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Annual Members’ Meeting 2019
Dorset HealthCare
Welcome
Andy Willis
Trust Chair
Working in hubs
The Retreat, Dorchester
AMM 2019
Patient Story - Angela Watson
Watch on YouTube by copying this link into your internet browser: https://www.youtube.com/watch?v=Q_1j7SCPhbQ&t=8s
AMM 2019
Eugine Yafele
Chief Executive
AMM 2019
Council of Governors report 2018/19
Jan Owens
Lead Governor
Council of Governors
Holding the Board to account - main issues
• Care of our workforce
• Conditions of our buildings and equipment
• Children’s health service especially Mental Health
Council of Governors
Public Engagement
3 Meetings
• Sturminster Newton
• Poole
• Weymouth
Purpose
• For members to contribute to Dorset HealthCare strategy 2020 - 2025
Council of Governors
Council of Governors
Members and the public asked for: • Commitment to greater public
information and engagement
• Promotion of integrated services to benefit patients
Council of Governors
Please … • Keep communicating with us
• Join our membership
Current number of public members: 4,916
Grown by 12% this year
Council of Governors
Thank you
To all our Members for their support To Governors leaving the Council today – Pat Cooper, Joy Ford, Sue Howshall, Anna Webb and Jack Welch
Council of Governors
Welcome
To our newly elected governors. I look forward to working with you.
AMM 2019
Dorset HealthCare’s finances, 2018/19
Matthew Metcalfe Finance Director
2
The Trust’s Finances
31 Mar 2019 Actual
£m
31 Mar 2019 Plan
£m
Reported surplus 7.2 1.8
Operating surplus (adjusted) 5.7 3.4
PSF Funds 7.9 2.5
Cost savings 6.9 8.4
Agency cost 5.1 3.7
Capital expenditure 13.3 21.5
Financial Results
3
£7.9m, 3%
£211.5m, 80%
£9.6m, 3%
£18.2m, 7% £18.5m, 7%
NHS England Clinical commissioning groups
Other income from patient care Local authorities
Other operating income
Increase of £19.1m, 8% from 2017/18
Total Income £265.7m
Income
Expenditure
4
2018/19 £m 2017/18 £m
Staff costs 192.7 184.5
Purchase of Health Care 11.2 7.7
Supplies and Services 17.0 17.2
Depreciation 6.3 5.9
Impairment 2.4 (0.5)
Other operating expenditure 24.9 21.7
Total operating expenditure 254.5 236.5
Expenditure
Capital Investment
5
2018/19 £m
IM & T 3.9
Backlog maintenance 3.7
Other 2.7
Douglas House conversion for Seastone & Nightingale Court 1.3
Equipment 0.8
Linden Unit – bathroom refurbishment and M & E upgrade 0.3
League of Friends funded capital 0.2
Alumhurst Road – 8 bed CAMHS PICU 0.2
St Anns – 8 bed unit 0.2
Total 13.3
Capital investment
6
DHC Provider Sector
Surplus / (Deficit) on a Control Total Basis 3.0% (1.0)%
Cost Savings as a % of Operating Expenditure 2.7% 3.6%
Agency & Contract Staff as a % of Total Pay Costs 2.6% 4.4%
Comparison to provider sector
AMM 2019
Thank you and break
Urgent care services in Dorset
Dorset HealthCare
Dr Steve Tomkins October 2019
What you’ll hear today
1. Where we are on our 111
journey
2. What bumps in the road we’ve
hit so far
3. How we see things developing
in the future
Introducing….
A&E Dept
SUMMER COUGH
4 hours in A&E. If only someone
had told me that I could have gone
to my local pharmacy
STOMACH ACHE
I didn’t know how else to speak
to a GP on a Sunday, so I went
to A&E
ANXIETY ATTACK So very stressful in
A&E. No-one knew my
mental health history
MUM FELL I phoned NHS111. No-one
knew mum, so the ambulance was called to
take her to A&E. She’s still in hospital 3 weeks later
SPRAIN If only NHS111 had sent me to
the Minor Injuries Unit
How can it
feel now,
when
people need
help and
advice?
SEVERE CHEST PAIN
Why were the emergency
services too busy to get Dad the help
he needed?
Where did things start ?
Specialist
paramedics
Night
nursing
Out of hours
visiting
service
Out of
hours GP
service
999
ambulance
Urgent
treatment
centres
Accident &
emergency
x3
On-call
mental health
teams
Mental
health 24/7
phone line
and retreats
Acute
hospital on-
call teams
Primary Care (GPs)
Who’s working together?
Your options when you need urgent care
During the day
Out of hours
• Contact your GP
• Go to an urgent
treatment centre
• Go to the retreat
• Call 111 or go to
111.nhs.uk online
Call 111 or go to
111.nhs.uk onine
Access to the whole range of
services provided by all
organisations
Home visit bases Treatment centres
Where we are on the journey
Where we are on the journey
Where we are on the journey
We have good cover except on
Saturdays
We need more doctors, nurses,
supervisors and others
We’re working hard to recruit
Where we are on the journey
Demand is going up
Threshold for contacting is going down
Workforce challenges
Productivity
Bumps in the road
Our partnership vision
Take three doctors…
And the results…
Patients tell their story only once
High quality care building on
existing services and
relationships
24/7 Dorset care, seamless
Waitless - showing
you the fastest route to
getting the support you
need
Harnessing technology
Looking to the future
And now for something completely different
So how will it work...?
