Summary Annual Report 2011/12

Summary Annual Report 2011 /2012

b  Contents Welcome

1

Our Trust

2

Financial performance

4

Operational performance

5

Case studies

6

The future

8

A full copy of our Annual Report and Accounts as well as our Quality Account is available online at www.wirralct.nhs.uk The Annual Report section of our website has more information on our Board, the Remuneration Report and our Annual Governance Statement.

You can also view the report by following the link below: www.wirralct.nhs.uk/annual-report-2011-2012

Welcome... to the first Summary Annual Report of Wirral Community NHS Trust

In this summary, we will give you the highlights of our financial and operational performance for the last year. It will give you a flavour of the achievements and progress we have made and explain our ambitions to provide improved health care services to our community in the future.

2011/12 has been an extremely exciting year as we have both embedded and developed our activities within our community and started a journey to become an NHS Community Foundation Trust.

We had more than a million patient contacts over the year. During this period we worked collaboratively with patients and commissioners to improve how we deliver many of our services, and to develop new services.

• Our daily, open access Healthy Child Clinics have seen a significant increase in the uptake of child development reviews from 30% to 90% • Our new Ophthalmology service has seen 1,200 patients; helping to reduce hospital waiting lists; and • Our new Integrated Continence Service has been recognised as a model of best practice.

We have also set out our vision and values as a new organisation and developed our strategy.

As the commissioning of NHS services undergoes significant and material change, we are determined to work together with our patients and partners

to reduce health inequalities. We will continue to support more people to live in better health for longer in their own homes and communities. We truly believe that Wirral Community Trust is “for you, with you“. We are all about people, the patients who access our services, the families and carers for whom we provide support, the staff we employ and the neighbourhoods and communities we are all part of.

By delivering excellent care, either at home or in community settings, we are committed to ensuring everyone we care for stays as healthy as possible.

Frances Street Chairman

The achievements in establishing and developing the Trust would not be possible without the continued commitment and dedication of our staff, who are passionate about delivering the highest standards of care. The support that we receive from a wide range of stakeholders is also invaluable.

Finally, thanks and best wishes to our former Chief Executive, John South, who retired at the end of March 2012.

His leadership and inspiration established and developed the Community Trust setting the course for our future success.

Simon Gilby

Chief Executive Officer (from 16 April 2012)

Summary Annual Report 2011-2012

1

b Our Trust We provide a range of high quality community based patient healthcare services: To over 307,000 residents living in Wirral across 145,000 households, as well as people living in the surrounding area of Cheshire.

With over 1,400 members of staff, 85% of whom work directly with patients.

From nearly 50 operational bases.

Patients, the community and the commissioners of our organisation are at the heart of our business strategy.

We have developed our vision for the Trust and set our strategic direction and objectives from 2012 up until 2017.

Our strategy presents a journey through the next five years and beyond towards our vision. We aim to become an NHS Foundation Trust by 2013.

b Our Vision...

To be the outstanding provider of high quality, integrated community care to Wirral and beyond.

b Our Values...

• Promoting the value of services in the community • Providing excellent care and service • Positive partnerships and team working • Demonstrating knowledge and professionalism • Being supportive and empowering • Listening and responding • Embracing change.

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Summary Annual Report 2011-2012

b Our Services

b Our Trust in numbers

b Nursing

On average over the year we have...

24 Hour Community Nursing Service, Specialist Nursing Service and Cardiac Service.

b Therapies Wheelchair Service, Independent Living Centre, Community Equipment Service, Podiatry Service, Speech & Language Therapy Service, Community Therapy & Falls Prevention Service, Physiotherapy & Rehabilitation Service and Nutrition & Dietetics. b Primary

Care

GP Services (Arrowe Park All Day Health Centre, Leasowe Primary Care Centre and GP Out of Hours), Primary Care Assessment Unit, Community Dental Service and Ophthalmology.

b Unplanned

Minor Injuries Unit, Phlebotomy Service, Single Point of Access, Walk-In Centres in Eastham and Wallasey, Victoria Central Health Centre and Arrowe Park.

b Lifestyle

Services

Public Health, Sexual Health, Health Visiting and Infant Feeding Team.

b Support

Care

Services

Infection Prevention & Control, Safeguarding Service and Quality & Governance.

