Our Objectives 2010/11 - Nottingham University Hospitals NHS Trust

An Easy Read version ofNottingham University Hospitals NHS Trust’sAnnual Report and Finances2010/11

2Contents (What is in this report)Chairman and Chief Executive’s Joint Message ...............................02Better For You .......................................................................................................02Developing Our Services ....................................................................................02Safety and Quality ..............................................................................................03Our Staff ................................................................................................................03Our Partners .........................................................................................................04Operational and Financial Review ......................................................05Trust Information ..................................................................................................05Our Values and Vision .........................................................................................06Our Objectives 2010/11 – How well did we do? ................................07Outcomes for Patients (Clinical Outcomes) ....................................................07Using our Services (Patient Experience) ............................................................07Teaching and Training ........................................................................................07Research...............................................................................................................08Staff Feeling Good (Staff Feeling Happy) ........................................................08Using the Money properly (Value for Money) ..................................................08What we are going to do in 2011/12 ...................................................09Objective 1 – Better Care for Patients ..............................................................09Objective 2 – Develop ‘the NUH way’ (Our Values) .......................................11Objective 3 – Have money to run our services ................................................11Objective 4 – Start new services ........................................................................11Objective 5 – To be a Foundation Trust ............................................................11Objective 6 – Develop and run new services ..................................................12Objective 7 – Have the right facilities ...............................................................12Looking Back at 2010/11 ......................................................................13Better For You .......................................................................................................13Our Staff ................................................................................................................14Dignity At Work (Bullying at Work) ......................................................................14Staff Survey ...........................................................................................................15NUHonours Star and Diamond Awards 2010 ....................................................16Teaching and Training ........................................................................................16Leadership skills ....................................................................................................16Interviewing new staff .........................................................................................16

Our plans for next year 2012 ..............................................................................16Health and Wellbeing .........................................................................................17Ucycle (using bicycles) .......................................................................................17Volunteers .............................................................................................................17Our Emergency Plans ...........................................................................19Dementia ................................................................................................202010/11 Highlights .................................................................................21Older People ..........................................................................................22Involving Patients and the Public .........................................................23Equality and Diversity ............................................................................25NUH Charity ............................................................................................28Performance ..........................................................................................29Progress on Finance ............................................................................................29Progress on Waiting Times...................................................................................29Progress on Cancer .............................................................................................29Getting Better at Quality and Safety ................................................................30Infections ..............................................................................................................30Falls ........................................................................................................................30Sepsis (this is blood poisoning) ...........................................................................30NUH Patient Safety Newsletter ...........................................................................30Governance ...........................................................................................31Care Quality Commission (CQC) ......................................................................31Trust Board ............................................................................................................31Accounts and Finances ........................................................................34How to find out more .............................................................................3601

!$/) (1( $",*0 '( /% $02-3$!"#$%&'()/% '(6$",2-$7,)#%+-"'+8"1+%9#"4.-*2)1(%2*()#.-*8%&'()*+,"-'./%&"0".+)*1$%Q-*8%()>"-"1+%()-"0+)*1#$%A*-%#*8"%+-"&'()*+,"-'./%)#%#)+9'+"(%*1%+5**#)2)%#"-)*9#%#)("%">"0+#$%7,"-"%Developing Our Services2-3$9/+$",$%/$ :$0#% '/$ '( /% &#",%Last year we opened the NottinghamRadiotherapy Centre at City Hospital.+-"'+8"1+$%-*8%+,"%5).'-+)09

We also opened the Nottingham DigestiveDisease Centre at the Queen’s Medical Centrelast year.This is about how food goes through your bodywhen you eat.This Centre cares for patients who have problemswith this.We are spending £3million to make our car parksbetter with more spaces.Safety and QualityWe have done good work in reducing infections.We did really well in having less people with aninfection called MRSA.We are now one of the best Trusts in the country inreducing MRSA in our patients.Our StaffWe have new standards for Managers.They are about:• Leadership• Communication• ManagingWe also started a new website for Managers tohelp them in their work.03

