r u o yhospital 2012/13 review
Review of our year Putting patients first
review of our year
Introduction Nicholas Wells Chairman
Stuart Bain Chief Executive
East Kent Hospitals University NHS Foundation Trust is one of the largest in the country. Each year we have well over one million contacts with patients and we are conscious that each and every one of our patients rightly expects us to meet their needs in an effective, safe and timely way. Clinical performance We are pleased to be able to report that our strong clinical performance was maintained throughout 2012/13. We saw more patients than ever before, continued to have a mortality rate well below the national average, were a high performing Trust in the control of infections and met all the national access targets for cancer
treatments, diagnostic tests and elective surgery.
formally with our local government and NHS partners.
Our access standard for emergency services was met for all but the fourth quarter of the year; and even though we were very disappointed with that last quarter, our performance in comparison to the overall national picture was still strong in what proved to be a very challenging winter period.
We are particularly grateful to our hospitals’ Leagues of Friends which have continued to provide fantastic financial and practical support to the patients and staff in our hospitals. Thanks also go to those individuals who have supported the East Kent Hospitals Charity through donations and fundraising activity. Much of the latter has been focused on the Digital Mammography Appeal which has reached a successful conclusion.
Our thanks and acknowledgement go to our almost 7000 staff for their commitment to patient care which is evidenced in all of these achievements. Working with our communities We are a major employer in east Kent and we have a significant presence in the communities we serve. We value the links we have with our local communities, through our membership (reaching almost 18,000 by the end of 2012/13), our elected Trust Governors, and more
During the year we organised a series of successful public meetings with our Governors to showcase some of our services and, more importantly, to hear from our patients and the public about their opinions on current services and future priorities. We will be organising further meetings in the coming year and would urge you to become involved personally.
Anniversary celebrations New hospital Plans to build a new hospital for Dover were approved by the Trust’s Board of Directors in October 2012. The new hospital is being built on the site of the current Buckland Hospital. Services there will include x-ray, a minor injuries unit and renal dialysis.
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In July 2012, Kent & Canterbury Hospital celebrated its 75th anniversary. As part of the celebrations. children from the hospital day nursery, Little Oaks, filled and buried a time capsule in the grounds.
Appeal success! Supporters of the Breast Cancer Mammography Appeal gathered to celebrate the successful conclusion of the Appeal in July. Three years after the launch by East Kent Hospitals Charity, the Appeal has raised the funds required to purchase new digital equipment for the symptomatic breast service locally in East Kent. Jean Byers, the Appeal Chairman said: “There have been some wonderful events organised over the course of the Appeal in the last three years and some breath-taking donations without which we would not have reached the closure target on time. Every donation whatever its size has been greatly appreciated”.
Thank you! £560,000 was given by the East Kent Hospitals Charity to the Trust in grants in 2012/13
Actress Pam Ferris opened the new maternity unit at Queen Elizabeth The Queen Mother Hospital, Margate. The opening of the unit completed the changes to maternity services in east Kent. Ashford and Margate hospitals now offer both a midwifery-led unit and a consultantled labour ward for hospital births, supported by ante natal and post natal services at the hospitals in Dover and Canterbury.
Capsule endoscopy - where patients swallow a pill that sees inside them and transmits a video of its journey through their digestive system to their consultant’s computer - began at Kent & Canterbury Hospital in Autumn 2012. This is helping doctors spot problems with the small bowel faster than they could before. We also installed the latest body scanning technology at the William Harvey and Queen Elizabeth The Queen Mother hospitals this year. The scanners help doctors diagnose many illnesses and see almost any part of the body that may be damaged, including the brain and spinal cord; bones and joints; breasts; heart and blood vessels; and other internal organs, such as the lungs and liver.
Food, glorious food! In July 2012 we launched a new catering service to: • provide high quality meals and snacks for hundreds of people every time, every day • make sure our patients enjoy their meals • make sure patients who need help to eat well get help. We now offer a choice of 24 hot lunchtime meals, plus freshly prepared breakfasts and suppers and three drink and snack options a day. Lunchtime meals are prepared in the ward kitchens and served by ward housekeepers, which means nurses can concentrate on patients who need help to eat. All our meals and snacks are ‘taste tested’ by patients, staff and our Governors and only those that pass get onto the menu! 3
our quality strategy In 2012/13 we launched our Quality Strategy which sets out how we want to improve the safety and effectiveness of hospital care whilst continuing to improve our patients’ experience of our hospitals over the next three years. Four key aims are at the centre of our Quality Strategy:
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Person-centred care - improving patient experience
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Safe care - improving safety and reducing harm
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Effective care - improving the effectiveness and reliability of care
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A workplace culture that helps our staff improve the quality of our services.
Making sure ‘We care’
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How are we doing?
We aim to make further improvements in patient experience during 2013/14 by continuing to put patients first; listening and responding to the feedback they give. In addition to the ongoing We Care Programme, from April 2013 patient feedback is being gathered when patients who attend A&E, or are inpatients, are asked if they would recommend our service to their friends and family. This is called the ‘Friends and Family Test’. The short questionnaire will also give patients the opportunity to make comments on their experiences and this invaluable information will be a key part of how we identify further areas for improvement.