1,000,000

Over 1,000,000 patient contacts.

254,000

Over 254,000 Community Nursing appointments / visits.

250,000

250,000 patient blood samples taken by our Phlebotomy Service.

127,000

21,800

Over 11,300 walk-in patients treated and nearly 10,500 pre-booked patients treated by our GP Out of Hours and All Day Health Centre.

16,600

16,600 appointments and gym attendances with our Heart Support Services.

14,600

Over 127,000 Health Visitors Healthy Child team appointments.

Over 14,600 people attended appointments or dropped in to see our Sexual Health Services.

88,000

1,400

Over 88,000 patients treated at our Walk-in Centres in Eastham and Wallasey.

1,400 staff members of which 85% are patient facing.

39,000

More than 1,200 people used our new Ophthalmology Service in its first year.

Over 39,000 pieces of equipment delivered by our Community Equipment Service.

1,200

Summary Annual Report 2011-2012

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b Financial performance The Trust has had a successful first year of operation, meeting all our financial duties for 2011/12.

In 2011/12 we:

Our Financial Future

• received £64m income from Commissioners for delivering healthcare services in the community • delivered an operating surplus of £717k which was in line with plans and represents around 1.2% of overall turnover • performed well against the financial risk ratings applied to NHS Foundation Trusts by the independent regulator Monitor. (Had the Trust been subject to this regime in 2011/12, we would have received an overall risk rating of 3, a good level of financial performance.)

• paid more than 90% of all our undisputed supplier invoices within 30 days • achieved the 4% efficiency requirement set by our commissioners, worth £2.4m of cost releasing savings • invested £323k in capital and infrastructure.

Our income sources:

Our long term financial plans include: • maintaining cost improvements between 4% and 5% annually to release some 23% of total costs by 2016/17 whilst maintaining quality service delivery • receiving fixed assets currently owned by NHS Wirral on 1st April 2013, currently valued at £11.5m • the transfer of the newly completed St Catherine’s Health Centre from the Primary Care Trust in 2013/14.

Financial Risks

NHS Wirral

In addition to meeting the need for cost improvements, our financial risks include: • Commissioning changes

Wirral Metropolitan Borough Council

NHS Western Cheshire

... and income from other organisations

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Summary Annual Report 2011-2012

• Competition through the introduction of Any Qualified Provider (AQP) contracts.

Operational performance b

The Trust has achieved a high level of performance based on the community indicators that we are measured against.

In 2011/12 we have: • met or exceeded 92% of our contractual targets • exceeded the 18 week referral to treatment time target with an actual performance average of 12 weeks

OVER

one million

patient contacts across our core service divisions

• exceeded the quality target for our Walk-in Centres, with over 99% of patients spending less than 4 hours in the Centre • achieved a ranking of 5th in the country for the responsiveness of our GP Out of Hours service • been rated by over 90% of patient and service users as good or excellent for customer service • improved 18 of the 38 key findings in the annual staff survey.

Summary Annual Report 2011-2012

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b  Case studies Despite large scale organisational change, our staff continue to provide significant contributions to improving the health and wellbeing of the local Wirral community.

We are committed to involving staff in the changes that affect them and the work they do. b  Innovation Health Visiting We were selected by the Department of Health to pilot a programme to increase the skills and number of Health Visitors to meet the national recruitment drive of 4,000 extra Health Visitors nationally by 2015.

Continence service Following a Royal College of Physicians audit, our innovative approach to integrated continence has been

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Summary Annual Report 2011-2012

recognised as a model of best practice.

Developed with colleagues in secondary care, we created evidence based care pathways and an Integrated Continence Service.

We now have a team of knowledgeable, passionate professionals providing a patient assessment focused on improving quality of life and offering treatments, rather than provision of products.

b In the heart of the community Getting our services into the heart of the community helps to ensure the success of our services and campaigns, particularly in hard-to-reach areas.