Our PartnersWe want to become a Foundation Trust by 2012.We have over 13,000 people who are nowMembers of the Trust.Lots of our Members and staff are helping us getbetter.The Trust Board would like to thank them for theirhelp and support.Andrew Kenworthy, Joint Chief Executive of NHSNottingham City and NHS Nottinghamshire County,said: “We are fortunate in having NottinghamUniversity Hospitals on our doorstep as the Trustprovides very good services and excellent accessfor a range of specialties.”04

Operational and Financial ReviewTrust InformationNottingham University Hospitals is one of thelargest and busiest Acute Trusts in the country.The Trust employs over 13,000 staff.The Trust has:• Queen’s Medical Centre – our emergency carecentre• Nottingham City Hospital – our cancer, heartand stroke services• Ropewalk House – our outpatient and hearingservicesWe had £742million to spend last year on ourservices.We have 87 Wards.We have 1,700 beds.05

We are the only NHS Trust to have 3 BiomedicalResearch Units.These are:Hearing – this is about how people hearDigestive Diseases – this is about how the bodybreaks down the food we eatRespiratory Medicine – this is about how peoplebreathWe are working with University of Nottingham tohelp train Doctors, Nurses and other health staff.Our Values and VisionWe want to be the best Teaching NHS Trust inEngland by 2016.Our Values are ‘we are here for you’This makes sure we are really good at:• Outcomes for patients• Having good services• Teaching and Training• Research• Staff feeling good• Using the money properly06

Our Objectives 2010/11 –How well did we do?Outcomes for Patients (Clinical Outcomes)Last year we said we would reduce this numberof people who die while they are in hospital by2.5%.We made progress on this target, but we still needto get better.We nearly met all of the targets for clinicaloutcomes.Using our services (Patient Experience)More patients said they were happy using theTrust’s services.More patients and members of the public havehelped us in our change programmes.We nearly met all of the targets we set ourselvesfor patient experience.Teaching and Training89% of our staff had training to help them do theirjobs properly.70% of our staff have been on our ‘we are herefor you’ values training – this is about 6,400 staff.We did not meet our targets for teaching andtraining.07

ResearchWe had more patients being part of researchand got more money to carry out research.We met all our of targets for Research.Staff Feeling Good (Staff Feeling Happy)We have less temporary staff.We have action plans to help us get things betterfor staff.All staff have their own Personal DevelopmentPlans.We nearly met all of our targets for staffsatisfaction.Using the Money properly (Value for Money)We saved £5.1million to spend on new services.We are working to reduce our Carbon Emissions(this is about the how much gas and electricitywe use and making sure we use less in future).We did not meet our targets for Value for Money.08

as discounts at other retailers suchas Currys, Apple, Radley and BHS.What Jack (centre) we with Doctor Who are characters going to do in 2011/12Jack’s hospital visit isout of this world!Jack Parkin got the surprise of his life when a carnivalof monsters from Doctor Who arrived at NottinghamChildren’s Hospital.The characters from the BBC TV series popped in to Ward E38 to see five-year-old Jack,who was too poorly to make it to the Doctor Who Live show, which came to theNottingham TrentFM Arena in October. As well as a villainous Cyberman, Ood andSilurian, Jack also got to meet Nigel Planer, who played the evil Vorgenson in the speciallive stage show, Doctor Who: The Monsters Are Coming.NEW safety leafletsObjective 1 – Better Care for PatientsWe would like to thank everyonewho attended our recent governorawareness sessions. The sessionsWe have 7 important things we want to do towere well attended, with over 100people looking to find out moremake sure about being we a Trust have Governor. better care for our patients.Attendees found out more aboutWe have called these priorities. They are:Foundation Trusts and the role ofPriority 1To register visit www.nhsdiscounts.com. When completing the ‘yourjob’ section answer ‘yes’ to workingfor the NHS and then select‘Foundation Trust Member’ as thejob category.GovernorAwareness SessionsGovernors, as well as hearing firsthand from a guest Governor from aneighbouring Foundation Trust. Eachsessions ended with question and answerpanels which included Chief ExecutivePeter Homa and Chairman Peter Barrett.If you were unable to attend you arestill welcome to stand as a Governor. Torequest a copy of our Information packfor prospective Governors or for moreinformation please e-mail ft@nuh.nhs.uk.We will reduce harm that should not happenwhen people use Nottingham University Hospitalsby 5%.A new safety leaflet for patientsand staff has been launched toraise awareness of key infectioncontrol and patient safety issues.The new leaflets are available fromwww.nuh.nhs.ukFollow us on Twitterwww.twitter.com/nuhft.Priority 215We will have less than 10 patients with the MRSAinfection.Have less than 158 people with C Diff infection(stomach infection).Priority 3We will make sure patients do not get blood clots.This is called venous thromboembolism.Priority 4We will make sure that patients stay safe whenthey take medicines.09

