Report to: Public Trust Board 19 Date of Meeting: 28 November 2012 Title of Report: Status: Board Sponsor: Author: Appendices Chief Executive s Report For Information James Scott, Chief Executive James Scott, Chief Executive Appendix I Governor Election Results 1. Purpose of Report (Including link to objectives) The purpose of the Chief Executive s Report is to highlight key developments within the Trust which have taken place since the last Board meeting. 2. Summary of Key Issues for Discussion 2.1 NHS Mandate The first Mandate between the Government and the NHS Commissioning Board, setting out the ambitions for the health service for the next two years, was published on 13 th November 2012. The Mandate reaffirms the Government s commitment to an NHS that remains comprehensive and universal available to all, based on clinical need and not ability to pay and that is able to meet patients needs and expectations now and in the future. The NHS Mandate is structured around five key areas where the Government expects the NHS Commissioning Board to make improvements: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and treating and caring for people in a safe environment and protecting them from avoidable harm. Through the Mandate, the NHS will be measured, for the first time, by how well it achieves the things that really matter to people. The key objectives contained within the Mandate include: improving standards of care and not just treatment, especially for the elderly; better diagnosis, treatment and care for people with dementia; better care for women during pregnancy, including a named midwife responsible for ensuring personalised, one-to-one care throughout pregnancy, childbirth and the postnatal period; every patient will be able to give feedback on the quality of their care through the Friends and Family Test starting from next April so patients will be able to tell which wards, A&E departments, maternity units and hospitals are providing the best care; Version: One Agenda Item: 19 Page 1 of 5
by 2015 everyone will be able to book their GP appointments online, order a repeat prescription online and talk to their GP online; putting mental health on an equal footing with physical health this means everyone who needs mental health services having timely access to the best available treatment; preventing premature deaths from the biggest killers; and by 2015, everyone should be able to find out how well their local NHS is providing the care they need, with the publication of the results it achieves for all major services. Further information on the NHS Mandate can be found at: http://www.dh.gov.uk/health/2012/11/nhs-mandate/ 2.2 Strengthening NHS Constitution On 5 th November 2012, the Department of Health launched a public consultation on strengthening the NHS Constitution with the NHS, patients and public being asked to respond. The main changes proposed cover: a new responsibility for staff to treat patients not only with the highest standards of care, but also with compassion, dignity and respect; a new pledge making it explicit that patients can expect to sleep in single-sex wards; and a new pledge to patients that NHS staff must be open and honest with them if things go wrong or mistakes happen this duty of candour will become a condition in the NHS Standard Contract from April 2013. The changes also make it clearer that: patients, their families and carers should be fully involved in all discussions and decisions about their care and treatment, including their end of life care; patients who are abusive or violent to NHS staff could be refused treatment; and the NHS is equally concerned about physical and mental health. The consultation follows work carried out by the NHS Future Forum on how the Constitution could be strengthened. The Government accepts the Forum s recommendations in full and the new proposals reflect this. The closing date for providing comments is 28 th January 2013. Further information on the consultation can be found at: http://www.dh.gov.uk/health/2012/11/constitutionconsultation/ The Chairman and Commercial Director will lead on the Trust s response to this consultation. 2.3 NHS Foundation Trust Update As at 19 th November 2012, 5,464 public members have signed up to support the Agenda Item: 19 Page 2 of 5
