OneTeamOneOUH PAST • PRESENT • FU T U R E
THANK YOU Our OneTeamOneOUH response to the COVID-19 pandemic brought together all our people working at Oxford University Hospitals, working closely with colleagues and counterparts from our partner organisations to benefit the patients in our care and the wider populations which we serve. Thank you to everyone who played their part with resilience, innovation and teamwork at this unprecedented time. This response built on the solid foundations of past relationships and partnership working. The strength of these partnerships stands us in good stead for tackling future challenges together in order to achieve our vision of Delivering Compassionate Excellence. This publication showcases the past, present and future of our OneTeamOneOUH based around the three key focuses of our Trust strategy – Our People, Our Patients and Our Populations.
PHOTOS IN THIS PUBLICATION Government guidance on the wearing of Personal Protective Equipment (PPE) and the maintenance of safe social distancing in all healthcare settings was in place during the COVID-19 pandemic, until some of this guidance was relaxed in June 2022. The Trust and its staff complied with this guidance at all times. Therefore any photographs included in this publication which show staff not wearing face masks either pre-date the COVID-19 guidance for all staff to wear facemasks on our hospital sites or were taken in non-clinical areas of the Trust, including outdoor spaces, where it has been possible to enforce safe distancing for the duration of a photo shoot. FRONT COVER IMAGE: Internationally trained nurse Julienne Cabilah entering a side room with equipment to take a patient’s blood samples, photographed by Clinical Photographer, Caroline Green © Oxford Medical Illustration (OMI), Oxford University Hospitals. DESIGN BY: Oxford Medical Illustration (OMI) – June 2022
Contents Welcome Professor Bruno Holthof – Chief Executive Officer, Oxford University Hospitals NHS Foundation Trust
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Our past and present 2015-2022 Key events of the last seven years at OUH
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OUH by numbers We are one of the UK’s largest teaching hospital trusts
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About us
• Our Quality Priorities 2022-23
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CHAPTER 1: Supporting the wellbeing of Our People • Growing Stronger Together – supporting our people as we emerge from the COVID-19 pandemic • Our Engagement Promise – enabling our people to have their say and make their voice heard • Keeping our patients and staff safe • Staff recognition – celebrating the achievements of our teams and how they live our values
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CHAPTER 2: Building a better future for Our Patients
35 37 41 47
• Meet the Trust Board • Our Vision, Values and Strategy
• Getting the basics right – sound financial management and effective use of resources • Improving the environment for patients and the staff who care for them • Leading the way as a Digital Exemplar
CHAPTER 3: Working collaboratively to enhance the wellbeing of Our Populations • Partnership working to improve healthcare • OUH at the heart of Oxfordshire’s research ecosystem • Our Greener OUH – our Green Plan is launched
49 51 59 69
Welcome by Professor Bruno Holthof – Chief Executive Officer, Oxford University Hospitals NHS Foundation Trust As I prepare to step down from my role as Chief Executive Officer after almost seven years, I am delighted to introduce this publication reflecting on some of our collective achievements and looking forward to what I am sure will be a bright future for our OneTeamOneOUH. It has been a privilege to lead Oxford University Hospitals during what has been a momentous period for our NHS both locally and nationally, not least during the COVID-19 pandemic when resilience, innovation and teamwork were all key to our response to a once in a lifetime challenge. OneTeamOneOUH – Past, Present and Future is structured around the 3 key elements of our OUH Strategy which underpins all that we do – Our People, Our Patients and Our Populations. I have been proud to see Our People truly living our Trust values of learning, respect, delivery, excellence, compassion and improvement, and in Chapter 1 of this publication you will find many examples of supporting the wellbeing of all staff working at OUH.
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Our teams across the Trust work as OneTeamOneOUH to deliver our vision of Delivering Compassionate Excellence by striving to continuously improve the quality and experience of care for Our Patients – you can read more about this in Chapter 2. None of this would be possible without the support of, and our partnerships with, a wide range of stakeholders and organisations – it is only by working collaboratively and innovatively with our partners to improve the health and wellbeing of Our Populations that we can make a real difference, as you can read about in Chapter 3. Thank you to everyone who I have had the pleasure of working with during my time leading our OneTeamOneOUH – I look forward to seeing how together you continue to build a brighter future for Our People, Our Patients and Our Populations in Oxfordshire and beyond. Professor Bruno Holthof CEO, Oxford University Hospitals JUNE 2022
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Our past and present 2015-2022 Key events of the last seven years at OUH
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2015: OCTOBER 1
2016: SEPTEMBER 14
2017: NOVEMBER 10
2018: JULY 5
Oxford University Hospitals becomes a Foundation Trust – we are accountable through our members and Council of Governors to our local communities
NIHR Oxford Biomedical Research Centre (BRC), hosted by OUH, is awarded £113.7m for 2017 to 2022 to support translational research – the BRC brings together the research expertise of the University of Oxford and the clinical skills of OUH staff to improve the translation of basic scientific developments into clinical benefits for patients
MP Anneliese Dodds officially opened the new Energy Centre at the John Radcliffe Hospital – a new Energy Link between the Churchill and John Radcliffe hospitals has delivered significant financial and carbon savings
The NHS 70th Birthday was celebrated by staff and patients on all OUH sites, thanks to the generous support of Oxford Hospitals Charity
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2019: MAY 14 Prince Harry visited the Oxford Children’s Hospital in the West Wing on the John Radcliffe site to meet patients, families and staff
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2020:
FEBRUARY 4
The first COVID-19 positive patients were admitted to OUH for treatment as our OneTeamOneOUH response to the pandemic started in earnest
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2021:
JANUARY 4
Brian Pinker, a dialysis patient at the Churchill Hospital, became the first person in the world to receive the new Oxford-AstraZeneca Coronavirus vaccine from Sam Foster, OUH Chief Nursing Officer
2022:
JULY 17
We celebrate the 150th anniversary of the Horton General Hospital in Banbury – a series of events enabling our OneTeamOneOUH to mark this major milestone in style started on June 15 when staff at the Horton were provided with free breakfasts and lunches by the charity Rapid Relief Team UK and our Horton General Hospital Charity team
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Maternity
OUH by numbers 2021-2022 ➍
7,846
Babies delivered
CAMBRIDGE NORTHAMPTON
WARWICK
➊
BEDFORD
Banbury
BUCKINGHA HA A AMSHIRE E
GLOUCESTER HERTFORD
Oxford OXFORD ORDSHIRE
LONDON
BERK ERKSHIRE WILTSHIRE HAMPSHIRE
➌
SURREY
➋
We are one of the UK’s largest teaching hospital trusts.
The Trust employed a whole time equivalent (WTE) average of 12,676 staff Serving Our Populations through: 1. Local care 2. Regional services 4. International world-class research 3. National specialist services and innovations 5
The impact of COVID-19 on our hospitals in 2021/22 compared with 2020/21 Beds occupied by COVID-19 patients (average per day)
Adult Critical Care beds occupied by COVID-19 patients (average per day)
63
9
41
2
Outpatient appointments
Staff absences related to COVID-19 (average per day)
329 229
2021/22
29.3%
Total outpatient appointments
2021/22
Beds in our hospitals
Our patients
1,174,818
2020/21
of all first outpatient appointments were carried out remotely (via telephone or video)
1,043 Adult beds (total number)
Admissions
89,637
88,179
planned (elective) inpatient and daycase admissions
unplanned and emergency admissions
Planned (elective) diagnostic tests
General & acute care
109
Other
204,792
963
Critical care
72,902
Day case procedures
149,103
80
Children
80
Maternity
Emergency Department (A&E) attendances JOHN RADCLIFFE & HORTON GENERAL
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Meet the Trust Board The Trust Board has overall responsibility for the activity, integrity and strategy of OUH – setting the strategic direction, defining objectives and agreeing plans for the Trust. The strength of our Board is rooted in the diversity of our Executive and Non-executive Directors – full profiles are available on our website at: www.ouh.nhs.uk/about/trust-board
Trust Chair and Executive Directors Professor Sir Jonathan Montgomery | Chair Sir Jonathan is Professor of Healthcare Law at University College London and co-Chair of the Moral and Ethical Advisory Group in the Department of Health and Social Care. He was knighted in the 2019 New Year Honours List for Services to Bioethics and Healthcare Law. In 2020 he chaired the Ethics Advisory Board to NHSx on the development of a COVID-19 contact tracing app.
Professor Bruno Holthof | Chief Executive Officer (until 30 June 2022) Bruno was appointed as Chief Executive Officer in October 2015. Before OUH, he was CEO of the Antwerp Hospital Network from January 2004 until September 2015, transforming ZNA into the most profitable hospital group in Belgium, and previously a partner at McKinsey & Company. During this period, he served a wide range of healthcare clients in Europe and the United States. Bruno holds an MBA from Harvard Business School and an MD/PhD from the University of Leuven.
Professor Meghana Pandit | Interim Chief Executive Officer (from 1 July 2022) Meghana was appointed as Chief Medical Officer in September 2018 with responsibility for Clinical Safety and Outcomes, Infection Prevention and Control, Medical Education, and Research and Development. She has been appointed as Interim Chief Executive Officer while the process to appoint a substantive replacement for Professor Bruno Holthof continues.
Jason Dorsett | Chief Finance Officer Jason is a graduate of the University of Oxford, where he completed a doctorate in modern history. His extensive career experience includes three years as the Deputy Finance Director at University College London Hospitals NHS Foundation Trust, and roles within HM Treasury and major audit and professional services companies. He was previously the Director of Finance, Reporting and Risk at the Foundation Trust regulator, Monitor.
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Sam Foster | Chief Nursing Officer Sam’s portfolio includes the professional leadership and education of more than 5,000 nurses, midwives and allied health professionals at OUH. In addition to the Executive leadership of the Trust Facilities and PFI services, she is accountable for Estates and delivery of the Capital programme. Sam has worked in a number of NHS trusts in clinical, operational, and educational roles and leads the Urgent Care programme across the Oxfordshire system.
Sara Randall | Chief Operating Officer Sara was appointed to the substantive role of Chief Operating Officer in June 2019 having previously been Acting Chief Operating Officer and Acting Director of Clinical Services. She was Deputy Director of Clinical Services for Oxford University Hospitals from November 2011, prior to which she was Executive Director of Operations and Performance of the Nuffield Orthopaedic Centre NHS Trust. She originally trained and worked as a nurse before moving into operational management roles.