Priority 5We will make sure patients eat healthy food.Priority 6We will make our information better.Priority 7We will have better care for people withdementia.For more information about our plans andobjectives for next year, look at our QualityAccount (Report) on our website www.nuh.nhs.uk10

Objective 2 – Develop the ‘NUH way’ (Our Values)We will make sure our Values are at the centre ofchanges we make.Objective 3 – Have money to run our servicesWe need to save £40million next year by doingthings differently.Objective 4 – Start new servicesWe will open a new Trauma Centre at QMC (thisis when people have a very serious injury)We will have new community services:• For mothers having babies• To support people to have safe sex• For people with sickle cell (this means bloodproblems)We will move services for patients with muscleproblems from QMC to City hospital (this is calledOrthopaedics).Objective 5 – To be a Foundation TrustWe plan to be a Foundation Trust by the end of2012.11

Objective 6 – Develop and run new servicesWe will look at new services we can provide inthe future.Objective 7 – Have the right facilitiesWe want to start a joint Nottingham and LeicesterPathology Service (this service looks at differentdiseases and finds ways of helping patients getbetter).We will have more car parking for patients andvisitors.For more information about our objectives seeour Annual Plan 2011/12 on our websitewww.nuh.nhs.uk12

Looking Back at 2010/11Better For You‘Better For You’ started in 2009 and is our wholehospitals change programme.We involved patients and staff in everything wedid.Staff tell us what needs to change and then helpus make it happen.Better for You is looking at things through thepatients’ eyes.volvedyou’Our first project was in the EmergencyDepartment. Patients are now seen quicker, bythe right person and get the right care.nt, including patient care andand the environment.t of recent feedback, includingce and telephone interviews,Amber Bristow, ED Project Lead (left), withJen Wardle-Miller, ED Nurseed new TV screens in the waitingof ED to provide updates tots and their relatives on waitingand other Trust newsented a patient and carers’ack board in the departmente been cared for in they Department recently andto share your feedback on youre, please contact Kate Pound, on9924 ext 62982 or e-maild@nuh.nhs.uk.vededback which will help uss before they come into ourts and visitors, through surveysquality of information wee from patients on all of oure your help and feedback toients, including letters,embers who havelowing specialties:ics.ll Kate Daniels on 0115 969iday 29 January 2010.Amber Bristow with patient Lynne EllisQuality Accounts– coming soonIn 2010, NUH will publish Quality Accountsfor the first time. This is an opportunityto share with our patients, members andthe public more detailed informationabout the quality of care provided at ourhospitals covering safety, effectiveness andpatient experience.In our first publication, we will be focusingon the areas that our patients have told usmatter most to them. We will be e-mailingour members soon to ask for their viewson whether we have focused on the rightareas, where there may be gaps and whatelse you would like to see in future QualityAccounts for NUH. The Quality Accountswill be published early summer 2010.Better for You is helping patients go home quickerafter an operation. This is called EnhancedRecovery After Surgery (ERAS).We have done this by:• Giving better information to patients beforethey come into hospital so they know what willhappen• Helping patients with pain• Helping patients to get better quickly, so theycan eat and drink and get out of bed913

