BHRUT annual report 2009 - Barking Havering and Redbridge ...

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Annual Report & Accounts 2009-2010 1 Contents Section Page A message from the Chairman and Chief Executive 2 Healing, Caring, Serving 3 Hitting the targets 4 Celebrating our people 6 New developments 9 Improving patient experience 11 Our staff 12 Environment 14 The Trust Board Members 15 Operating and financial review 18 Remuneration report 19 Annual Accounts Chief Executive's Responsibilities 24 Directors' Statements 25 Statement of Internal Control 26 Independent Auditors' Report 32 Statement of comprehensive income 35 Statement of financial position 36 Statement of changes in taxpayers’ equity 2009/10 37 Statement of changes in taxpayers’ equity 2008/09 38 Statement of cash flows 39 Notes to the Accounts 40 If you need help 73 Contents
2 Barking, Havering & Redbridge University Hospitals NHS Trust A message from the Chairman and Chief Executive Welcome to our Annual Report for 2009/10. There is no doubt that the year brought some major successes. Our performance across the board has improved, which you can see detailed further on in this report. Making these improvements while cutting waiting times and working to a strict financial budget is due, in no small part, to the dedication and hard work of our staff and volunteers. To work alongside our Clinical Divisions, we have a new clinical leadership with Ian Abbs, Medical Director (on secondment from Guy’s and St Thomas’ Foundation Trust), Deborah Wheeler, Director of Nursing, Dylan Jenkins, Director of Emergency Care and John Alcolado, Director of Medical Education. We have introduced changes throughout the organisation to ensure that patients are not staying in hospital any longer than they need to. Diagnostic tests are easier to access, results are available sooner, and daily ward meetings have been arranged to discuss the care and progress of every single inpatient. The success of these individual changes has seen waiting times being cut, most notably in Accident and Emergency. There is still some way to go, but a dedicated Emergency Care Transformation Team has enabled improvements to be made and embedded into the organisation. The experience of people while they are with us is hugely important, and something which we will continue to focus on. We have introduced an Improving Patient Experience Board, and Deborah Wheeler also established a nursing visible leadership. This sees senior nurses - including our Director of Nursing - back in uniform and back on the wards. Looking at issues from a grass roots level allows us to see what our patients, visitors and staff see, and spot any issues that need resolving or improving. Services have continued to develop. Notably this year we have been named as a Hyper Acute Stroke Unit for London – one of only eight across the capital. This will be a great boost for patients who suffer a stroke as they will be able to access the very best treatment right here on their doorstep - vastly improving clinical outcomes. We have continued to make much-needed financial savings this year, and have hit the targets laid down for us. The Trust is still in deficit, but is working steadily towards a break-even position. We would like to personally thank all our staff and dedicated volunteers for bringing about these improvements and for continuing to work tirelessly to improve the services we offer. We are also pleased to have strong relationships with our primary and social care colleagues and with our patients to help shape the future of healthcare in the area. We would like to thank Barbara Liggins for being Acting Chair for the first nine months of 2009/10. We place great emphasis on meeting and listening to staff, patients, visitors and our partners and stakeholders. The Trust Board is committed to ensuring that we continue to improve the quality of care and patients’ experience so that the care delivered to all our patients is consistently of the required standard. Sir David Varney John Goulston A message from the Chairman and Chief Executive
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