Terry Roberts | Chief People Officer Terry joined the Trust in February 2020 from The Hillingdon Hospitals NHS Foundation Trust where he was Director of People and Organisational Development. Prior to this role he was Director of Workforce at Kingston Hospital NHS Foundation Trust and Associate Director of HR at Barts Health NHS Trust. He has held a number of other senior HR positions in NHS trusts, as well as spending a year on secondment at the Department of Health as a National HR Advisor.
Dr Anny Sykes | Interim Chief Medical Officer (from 1 July 2022) In June 2022 Dr Anny Sykes was appointed as the interim Chief Medical Officer and Responsible Officer, following the appointment of Professor Meghana Pandit as interim Chief Executive Officer. Anny was previously Deputy Chief Medical Officer and Director of Safety and Effectiveness since 2019 and took up her new interim post from 1 July 2022. She has been a Consultant in Respiratory Medicine at OUH, specialising in lung cancer, since 2013.
David Walliker | Chief Digital and Partnership Officer David is accountable for digital technology, applications and data. He provides leadership for strategy, information and the digital transformation of the Trust and its relationships with external partners, acting as Trust lead on developing integrated partnerships in particular with the Oxfordshire place-based system. David is also the Trust lead on all Freedom of Information matters and is the Senior Information Risk Manager for the Trust.
Eileen Walsh | Chief Assurance Officer Eileen began with the NHS as a graduate management trainee, following a career in postgraduate academic scientific research. She has a range of NHS management experience, predominantly at Director level, encompassing Clinical Governance, Corporate Governance, Risk Management and Assurance. She previously held Director-level roles at University Hospitals Birmingham, Heart of England, and Guy’s and St Thomas’.
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Meet the Board Non-executive Directors Anne Tutt | Non-executive Director and Vice-Chair Anne, who is Vice-Chair of the Trust Board, is a Chartered Accountant with more than 25 years of Board level experience in executive and non-executive roles. She has led successful finance and management teams in organisations ranging from owner-managed companies to large multi-nationals in sectors including manufacturing and banking. In addition to her role at OUH, Anne is a Trustee and Chair of the Audit Committee of Oxford Hospitals Charity.
Claire Flint | Non-executive Director Claire has a portfolio career consisting of a number of non-executive roles. She is a Non-executive Director and Remuneration Committee Chair at AWE. She is the Senior Independent Director at National Nuclear Laboratory and chairs their Remuneration Committee. Claire was previously Group Human Resources and Brand Director at Oxford Instruments plc, and prior to this she held a number of senior HR roles including with Diageo, Bass and NatWest.
Paula Hay-Plumb | Non-executive Director Paula is an experienced Board director who has worked across the public and private sectors. Her executive career included serving as Chief Executive of the National Regeneration Agency, English Partnerships, and Corporate Finance and Group Reporting Director at Marks and Spencer plc. Paula’s current non-executive portfolio includes the Crown Estate and Michelmersh Brick Holdings plc. She is also a Trustee of both Calthorpe Estates and the Mineworkers’ Pension Scheme.
Sarah Hordern | Non-executive Director Sarah has extensive Board experience in plc, private and mutual entities focusing on operational property management and real estate development. Her current portfolio combines a mix of non-executive, consulting and executive roles. Her advisory business supports landowners to deliver long term value by creating visionary places which enhance their operating activities. Sarah is a Chartered Accountant and was Joint Chief Executive and Finance Director at Newbury Racecourse plc for 15 years.
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Katie Kapernaros | Non-executive Director Katie is an experienced IT professional who has spent 30 years in the industry, managing large teams across the world. She holds non-executive roles at the Property Ombudsman, the Pensions Regulator and Manx Care, sitting on various committees, and she is a Fellow of the British Computer Society. Katie has been a charity Trustee and is heavily involved in sport, both participating and volunteering.
Professor Gavin Screaton | Non-executive Director Gavin is Professor of Medicine and Head of the Medical Sciences Division, University of Oxford. He received his first degree from Cambridge in 1984 before moving to Oxford to complete his medical studies in 1987. He then completed training in general internal medicine and obtained a DPhil from Oxford University in 1998. In 2004, Gavin was appointed to the Chair of Medicine at Hammersmith Hospital, Imperial College and became Dean of the Faculty of Medicine in 2015. He returned to Oxford as Head of the Medical Sciences Division in October 2017.
Professor Anthony Schapira | Non-executive Director Professor Schapira was appointed as a Consultant Neurologist at the Royal Free Hospital and the National Hospital for Neurology and Neurosurgery, Queen Square in 1988, and to the University Chair of Clinical Neurosciences at the University College London (UCL) Institute of Neurology in 1990. He is Vice Dean of UCL Medical School and director of the UCL Royal Free campus. His research interests focus on neurodegenerative disease, particularly Parkinson’s and other movement disorders.
Ashok Soni | Non-executive Director Ash studied pharmacy at Portsmouth School of Pharmacy and, after graduating in 1983, he began his pharmacy career in Central London and opened the first of his three pharmacies in 1986. In early 2004, he was one of the first pharmacists to qualify as a supplementary prescriber and he qualified as an independent prescriber in June 2007. Ash has been Chair of the National Pharmacy Association’s Board, is a past President, Assembly and English Pharmacy Board Member of the Royal Pharmaceutical Society, and is currently a Vice President of the International Pharmacy Federation.
Joy Warmington | Non-executive Director Joy is the CEO of brap, a national equalities and human rights charity. Her area of expertise is leadership and organisational development and she applies this lens to the work that brap does with organisations, boards and leadership teams. Joy is a member of the NHS Leadership Faculty and currently delivers a range of inclusive leadership programmes, including the Stepping Up leadership development programme for aspiring Black, Asian and Minority Ethnic (BAME) colleagues in the health sector. She is also a Visiting Professor at Middlesex University.
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health and care STRATEGIC THEMES
To support us to achieve our objectives, we are focusing on five themes
VALUES
l
Close to Home:
We will support patients to manage their own health and will work together with partners to deliver joined up services, close to home
Our Vision, Values ⎜ ⎜ ⎜ ⎜ and ⎜Strategy Our values are: l
Digital by Default:
We will be digital by default, scaling up digital outpatient appointments, virtual clinics and digital ways of working
l
OneTeamOneOUH:
We will be #OneTeamOneOUH, working together to create an inclusive culture and make OUH a great place to work for all
Learning Respect Delivery Excellence Compassion Improvement
VISION Getting the Basics Right: VISION
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We will get the basics right across our key enablers such as our estates, governance and key processes to support all our teams.
Our vision is: World-Class Impact:
We will celebrate and strengthen our unique world-class research, education and innovation so that we can continue our global impact in improving Delivering Compassionate Excellence for our People, our Patients and our Populations. health and care
l
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VALUES Our values are: Learning ⎜ Respect ⎜ Delivery ⎜ Excellence ⎜ Compassion ⎜ Improvement
VISION STRATEGY Our vision is:
Our Board approved a new Strategy in March 2020. Compassionate Excellence ourpatients People, and our Patients and our Populations. ItDelivering was developed and co-designed withfor staff, health and social care partners.
Our Strategy
This was revisited and refreshed in the light of the COVID-19 pandemic and launched with staff in August 2020.
2020-2025
5
Our Strategy 2020-2025 is available on our website at www.ouh.nhs.uk/about/strategy
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OUH STRATEGY 2020-25 ⎜STRATEGIC FRAMEWORK
#OneTeamOneOUH
Strategic Objectives OUR OBJECTIVES Across everything we do at OUH, we focus on the following three strategic objectives: We will make OUH a great place to work by delivering the best staff experience and wellbeing for all Our People, supported by a sustainable workforce model and a compassionate culture We will improve the access, quality and experience of care for all Our Patients We will work with partners to improve the health and wellbeing of Our Populations, working collaboratively to deliver integrated and sustainable services
Strategic Themes STRATEGIC THEMES To support us to achieve our objectives we are focusing on these five themes: To support us to achieve our objectives, we are focusing on five themes l
l
l
Close to Home: Wesupport will support patients to manage their own health andBasics will work together Close to Home: we will patients Getting the Right: we will get the with partners to work deliver joined up services,basics close to home to manage their own health and will right across our key enablers such as Digitaltogether by Default: be digital outpatient appointments, with partnersWe to will deliver joinedbyupdefault, scaling up digital estates, governance and key processes to virtual clinics and digital ways of working services, close to home. support all our teams. OneTeamOneOUH:
We will be #OneTeamOneOUH, working together to create an inclusive culture
Digital by Default: we will be digital World-Class Impact: we will celebrate and and make OUH a great place to work for all bythe default, scaling up digital outpatient our world-class research, l Getting Basics Right: We will get the basics right across our key strengthen enablers such asunique our estates, appointments, virtual clinics and digital of to support all education and innovation so that we can governance and keyways processes our teams. l World-Class working. continue our global impact in improving heath Impact: We will celebrate and strengthen our unique world-class research, education and innovation so that we can continue our global and care.impact in improving OneTeamOneOUH: we will be health and care #OneTeamOneOUH, working together to create an inclusive culture and make OUH a great place to work for all. VALUES
Our values are:
⎜
⎜
Learning Respect Delivery • PRESENT • FUTURE PAST ⎜ OneTeamOneOUH
⎜ Excellence ⎜ Compassion ⎜ Improvement
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Our Quality Priorities 2022-23 Our Quality Strategy: aims to deliver high quality healthcare based on national and international comparisons and to improve our performance in three key domains:
Patient Safety Clinical Effectiveness Patient Experience
Our vision for quality is:
Patient Safety Triangulation of complaints, claims, incidents and inquests All complaints, legal claims and inquests that have been identified as entailing the highest risk will be reviewed to identify learning to their history to reduce the possibility of recurrence. Reducing pressure ulcers Harms associated with pressure damage can have a lasting effect on patients and their carers.
To be recognised as one of the UK’s highest quality healthcare providers. All our clinical services will provide high quality healthcare; some will provide care that is internationally outstanding.
Insulin safety Insulin errors remain widespread around the country.
Each year we work with our patients, staff and key external stakeholders and partners to develop Quality Priorities – in 2022-23 these are as follows:
Reduce opioid use To ensure safe monitoring of patients and adequate, but not excessive, discharge prescribing.
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Clinical Effectiveness
Patient Experience
Results endorsement Ensuring that the results of requested investigations are seen and acted upon is important to avoid serious findings being missed and patients coming to harm.
Reduce incidents of violence and aggression Improve staff support for those who have been subject to these incidents.
