Annual general meeting 27 September 2011

1. Annual general meeting 27 September 2011 Welcome and introduction Mr John Trewby Chair

2. The financial year 2010/11 Alastair Matthews Director of finance and investment

3. 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

4. Annual costs of £511 million How is it spent?

5. Annual income of £514 millionWhat are the main sources?

6. 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

7. Biomedical research in Southampton Professor Iain Cameron Dean of faculty of medicine University of Southampton

8. Surgical frontiers Mr Tim Underwood MRC clinical scientist University of Southampton

9. Managing intestinal failure Dr Trevor Smith Consultant gastroenterologist

10. Intestinal failure

12. 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

13. Nutrition and catering: our journey to excellence Judy Gillow Director of nursing

14. Where we were • Where we are now • Where we plan to be

15. 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

16. 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

17. Red trays and beakers in use • Meal time co-ordinator role being implemented • Improved patient • feedback from . . . .

18. Trust quality priority • Rigorous monitoring framework • Improved patient feedback • Recognition as a biomedical nutrition research centre • Successful implementation of mealtime assistant initiative

19. Review of the year:Turning the 2020Vision into a reality Mark HackettCEO

20. 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

21. 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

22. 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

23. Better care for patients • Improving your outcomes: • - Vascular surgery • - Cardiac surgery/cardiology • - Colorectal • - Stroke • - Cancer • - Intensive Care • - Upper GI • - Intestinal Failure Unit

24. Better care for patients • Improving your experienceof receiving care: • - Parking improvements • - Same sex accommodation • - Access to services • - Supporting patients with learning disabilities • - Acute oncology unit

25. Clinical service developments Major Trauma Centre Vascular and stroke services

26. Clinical service developments Children’s congenital heart surgery Children’s hospital

27. Clinical service developments Cancer services Obstetrics and maternity Neurosciences Cardiac services Respiratory services Gastro-intestinal Interventional radiology

28. Future developments • Closer partnerships with providers and GPs • Cancer • Child health • Emergency care • Day surgery • Cardiac • Chronic diseases – COPD/heart failure • Radiology services

29. Research and development

30. 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

31. Questions?