We have a regular market stall in Birkenhead Market and a Camper Van which is able to visit the heart of our most deprived communities and attend promotional events, such as Birkenhead Park Family Days.

In 2011/12 the market stall was used: • almost daily by the Trust’s health trainers, lifestyle and weight management service, stop smoking service, health visiting team and more • to promote specific events and health messages e.g. Sexual Health Week, Chlamydia campaign and National No Smoking Day • by more than 1,200 people to sign up to the Quit Stop Campaign.

b Physiotherapy hubs During 2011/12 a Physiotherapy Outpatient review was undertaken in partnership with our GP commissioning consortia. It has long been recognised that the previous locations for Physiotherapy outpatients on the Wirral offered little choice. By working collaboratively with our 3 GP Consortia, Wirral Community Trust is now delivering Physiotherapy Outpatient clinics from 22 locations across Wirral, enabling patients to be treated near to where they live or work. As a result, referrals to the service and attendances have increased significantly with waiting times also reduced from 12 weeks to less than 4 weeks by the end of the March 2012.

b Our people Our staff survey results this year, demonstrate that we were amongst the highest scoring Community Trusts in relation to: • staff appraisal levels • staff satisfaction with the quality of patient care they are able to deliver • providing a safe working environment in relation to physical or verbal abuse from patients, relatives or the public.

We made good progress in many areas. These results represent a significant achievement in an organisation experiencing tremendous change.

Staff Council We have established a Staff Council to ensure an open, positive and inclusive climate of engagement between senior managers and staff at all levels.

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b The future Our strategy is to focus on integrated care and service improvement within Wirral and growing excellent services in surrounding areas.

To achieve this we will: • continue to improve our current services • develop new services to meet patients’ needs • lead in developing an integrated community care model.

Strategic Objectives Our strategic objectives are based on four key strategic themes which will form the basis of a strategic balanced scorecard.

Patient, Community and Commissioner b Improve quality outcomes and

patient satisfaction b Increase the Trust’s service

provision in Wirral, Merseyside and Cheshire b Promote integration and

partnership working.

Care Delivery

b Foundations for the Future We are working towards becoming a Community Foundation Trust in 2013 which will give us more opportunties to improve services and increase accountability to our members and our staff.

We have launched our Trust membership scheme and plan to recruit over 3,600 members. Our Council of Governors will be made up of 19 elected and appointed Governors. Public and staff members will elect Governors to represent them from our membership to work alongside appointed Governors from key partner organisations.

For more information on how you can get involved in the future of our organisation and shape local community NHS services contact: The Membership team 0151 514 2452 or 0800 694 9985 alternatively visit www.wirralct.nhs.uk

b Ensure delivery of contract

requirements b Improve patient safety and

risk management b Optimise effectiveness and

efficiency of care services.

People and resources b Improve human resource

development and engagement b Maintain financial stability b Provide value for money

services.

Enabling functions b Improve utilisation of

informatics and technology b Improve effectiveness of

corporate governance and support services b Improve utilisation and

efficiency of estates and facilities.

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Summary Annual Report 2011-2012

A full copy of our Annual Report and Accounts, as well as our Quality Account is available online at www.wirralct.nhs.uk You can also view the report by following this link: www.wirralct.nhs.uk/annual-report-2011-2012. A limited number of printed copies will be sent to official statutory and non-statutory bodies.

Paper copies of the Annual Report are available to members of the public free of charge and copies of this document can be made available in other formats on request. If you require a copy in large print, audio CD or in another language, please contact the Patient Experience Officer (See below).

Your Health Service - Your Voice We are always interested to know what you think about the services we provide.

If you have a compliment, comment, concern or complaint, please get in touch via: • Our online feedback form at www.wirralct.nhs.uk • Tel: 0800 694 5530 or 0151 514 6311 • Email: patient.experience@wirralct.nhs.uk Alternatively you can write to: FREEPOST-COMMUNITY NHS TRUST-PATIENT This is the full Freepost address. No stamp is required.

www.wirralct.nhs.uk