Introduce and embed use of a surgical Morbidity Dashboard To identify and understand any areas with higher rates of readmissions and returns to theatre across the Trust. Embed QI methodology more widely in the Trust To embed the culture of improvement by providing a platform for further training, support, mentorship, and system change.
PAST • PRESENT • FUTURE
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Transition of children to adult services To provide a framework by which the Trust can ensure that children and young people receive a quality service when transitioning from child-centred services to services for adults. Staff health and wellbeing: Growing Stronger Together To look after the wellbeing of our people and teams and enable their recovery following the COVID-19 pandemic and transition into a ‘new normal’.
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Portering colleagues Ben Hallam and Chad Newman at Horton General Hospital
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CHAPTER 1
Supporting the wellbeing of
Our People
PAST • PRESENT • FUTURE
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Growing Stronger Together Supporting our people as we emerge from the COVID-19 pandemic
Our award-winning staff wellbeing programme Launched in February 2021, our Growing Together – Rest, Reflect, Recover programme is designed to look after the mental health and wellbeing of staff and enable their recovery following the COVID-19 pandemic as we transition into a ‘new normal’. Growing Stronger Together includes an online guide to health and wellbeing, wellbeing check-ins for all staff with line managers, a specialist staff psychological medicine service, a network of wellbeing champions in teams, and strong partnership working with Oxford Hospitals Charity. We were recognised for efforts to support staff wellbeing throughout the pandemic by winning the ‘Most Promising Organisational Development & People’ category at Skills for Health’s Our Health Heroes Awards in March 2022.
OUH and Oxford Hospitals Charity staff pictured at the Our Health Heroes Awards 2022
GROWING STRONGER TOGETHER Rest
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Reflect
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Recover
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Enabling our people to reflect on the impact of COVID-19
‘Wellbeing MOTs’ prove popular with our people
Thanks to funding from Oxford Hospitals Charity, we invited our people to share their reflections about the impact of COVID-19 on their personal and professional lives in Stories from the COVID-19 Pandemic – an eBook which was published in April 2021.
As part of the Growing Stronger Together programme to support our staff, Health Needs Assessment kiosks enable our people to get a ‘wellbeing MOT’.
We also invited staff to contribute photographs which they had taken in their areas for inclusion in Beyond Words – a book of images which was published in January 2022. More than 3,500 staff requested to receive a copy of the Beyond Words book as a gift to say a heartfelt thank you for being part of our OneTeamOneOUH response to the pandemic. Both projects were part of the Growing Stronger Together programme as we support our staff to reflect on their experiences during what has been an unprecedented time for everyone working in the NHS.
PAST • PRESENT • FUTURE
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They proved popular with more than 800 staff using the kiosks at the Churchill and John Radcliffe hospitals in the first month after they were installed in March 2022. The kiosks allow staff to measure their weight, body mass index (BMI), body fat content, heart rate and blood pressure. This staff health and wellbeing initiative was made possible by funding from the Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (BOB ICS). • TOP LEFT: Beyond Words was published in January 2022 • TOP RIGHT: OUH Chief People Officer Terry Roberts tries out a Health Needs Assessment Kiosk at the John Radcliffe Hospital
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Your wellbeing matters… Our Guide to Health and Wellbeing the Trust website has a wide Supporting the mental on health and range of resources divided into the wellbeing needs of oursix OneTeamOneOUH dimensions of wellbeing so that you can find support that is Thanks to a successful bid for funding by Oxford relevant to you.
Hospitals Charity to NHS Charities Together, we have been able to establish a dedicated Staff Psychological at: Medicine Service in recognition of the impact of www.ouh.nhs.uk/staffwellbeing the COVID-19 pandemic on the mental health and psychological wellbeing of our people. This initiative builds on the work of our Psychological Medicine team – and Wellbeing Champions in teams – since the start of the pandemic.
ABOVE: Terry Roberts (OUH Chief People Officer) and Douglas Graham (Oxford Hospitals Charity CEO), both in the background, with May Quarmby and Simon Prangnell from our Psychological Medicine team
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Your wellbeing matters £
Online health and wellbeing resources for our people Providing easily accessible and comprehensive health and wellbeing information for our people is a key element of the Growing Stronger Together programme. This year a new BOB ICS Staff Health & Wellbeing Hub has gone live and the OUH Guide to Health and Wellbeing, which was launched in the early days of the COVID-19 pandemic, has been updated and relaunched – both online resources are available to all staff working at OUH.
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Oxford Hospitals Charity by our side to support our staff Oxford Hospitals Charity plays a key role in supporting OUH staff and patients, not least during the COVID-19 pandemic when the Charity co-ordinated offers of support from our local community, set up Charity Support Hubs on our hospital sites to provide meals, refreshments and care packs donated for our staff, and funded a range of projects and initiatives to enhance staff wellbeing.
TOP LEFT:
S am Foster (OUH Chief Nursing Officer) and Douglas Graham (Oxford Hospitals Charity CEO) TOP RIGHT: Trust and Charity staff in the Charity Support Hub at the Horton General Hospital RIGHT: Oxford Hospitals Charity’s Music on Wards programme went virtual during the pandemic, giving patients like Raymond Sale the chance of a chat and live personal concert – photograph submitted by Sarah Saunders, Nurse Specialist and Wellbeing Lead
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Our Engagement Promise Enabling our people to have their say and make their voice heard Listening, learning and responding to our people
Encouraging as many staff as possible to have their say and make their voice heard by taking part in the annual NHS Staff Survey is important because it allows us to hear what is working well for our people and what could be even better, so that sfully increased our Staffwe Survey together canresponse make OUH a great place to work.
20% in the last 5 years: 38.8% 48.1% 48.2% 53.1% 57%
We have successfully increased our Staff Survey response rate by almost 20% in the last 5 years:
Following the publication of the NHS Staff Survey 2021 results in March 2022: t a Trustwide level we are maintaining and • A developing our focus on four key areas – staff health and wellbeing; equality, diversity and inclusion; bullying and harassment; violence and aggression. • L ocal teams are running Time to Talk sessions with their people (during existing team meetings or huddles or other forums) to discuss their survey results, agree better and more effective ways of working, and co-create action plans. e have launched Our Engagement Promise so • W that our staff can be part of the change they want to see and feel, focusing on different aspects of staff experience each month to ensure that our people can access a range of online events and activities, attend learning sessions, and share ways of working, resources and support.
2017
38.8%
2019
48.2% 2018
48.1% 21
2021
57% 2020
53.1%
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Developing a culture in which staff feel able to speak up The Trust Board’s Freedom to Speak Up vision for OUH is to ‘promote and ultimately create an open and transparent culture in which every member of staff can and should speak up safely, action is taken so the concern is resolved, and our patients ultimately benefit’.
A report on the key findings was received and endorsed by the Trust Board in November 2021 and recommended improvements are now being implemented with the Board’s support.
Hundreds of staff had their say and made their voice heard by participating in the OUH Freedom to Speak Up Review in Summer 2021, taking part in online listening events, focus groups and a Trustwide survey to say what would most effectively enable them to speak up about a concern. The review also took account of relevant national guidance and research, and reviewed good practice at other trusts.
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CLOCKWISE FROM LEFT • Staff help to promote our ‘Freedom to Speak Up’ vision • To raise awareness of Freedom to Speak Up (FtSU) during Speak Up Month in October 2021, Eileen Walsh (Executive Director FtSU lead) and Claire Flint (Non-Executive Director FtSU lead) recorded video messages remotely, which were shared with staff via internal communications channels and social media
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Staff networks – key to our OneTeamOneOUH
OUH Women’s Network invites you to join LIVE VIRTUAL MEETINGS The Women’s Network offers a safe and open forum to share your experiences and create opportunities for development and collaboration.
12.30pm to 1.30pm on MS Teams l l
FRIDAY 27 MAY FRIDAY 29 JULY
please email WomensNetwork@ouh.nhs.uk for details and calendar invites.
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Staff networks are groups which enable members of staff to come together to drive positive change within the workplace. They play a fundamental role in helping shape and deliver the equality, diversity, and inclusion agenda at OUH by giving a voice to staff from under-represented groups and providing safe, supportive spaces for our people. Our staff networks all have key Executive Directors as their sponsors: • Black, Asian and Minority Ethnic (BAME) Network SPONSOR: Sam Foster (Chief Nursing Officer) • Disability and Accessibility Network SPONSOR: Eileen Walsh (Chief Assurance Officer) • LGBT+ Network Jason Dorsett (Chief Finance Officer) • Women’s Network SPONSOR: Professor Meghana Pandit (Interim Chief Executive Officer) • Young Apprentices Network SPONSOR: Sara Randall (Chief Operating Officer)
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INTRODUCING
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☺
Email: OUHStaffText@ouh.nhs.uk to find out more.
Improving internal communications in response to staff feedback Timely, transparent and tailored communications with our people has been central to our OneTeamOneOUH response to the COVID-19 pandemic – and we have regularly reviewed and updated our approach in response to staff feedback: • OUHStaffText is a new initiative providing OUH updates via SMS message. More than 3,000 staff have signed up to receive alerts. virtual Staff Briefings led by the • Monthly Executive team are open to all staff, with questions answered during and after the sessions. • Our COVID-19 Staff FAQs on the Trust website have been a ‘one stop shop’ for the key information which staff have required throughout the pandemic. • Our Covidquestions email inbox has been widely used by staff throughout the pandemic, with requests for information and clarification responded to or referred for a response by the appropriate subject matter expert in the Trust as quickly as possible.
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
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We regularly review and update our approach to staff communications in response to feedback – more than 1,500 staff took part in our latest annual Internal Communications Survey in May 2022:
73%
confirmed that Safety Huddles (or similar) were held in their area of the Trust
75%
agreed that Trustwide internal communications kept them up-to-date with what is happening across OUH
81%
said that information was cascaded to them locally within their teams
24
Keeping our patients and staff safe National patient safety award recognises commitment to improvement OUH won the Changing Culture Award category at the Health Service Journal (HSJ) Patient Safety Awards in September 2021 in recognition of the Trust’s Quality Improvement (QI) Hub. Our QI Hub brings together examples of improvement across the organisation to provide a single platform to celebrate and learn from in order to establish a culture in which our staff feel supported to improve patient and staff experience.
We need to make sure we know who you are!
et we’v e m I kn ow l times, se ve ra yo u to ed bu t I ne name an d yo ur te ll me bi rt h pl e as e. da te of
For your safety, we will always ask you to tell us your name and date of birth before we examine or treat you.
No pr ob lem m y name , is…
Even if you think we know you well, we must ALWAYS ask you to tell us your name and date of birth.
