University HospitalsCoventry and Warwickshire

NHS Trust

University HospitalsCoventry and Warwickshire NHS TrustClifford Bridge RoadCoventryCV2 2DX

Tel: 02476 964000Fax: 02476 966056

www.uhcw.nhs.uk

Annual Review 2009 - 2010

Deliver the best carefor our patients

Patient care is at the centre ofour work, and we will focus on continually improving thequality of patient care and

patients’ experience.

Achieve excellence ineducation and training

We will support and inspirefuture generations of

healthcare professionals by instilling a culture ofachievement, education,

training and development.

Innovate throughresearch and learning

Through continuous innovation, we will strive to

lead in improving patient care,driven by clinical leadership,championing research and

collaborating with our partners.

CARE ACHIEVE INNOVATE

The Trust has access to interpreting and translation services. If you need thisinformation in another language or format, we will do our best to meetyour needs. Please contact 02476 967596.

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Care• Invested £170,000 in improving same sex

accommodation at the Hospital of St Cross in Rugby

Achieve• Performed a world first in kidney

transplant medicine

Innovate• Chosen by the Department of Health to

form a community of excellence, in partnership with the University of Warwick, Coventry University, and other local NHS Trusts, to promote innovation and education in the NHS. The West Midlands South Health Innovation and Education Cluster (HIEC) will also include organisations from the commercial and charitable sectors and is one of 17 bodiesbeing set up across the country.

The services we provide at the Hospital of StCross in Rugby are a vital part of our Trust andwe have continued to grow these over thepast 12 months. We are investing in a brandnew £2m Lucentis facility, to be based at theHospital of St Cross in Rugby

We are proud to work closely with ourpartners from Coventry University andWarwick Medical School, which is based at theUniversity of Warwick. Patients from Coventry,Rugby and further afield also continue tobenefit from our medical research intodiabetes, lung disease and early labour in

Welcome - Chairman’s IntroductionI would like to welcome you to our Annual Review for 2009/10. The past year has been one full ofchallenges and opportunities but our aim throughout has remained the same - to provide excellentpatient care through learning and discovery, and to be the first choice for people in Coventry,Warwickshire and beyond.

Our mission and pledge to our entire population is to “Care, Achieve, Innovate” which supportsthe NHS Constitution. In the past 12 months we have:

pregnancy, an area in which we are alreadyone of the world leaders.

Our hard work has been recognised nationallyby the Healthcare Commission, who rated ourquality of services and use of resources ‘good’for the second year running. We are alsocontinuing to meet two week cancer waitingtimes and have worked hard to further reduceinstances of MRSA and C-Difficile.

This puts us on a very firm footing as we moveonwards with our application to become aFoundation Trust. This year we completed a 12week public consultation on our FoundationTrust plans which was a huge success. Inaddition, our membership is flourishing andwe have already recruited over 5,000 publicmembers and 8,000 staff members who aresupporting our Foundation Trust plans.

In 2009 we launched Staff Impressions, ourown local staff survey, which gave all staff,volunteers and contractors the opportunity tofeedback on the Trust.

We were pleased to see that 85% of surveyrespondents indicated that they had a mainlygood impression of the Trust and 78% ofrespondents stated they would recommendthe Trust as a place to work.

We have maintained our status as a Two TicksDisability Symbol User following an annualassessment by Job Centre Plus in February2009. This review demonstrated our positivepractices towards people with disabilities.

1We Care. We Achieve. We Innovate.

For up-to-date and ongoing information please visit our newly launchedwebsite at www.uhcw.nhs.uk

University HospitalsCoventry and Warwickshire

NHS Trust

There is no doubt that in the next year we willface many challenges, but we are confidentthat we can face them and provide the bestand safest level of care for our patients. Award Winners

We are an award-winningorganisation and have accruednumerous accolades for ourinnovative projects and dedicatedstaff. Below are just some of them:

ICT Excellence Awards November 2009The Best Added Value Project went toVitalPAC which improves patient safetyby replacing traditional paper observationcharts with electronic versions whichthen alert nurses and doctors if apatient’s results are unusual.

Migraine Heroes Healthcare Awards -Best Healthcare Professional 2009This award was given to neurologistMohammed Belhag after he wasnominated by a patient for helping hercontrol her migraines without prescribingdrugs or performing surgery.

British Medical Association HighlyCommended Award September 2009MS specialist nurse Wendy Hartlandwrote a book on falls aimed at thosewith MS aged between 20 and 40. Thiswent on to become the mostdownloaded leaflet from the MS Trustwebsite

Macular Disease Society Best SupportServices Award September 2009Adrian Sexton and the Low VisionDepartment won the Macular DiseaseSociety’s Best Support Services Awardafter being nominated by patients.

Innovative Health and Social CareTechnology Award May 2009The Centre for Reproductive Medicinewon this award for dramatically reducingits multiple pregnancy rates using newtechnology.

The Trust at a glance

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Philip TownshendChairman

A Year of AchievementsThe Care Quality Commission (responsible for regulating the quality of health and adult social carein England) published the Annual Health Check Rating in October 2009.