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Safety
With over 150,000 people admitted to our wards and over 200,000 treated in our A&Es, it is really important that we have a strong safety culture. Above: matrons, nurses and support staff loved listening to patients at the We care ‘In Your Shoes’ sessions. During 2012/13, we started our ‘We care’ programme. ‘We care’ is about recognising that our staff are the experts in health, but our patients are the experts in what matters most to them. The aim is to help staff put patients first by listening to staff and patients. Patient groups were invited to meet with staff to provide feedback in many different ways and also provide written feedback. Staff also participated in providing feedback to help identify ways to improve the workplace. Patients told us… • Be attentive to my needs
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• Be kind and helpful • Respect me, welcome me, and treat me as an individual • Listen to me, involve me, and explain things clearly • Be professional and reassuring so I feel safe and I am safe • Don’t keep me waiting, have respect for my time • Clinical care that supports my life to get back to normal.
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One of our priorities for the coming year will be to continue e the momentum of this programme ensuring that all our staff reflect these values day in, day out. As part of the response to staff feedback, we have since introduced an innovative clinical leadership programme for staff.
During 2012/13 we continued our Patient Safety Programme and launched our Patient Safety Week - a week dedicated to specific training for staff in different elements of safety. We also increased our schedule of Executive Patient Safety Visits, which are Executive Directors and Governors visiting wards and departments to talk about safety issues. These visits are invaluable a and a number of projects to improve ccare have come out of them, including the implementation of a new system in all our hospitals that makes placing feeding tubes much safer.
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Measuring our effectiveness In 2012/13 we reduced our mortality rate and during 2013/14 we aim to achieve a further reduction in our mortality rate and reduce unplanned readmissions within 30 days of discharge.
Quex Ward at Queen Elizabeth the Queen Mother Hospital receiving cupcakes and thank yous from Trust Chairman Nicholas Wells and Chief Nurse and Director of Quality & Operations Julie Pearce for being the first ward to achieve a 70% response rate in the Friends and Family Test.
first
We used a tried and tested way to prevent our patients getting pressure ulcers (bed sores) with good results
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Some of our priorities for 2013/14 are to continue to reduce the number of infections and pressure ulcers acquired in hospital. We also want to reduce ‘Never events’ to zero (‘Never events’ are safety incidents with such serious outcomes that the Department of Health has put them on a list of events that hospitals should strive to ensure never happen). We are also committed to openly publishing safety incidents where the outcome is severe harm or death.
We have one of the best mortality rates in the country
In 2012/13 we employed a Dementia Matron and two experienced Specialist Dementia Nurses to lead improvements in the care of patients with dementia and help progress our dementia strategy. Nationally, hospital care tends to be less effective for patients who have dementia and we are working to buck this trend and ‘get it right’ for these vulnerable patients. The photograph shows staff at one of our dementia awareness events. This is an excerpt of the full Quality Report 2012/13 where details of all our 2012/13 achievements and our objectives for 2013/14 can be found.
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our finances We met our financial targets for the year Our income (£500.1m) was 2% higher than the previous year. Other NHS clinical £127m A&E £19m Non NHS clinical £3m Education & training £12m General services to other bodies £11m
Non elective £135m
Other income £15m ‘Other’ income includes: Outpatients £86m
Elective £92m
£6m staff recharges to other organisations £3m car parking £2m research £2m staff accommodation £1m charitable donations
Changing our parking system means our patients and their visitors can pay less to park and not need to worry about their ticket running out.
The new scanners at William Harvey Hospital mean more patients can have vital tests faster. Cost: £3.8million.
92% of total Trust income comes from providing patient care services for the purpose of the Health Service in England. Any surplus made on the remaining 8% of income is used to support patient care provision. The majority of income for patient care came from commissioners the lead commissioner was NHS Eastern & Coastal Kent who paid £424m in 2012/13 (92% of our NHS clinical income).
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An extra specialist theatre for stopping heart attacks was built at William Harvey Hospital and the original theatre was refurbished. Cost: £3 million.
Each year we have to become more efficient - providing the same service at a lower cost, or a higher quantity or quality of service at the same cost. In 2012/13 we achieved £30.6m in cost savings and income opportunities, enabling the Trust to continue to meet demand and enhance services, whilst maintaining a solid financial base. In 2013/14 we plan to achieve another £30m of efficiency savings.
Our costs increased by 3.2% (£15m) compared to the previous year. Depreciation & impairments £21m Premises & establishment costs £27m Clinical negligence premium £9m and other £5m
General supplies & services £25m
Medicines £41m
Employee costs £292m
Other clinical supplies £63m
Purchase of healthcare £5m
Our investment in new technologies means people can be diagnosed more quickly and monitored more effectively.
More information about our annual accounts is available in our full annual report - available on www.ekhuft.nhs.uk or from the Membership ip Office Tel: 01843 225544 ext 62696 E-mail: foundationtrust@nhs.net
We spent £14m on construction projects, £5m on plant and equipment, and £3m on IT 7
How to join us Over 800 people became a member of our Foundation Trust in 2012/13 - giving a total membership of 17,726 at 31 March 2013. There are many ways to be part of your hospital Trust - as a member, a volunteer, a fund raiser or all of the above! More information is available on our website at www.ekhuft.nhs.uk/supportus or complete the form below and send it to: Membership Office, FREEPOST RSGJ-CLYR-UCKY, Queen Elizabeth The Queen Mother Hospital, St Peters Road, Margate CT9 4AN. (No stamp required).
Become a member
As a member you will be able to share your opinions and ideas and have a voice in the development of hospital services in east Kent.
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We value the involvement of local people as volunteers in activities that enhance the quality of life for our patients, visitors, carers and also support the staff in delivering high quality health care.
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At East Kent Hospitals Charity we would like to know if you are thinking of raising funds for any of our hospitals or in support of the services the Trust provides.
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There are five separate Leagues of Friends' or 'Friends' in east Kent which individually support the five hospitals across the Trust. Each League of Friends is a voluntary organisation and registered charity.
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