RIGHT PATIENT EVERY TIME: Keeping patient safety at the heart of what we do.
Safety first – Positive Patient Identification (PPI) Our Positive Patient Identification (PPID) campaign – ‘We need to know who you are’ – highlights to patients what to expect when they attend an appointment and to inform them what our staff are doing to put their safety first. Staff must always ask patients to confirm their name and date and date of birth before commencing any examinations or treatments. Their response should be cross checked against their wristband, if they are required to wear one, or against their notes if they are not.
Jo Bunyan (Improvement team), Dr Anny Sykes (Director of Safety & Clinical Effectiveness), Professor Meghana Pandit (Chief Medical Officer) and Dr Sahana Rao (Consultant Paediatrician & QI Hub founder)
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PPID remains a key priority for the Trust.
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
SEVEN KEY STEPS
TO PREVENTING HEALTHCARE ACQUIRED INFECTIONS DURING COVID-19
1
4
Environment
• Clean high touchpoints three times a day • Open windows • Optimise bed spacing between patients
Screening • MRSA • Check results and take action • CPE • Prompt recognition of C.diff • COVID-19
2
5
Lines, tubes and devices • Aseptic Non-Touch Technique for line insertion, urinary catheters and taking blood • Document ongoing care of inserted lines and remove as soon as possible • Scrub the hub before use
PPE
• No double gloving • Reduce sessional gown use if staffing ratios allow
• Don’t start an antimicrobial unless there is clear evidence of infection • Think SEPSIS and start within one hour of diagnosis
• Hand hygiene • Encourage patients to wear face masks unless exempt
3
6
Antimicrobial stewardship
• Short-sleeved gowns can be worn sessionally with an apron on top (change between patients and staff) in AGP areas
• Comply with Trust prescribing guidance • Focus on reducing Ceftriaxone and Ciprofloxacin prescribing, especially in ambulatory services and acute surgery
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Staffing
Hospital and ventilator associated pneumonia prevention
• Optimise patient to nurse ratio as soon as reasonable • Maintain two metre social distance especially during break times and handovers • Don’t let down your guard
• Review Ventilator-Associated Prevention care bundles • Provide mouthcare and brush all patients teeth twice a day
Preventing healthcare associated infections – our Seven Step Plan Our Infection Prevention & Control team have been integral to keeping our patients and our staff safe throughout the COVID-19 pandemic and they have also played a key role in leading our drive to prevent other infections. In March 2021 we launched our ‘7 key steps’ checklist for preventing healthcare associated infections in our hospitals and during 2021/22 our numbers of MRSA cases were halved and we also reduced cases of Clostridium difficile, despite an increase in cases nationally.
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
MRSA Bacteraemia infection cases 10
8
5
0
120
4
2020/21
Clostridium Difficile infection cases
2021/22
114
110
100
107
2020/21
2021/22
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Staff testing programme led the way OUH pioneered COVID-19 staff testing programmes from the earliest days of the pandemic which not only kept staff safe – and enabled them to protect patients – but also played a key role in developing the understanding of different levels of risk faced by healthcare workers. This meant the Trust could develop and adapt its approach to keep our staff as safe as possible. The first research study findings, published in collaboration with the University of Oxford in June 2020, combined data from both symptomatic and asymptomatic staff testing programmes – the Trust implemented an infection prevention and control plan based on the findings.
Safety Huddles enhance patient and staff safety Safety Huddles are short multi-professional briefings, held at a regular time and place in both clinical and non-clinical areas, focusing on patient and staff safety. They improve teamwork through communication and co-operative problem-sharing, enable a shared understanding of the focus and priorities for the day, and improve awareness of any patient and staff safety concerns. Sam Foster, Chief Nursing Officer and Professor Meghana Pandit, Chief Medical Officer made a video outlining how Safety Huddles work.
• TOP LEFT: Drive through rapid COVID-19 testing outside Occupational Health at the John Radcliffe Hospital • TOP RIGHT: Daily team huddles
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OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
eht ot semoc ti nehW fo gniebllew dna ytefas tpecca ew ,ffats SH N When it comes to the safety and wellbeing of NHS SESU C E O N staff, we accept
X
NO E XC USES
ruoivaheb tneloiv ro evisuba rof ffats ruo sdrawot R U O I VA H E B T N E L O I V ro E V I S U B A N O I T U C E S O R P N I TL U S E R D L U O C
for abusive or violent behaviour ABUSIVE or VIOLENT BEHAVIOUR towards our staff COULD RESULT IN PROSECUTION
No Excuses campaign launched When it comes to the to protect our people
Supply Chain team recognised for providing PPE to keep staff safe
We launched the No Excuses campaign in January accept NHS staff, we 2022 to urge everyone using local health and care services to treat staff with kindness and respect after NO E C USES for abusive or violent behaviour reported incidents around violence and aggression in our hospitals more than doubled from November 2020 to November 2021.
Our Supply Chain team won the Award for Delivery (team) at the OUH Staff Recognition Awards ceremony in June 2022. This recognised the key role which they have played throughout the COVID-19 pandemic in the provision of Personal Protective Equipment (PPE) for our people.
Sam Foster, Chief Nursing Officer at OUH, said: “Abuse takes many forms – it doesn’t have to be physical violence. Verbal abuse and aggression can be just as damaging, and can take a huge toll on someone’s wellbeing.”
They dedicated themselves to ensuring that no patient, visitor, or member of staff member or department went without the PPE that they needed to keep themselves safe.
safety and wellbeing of
X
ABUSIVE or VIOLENT BEHAVIOUR towards our staff COULD RESULT IN PROSECUTION
The No Excuses campaign is running alongside a pilot of body cameras for frontline clinical staff, initially in the Emergency Department (A&E) at the John Radcliffe Hospital before being extended to the Horton General.
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
OUH Supply Chain team members celebrate their success at our Staff Recognition Awards with Sarah Hordern (Non-executive Director – pictured far right)
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Thank you to our COVID-19 vaccination team When our COVID Vaccination Centre on the Churchill Hospital site finally closed its doors in February 2022, our vaccination team had administered almost 60,000 first, second and booster vaccines since it opened on 8 December 2020 as one of the first 50 hospital hubs in the UK. Sam Foster, Chief Nursing Officer at OUH, said: “We are very proud of the special role that the Churchill Hospital has played in vaccinating and keeping as many of our staff and patients, as well as members of the community, as safe as possible.
• TOP LEFT: Members of the OUH COVID-19 vaccination team pictured as they celebrated a year of jabbing in December 2021 • TOP RIGHT: David Walliker, Chief Digital and Partnership Officer, pictured at the Vaccination Centre • ABOVE: Team brief on the morning of the final day of administering the vaccine
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“The vaccination team has helped save thousands of lives so thank you to all the staff who have been involved in this immense effort. From clinical to digital staff, and from estates to pharmacy colleagues, so many have played their part – it has been a true OneTeamOneOUH effort.”
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Staff recognition Celebrating the achievements of our teams and how they live our values Almost 1,400 nominations were received for our Staff Recognition Awards in December 2021. The winners in each category were revealed at the Staff Recognition Awards ceremony held at Oxford Town Hall on 9 June 2022. Individual members of staff and teams who were finalists, and those who nominated them, gathered together to celebrate the fantastic work of our OneTeamOneOUH and to find out who had won a series of awards based on our Trust Values. The awards ceremony followed an extremely challenging two years for the Trust, in which the need for the NHS to thank, reward and acknowledge the contribution of staff has been a particular focus. Thank you to Oxford Hospitals Charity whose generous support made the event possible.
Awards 2021
ABOVE: Oxford University Hospitals staff congratulate another winner at the Staff Recognition Awards
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
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Our internal staff recognition schemes Recognising the excellence of staff, and celebrating our successes as OneTeamOneOUH, has never been more important than during the COVID-19 pandemic.
Reporting Excellence Incident reporting has been a way of learning from errors in the NHS for many years – our Reporting Excellence initiative is a way of learning from positive experiences, from the many moments of excellent care and service which happen every day. For example, OUH Chief Medical Officer, Professor Meghana Pandit, presented a Reporting Excellence award to Sharon Bowerman, an Outpatients Administrator at the John Radcliffe Hospital, to recognise her hard work and dedication.
We have a number of internal staff recognition schemes at OUH which create a culture of thanking individuals and teams for going the extra mile. Chief Medical Officer, Professor Meghana Pandit presents Sharon Bowerman with her Reporting Excellence award
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OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
DAISY Awards
OxSCA Awards
Our DAISY Awards for registered nurses and midwives enable patients, their families, and staff to nominate a nurse or midwife who has made a real difference through outstanding clinical care.
The OxSCAs is our bespoke clinical accreditation scheme – more than 50 accreditation visits have been undertaken to date and there is always a buzz when our OxSCAs (Gold, Silver and Bronze) are presented in person. For example, in June 2022 the SSIP (Specialist Surgery Inpatient Ward) team received their Silver award and the Tom’s Ward in our Children’s Hospital were presented with a Gold award.
For example, OUH Chief Nursing Officer, Sam Foster, presented a DAISY Award to Lucy Wood, the leader of our Haemophilia team at the Churchill Hospital, who was nominated in recognition of the “outstanding work she does, always going above and beyond for her team and her patients”.
• TOP LEFT: Nurse Lucy Wood with her DAISY Award • TOP RIGHT: Proud staff on Tom’s Ward in our Children’s Hospital receive their Gold OxSCA award • RIGHT: Flo Stoermer, a Divisional Director of Nursing, presents a Silver OxCSA award to the SSIP (Specialist Survey Inpatient Ward) team
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
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Celebrating the NHS Birthday The NHS Birthday on 5 July each year is an opportunity for us to celebrate the foundation of the National Health Service in 1948 and to thank our OneTeamOneOUH staff for all that they do. On 5 July 2021, Trust Board members visited our four main hospital sites in Oxford and Banbury – also staff based at OUH Cowley – to distribute cakes to staff, thanks to funding from Oxford Hospitals Charity.
Recognising staff working ‘behind the frontline’ The first National Healthcare Estates and Facilities Day on 15 June 2022 was a chance to share our thanks to this group of staff working across OUH. From cleaning to catering, porters to plumbers, linen team to electricians, stores team to estates, engineers, gardeners, post room, project managers – and so many more – there is an army of skilled and vital workers who keep our hospitals up and running day in, day out. The Oxford Hospitals Charity team provided cupcakes, fruit hampers and boxes with teas and coffee for estates and facilities staff on each hospital site.