150NUH now has over 150 Better For You projects.These include:• Radiology – The Radiology Telephone CallCentre now answers 90% of all the calls it gets(it was 20%)“The Radiology Call Centre is now offering amuch better service to patients and we intend tocontinue improving this year.”Kate Pound, Project Manager for Radiology.• Cleaner Hospitals – all 800 cleaning staff havebeen involved in using new equipment andnew ways of working“Our project is all about cleaning and thecontribution improved cleanliness can make toinfection control.”Wayne Kitchener, Project Manager for ProductiveCleaning.Our StaffWe have a new health and wellbeing strategy forstaff. This means that staff get the support theyneed.Dignity At Work (Bullying at Work)We now have Dignity At Work Champions whoprovide support to staff who have been bullied.“We have implemented a Dignity at workChampion service to offer impartial adviceand support to staff. It is important that the Trustencourages a workplace environment which hasthe highest standards of behaviour.”Emma-Jayne Perez-Chies, Directorate HRManager and HR Lead for Equality & Diversity.14

Staff Survey36% of staff replied to the 2009 survey.We also held staff events to get their feedback.We are working on a number of actions. Theseinclude:• Having more opportunities for staff• Better communication• Better information• Making it easier for staff to talk to managersWe have 13,606 staff working at NottinghamUniversity HospitalsNUHonours Star and Diamond Awards 2010The NUHonours Awards is where patients, thepublic and staff can vote for a service they thinkis really good and should get an award.We had a total of 547 nominations including 140video nominations.“The moment my name was called out andwalking to collect my award will be one of myproudest moments in my life.”Rosemarie Frier, Emergency Department Nurse,winner of the Acute Medicine Award.15

Teaching and TrainingStaff have appraisals. This is about checking thatstaff are doing a good job and then telling them.All staff now have a personal development plan.Leadership skills158 Managers have been trained.Interviewing new staffStaff have been trained.Better For YouOver 650 staff have been trained.Our plans for next year 2012:• We will train more staff• We will provide better quality• We will use the skills that staff have16

Health and WellbeingWe have a programme called‘Q-Active’.What we have done:• More staff know about health and wellbeing• We have a new health and wellbeingco-ordinator• We have held events• We have had walking and running exercises• More staff are getting fit using the gym• Helping staff live healthy and stop smokingUcycle (using bicycles)We are working in partnership with a charitycalled Sustrans, to have more staff using bicycles.This year:• More staff are using bicycles• Bicycles have been checked for free• We have held events• We have given out lots of informationVolunteersWe have over 1,300 volunteers at our hospitals.51 volunteers got an award for long service(working as a volunteer for over 25 years).17

Fred Dudley won the 2010 Volunteer Award. Heinvolved patients in growing vegetables andplants.“The awards night was a fantastic evening andto hear my name called out, well I was so excitedto have won.”Fred Dudley, winner of the Volunteer Award.Volunteers do great work including:• Supporting patients at Hayward House DayCentre• Helping families when a patient dies• Helping to run the Library• Running Nottingham Hospitals Radio18

Our Emergency PlansThis is about the Trust working with otherorganisations to make sure we are ready for bigemergencies that could happen.What we have done:• We have a better Major Incident Plan(Emergency Plan)• We have plans for Swine Flu• Staff have been trained• We have tested out our plans, so we areready if a real emergency happens19

DementiaDementia is when the brain stops workingproperly and people cannot remember how todo things.We have a Dementia Strategy (a plan).We have a steering group and a lead person (aDementia Champion) to take this work forward.More staff will get training to help them in theirwork.We were given £2.5million for research inDementia.With this money we opened a new ward (B47 atQMC).This ward won the Mental Health and WellbeingAward last year.In June 2010 we held our first DementiaConference. Over 100 carers came to this event.Our dementia plans for 2012 include:• Involve patients and carers in the planning ofservices• Make sure patients are treated quickly• More training for staff• Make our buildings easier to use• Work in partnership with othersOur vision is that Nottingham University Hospitalswill be a Centre of Excellence for Dementia.20

