Annual general meeting
27 September 2011
Welcome and introduction Mr John Trewby
Chair
The financial year2010/11
Alastair MatthewsDirector of finance and
investment
Annual report and accounts
• Full accounts on Trust website
• Summarised accounts in annual report
• Surplus of £2.9m before impairments of £3.3m- Income of £514m- Costs of £511m
• Surplus was underpinned by £33m of savings
• Trust not receiving full tariff for its activity
• Net liquidity improved but requires further improvement in 2011/12
Annual costs of £511 million How is it spent?
Staff costs1090 doctors
4023 nurses & HCA921 scientific & thera-
putic1563 estates, admin and
other
Clinical supplies & services
Premises & deprecia-tion
Other supplies
Research & devel-opment
Clinical negligence insurance PDC dividend
Other
Annual income of £514 millionWhat are the main sources?
NHS Hampshire
NHS Southampton CityOther SHIP
Southwest
Other
Education
R&D
Other
Audit Commission - annual audit letter
• Improving levels of engagement across the Southampton Health System• Sound assurance, risks and performance management processes• Key actions:
•deliver cost improvement programme•work with local partners to improve activity management•improve cash and liquidity position•implement service changes e.g. major trauma centre
Unqualified Audit Opinion
Proper arrangements to secure value for money
Biomedical research in Southampton
Professor Iain CameronDean of faculty of medicine University of Southampton
Surgical frontiers
Mr Tim UnderwoodMRC clinical scientist
University of Southampton
Managing intestinal failure
Dr Trevor Smith Consultant gastroenterologist
Intestinal failure
SUHT intestinal failure (IF) service
• Phased opening of IF unit from April 2010
• High standards of care compared to NCEPOD
• CRS: five fold reduction– savings £180K
• 18 complex IF operations – ten able to stop HPN– savings £0.5-1m
• HPN avoided in six out of 16 referrals; – savings ~£0.5m
• Regional clinical network
Nutrition and catering: our journey to excellence
Judy GillowDirector of nursing
Nutrition
• Where we were
• Where we are now
• Where we plan to be
Our journey to excellence
Nutrition – Where we were two years ago
• Change in catering contract
• Inconsistent patient feedback
• Media articles reduced patient/public confidence
• Early implementation of new system/roles for nursing and catering staff
• Inconsistent nutritional screening
• ANT nutrition link nurses in place
Nutrition in 2011
Where we are now
Logistics and quality improved and destination Excellent
• Meeting CQC and BAPEN standards
• PEAT Scores “excellent” (2/4)
• Catering and SUHT staff working in partnership
• Introduction of patient protected meal times
• Nutrition screening much improved
How
Nutrition in 2011
On the right path
• Red trays and beakers in use
• Meal time co-ordinator role being implemented
• Improved patient feedback from . . . .
Achieving nutrition excellence going forward
• Trust quality priority
• Rigorous monitoring framework
• Improved patient feedback
• Recognition as a biomedical nutrition research centre
• Successful implementation of mealtime assistant initiative
Review of the year:Turning the
2020Vision into a reality
Mark HackettCEO
A changing health economy
• GP commissioning• Reconfiguration at regional and local level• QIPP savings to be delivered• Research and education funding • Tariff reductions• Emergency demand rising in tertiary centres• Developing world class hyper-acute services
Responding to change
• Developing our working relationships with GPs• Working closely with partners to agree our five year strategy• Embracing requests to change the way we receive referrals• Delivering savings of £33 million• Growing our research and how we develop it into new treatments• Investing in new services, facilities and equipment• Improving the effectiveness of local and regional services• Improving patient safety and outcomes• Improving staff satisfaction
Better care for patients
• Keeping you safe:
- MRSA at all time low
- Record reductions in C. difficile
- Exemplar site for blood clot prevention
- Preventing falls in hospital
- Preventing pressure sores
- Safer operating theatres
- Managing deteriorating patients
Better care for patients
• Improving your outcomes:
- Vascular surgery
- Cardiac surgery/cardiology
- Colorectal
- Stroke
- Cancer
- Intensive Care
- Upper GI
- Intestinal Failure Unit
Better care for patients
• Improving your experience of receiving care:
- Parking improvements
- Same sex accommodation
- Access to services
- Supporting patients with learning disabilities
- Acute oncology unit
Major Trauma Centre
Vascular and stroke services
Clinical service developments
Clinical service developments
Children’s congenital heart surgery
Children’s hospital
Clinical service developments
Cancer services
Obstetrics and maternity
Neurosciences
Cardiac services
Respiratory services
Gastro-intestinal
Interventional radiology
Future developments
Closer partnerships with providers and GPs
• Cancer• Child health• Emergency care• Day surgery• Cardiac• Chronic diseases – COPD/heart failure• Radiology services
Research and development
Challenges ahead
• High quality services that patients admire• Timely access to our services• Developing children’s heart surgery• Delivering our 2020Vision
- Managing our regional role
- Delivering excellent emergency and local services
- Improving services to community for chronic disease• Investing in staff capacity and capability to be a great place to
work• Managing with less resources
Questions?