• TOP LEFT: Chief Medical Officer, Professor Meghana Pandit and Non-executive Director, Paula Hay-Plumb with ward staff on the NHS Birthday 2021 • TOP RIGHT: Michael Nyahoda from our Operational Estates team on National Healthcare Estates and Facilities Day 2022 • TOP RIGHT: Chief Operating Officer, Sara Randall distributes cakes to staff on F Ward at the Horton General Hospital on the NHS Birthday 2021
33
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
eht ot semoc ti nehW fo gniebllew dna ytefas tpecca ew ,ffats SHN
S E S U CX E O N
ruoivaheb tneloiv ro evisuba rof ffats ruo sdrawot R U O I VA H E B T N E L O I V ro E V I S U B A N O I T U C E S O R P N I TL U S E R D L U O C
Nursing, Midwifery & Allied Health Professionals Strategy launched on International Day When it Nurses comes to the2021 safety and wellbeing of
Our Chief Nursing Officer Sam Foster said: we“Today acceptI NHS staff, am delighted to share our five-year strategy, which has you at the heart of newNO models ensuring that Eof care, C USES OUH is a great place toforwork and alwaysbehaviour delivering abusive or violent compassionate care to all our patients.”
X
ABUSIVE or VIOLENT BEHAVIOUR towards our staff COULD RESULT IN PROSECUTION
On International Nurses Day in 2022 we held a special International Nurses and Midwives conference which nurses and midwives were invited to attend either face-to-face or online. This included an opportunity to update on implementation, development and delivery of our new Nursing, Midwifery & Allied Health Professionals Strategy 2021-26 following its launch on the same date 12 months previously. Our Strategy for Nurses, Midwives and Allied Health Professionals 2021-2026 is available on our website at: www.ouh.nhs.uk/working-for-us/sectors/nursing-midwifery
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
Our Strategy for Nurses, Midwives and Allied Health Professionals
2021-2026
Setting our Vision and Objectives
• TOP LEFT: Chief Nursing Officer, Sam Foster and her team recorded a short video message to launch our new Nursing, Midwifery & Allied Health Professionals Strategy 2021-2026 on International Nurses Day, in May 2021 • TOP RIGHT: Trust Chair, Professor Sir Jonathan Montgomery and Chief Nursing Officer, Sam Foster with colleagues at the International Nurses and Midwives conference in May 2022
34
CHAPTER 2
Building a better future for
Our Patients
35
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Staff Nurse Carel Miguel supports OUH patient David Morton
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
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Getting the basics right Sound financial management and effective use of resources Managing our financial resources efficiently Sound financial management and use of resources underpins our financial stability, which in turn means that we can invest in new buildings and equipment to improve the experience of our patients and the staff who care for them in our hospitals. In December 2021, NHS Improvement lifted ‘Enforcement Undertakings’ relating to the Trust’s finances which had been in place since June 2018.
37
WE DELIVERED
WE DELIVERED
a surplus of £3m in both 2020-21 and 2021-22
a cumulative surplus of
£30.5m from 2015-2022
WE PERFORMED
WE PLAN
Our financial performance is in the second quartile of acute trusts in England
The Trust Board has approved a financial plan to achieve a small £1.28m surplus in 2022-23
(on a control total basis)
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Maximising elective activity and making our operating theatres more productive Meeting the challenge of elective recovery During the COVID-19 pandemic, in common with NHS colleagues across the country, at times we had to postpone routine, planned (elective) inpatient and day case surgery to prioritise urgent surgery including cancer, and urgent and emergency care pathways. Maximising elective activity overall and reducing the number of patients on waiting lists for extended periods of time was a key focus for us in 2021-22 and we made significant progress:
We increased elective inpatient activity by
89,637
4,934
68,395
31.1%
971 2020/21 2021/22
We increased elective outpatient activity by
1,174,818 1,007,971
Mar 2021
101
26
16.6% 2020/21 2021/22
PAST • PRESENT • FUTURE
Mar 2022
⎜ OneTeamOneOUH
Oct 2021
Mar 2022
We reduced the number of patients waiting over 52 weeks by
80.3%
In the last six months of 2021-22 we reduced the number of patients waiting over 104 weeks by
74.2%
38
Improving our theatre utilisation and productivity Key to meeting the challenge of elective recovery is the work we’ve done to improve our theatre utilisation and productivity – from c.65% in 2019 to c.87% in 2022. Professor Meghana Pandit, our Chief Medical Officer, and Dr Hannah Iqbal, Director of Strategy & Partnerships, co-authored a blog published by the Shelford Group – the organisation which represents the biggest NHS teaching hospital trusts like OUH – explaining how we have done this: Dedicated clinical leadership – we appointed • three new Clinical Directors for theatres and set up a cross-divisional theatre productivity steering group, chaired by the Chief Medical Officer Culture of Quality Improvement (QI) – set up • before the pandemic, our cross-divisional Theatre Productivity QI Programme empowers clinical teams to propose and pilot changes to improve productivity, predominately focusing on processes, policies, and workforce • Improved results – for example, improvements in pre-operative processes have reduced on the day cancellations to just 3.7% at the Nuffield Orthopaedic Centre
39
Use of cutting-edge technology – we were the • first NHS trust to purchase a comprehensive robotic navigation platform for spinal surgery at the John Radcliffe Hospital, and we have also purchased a further two surgical robots for the Cancer & Haematology Centre at the Churchill Hospital because robotic surgery improves patient outcomes and decreases the length of time which patients spend in hospital after their operation Going digital – in March 2022 digital pre-operative • assessment, theatres scheduling and documentation was launched at the Nuffield Orthopaedic Centre and is being rolled out in our other hospitals
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Strategic partnership with Oxford Health to improve patient care OUH Chief Executive Officer, Professor Bruno Holthof and his counterpart at Oxford Health NHS Foundation Trust, Dr Nick Broughton, signed a Memorandum of Understanding on 27 May 2022 to formalise an agreement between the two trusts which will enable more joined-up care, make patients feel that they are being cared for by one NHS team, and provide better value for money. The closer working will focus initially on urgent care in the home and community to: • Ensure people get access to urgent care and support when they need it • Enable patients to receive more care at home or in their local community, avoiding unnecessary travel and hospital admissions • Enhance the co-ordination of support for people living with long-term conditions including benefiting from innovative care and digital technology • Improve the personalisation and responsiveness of palliative and end of life care Dr Broughton said: “This helps strengthen the closer working relationship between our two organisations. It is good news for our patients and our staff.
“It means we’ll be working as ‘one team’, breaking down organisational barriers in order to provide seamless care. We’re already seeing the benefits of this closer co-operation. Our community and hospital teams are working hard together to enable frail elderly patients to safely stay at home instead of going into hospital and helping get them home quicker when they’re being discharged from hospital.” Professor Holthof added: “One of the next steps for the collaboration will be the further development of ‘virtual wards’, allowing patients to get the care they need at home safely and conveniently without going into hospital at all. Remote monitoring and consultations with specialist hospital clinicians will be combined with face-to-face community care to provide a complete package of care at home.”
TOP RIGHT: Professor Bruno Holthof and Dr Nick Broughton
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⎜ OneTeamOneOUH
40
Improving the environment for patients and the staff who care for them
LEFT: Chief Executive Officer, Professor Bruno Holthof visits the new Critical Care Building June RIGHT: Professor Sir Jonathan Montgomery, Trust Chair with staff in the new Critical Care Building
New Critical Care Building opens Patients needing critical care support moved into the new Critical Care Building at the John Radcliffe Hospital in April 2022. The £29m building is supported by Department of Health and Social Care financing and is part of a regional approach for managing critical care demand and activity through the COVID-19 pandemic, as well as supporting and alleviating future seasonal pressures.
41
The new Critical Care Building provides: • An improved clinical care environment for both patients and staff • Increased critical care capacity for both the Trust and the South East • Shorter pre-operative waits • Improved infection prevention and control
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Expanding and improving our Emergency Departments in Oxford and Banbury Works to improve the Emergency Departments at both the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury were completed in February 2021, having continued throughout the COVID-19 pandemic to ensure these new facilities are available for our patients. The newly refurbished Majors area at the John Radcliffe Hospital, where patients who are seriously ill but not in a life-threatening condition are treated, includes five upgraded assessment bays and a new assessment room.
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
The Majors area at the Horton General Hospital has been expanded with separate areas for adults and children. Four additional patient cubicles have also been added, including a dedicated infection control bay.
Michelle Winifrith and Grace Lowo-Obisesan in the newly extended Emergency Department at the Horton General Hospital
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Child-friendly emergency care at the Horton General Despite the pandemic, a brand new area to look after children needing emergency care at the Horton General Hospital in Banbury opened. The dedicated space has four cubicle spaces and a waiting room, created specifically for the needs of younger patients away from the main adult areas. The facilities, created with the support of Horton General Hospital Charity, benefit around 11,000 young patients a year in North Oxfordshire and surrounding areas. Local MP Victoria Prentis welcomed the new developments and said:
43
“Ensuring children and their parents have a safe and secure area to go to when they are seeking emergency treatment will make a big difference to their overall experience. “This investment in the Horton helps it move forward in its vision to become a hospital fit for the future, serving families in North Oxfordshire and beyond in the years to come.”
Pictured in the new dedicated Children’s Emergency area at the Horton General Hospital are Douglas Graham (CEO, Oxford Hospitals Charity), Valerie Bissett (Senior Sister), Anne Tutt (Charity trustee and OUH Vice-chair), Phil Hormbrey (Consultant) and Pippa Parnell (Matron)
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
New Haemophilia & Thrombosis Centre at the NOC enhances the patient experience
New and improved wards open at the Churchill Hospital
The new Oxford Haemophilia & Thrombosis Centre (OHTC) opened its doors in March 2022 after relocating from the Churchill Hospital to the Nuffield Orthopaedic Centre (NOC).
Work to provide new and improved inpatient wards for Renal, Transplant, and Colorectal (Lower Gastrointestinal) patients at the Churchill Hospital was completed in May 2021.
Staff moved into a former ward which hadn’t been used clinically for some years. It was stripped out, modernised, and re-designed for the Haemophilia and Thrombosis teams and their patients in a new space to enhance patient care and experience and to provide an improved work environment for staff.
The new facilities provide a better connected service for transplant and renal patients in larger, modern wards with more side rooms with en suite bathrooms and quicker access to critical care, operating theatres, and radiology.
The team are specialists in caring for patients with bleeding and clotting disorders.
The overall cost of the project was approximately £1m, with charitable donations from The Oxford Kidney Unit Trust Fund, Six Counties Kidney Patients’ Association (SCKPA), and Oxford Hospitals Charity.