2010/11 HighlightsFood• In April 2010 the public restaurant was openedas the ‘Queen’s Restaurant’Transport• Our Medilink bus service has new bigger buses• Last year 1.5 million people used the free busserviceLooking after the planet• We have been working hard to use lesselectricity, gas, coal and water• We have over 160 environmental champions tohelp us in this workCancer• The Government Tsar, Professor Sir MikeRichards, opened our new NottinghamRadiotherapy Centre for cancer patients• It cost £21.6million and will treat over 3,000 ayear patientsResearchWe have 3 research units. These are:Hearing – this is about how people hear.Digestive Diseases – this is about how the bodybreaks down the food we eat.Respiratory Medicine – this is about how peoplebreath.21

Older PeopleWe are finding out the best way to support olderpeople who are physically and mentally ill.30% of older people who come into hospitalhave dementia.We are doing the following things to help them:• Using person-centred care• Providing meaningful activities• Involving family carers more• Using specialist health staff• Making our buildings better22

Involving Patients and the PublicWe have carried out a number of national surveysto help us understand what patients think aboutour services. This is what we have been told.Inpatient Survey (when patients stay in hospital)• Most patients said the care they got was good• We need to give better information aboutmedicinesCancer SurveyPatients said we need to get better in providinga more personal service and giving betterinformation.Maternity Survey (having a baby)Patients said we were good at giving the rightinformation, involving women in decisions andtreating women with kindness.23

Local FocusFoundation TrustmembershipupdateGet involved and help NUHmake positive changesThank you to all our members who are supporting our application to become anNHS Foundation Trust. We’re delighted to have reached our 10,000 membershipmilestone and value your input and involvement as we continue our campaignto become an NHS Foundation Trust.Our vision is to become the best acute teaching Trust in the country by 2016.We want to build on our achievements as a high performing, forward-thinkingorganisation, providing accessible, quality healthcare to people in greater Nottingham,the East Midlands and beyond.Becoming an NHS Foundation Trust is the next step to help us achieve our vision. It willgive our patients and the wider public the opportunity to be more involved in how ourhospitals are run and the services we provide.The Pakistan Centre, Woodborough Road in NottinghamBoard ofGovernors• We have started to get feedback from patientsevery monthMembers elect most ofthe Board of Governorsto represent them. It isa legal requirement thatover half the Governorswill be the representativesof local people. The restof the Governors will beelected by our staff and willbe appointed from localorganisations who work inpartnership with us.Governors act as representatives oftheir respective areas and provide a linkwith the wider community.Members who are elected as aGovernor will:• Receive induction and trainingin relation to the role they areundertaking• Attend regular update sessions topromote a better understanding ofthe Trust and its servicesInvolving Our Members• We have over 13,000 public Members and12,900 staff Members• Be supported in communicating withtheir constituency and encouragedto hold surgeries, which memberscan attend to raise issues or receiveinformation• Be invited, within the Board ofGovernors meetings, to raise anyissues from the membership• Be asked to become involved inmembership recruitment withintheir constituencyIf you are interested in becominga Governor or would like moreinformation we will be holdingGovernor Awareness Sessionslater this year. Look out for detailsin future issues of the magazine,mailings or or on our website atwww.nuh.nhs.uk/ft• Our Members help us in our work• We invite members to talks and events so theycan find out more information7If you want to be a member of NottinghamUniversity Hospitals, please visit our websitewww.nuh.nhs.uk or you can telephone us on0800 731 0319Making Information BetterWe know we need to get better at givinginformation to patients and familiesTo help us do this we have:• A Readers’ Panel who give us advice on theinformation we produce• Produce information in Braille, easy read, largeprint and audio• Have easy read maps of our hospitals24

