Annual Report Summary 2015/16 This is an interactive PDF. To navigate, use the arrow buttons on either side of each page or locate a specific section using the tool bars within the document. sussexcommunity.nhs.uk sussexcommunitynhs nhs_sct
Welcome Our trust at a glance Year at a glance Our performance Financial review A great place to work Join us Welcome to our annual report 2015/16 Our staff can be very proud of our many fantastic achievements over the year the icing on the cake was becoming a foundation trust on 1st April 2016. This builds on our CQC inspection, which rated our services as Good. Our Brighton & Hove breastfeeding team were ranked best in England for mums breastfeeding their young babies. For the second consecutive year we re in the top 120 HSJ s best places to work in the NHS. across more communities in Sussex. We re delighted to now be providing adult community services in the High Weald Lewes Havens area and a medicines optimisation services in Eastbourne, Hailsham, Hastings, Rother and Seaford. We look forward, as a foundation trust, to providing even more services supporting people to live healthy independent lives in the community, delivering our vision of excellent care at the heart of the community. Our Care Without Carbon strategy and Dare to Care engagement campaign won four national awards. And, we were ranked outstanding in the first national learning from mistakes league. We are also very proud of being able to expand the number of services we deliver, Sue Sjuve Chair Paula Head Chief Executive 2
Our trust at a glance Type of Trust Community NHS Foundation Trust Services provided Health visiting, school nurses, community nursing, reablement and therapies, health promotion and wellbeing, and care for people with long-tem conditions and at the end of their lives. Number of staff 4,663 Number of patients Care for over 9,000 patients every day Horsham and Mid Sussex CCG Communities served Brighton & Hove, Crawley, High Weald Lewes Havens and West Sussex Population served Over 1.1 million Our vision for the future: Communities of Practice Communities of Practice is the name we have given to our vision of how our organisation will work in the future. This will involve our teams working together more closely with other health, care, education and charity professionals to provide the right personalised care for each person. Teams will include GPs, public health, acute hospital colleagues, mental health professionals, schools, children s centres and social care workers. These Communities of Practice teams will be based around smaller communities of around 60,000 people. This is about creating a better way of working so that we can focus on the most important thing the individual needs of each patient. If we are successful then we will improve the care we can provide, and make Sussex Community FT a better place to work. 3
Year at a glance Spring April to June 2015 We win adult services contract We win a five year contract to provide adults community services across High Weald Lewes Havens area of East Sussex. Triple win at NHS Sustainability Awards We win three awards for our innovative sustainability strategy, Care Without Carbon, and our staff engagement campaign, Dare to Care, in these categories, Human Resources, Clinical and Behaviour Change. Best for breastfeeding Our Brighton & Hove service is named in the top place in England for mums breastfeeding their very young babies. 4
Summer July to September 2015 One of the best NHS places to work We ve been ranked for the second year in a row, amongst the best places to work in the NHS in England. Scoring well for cleanliness and food The Patient Led Assessments of the Care Environment (PLACE) results were published and again we scored well against the national averages. Shoreham air show disaster Local NHS services in Sussex joined to offer support to those affected psychologically or emotionally by the tragic events at the Shoreham Airshow. The disaster affected many people and not just those at the scene. Our Time to Talk service has provided psychological and emotional support to people affected. National award for leadership skills Our head of children s community nursing, Trudy Ward, is presented with a national award by NHS England chief executive Simon Stevens. 5
Autumn October to December 2015 We win contract to provide community diabetes service We ve been awarded a three-year contract to be the lead provider of a new Diabetes Care For You service for patients living in Brighton & Hove and the High Weald Lewes Havens area of East Sussex. HSJ award win energy efficiency We won the Energy Efficiency prize at the 2015 Health Service Journal (HSJ) for our Care Without Carbon strategy. Staff achievement awards Our annual staff achievement awards celebrates the brilliant work of our staff and recognises their long-term commitment to the NHS. 6
Winter January to March 2016 We win contract to provide medicines optimisation service We re awarded a three-year contract to provide a new medicines optimisation service to care homes across parts of East Sussex. Ranked outstanding in first national learning from mistakes league We re ranked outstanding and in the top 10 NHS trusts out of 230 in England for our ability to learn from mistakes. Award wins Proactive Care, our West Sussex joined up service across the NHS and social care, won the Improving out of Hospital Services for Older People Award at the prestigious Kent, Surrey and Sussex Academic Health Science Network Expo and Awards 2016. Our research team, in partnership with our Chailey Clinical Services, also won the Patient, Carer and Public Engagement Award. We are authorised as a foundation trust On 1st April 2016 we were authorised as a foundation trust. 7