• Staff preparing to welcome their patients to the new Haemophilia & Thrombosis Centre • Allie Thornley, Matron for Renal Medicine, and Ana Gardete, Matron for Transplant and Urology Services, discuss the Renal Ward in a YouTube video
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
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Trauma inpatients return to the Trauma Building at the John Radcliffe Hospital
A brand new home for our respiratory team
Following an extensive refurbishment project, Trauma inpatients returned to the Trauma Building at the John Radcliffe Hospital in March 2022.
The Osler Respiratory Unit welcomed its first patients in March 2021 after two wards were completely renovated in order to provide a single unit with 24 beds, including 22 side rooms. Six of the beds are for patients from High Dependency Units (HDU) and two beds for cystic fibrosis patients.
Trauma inpatients moved out of the building following a review by the Fire Service in 2017 and in the interim, were treated elsewhere in the hospital. The Trauma outpatients department continued on the ground floor of the Trauma Building and was refurbished in Autumn 2021. Sam Foster, our Chief Nursing Officer, said: “We’re delighted that our Trauma Building is now fully back in use. It offers an improved experience for our patients, and our staff will be able to care for them in a purposebuilt environment.” Professor Meghana Pandit (left) and Sara Randall (right), our Chief Medical Officer and Chief Operating Officer respectively, with staff in the revamped Trauma Building
45
Staff on the Osler Respiratory Unit, who adapted quickly and efficiently during the COVID-19 pandemic to the new demands placed on them, care for people with a variety of breathing conditions. The multi-disciplinary team includes nurses, doctors, physiotherapists, dietitians, pharmacists, and social workers.
Henry Bettinson (Clinical Lead) and Helen Disley (Deputy Matron) in the new Osler Respiratory Unit at the John Radcliffe Hospital
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
State-of-the-art new radiotherapy equipment for cancer patients An ongoing project to replace and improve radiotherapy equipment in the Cancer & Haematology Centre at the Churchill Hospital is improving treatment for cancer patients at OUH.
This is the second piece of equipment to be installed as part of a project that will deliver three further Linacs, as well as two CT simulators, in the coming years to improve patient care at the Churchill.
Following delivery of the first Varian Halcyon® machine in September 2021, a second one is now operational and was used by patients for the first time in March 2022. It makes a real difference to patient care by making personalised radiotherapy treatment faster and easier to plan and deliver.
Similar investment in new imaging equipment is being made across our hospital sites in Oxford and Banbury – diagnostic tests are a crucial part of the patient journey.
Therapeutic Radiographers Victoria Friend, Naomi Phillips, Simba Chiridza and Sarah Ruane
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
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Leading the way as a Digital Exemplar Global Digital Exemplar accreditation for Oxford University Hospitals OUH has been recognised as a leading digital trust after receiving accreditation from NHS England & NHS Improvement’s Global Digital Exemplar (GDE) programme.
David Walliker, our Chief Digital and Partnership Officer, said: “What we have achieved in terms of digitalisation of care over the last five years, and specifically during the COVID-19 pandemic, has been remarkable.
GDE accreditation means we are now an internationally recognised NHS provider that delivers improvements in the quality of care by providing staff, patients, and partners with world-class digital tools and information.
“I am so proud of the Digital team. All the improvements have transformed the way we deliver care and collaborate with each other and, even in such a challenging time, have had a powerful and positive impact on and empowered our staff and patients.”
A proud moment for members of the OUH Digital team
47
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Virtual appointments transform care for our patients The increase in elective outpatient activity in 202122 (a 16.6% increase from 1,007,971 outpatient attendances in 2020-21 to 1,174,818 outpatient attendances in 2021-22) included a 10.4% increase in first outpatient appointments delivered remotely via either a video or telephone consultation.
OUH patients can now view their appointment letters online We have partnered with DrDoctor to give all patients the option to view their hospital appointment letters online – the new ‘digital letters’ scheme was launched and went live on 3 March 2021. In 2021-22, the first full year of ‘digital letters’ being available as an option for our patients, an impressive 676,100 Outpatient appointment letters were viewed online and not printed. Digital letters are not only more convenient and timely for patients but also more environmentally friendly, as they reduce the number of letters being printed and posted out to patients. This significant environmental benefit contributes to our aim to become a sustainable organisation for the future, in line with our Green Plan – Building a Greener OUH – which was approved by the Trust Board and launched in January 2022.
PAST • PRESENT • FUTURE
⎜ OneTeamOneOUH
% of first outpatient appointments delivered remotely:
2020-21: 18.9% 2021-22: 29.3%
Thousands of OUH patients were able to continue accessing specialist services during the COVID-19 lockdowns without having to attend hospital, thanks to the growing use of video consultations. Before the pandemic, very few departments at Oxford University Hospitals (OUH) were using technology to conduct remote consultations with patients. But from a standing start launch in the middle of March 2020, by early May 2020 more than 4,200 such consultations had been carried out using the Attend Anywhere (AA) platform – and this has continued ever since. New technology enabled our clinical teams – from cancer to paediatrics, from haemophilia to antenatal care – to continue delivering vital services to patients, despite lockdown. 48
CHAPTER 3
Working collaboratively to enhance the wellbeing of
Our Populations
49
OneTeamOneOUH
⎜ PAST • PRESENT • FUTURE
Professor Helen McShane (Director, NIHR Oxford Biomedical Research Centre) and Dr Vasiliki Kiparoglou (Chief Operating Officer, NIHR Oxford BRC) with OUH Chief Executive Officer, Professor Bruno Holthof at an event to celebrate the Oxford BRC’s 15th anniversary in May 2022
PAST • PRESENT • FUTURE
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Partnership working to improve healthcare OUH Radiotherapy Centre @ Swindon official opening On 22 June 2022 patients and staff clinicians and directors from OUH and Great Western Hospitals, alongside fundraisers from Brighter Futures and construction firm Sisk, gathered to officially open the new OUH Radiotherapy Centre @ Swindon, located on the Great Western Hospital site – in advance of the centre opening to patients. Two radiotherapy patients, Sandra McGlone and Fred Bassett, led the cutting of the ribbon alongside representatives from both hospitals. The new OUH Radiotherapy Centre @ Swindon is an expansion of our existing radiotherapy service, currently provided solely from the Churchill Hospital in Oxford. Jason Dorsett, OUH Chief Finance Officer, said: “I am delighted that the new OUH Radiotherapy Centre at Swindon is now a reality, after over six years of planning and hard work. The difference this new facility will make to local cancer patients and their families is so important. “The reduction in travel time means less stress and anxiety and more time to do other things. This brings quality care closer to home for our patients, which reflects our Trust values of compassion and excellence.”
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TOP: Patients Fred Bassett and Sandra McGlone (centre) cut the ribbon to officially open the OUH Radiotherapy Centre @ Swindon in June 2022 ABOVE: Jason Dorsett, OUH Chief Finance Officer, at the topping out ceremony in September 2021
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Community Diagnostic Centre provides faster access to tests for patients Patients across Oxfordshire are benefiting from earlier treatment closer to home thanks to the opening of a new diagnostic testing centre on the Oxford Business Park in Cowley in January 2022. Oxford Community Diagnostic Centre (CDC) is an innovative and exciting new development by OUH, in partnership with Perspectum, to reduce waiting times and support elective recovery following the impact of the COVID-19 pandemic. One patient who visited the centre said: “I would like to say what a nice pleasure it was to go to the new Diagnostic Centre. It was so stress-free, the parking was great. The staff were very nice, it was just so calming.”
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The centre carries out a wide range of diagnostic tests including: • Imaging (CT, MRI, ultrasound, X-ray, and mammography) • Physiological measurement (echocardiography, full lung function tests, and ambulatory blood pressure monitoring) • Pathology (phlebotomy, point of care resting, and simple biopsies) Professor Bruno Holthof, Chief Executive Officer at OUH, said: “This centre has so many benefits, including quicker diagnostic tests, care closer to home and therefore added convenience for our patients, and it will help us to carry out rapid diagnosis, which is often a vital part of successful treatment.”
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Working with our community partners to tackle health inequalities
Oxfordshire residents benefit from integrated Long COVID service
Reducing health inequalities across the communities which we serve in Oxfordshire is a key priority for us at OUH with our health and social care partners.
People who are experiencing long-term symptoms after getting COVID-19 are able to access an integrated service combining the expertise of Oxford’s two NHS trusts.
An event, hosted by our Here for Health team with support from Cherwell District Council’s Move Together team, was held at Banbury Madni Masjid in May 2022. It was aimed at those who may not otherwise have access to important health information or treatment, helping to educate people in the community about the causes, treatment and prevention of high blood pressure.
The Long COVID clinic is run jointly by OUH and Oxford Health NHS Foundation Trust. Specialists from the two trusts are able to triage each patient referred to them by GPs and then refer them to the most appropriate service, whether that is in a hospital or in the community. It was officially launched in January 2021 with funding from NHS England, although clinicians from both trusts had been working together and referring patients with Long COVID symptoms for some months before that.
Yasmin Kaduji, who co-ordinated the event at Banbury Madni Masjid, said: “We know the mosque is a trusted place for our community, so anything we can do with our partners to raise awareness of health issues in this way is hugely beneficial for them. We know members of our community may feel more comfortable visiting the mosque, and we were delighted to open our doors and host this health awareness event with our partners. Working with OUH and Cherwell District Council, we are delighted to support so many people and to make a difference.” PICTURED ABOVE: OUH and Cherwell District Council staff outside Banbury Madni Masjid
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Respiratory Consultant Emily Fraser, who heads the Long COVID service for OUH, said: “Given the wide variety of symptoms that can be experienced by patients, it has been very effective having OUH and Oxford Health specialists working alongside each other in an integrated team, so that we can make a quick and accurate assessment and refer patients to the most appropriate service.” ICTURED ABOVE: Respiratory consultant Dr Emily Fraser P (OUH lead for Long COVID Clinic)
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New partnership with Helen & Douglas House for young people with Long COVID
Katharine House Hospice staff are welcomed to OneTeamOneOUH
A partnership between Helen & Douglas House and OUH is set to help young people living with Long COVID and other chronic conditions.
Our partnership with Katharine House Hospice came to fruition on 1 April 2021 as the hospice’s clinical services transferred to be under the management of OUH.
The Children’s Rehabilitation Service is run by OUH and will offer an outpatient service, as well as accommodation for up to three inpatients, in a new, purpose-built location.