Equality and DiversityWe have made good progress on making surewe include everyone in what we do. This hasincluded:• Making sure our policies and procedures workfor everyone• Involved local people who have helped us getthings better• Started a network for staff who are gay, lesbianand transgender who support patients• Started a translation service• Used sign language and easy read• Helped patients pre-plan their visits using thebest routeeting ourmbersen a busy and exciting year for Nottingham University Hospitals NHSH) as we continue in our quest to become a member-led organisation.All our guides are on the DisabledGo website.Take a look at www.disabledgo.comAbout Our CommunityWe get information about the public so we canmake our services better.This work is called the ‘What’s It Got To Do WithYou’ programme.Becoming an NHS Foundation Trustwill mean our members in thecommunity will have more say in therunning of NUH as well as ownershipof the services delivered.It will help us forge closer links with localcommunities, provide more financialfreedom and improve the services weprovide to patients.We’ve been out and about in thecommunity to raise awareness of whatbeing an NHS Foundation Trust memberwill mean for the local community anddiscuss how you can get involved.Community EventsWe went to lots of community events to tellpeople about the Trust and to get their views andideas.Thank you to everyone who camealong to our exhibitions at events suchas Nottingham Pride, NottinghamCarnival, the Mela and RiversideFestival. We’ve had a fantastic responseso thank you to everyone who signedup to be a member.NUH representatives at eventsaround Nottinghamual Public Meetingn 180 people attended NUH’s Annual Public Meeting which was our mostl to date, creating a real buzz among visitors.event could have a number of tests including diabetes, blood pressure and hearing tests as well as sample some ofred by our award-winning chefs. Next year’s meeting will be on Wednesday 22 September 2010, 5-7pm, Citysidettingham City Hospital campus. We hope you can join us.25

Working togetherwith East MidlandsAmbulance ServiceVisitors to the QMC in recent weeksmay have seen the joint membershipstand for Nottingham UniversityHospitals and the East MidlandsAmbulance Service (EMAS) which alsohas a membership group.Of course this is not the only way inwhich NUH and EMAS work together.From emergency arrivals by ambulance toproviding safe and reliable transport forour patients, the two organisations workclosely to ensure patients are provided withthe best possible standards of care.From their control room in Nottingham,as well as another in Lincoln, they received692,936 calls for help in 2009/10 – onaverage one request every 45 seconds,24/7, 365 days of the year and serve apopulation of 4.8 million, which includesNottinghamshire and Derbyshire.NUH Charity ball raisesalmost £24,000NUH Charity’s Black Tie & Diamonds Ball raisedalmost £24,000 thanks to supporters.The event was held at the EastMidlands Conference Centre on 10September and was attended by around270 people. Hospital staff, patients,family members and friends supportedthe event, which featured a threecoursemeal, raffle, auction and music.Money raised will fund video conferencingfacilities for cystic fibrosis (CF) patients atthe City campus, which will mean they cancommunicate with each other from theirYou can be a member of both NUH and EMAS.If you would like to join please visit their website: www.emas.nhs.uk/ft,call 0115 884 5254 or email foundationtrust@emas.nhs.ukseparate hospital rooms, as they are unableto mix with one another due to the risk ofdangerous cross-infection.NUH Charity works with the hospitals tosupport us in a range of ways includingfour key areas: improving patient care,funding medical research, purchasingequipment and supporting hospital staffthrough leadership programmes.All the money that is raised goes directlyto enhancing patient care.The charity has helped raise funds for anumber of projects, from £150,000 forbreast cancer research to providing state ofthe art surgical equipment.We would like to thank them for all theirhard work and encourage you to visit theirwebsite and get involved if you can.To find out more about NUH Charity,go to www.nuhcharity.org.ukCommunity In Unity• We have worked in partnership with the EastMidlands Ambulance Service (EMAS) to findout what people in Nottinghamshire thinkabout our services• Every November will now be Community InUnity month, where we will hold events forpeople to attend11Looking Ahead to 2011/12• We have a new plan called the Single EqualityScheme and Improvement Plan• This will help us get better and make sureour services meet the needs and wishes ofeveryone in our communityIf you want to find out more about this plan visitour websitehttp://www.nuh.nhs.uk/equalityanddiversity/documents.aspxPatient Advice and Liaison Service (PALS)This service helps patients and families who areworried or when they need more information,support and advice.This year we saw 5,387 people.26