Trust s NHS Foundation Trust application. The results of the election to elect eleven Public and five Staff Governors were announced on 5 th November 2012. Almost 3,000 people voted across all seven constituencies, and the overall election turn-out was 32% which is an above average response among NHS Foundation Trusts. To read the full results please see appendix 1. The five stakeholder Governors have now been appointed from our partner organisations as follows: Mark Humphriss, University Secretary, University of Bath Councillor Simon Allen, Cabinet Member for Wellbeing, BaNES Council Dr Ian Orpen, Chair, BaNES Clinical Commissioning Group Councillor Keith Humphries, Cabinet Member for Public Health and Protection Services, Wiltshire Council Stephen Rowlands, Chair, Wiltshire Clinical Commissioning Group The Governors will now start their induction process and will be operating in shadow form until we are authorised as an NHS Foundation Trust. The next Caring for you Event is taking place on 29 th November 2012 at 6.00 pm in our Post Graduate Medical Centre. Consultant Cardiologist, Dr Jacob Easaw and Consultant Urologist, Chris Gallegos will be leading the session on Men s health. We currently have 60 attendees so if you would like to join them please contact the Membership Office on 01225 821299. 2.4 National Awards The Trust s Estates and Facilities department won a national Green Apple Environment Award 2012 for its environmental and sustainability work at the Green Apple Annual Awards ceremony hosted at the House of Commons on 12th November 2012. The department won in the environmental improvement and sustainable development category for the work undertaken to improve the environment for patients and staff, reducing our carbon footprint, improving recycling and saving money for investment into direct clinical services. Several projects have been carried out, of which the most significant has been the opening of a new Energy Centre, which has enabled the Trust to save 4,000 tonnes of carbon a year and is saving the Trust around 800,000 in fuel bills. Our new Dyson Centre for Neonatal Care is a ground-breaking design resulting in a sustainable building with a low carbon footprint and low heat loss. The building is an exemplar for further construction on site and was awarded a BREEAM Excellent rating one of the first in the NHS acute sector. Agenda Item: 19 Page 3 of 5
The Dyson Centre for Neonatal Care also won the award for Best Inpatient Facility Design at the Building Better Healthcare Awards on 7th November 2012. The judges praised the way the design of the building was rooted in a positive and determined attitude from both client and designers towards the opportunities for architecture to make a contribution to healthcare, and that this attitude had informed every design decision. 2.5 Consultant Appointments Dr Sara Evans was appointed as a replacement Consultant in Geriatric Medicine (Movement Disorders) on 12 th November 2012. Dr Evans will be joining the Trust following completion of her specialist training. Dr Evans is currently based at University Hospitals Bristol NHS Foundation Trust and has previously been based at the RUH. Dr Ashley Cox was appointed as a Consultant in Clinical Oncology (Lung, Colorectal and Lymphoma) on 14 th November 2012. Dr Cox is currently undertaking a Research Fellowship at the Peter MacCallum Cancer Centre in Australia, prior to this Dr Cox was completing his Specialist Registrar Training at Nottingham University Hospitals NHS Trust and Derby Hospitals NHS Foundation Trust. Dr Cox will hopefully join the RUH in April 2013. Dr Pinelopi Kehagioglou was appointed as a Consultant in Clinical Oncology (Gynaecology, Neurology and Urology) on 14 th November 2012. Dr Kehagioglou is currently working at NHS Tayside as a Consultant Oncologist. Dr Kehagioglou will hopefully join the RUH in January 2013. Both Consultant in Clinical Oncology appointments are new posts. Dr James Choulerton was appointed as a Consultant in Stroke Medicine on 19 th November 2012. Dr Choulerton is in the process of completing his specialist training and is currently based at the RUH. His start date is to be confirmed. Dr Lukuman Gbadamoshi was appointed as a Consultant in Stroke Medicine on 19th November 2012. Dr Gbadamoshi is currently working in a Stroke Fellowship post at St Georges Hospital NHS Foundation Trust. His start date is to be confirmed. The Consultant in Stroke Medicine appointments are a split between a replacement and new appointment, which is funded by the Trust and Sirona Care and Health. 3. Recommendations (Note, Approve, Discuss etc) The Board is asked to note the report. 4. Care Quality Commission Outcomes (which apply) 5. Legal / Regulatory Implications (NHSLA / Value for Money Conclusion etc) 6. NHS Constitution None identified Agenda Item: 19 Page 4 of 5
7. Risk (Threats or opportunities link to risk on register etc) Strategic and environmental risks are considered by the Board on a regular basis and key items are reported through this report. 8. Resources Implications (Financial / staffing) 9. Equality and Diversity 10. Communication 11. References to previous reports The Chief Executive submits a report to every Trust Board meeting. 12. Freedom of Information Public Agenda Item: 19 Page 5 of 5