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Gerald Coteman, Chairman

Gerald Coteman, Chairman. Taking Control Foundation Trust Clinical and Patient Empowerment (inc. commissioning) Health versus Hospitals. Health. Long term Conditions Long term Conditions Long term Conditions Biggest global disease burden facing the modern world

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Gerald Coteman, Chairman

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  1. Gerald Coteman, Chairman • Taking Control • Foundation Trust • Clinical and Patient Empowerment (inc. commissioning) • Health versus Hospitals

  2. Health • Long term Conditions • Long term Conditions • Long term Conditions • Biggest global disease burden facing the modern world • PAH - reinforcing our role in both managing and preventing ill-health • Deep and sustainable reform of commissioning and Local Health Economy

  3. What Else is Important? • Stronger and more visible Board • Higher priority for patient quality and safety • Engagement with staff and patients has improved • Dialogue with our partners and stakeholders has increased and improved

  4. Other Things that Matter • To you – • Dementia • To me – • Carers

  5. Managing Long Term Conditions Rory McCrea, GP

  6. Jane Herbert, Chief Executive The Princess Alexandra Hospital NHS TrustNow and In the Future

  7. Our Five Year Vision and Mission “To become the best general hospital in the East of England” “To deliver the best possible care in a safe, reliable, effective and respectful environment”

  8. Findings and Priorities • Quality: patient safety, outcomes and patient satisfaction • Capacity and demand • Money • Compliance and access target • Strategy and strategic relationships Foundation Trust Application

  9. Quality • Board focus: new assurance systems being refined • Patient experience - more action needed in some areas • Patient safety and outcomes: clinical working groups in place helping to deliver safe care and best practice • Patient perceptions: big improvement but A&E still an issue

  10. Capacity and Demand

  11. Capacity and Demand Management • Significant mismatch between demand and capacity • Causes inefficiencies • Jeopardises access targets • Poorer patient experience • Workforce issues • Threatens the Foundation Trust application • Change in strategy needed • More support for Care Closer to Home • Internal work to reduce demand • Refresh bed strategy

  12. Finance – Headline Results Steady delivery of surpluses since deficit in 2005/06

  13. Continued growth of the Trust which will decrease Turnover

  14. Capital Investment

  15. Where We Spent Our Money

  16. The Auditors Local Evaluation (ALE) Excellent (4) Good (3) Adequate (2) Inadequate (1) 

  17. Delivery is varied Problems from increased demand Compliance and Access Targets • Focus on underlying capacity/demand mismatch • Prioritise • Ensure milestones for key targets with tight performance management systems

  18. Relationship with PCT must be constructive White paper maintains drive to FT for acute hospitals by 12/13 GPs to become commissioners Strategy and Strategic Relationships • New FT application with less not more activity in the future • Collaborate with PCT over joint targets • Continue to build links with GPs, community services, local acute hospitals

  19. What does this mean for our Foundation Trust Application?

  20. Summary • Top priority: work with PCT on “Care Closer to Home” to address capacity and demand imbalance to underpin other key issues • Strategy therefore based on doing less, not more • Continue to drive quality agenda and refine assurance/governance • Focus on finance and cost improvement • Build performance management culture • Lots to be proud of!

  21. 21st Century Care in Orthopaedics Paul Allen, Lead Clinician and Consultant Orthopaedic Surgeon

  22. The Department • 11 Surgeons • All branches of orthopaedics • Hip and knee replacement • Upper limb surgery • Spine and foot surgery

  23. Trauma Young Patients High Energy Injuries Sport, Road Accidents Older Patients Hip Fractures Low Energy Injuries Osteoporosis

  24. Trauma National Data Relative Performance Compares How We are Doing

  25. Where Were We Three Years Ago? High mortality Long length of stay No significant care of the elderly input Patients all over the hospital

  26. Where Are We Now? Harold Ward opened 1 September 2010 Care of the Elderly Physician, Dr Jane Snook, started December 2009

  27. Where Are We Now?

  28. Orthopaedics Wide range of services - Joint replacement - Upper limb surgery - Spinal surgery including neck - Foot surgery Joint replacement

  29. Competition Developed a new way to educate our patients Mr Mahaluxmivala Animated video to explain Total Hip and Total Knee Replacement to patients prior to surgery

  30. Hip & Knee Videos

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