The hospice, which is based in Adderbury in north Oxfordshire and marked its 30th birthday in 2021, supports more than 900 families every year.
The service was previously based in the Nuffield Orthopaedic Centre but moved to the ground floor of Douglas House on Magdalen Road in Oxford, which was formerly the young adults’ hospice.
Professor Sir Jonathan Montgomery, OUH Chair, and Professor Bruno Holthof, OUH Chief Executive Officer, wrote personally to all Katharine House Hospice staff to welcome them to our OneTeamOneOUH.
Dr Konrad Jacobs, lead for Children’s Rehabilitation at OUH, said: “We are delighted to be based at Douglas House. Our patients do not require acute medical care like in hospital, and benefit from a tranquil environment. Additionally, Douglas House is perfect for rehabilitation in terms of its facilities. The close co-operation between Helen & Douglas House and the Children’s Rehabilitation team shows that, in some cases, the whole can be greater than the sum of its parts.”
They said: “As you will know better than anyone, palliative care demonstrates some of the most admirable values that drive our work. We appreciate especially what we can learn from our palliative care colleagues about compassion and respect as you work with those at the end of their lives and those who love and care for them, and as you enrich those final moments.”
ABOVE: Helen & Douglas House Chief Executive Officer, Clare Periton with OUH staff Claire Anne Marie Van Es, Libby Lamb, and Kaylee Moran
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ABOVE: Katharine House staff celebrate the hospice’s 30th birthday in October 2021
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New Home Hospice service launched A major new project will improve the quality of care for patients with life-limiting conditions in Oxfordshire and South Northamptonshire. The Oxfordshire Rapid Intervention for Palliative and End of Life Care project will enable more patients living with life-limiting conditions in Oxfordshire and South Northamptonshire to receive personalised care, including being cared for in their own homes at the end of their life. It is a unique partnership between OUH, Sobell House Hospice Charity, Macmillan Cancer Support, and Social Finance. PICTURED ABOVE: Home Hospice staff
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Macmillan Cancer Support has entered into a funding agreement with OUH and Social Finance to provide up to £6.1 million funding to OUH for the project, while Sobell House Hospice Charity has entered into a grant agreement with OUH to provide a grant of up to £4 million. The first phase of the project – a new Home Hospice service – went live on 1 April 2022. Home Hospice aims to support people at the very end of their life whose choice is to die at home rather than in hospital. Patient Support Workers provide domiciliary care and support at home with specialist oversight and input from OUH Palliative Care teams.
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Maggie’s Centre supporting our cancer patients
Home from home for families of children in hospital
Maggie’s Centre Oxford – based on the Churchill Hospital site – is an oasis of calm and a source of support and advice for people living with cancer and those close to them. It is co-located on the same hospital site as our Cancer & Haematology Centre which is a regional centre of excellence for cancer treatment and care.
The new Ronald McDonald House on the John Radclffe Hospital site opened during the COVID-19 pandemic to provide a true ‘home away from home’ for families of children in hospital who would otherwise have to travel lengthy distances at a time of stress and anxiety – they can stay at the House as long as they need completely free of charge.
If you or someone you care about has been diagnosed with cancer, Maggie’s can help. As well as free, professional one-to-one help and information, taught courses, workshops and support groups, the centre also offers a calming space to meet others who understand what you’re going through.
The 62-bedroom, purpose-built accommodation is for families of children being treated in Oxford Children’s Hospital, as well as Children’s Critical Care and the Newborn Care Unit at the JR.
Maggie’s continued to offer support throughout the COVID-19 pandemic, adapting when necessary to virtual services. Last year the Oxford centre had 9,000 visits and this year has seen a substantial increase in demand, with an expected 13,000 visits.
It includes en-suite rooms and communal living facilities including kitchens, lounges, playrooms, laundry rooms and a garden.
Dr Clare Jacobs, Consultant Clinical Oncologist, says: “I highly recommend visiting Maggie’s to all the patients I meet.” PAST • PRESENT • FUTURE
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Our award-winning volunteers Volunteers Week in June 2022 was the perfect opportunity to say a huge thank you to the selfless volunteers who give up their time to support the NHS. Earlier in 2022 Imam Monawar Hussain, who was the High Sheriff of Oxfordshire for 2021-22, presented a special award to recognise the invaluable role which volunteers at OUH have played throughout the COVID-19 pandemic.
Over the last two years, and particularly at the peaks of the pandemic, volunteers have been the backbone of our efforts to support our staff while they care for patients in our hospitals. During Volunteers Week, OUH Chief People Officer, Terry Roberts said: “Our volunteers are an invaluable asset to our organisation. We are grateful for all they do for our patients, visitors and staff.”
PICTURED ABOVE: Imam Monawar Hussain presents his High Sheriff’s Award to OUH volunteers and Voluntary Services staff
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Charity on hand to support patients in hospital during the pandemic Oxford Hospitals Charity have been by our side throughout the COVID-19 pandemic, supporting not only our staff but also our patients. Professor Sir Jonathan Montgomery, Chair of Oxford University Hospitals, said: “We were overwhelmed by the support of our local community, right from the start of the COVID-19 pandemic. Had it not been for the help provided by Oxford Hospitals Charity, and their supporters, we would not have been able to look after our staff as well as we have, enabling them to provide the best possible care for our patients.” • TOP LEFT: Zoe Pooley, Matron in the Oxford Children’s Hospital, with a special comic created for our younger patients • TOP RIGHT: Charity activity packs made a big difference to patients during the COVID-19 pandemic
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Equipment to help virtual monitoring of vulnerable patient groups was funded by the Charity who also supported inpatients in our hospitals while visiting was restricted. Virtual music concerts were performed live for individual patients and hundreds of patient activity packs made a real difference to people who had to spend time in our hospitals during this challenging time. A special comic was even produced by the Charity’s Artlink programme with the Phoenix Magazine to keep children in our hospitals entertained – including a section on Personal Protective Equipment (PPE) of course!
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OUH at the heart of Oxfordshire’s research ecosystem Oxford is one of the most vibrant places in the world for healthcare research because of the close working relationship between clinicians at OUH and the world-class University of Oxford academics and researchers who work alongside them. The strength of this unique partnership has become even more apparent during the COVID-19 pandemic when Oxford has been at the very heart of global research into a life-saving vaccine and new treatments including through the RECOVERY treatment trial. The development of the Oxford-AstraZeneca vaccine is the best known example, culminating in the first Oxford vaccine being administered at our Churchill Hospital in January 2021. Professor Bruno Holthof, OUH Chief Executive Officer, said: “I am proud of the strong partnership between OUH and the University of Oxford, especially in the area of the vaccine clinical trials. Hundreds of healthcare workers at OUH took part in the vaccine trial and they can be rightly proud of the role they have played in keeping their patients, staff colleagues and the wider community safe.” 59
Tuesday 4 January 2021 was a landmark date as the NHS launched the rollout of the Oxford-AstraZeneca COVID-19 vaccine – with OUH patients the first in the world to receive it. Sam Foster, OUH Chief Nursing Officer, administered the first vaccination and she reflected on the significance of that moment and her pride at being involved – as well as the hope for the future which COVID-19 vaccination has brought. She wrote: “To be asked to deliver the first vaccine produced in the UK felt like a real privilege – especially after almost a year of caring for some of the most unwell patients on our busy COVID and critical care wards, as the pandemic continued changing the very fabric of our healthcare service. “We’ve learned some valuable lessons throughout the pandemic. Clinically, the progression of Covid treatments has enabled healthcare staff to assure many patients and their families that we can treat them, so patients are markedly less scared when they’re admitted to hospital. Vaccines have given everyone a sense of relief that we will get through this current wave.”
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• PICTURED ABOVE: Professor Sarah Gilbert • TOP RIGHT: a range of tests carried out at the Jenner Institute as part of the development of the vaccine – (top to bottom) blood processing, and flow cytometry
© John Cairns, University of Oxford • PICTURED BOTTOM RIGHT: Bhulesh Vadher (Chief Pharmacist) with Sam Foster (Chief Nursing Officer) and Professor Meghana Pandit (Chief Medical Officer)
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OUH well placed for post-pandemic clinical research Clinical research at OUH is emerging from the COVID-19 pandemic in a leaner and more focused way, with studies only resuming if they are considered likely to deliver. Like the rest of the NHS, Oxford paused all its non-COVID clinical research activities in March 2020. This hiatus allowed OUH to review its portfolio of clinical research studies to assess which were most likely to deliver results. This review was completed in September 2021.
PICTURED ABOVE: Research Scientists Steven Fiddamen and Cathy De Lara are shown here loading inactivated samples into the Qiagen Symphony robot. © John Cairns, University of Oxford
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Of the 2,000 studies paused in March 2020, 1,100 have been resumed, and the rest closed; half of those closed had already completed their activities before the pandemic and the other half were closed because they were judged unlikely to be able to deliver due to the pandemic. Following a rigorous assessment and prioritisation process, more than 400 new non-COVID studies have been opened to recruitment since March 2020, meaning that OUH currently hosts a total of more than 1,500 active clinical research studies.
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NIHR Oxford Biomedical Research Centre Our collaboration with the University of Oxford underpins the quality of the care that is provided to patients, from the delivery of high-quality research, bringing innovation from the laboratory bench to the bedside, to the delivery of high-quality education and training of doctors. Existing collaborations include the ambitious research programmes established through the Oxford Biomedical Research Centre, funded by the National Institute for Health and Care Research (NIHR) and hosted by OUH.
9,302
50 spin-out companies established
peer reviewed publications
1,290
6,037
collaborations with industry
>£2.26 billion external funding
3,695 student trainees
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research projects
728 patents filed
>5 million trial participants recruited
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National rollout of pre-eclampsia test benefits thousands of pregnant women
Taking part in stroke research: Paul’s story
A quick, accurate test is contributing to safer pregnancies and better outcomes for tens of thousands of pregnant women and their unborn babies across England following successful research and evaluation in Oxford and the Thames Valley.
Paul Sparrowhawk, 44, took part in the Thames Valley Young Stroke Study (TV-YSS) at the John Radcliffe Hospital after suffering a stroke.
