Clinical Director for Emergency Services
Where Have We Come From
• Long waits to be seen
• Increasing attendances
• Cramped department
• 4 Hour target introduced 2003
• EAU opened 2003
• Concept of senior decision maker at the front door
Where We Are Now
• Record numbers of patients during the year
• New £1.1m upgrade to the Accident and Emergency Unit
• New treatment cubicles
• Upgrade paediatric accident and emergency area
• Recruitment of additional staff
• Two new A&E consultants
• Three new Acute Medicine Physicians
• Accident and Emergency nurses
• Emergency planning officer
• Working with private and neighbouring healthcare colleagues.
Our Successes
• Frequently rated amongst top 30 trusts in the country for
achieving the four hour A&E target.
• Successfully streamlined emergency patients into the
community
• Involvement in key clinical networks across the region
e.g. cardiac care
• Infection control at the front door
Plans For The Next Five Years
• Bed realignment and the front door
• Streamlined Emergency Assessment
• Increased senior presence at the front door
• Single sex accommodation in EAU
• Planning for Urgent Care facilities locally
• Urgent Care Hub with the Primary Care Trust
Any Questions?
The Princess Alexandra Hospital
Now and In the Future
Chris Pocklington,
Chief Executive
Our Five Year
Vision and Mission
“To become the best general hospital in the East of
England”
Realising our Vision
• Targets
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1. MRSA bacteraemia
2. C-Diff
3. Accident and Emergency
4. 18 Week Referral to Treatment Target
– Established a firm financial platform for further investment
• Innovation
• Not just scientific or medical advances
• Innovative relationships with commissioners and stakeholders
• Quality of Care
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Recognise that staff must be at heart of an improved patient experience.
HSMR big reduction
Length of stay improving
Recent information shows upturn in satisfaction score – further progress
is needed
Our Plans For The Future
• FT application
• Opportunity to further develop local services
• The right service at the right place at the right time
Our Finances
Gordon Flack,
Executive Director of Finance
Headline Results
Steady delivery of surpluses since deficit in 2005/06
Income & Expenditure
Surplus/-Deficit
6000
4000
2000
£m
0
2005/06
-2000
-4000
-6000
2006/07
2007/08
2008/09
Continued growth of the Trust which is expected to remain
a feature of the future but challenging economic
conditions ahead:
Turnover
180000
160000
140000
120000
£m 100000
80000
60000
40000
20000
0
2005/06
2006/07
2007/08
2008/09
Cumulative investment in infrastructure over and above the
“wearing” out of our assets:
Capital Cashflow
& Depreciation
10000
8000
£000 6000
4000
2000
0
2005/06
2006/07 2007/08
Depreciation
2008/09
Where We Spent Our Money
2008/09 Costs
3.7%
0.5%
3.5% 2.0%
0.6%
6.0%
0.5%
17.3%
65.8%
Services from the NHS
Purchase of healthcare from non NHS bodies
Directors' costs
Staff costs
Supplies & services
Consultancy
Premises, transport & establishment
Depreciation
Clinical negligence & Other
Staff resources remain at the heart of our
business and account for the largest
proportion of our costs with a 6% (160)
growth in numbers:
Staff
3000
2000
WTE
1000
0
2005/06
Medical
Nursing
2006/07
2007/08
Healthcare assistants & support
2008/09
Scientific, therapeutic
Admin & Estates
The Auditors Local Evaluation (ALE) assesses how well
NHS organisations manage and use their financial
resources.
The Trust can show strong and steady progress over the last four years and
has attained an excellent rating in Financial Standing and aspires for the same
in other areas.
Auditors Local Evaluation
"Use of Resources"
Excellent (4)
4
Good (3)
3
Adequate (2)
2
Inadequate (1)
1
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2005/06
2006/07
2007/08
2008/09
Any Questions For The Trust?