Complaints, Concerns, Comments andCompliments (the 4 C’s)Complaints (things not working well)• We have developed a poster for patientsand families, so they know how to make acomplaint if they need to• This year we had 737 complaintsCompliments (things working well)• This year we had 6,500 compliments27

NUH CharityThe Charity supports patients and raises moneyfor Nottingham University Hospitals.This year the charity raised over £2million.The charity has given some of the money to thefollowing services:• £53,000 for a new ultrasound machine• £62,000 for artwork in the Radiotherapy Centre• £19,000 for a Complimentary Therapy SpecialistNurseThey also gave money for other things, including:• £150,000 for research• £62,000 for nursing training• £25,000 for a special doll to help Doctors andNurses in their workIf you want to find out more about the NUHCharity, visit our website www.nuhcharity.org.uk28

Performance – this is about how well wehave done over the last yearProgress on FinanceWe had a total of £742million last yearWe were left with £5.1millionNext year will be very difficult and we need tosave £40million.Progress on Waiting TimesWe met the national targets of seeing all patientswithin 18 weeks of being referred from their GP.In our Accident and Emergency Department wesaw 97% of patients within 4 hours.Progress on CancerWe did better than the national target to seepatients within the agreed time.29

who was too poorly to make it to the Doctor Who Live show, which came to theNottingham TrentFM Arena in October. As well as a villainous Cyberman, Ood andSilurian, Jack also got to meet Nigel Planer, who played the evil Vorgenson in the speciallive stage show, Doctor Who: The Monsters Are Coming.NEW safety leafletsneighbouring Foundation Trust. Eachsessions ended with question and answerpanels which included Chief ExecutivePeter Homa and Chairman Peter Barrett.If you were unable to attend you areGetting Better at still Quality welcome to stand and as a Governor. Safety Torequest a copy of our Information packfor prospective Governors or for moreInfectionsA new safety leaflet for patientsand staff has been launched toraise awareness of key infectioncontrol and patient safety issues.The new leaflets are available fromwww.nuh.nhs.ukinformation please e-mail ft@nuh.nhs.uk.• We only had 5 patients with MRSA (skininfection)• We had 225 patients Follow us with on Twitter C Diff (stomachinfections), but our target was 186www.twitter.com/nuhft.Falls15• We have a new toolkit and better informationfor patients to reduce the number of patientshaving a fall• Last year there were 3,334 fallsSepsis (this is blood poisoning)• We have a new Sepsis Action Group• We are making sure that staff know what to dowith patients with SepsisNUH Patient Safety NewsletterIn 2010 we started a Newsletter for staff to helpthem think about safety in their work.If you want to know more about what we havedone to keep patients safe, visit our websitewww.nuh.nhs.uk30

GovernanceGovernance is about making sure NottinghamUniversity Hospitals is run and managed properly.Level 2 We need to make sure we are reducing risk andmanaging this properly.The NHS Litigation Authority is the organisationthat tells us how well we are doing on riskLevel 1 We are at Level 1, but we want to be at Level 2by February 2012.Care Quality Commission (CQC)We are registered with the CQC.This means we are meeting the proper standardsfor quality and safety.The CQC said we were good at:• Telling patients what was happening to them• Meeting the needs of patients• Giving patients a good experienceTrust BoardThe Board is made up of people whose job it is tomake sure the hospitals and all our services aregood and run properly.To find out who sits on the Trust Board, visit ourwebsitehttp://www.nuh.nhs.uk/about/meettheboard.aspx31