The Trust maintained a ‘good’ rating for both quality of services and the quality of financialmanagement. The rating is supported by the Trust improving its performance in 2008/09, achievingan ‘Excellent’ rating for new national targets and maintaining its rating against existingcommitment targets.

2008/09 2007/08 2006/07 2005/06

Quality of Service GOOD GOOD GOOD EXCELLENT

Use of Resouces GOOD GOOD WEAK FAIR

Overall Rating

The Trust at a glanceUniversity Hospitals Coventry and Warwickshire (UHCW) NHS Trust is one of the newest and busiestNHS teaching Trusts in the country, caring for over 1,000,000 people from across Coventry,Warwickshire and beyond.

We run University Hospital, Coventry and the Hospital of St Cross, Rugby, focusing on qualitypatient care, stringent infection control and specialising in cardiology, neurosurgery, stroke, jointreplacements, IVF, diabetes, cancer care and kidney transplants.

We were first established as a Trust in 1992, expanded to include Rugby in 1998 and form part ofWest Midlands Strategic Health Authority (SHA).

Yet again the Trust has maintained its excellent record of achieving waiting time targets ensuring a maximum wait of:

• 26 weeks for inpatient treatment

• 13 weeks for outpatient appointments

• 13 weeks for revascularization

• 2 weeks for rapid access chest pain clinics

• 6 weeks for diagnostics.

• 18 weeks for 90% of admitted patients, 95% of non-admitted patients, and patients directly accessing Audiology.

• 2 weeks for cancer patients from GP referral to first outpatient appointment

• 31 days for cancer patients from diagnosis to treatment

• 62 days for cancer patients from GPreferral to treatment

The Trust has continued to strive for improvements in infection control and in 2009/10 has exceeded its targets to reduce MRSA and C. difficile rates.

For the second consecutive year the Trusthas improved performance against the A&E 4 hour wait target, which remains a key priority for the Trust.

The Trust has improved performance against the cancelled operations target and it is predicted the Trust will achieve this target in 2009/10.

The Trust has improved performance against the delayed transfers of care target and it is predicted the Trust will achieve this target in 2009/10.

Foundation Trust Membership As part of our NHS Foundation Trustapplication, we now have over 5,000 publicand 8,000 staff members.

To become a member, or find out more aboutthe Foundation Trust process, please go to:www.uhcw.nhs.uk/foundationtrust

NHS Constitution The Trust’s values mirror those in the NHSConstitution which is a legal document thatsets out the rights and pledges that the public,patients and staff can expect from the NHS.

The next Annual Health Check will be out in October 2010. However we can confirm in2009/10:

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Vital Statistics 2009/10 2008/09

Number of people attending an Outpatient appointment 527,326 483,212

Number of outpatient appointments 575,302 531,002

The number of people attending Accident & Emergency (A&E) 156,865 150,101including specialist Childrens A&E

The number of Inpatients and Daycases (based on Admissions) 133,909 128,313

Babies Delivered 5,790 5,721

Patients having operations in theatres 45,465 44,239

Number of staff working in our hospitals Circa 6,400 Circa 6,400

Organisational Structure andFinancial Performance

Overview 2009/10

Organisational StructureOur Trust is led by Philip Townshend, Chairman and Malcolm Stamp, Chief Executive Officer. Theyare supported on the Trust Board by five independent Non-Executive Directors, five ExecutiveDirectors and a Non-Executive Director nominated by the University of Warwick.

Non-Executive Directors

Executive Directors

Chairman

Philip Townshend

Chief Executive Officer

Malcolm Stamp CBE

Chief Finance Officer/Deputy CEO

Andrew Hardy

Chief Nurse andOperating Officer

Ann-Marie Cannaby

Chief Medical Officer

Richard Kennedy

Director of Communications,Commercial Stratey and

Goveranance

Christine Watts

HR Director

Ian Crich*

Vice Chair

Nick Stokes

Non Executive Director

Tim Sawdon

Non Executive Director

Brendan Connor

Non Executive Director

Jack Harrison MBE JP

Non Executive Director

Trevor Robinson

Non Executive Director

Wendy Coy

Board Secretary

Jenny Cole

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*Ian Crich, Director of Human Resources, is in attendance at TrustBoard meetings but not in a voting capacity.

Trust Board structure shown as of March 31, 2010.

Financial Performance

The Trust’s total expenditure for 2009/10 (including dividends payable and finance costs) amountedto £465 million.

In the year 2009/10 the Trust has:

• met its key financial duty to break-even and delivered a surplus of £158,000.

• under its cost improvement programme made savings of almost £13 million

0 50,000 100,000 150,000 200,000 250,000 300,000

Clinical negligence

Other expenses

Depreciation

Premises

Clinical supplies andservices

Staff

2008/09

2009/10

£’000

ANALYSIS OF EXPENDITURE

To see a copy of the full annual accounts please write to: The Chief Finance Officer, UniversityHospital, Clifford Bridge Road, Coventry, CV2 2DX or telephone: 024 7696 7606.

To see a copy of the full Annual Report please go to www.uhcw.nhs.uk/about/annualreport

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