The PlGF blood test identifies those women who do not have pre-eclampsia and can safely remain at home through their pregnancy. This in turn enables a clearer focus on those women at greater risk of developing pre-eclampsia who need closer monitoring. Initial research in Oxford was followed by evaluation at OUH and elsewhere. Within four years of the project starting, most of England’s maternity units have adopted the test into standard clinical practice thanks to a rapid adoption initiative led by the Oxford Academic Health Science Network – hosted by OUH. This initiative has won several awards including a Health Service Journal (HSJ) Partnership Award in 2019. PICTURED ABOVE: Health Service Journal (HSJ) Partnership Awards
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The study was delivered in collaboration with the University of Oxford and the National Institute for Health and Care Research’s NIHR Clinical Research Network Thames Valley and South Midlands, which is hosted by OUH. Paul said: “Straight away I said yes, it was a no brainer for me. If in some small way I could help research to potentially be able to prevent strokes happening in people like myself in the future, I wanted to do it.” The study aims to identify treatable risk factors for stroke in ages 18 to 55. Participants undergo tests, including using a heart rate and blood pressure monitor at home and researchers also analyse their health records. PICTURED ABOVE: Paul Sparrowhawk
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Major grant strengthens research and benefits patients In 2021 OUH made a grant of £11.5 million to the University of Oxford, which the University will match with other funding, to allow the development of major clinical research facilities which have the potential to support the introduction of innovative and ground-breaking treatments for patients: New Oxford Clinical Research Facility (CRF) • at the Churchill Hospital Expanded Clinical Biomanufacturing Facility • (CBF) at the Churchill Hospital • New photon-counting CT scanner in the Acute Vascular imaging Centre (AVIC) at the John Radcliffe Hospital Professor Gavin Screaton, Head of the Medical Sciences Division, University of Oxford and a Non-executive Director on the OUH Trust Board, said:
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“ We are very grateful for this generous grant from the Trust, which when combined with other funding will enable us to develop some of our key clinical research infrastructure. T his commitment from the Trust clearly highlights an already very successful partnership. y improving our facilities, we B can ensure that patients will continue to benefit from the best possible care, underpinned by world-leading research.”
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Oxford Clinical Research Facility funding is boost for early phase clinical research A new Oxford Clinical Research Facility (CRF), hosted by OUH, has been established following a funding announcement by the National Institute for Health and Care Research in February 2022.
It offers more opportunities to develop the skills and experience of doctors, nurses and allied health professionals in carrying out early phase experimental medicine trials.
The Oxford CRF, based at the Churchill Hospital, will provide purpose-built facilities and expertise to deliver early translational and experimental medicine research, from studies testing new treatments in patients to early safety and efficacy trials.
OUH has supported the new facility with a grant towards its operational costs and equipment.
The new CRF enhances Oxford’s ability to deliver a wider range of early phase studies for the benefit of NHS patients.
Professor Bruno Holthof, OUH Chief Executive Officer, said: “OUH and the University of Oxford have a great track record of working in partnership to deliver improvements in diagnosis and treatment for a range of condition. This CRF strengthens our shared clinical research infrastructure even further, allowing us to test new therapies that will ultimately benefit our patients.”
PICTURED ABOVE: A patient discusses taking part in a clinical trial
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UK first photon-counting CT scanner installed at the JR
Clinical Biomanufacturing Facility at the Churchill
Groundbreaking new imaging technology, the photoncounting CT (computerised tomography), is now in place at the John Radcliffe Hospital, making it the first NHS hospital in the UK to benefit from the system’s high resolution and dose reduction technology.
OUH has contributed to the costs of an expansion of the University-owned Clinical Biomanufacturing Facility (CBF) on the Churchill Hospital site which is adjacent to the current clinical trials aseptic unit (CTASU) and a new Clinical Research Facility.
It will not only improve diagnostic and treatment pathways for patients but also facilitate exciting research at the Oxford Acute Vascular Imaging Centre (AVIC) – part of the Radcliffe Department of Medicine at the University of Oxford – to enable photon-counting CT to be rolled out across the NHS.
We are in a unique position in having an academic partner which owns a fully functional pharmaceutical products manufacturing facility, and this expansion will benefit patients in Oxfordshire and the Thames Valley.
Benefits include patients having lower exposure to radiation while the technology achieves ultra-high resolution scans, clinicians having reduced scanning time, and the potential to transform patient pathways for people who have heart attack symptoms by identifying patients who can be treated at home and those who require targeted intervention.
• TOP LEFT: Peter Harrison, Managing Director of Siemens Healthineers GB&I and Professor Charalambos Antoniades, Director of the Oxford Acute Vascular Imaging Centre (AVIC), oversee the delivery of the UK’s first photon-counting CT scanner at the John Radcliffe Hospital • TOP RIGHT: Staff at work in the Clinical Biomanufacturing Facility on the Churchill Hospital site
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Duchess of Cornwall opens new musculoskeletal research centre A new building at the University of Oxford’s Botnar Institute for Musculoskeletal Sciences (on the site of the Nuffield Orthopaedic Centre) was officially opened by Camilla, Duchess of Cornwall, in January 2022. The Botnar Institute for Musculoskeletal Sciences carries out research, much of it supported by the NIHR Oxford Biomedical Research Centre hosted by OUH, into improving the treatment of arthritis, osteoporosis and other bone and joint diseases.
The Institute works in close partnership with the NOC to ensure its research is closely tied to patient care in the hospital. The new Marcela Botnar Wing will focus on bioengineering. Researchers will be working on developing new technologies, materials, and interventions to treat patients with musculoskeletal conditions. PICTURED ABOVE: Camilla, Duchess of Cornwall with Professor Andrew Carr, Head of the University of Oxford’s Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS)
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Major step forward for stroke and vascular dementia research The University of Oxford’s Wolfson Centre for the Prevention of Stroke and Dementia on our John Radcliffe Hospital site was officially opened in March 2020.
The project has enabled substantial expansion of the previous Stroke Prevention Research Unit, already regarded as one of the most productive stroke research groups in the world.
It is the only purpose-built clinical research centre looking specifically at stroke and dementia in the UK, housing an estimated 25% of all the UK’s active stroke researchers.
This significant development will benefit stroke patients being treated at OUH – the work of the Wolfson Centre’s researchers has already led to major changes in clinical practice and guidelines, such as demonstrating the benefits of emergency treatment after a mini-stroke (TIA) to prevent a major stroke.
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Building a Greener OUH Our Green Plan is launched Our Green Plan, called Building a Greener OUH, was approved at the Trust Board meeting in January 2022 and launched to our staff and external stakeholders a few days later. It highlights the areas we will focus on as we work to reduce our carbon impact, lessen our effect on the environment through the reduction in consumption, increase reuse and recycling, and deliver even higher standards of patient care while lowering costs.
Building a Greener OUH 2022-2027
Building a Greener OUH 2022-2027 puts the Trust on a path to achieving net zero carbon emissions by 2040, in line with NHS England’s carbon neutral target. It sets out actions that will be taken across key areas, including procurement and supply chains; medicines; digital transformation; estates and facilities; and travel and transport. Building a Greener OUH is available on our website at www.ouh.nhs.uk/about/sustainability
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David Walliker | Chief Digital and Partnership Officer
David Walliker, Chief Digital and Partnership Officer and OUH Lead for Sustainability, said: “As one of the largest NHS teaching hospital trusts in the UK, and one of the largest employers in Oxfordshire, we take seriously our responsibility for the sustainability of our environment in our community. “While we have already taken some steps to reduce our waste and lower our emissions, Building a Greener OUH clearly sets out our ambitious goals for providing more sustainable care that will benefit our patients and the communities we serve, as well as our staff.” Building a Greener OUH is the result of a major staff and public engagement exercise in Summer 2021 when hundreds of people took part in an online survey, focus groups, and virtual listening events.
Building a Greener OUH will develop further the passion for sustainability which many of our teams have already demonstrated and which is making a positive difference by improving patient care and delivering sustainability benefits.
Building a
GREENER
OUH
We will: Reduce our carbon impact Cut waste
We have launched our ambitious Green Plan as we take forward our commitment to sustainability and aim to achieve net zero carbon emissions by 2040.
Minimise our environmental impact Deliver even higher standards of patient care while lowering costs Build a Greener OUH
Find out more on the OUH website.
This feedback helped shape the Green Plan, which sets out our priority areas for action including travel and transport and digital transformation.
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Pedal power drives improved service and greener deliveries A cycle courier service delivering medication to our hospital sites in Oxford has halved delivery times of patient-specific products, such as chemotherapy and antibiotics, to the John Radcliffe and Churchill hospitals. OUH joined forces with Baxter Healthcare, who produce cancer treatments and parenteral nutrition, to provide a more efficient way of getting key medical products from their compounding facility in Cowley to hospital sites and patients.
Local Oxford-based company Pedal & Post make the deliveries to wards, day treatment areas, and pharmacies at the JR and Churchill using cycle couriers. Goods will be delivered to the Horton General Hospital in Banbury in the future by using e-motorbikes. The impact of the initiative has been to improve not only patient care but also environmental sustainability because the time it takes for products to be delivered to our hospitals from Baxter’s site in Cowley has been halved.
Pedal & Post riders Rich, Dani, Toby and Chris
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OUH Orthotics team win High Sheriff’s Climate Action Heroes Award The OUH Orthotics team, who make devices such as splints and insoles for patients from their base at the Nuffield Orthopaedic Centre, won an Oxfordshire High Sheriff’s Climate Action Heroes Award for making significant sustainability improvements while improving patient care. Recognised for reducing, reusing, and recycling many of the materials they use, such as metal and thermoplastics, the Orthotics were named as ‘climate action heroes’ for making significant sustainability improvements while improving patient care. The team is reducing, reusing, and recycling many of its materials, decreasing our carbon footprint, lessoning the impact on the environment, and lowering costs. For example, the team’s greener approach has helped them reduce the use of and spend on steel by 80% and 78% respectively.
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Imam Monawar Hussain, the High Sheriff of Oxfordshire, presented the award to Arron Jones, Orthotics Production Manager and OUH Sustainability Network Co-Chair. David Walliker, our Chief Digital & Partnerships Officer and OUH Lead for Sustainability, OUH Chief Digital and Partnership Officer, said: “The Orthotics team have done a great job in becoming more sustainable and improving patient care at the same time.”
Arron Jones (Orthotics Production Manager) pictured with the Oxfordshire High Sheriff’s Climate Action Heroes Award The OUH Orthotics team, based at the Nuffield Orthopaedic Centre
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“ The COVID-19 pandemic has been a major challenge but it’s also brought the best out of us – let’s reflect on that as we move forward …” Professor Sir Jonathan Montgomery Chair – Oxford University Hospitals NHS Foundation Trust
#OneTeamOneOUH PAST • P R E S E N T • F U T U R E Published by Oxford University Hospitals NHS Foundation Trust: www.ouh.nhs.uk