Annual publicmeeting agreat successOver 130 patients, members, andstaff attended the Trust’s annual publicmeeting in September to find out moreabout developments at the Trust andour Better for You programme.There were presentations and updateson the programmes in the EmergencyDepartment, Productive Ward,Ophthalmology and Productive Cleaning.Staff were on hand to provide everythingfrom advice about our Foundation Trustbid to blood pressure tests. We would liketo thank all our members who attended!Touring the newRadiotherapy CentreWe would like to thankall the members whoattended the Medicine forMembers event in Octoberat the new RadiotherapyCentre at our City campus.A presentation and a tour of thenew facilities was on offer tomembers ahead of the officialopening of the building.The new centre, which is now open,has two LINAC suites of the highestspecification, a Tomotherapy treatmentsuite and two CT simulation rooms. It isexpected that the facility will treat over3,000 patients a year.The building is also environmentallyfriendly and energy efficient, inkeeping with the Trust’s commitmentto sustainability. Features include waterharvesting, the use of natural buildingmaterials and skylights to maximise theuse of natural daylight. The building hasreceived a score of ‘excellent’ on the BREEnvironmental Assessment Method.!"#$%&!#'()11 January 2011:Medicine for Members event.Organ donation and visit to theCity Hospital campus.17 February 2011:Medicine for Members eventon patient safety at QMC.Call 0800 7310319 or emailft@nuh.nhs.uk to book yourplace or find out more.Russell Hart, Radiotherapy ServiceManager, said:”This new unit will undoubtedly havetremendous benefits for our patients,who will be able to access the higheststandards of care, using the very latesttechnology. It will enable NUH to deliver afirst-class service to cancer patients.”Every year we have an Annual Public Meeting.This took place on 23 September 2010.To help the Board do its job properly, it has anumber of Committees.The Committees look at different things in moredetail.7The Audit CommitteeThis looks at how we manage risk and makes surethat the Trust have systems in place to do thisproperly.The Remuneration Committee (Pay)This looks at how much the bosses should be paidfor doing their job.The Finance and Investment CommitteeThis looks at the money we have to run servicesand makes sure we do not spend more moneythan we have.32

The Advisory Appointments CommitteeThis interviews and gives jobs to senior people(the bosses).The Organ Donation CommitteeThis looks at getting more people to donate partsof their body after they die.Better For You Assurance CommitteeThis looked at the whole of the Better For Youprogramme. This committee has now stopped.Ethics of Clinical Practice CommitteeThis gives advice about good practice and givinggood healthcare to patients.33

Accounts and FinancesWe are not allowed to spend more money thanwe have.Last year we saved £24.4million from our money.We did this by only buying the things we need andstaff working differently.We did this and still had £5.1million left over.We plan to use this money to develop newservices.We met all our financial targets set by theGovernment.Where did our money come from?Last year the total money we had to spend on ourservices was £742million.Most of this money comes from the Primary CareTrusts.Primary Care Trusts buy our services and weprovide them.34

How did we spend our money?We spent £459million on staffingWe spent £36million on our buildingsWe spent the rest on equipment and services weneeded to run the Trust.We also got £38.4million to spend on buildingsand equipment (this is called capital money).With this capital money we did the followingthings:• A new Radiotherapy Centre building• New medical equipment• New computer equipment• A better Emergency DepartmentWe will get £752million to spend next year on ourservices.But, we also have to make BIG savings next year.Every NHS Trust has to have their financeschecked to make sure the money has beenspent correctly.The Audit Commission checked the finances ofNottingham University Hospitals.They said that everything was correct.35

How to find out moreYou can get a full copy of this report bycontacting us.Communications TeamNottingham University Hospitals NHS TrustQueen’s Medical Centre CampusE Floor, South BlockDerby RoadNottinghamNG7 2UH0115 924 9924 extension 63562communications@nuh.nhs.ukwww.nuh.nhs.uk36

This Easy Read version of the Annual Report2011/11 was written by WebEnable.social enterprise foraccessiblecommunicationwww.webenanble.orgThe pictures are from Photo Symbols 3 andNottingham University Hospitals.37

Designed by Neal Hughes, Medical Photography department.Photographs by Medical Photography department.© 2011 Nottingham University Hospitals NHS Trust. All rights reserved.