Our performance Performance against 2015/16 quality and governance indicators In 2015/16 there were significant reductions in both falls and pressure damage 99.9% of patients received treatment in 18 weeks The proportion of occupied bed days classified as resulting from delayed transfers of care was 11.4% We scored an average 4.82 rating out of 5 for patient experience Harm free care at SCFT 98% 95.4% of people likely to recommend us 0 reported MRSA cases in 2015/16 8
Our performance Performance against 2015/16 quality and governance indicators Serious incidents A serious incident (SI) is as an adverse event or incident that could impact upon the safety of the people we care for. In 2015/16, confirmed serious incidents 50. In 2015/16 there were significant reductions in both falls and pressure damage. Referral to treatment in 18 weeks The trust has maintained high performance, with 99.9% receiving treatment in 18 weeks. For non-admitted patients, 98.5% were treated within 18 weeks, improving from 96.6% in 2014/15. Delayed transfers of care (DTOC) The proportion of occupied bed days classified as resulting from delayed transfers of care was 11.4% in 2015/16. Average length of stay The average length of stay at our inpatient units over the past three years has decreased from 29 days (2013/14), 28 days (2014/15) to 27 days (2015/16) but is still above our target of 24 days. Eliminating mixed-sex accommodation We care for all our inpatients in single-sex accommodation. Patient experience We received 31,466 completed friends and family questionnaires. We scored an average 4.82 rating out of 5 a very positive score with 95.4% of people likely to recommend us. We received 256 complaints about our services. We recorded 2,224 compliments. For every complaint received, we recorded 8.6 compliments in 2015/16. Harm free care/safety thermometer We are committed to the national Sign up to safety campaign and have pledged to reduce harm through care by 50% over the next five years. Harm-free care in our health economy 93.4%. Harm free care at SCFT 98%. VTE (venous thromboembolism) risk assessments The proportion of all relevant patients who have received a VTE risk assessment is 96.2%, above our target of 95%. Incidence of MRSA (methicillinresistant staphylococcus aureus) 0 reported MRSA cases in 2015/16. 9
Financial review 2015/16 Despite the challenging environment we have delivered a number of key achievements that confirm our underlying financial strength and have put us in a good position regarding our long-term financial sustainability: During the year we received funding of 212.9m, 201.2m relating to patient care and 11.7m of other income, and spent 210.7m (excluding spend on capital projects), giving an adjusted retained surplus of 2.2m. The chart on the right shows how we spent the money in 2015/16. During the year we spent 8.1m on capital (buildings and larger items of equipment, including IT). A breakdown of our capital spend is set out below: Schemes ( million) IT and IT infrastructure 5.2 Building refurbishments 2.1 Medical and other equipment 0.8 Total 8.1 Staffing costs - 147.1m Clinical supplies - 17.7m Non-clinical supplies - 1.9m Premises and plant costs - 16.2m Establishment - 2.6m Services from other NHS bodies - 6m Healthcare from non-nhs bodies - 8.2m Capital charges - 3.3m Other - 7.7m 10
Welcome Our trust at a glance Year at a glance Our performance Financial review A great place to work Join us One of the UK s best places to work We ve been ranked by the Health Service Journal (HSJ) amongst the best places to work in the health sector in England for the consecutive third year. HSJ and Best Companies Group used feedback from the annual NHS staff survey with a particular focus across seven core areas: leadership and planning, culture and communications, role satisfaction, work environment, relationship with supervisor, training and development, and employee engagement and satisfaction. In addition, we have been praised in the Best Place to Work report for the quality of staff supervision a key to good quality clinical care and for staff development and training opportunities. And our annual leadership conference and quarterly leadership exchange events are highlighted as examples of positive engagement. Positive feedback in the 2015 national NHS staff survey Our staff responded more positively than the average to the NHS staff survey across England in 20 of the survey s 32 key findings. Nearly 1,900 of our staff responded, around 200 more than in 2014. It provides significant insight into what it feels like to work at the trust. The feedback has helped our trust board consider what is working well and what needs to be improved. 11
Become a member As an NHS FT we are accountable to our local communities through our members. Members are at the heart of NHS foundation trusts. Members are made up of local people, patients, staff and local partners and all have a direct say in how we develop our services to meet the evolving needs of the community. You can join online at sussexcommunity.nhs.uk/ftjoin 12