1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1 April 2000 following the merger of Worcester Royal Infirmary NHS Trust, Kidderminster Healthcare NHS Trust and the Alexandra Healthcare NHS Trust. Every year we care for nearly 800,000 patients including 90,000 people who need operations, 130,000 people in A&E and 500,000 outpatients. 6,000 babies are born in our Trust every year. We have nearly 6,000 staff and provide services predominantly to the people of Worcestershire. However, patients do also come from further afield, most notably from Herefordshire, Dudley, South Staffordshire, Shropshire, Warwickshire and Birmingham. We have an annual budget of 350million and service a population of more than 550,000 providing a wide range of surgical, medical, maternity, paediatric and rehabilitation services. We run services from three main locations: The Alexandra Hospital in Redditch Kidderminster Hospital and Treatment Centre Worcestershire Royal Hospital We have three main commissioners: Redditch and Bromsgrove Clinical Commissioning Group South Worcestershire Clinical Commissioning Group Wyre Forest Clinical Commissioning Group 2. Vision, values, strategic goals and objectives for the regulated services we provide 2.1 Our vision is; To be the major provider of acute /specialist services for the people of Worcestershire (and wider) with a strong reputation for providing outstanding, high quality, reliable, accessible and integrated healthcare for local people. To be an organisation of sufficient critical mass that will attract high calibre clinicians, partnership, new investment, research and development opportunities, and ensure clinically and financially sustainable services. To be known for driving improved outcomes through clinical centres of excellence, innovation, enhanced research and application of new technologies. 1
To be known for a skilled, compassionate, committed workforce that embraces customer services and where decisions are informed by relevant accessible information. To provide services that are efficient, effective, meet all required standards, are actively marketed and where we seek new opportunities. We will actively work in partnership and wish to contribute to the delivery of the well-connected vision for an integrated health and social care system which can meet the changing needs of local people and communities into the future. 2.2 We have developed a core set of values which drive the way we behave as an organisation, with the strap line Taking pride in our healthcare services Our values are: Patients at the centre of all we do. Everyone is entitled to privacy, dignity and compassion. Respect everyone treat patients, colleagues and the public as we would want to be treated ourselves. Improve and innovate to deliver the best patient pathways think innovatively, value patient feedback and involve stakeholders. Dependable services with good communication. Drive for safety and quality: get things right first time and learn from mistakes. Empower staff to take personal responsibility for actions and challenge if something is not right. 2.3 We have five strategic goals. Underneath each of these sit three objectives outlining how we will fulfil these goals. 1. Deliver safe, high quality, compassionate patient care Improve overall patient experience Meet all key standards Redesign services to provide safe, sustainable models of care in line with our clinical services strategy 2. Design healthcare around the needs of our patients with our partners Improve the consistency of care 24/7 delivering better outcomes Promote a culture of continuous improvement/innovation to optimise quality Deliver better integrated care - meeting the special needs of the frail and the elderly 3. Invest and realise the full potential of our staff, providing personalised and compassionate care Develop inspiring and accountable leaders across the Trust Ensure a skilled, committed workforce that can meet the current and future requirements, delivering new ways of working Create a culture of compassionate care where patients are central to all we do 4. Ensure the Trust is financially viable and makes the best use of resources for our patients Deliver operational efficiencies to ensure most productive use of resources 2
Exploit opportunities for securing new income Make the most of our buildings and infrastructure 5. Develop and sustain our business Better information and use of technology to meet our current and future needs Sustain and enhance our research and development programme and application of new technologies Agree our five year clinical services strategy which drives improved outcomes and is sustainable. 3. Regulated Activities 3.1 The Trust provides acute services within the following locations: Legend: ALEX Alexandra Hospital ECH Evesham Community Hospital KTC Kidderminster Hospital and Treatment Centre MCH Malvern Community Hospital WRH Worcestershire Royal Hospital REGULATED ACTIVITY ALEX ECH KTC MCH WRH Treatment of disease, disorder or injury Surgical Procedures Maternity & midwifery services Diagnostic and screening procedures * Termination of pregnancies Family planning services Assessment or medical treatment for persons detained under the Mental Health Act 1983 Management of supply of blood and blood derived products * Bowel Scope Screening Service only This means that the Trust provides medical and surgical investigations, diagnosis and treatment for physical illnesses or conditions, injuries or diseases for adults and children. 3
These services are managed under the Trust s overarching governance arrangements. The contact details for the Accountable Officer are set out in 5.1. 3.2 We admit patients to hospital: on a day case basis or as inpatients. at short notice or in an emergency through a dedicated emergency department or medical assessment unit. We also provide services to patients on an outpatient basis. 3.3 People are admitted to the service under the care of a medical or clinical practitioner. We employ a broad range of healthcare professionals to meet the needs of the people using the service. 3.4 As a provider of acute hospital services our patients present with a wide range of conditions, some of which are pre-existing and being managed by other healthcare providers. Some of our patients will be referred to other providers of healthcare, as their condition requires. 3.5 A summary of the services we provide and the locations from which they are provided is included in Appendix 1. 4. Locations of services provided 4.1 The Trust has five locations from which services are provided and these are listed below: Alexandra Hospital, Redditch Kidderminster Hospital and Treatment Centre, Kidderminster Worcestershire Royal Hospital, Worcester Malvern Community Hospital Evesham Community Hospital, Evesham 4.2 Alexandra Hospital The Alexandra Hospital in Redditch opened in 1985. It serves a population of approximately 200,000 and has 360 beds. The hospital is the major centre for the county s urology service. The hospital has seven operating theatres, MRI and CT scanners and cancer unit status for breast, lung, urology, gynaecology, paediatric, maternity and colorectal cancers. An additional modular theatre has been commissioned and will be operational from May 2015. There is a multi-disciplinary education centre with library, teaching and study areas. 4.3 Kidderminster Hospital Kidderminster Hospital houses Kidderminster Treatment Centre which offers outstanding clinical facilities and patient accommodation for a wide range of daycase, short stay and inpatient procedures. The nurse-led minor injuries service is open 24 hours a day and treats more than 2,000 patients every month. It can deal with a wide variety of injuries including simple fractures, soft tissue injuries, lacerations, bites, burns and scalds. Other facilities at the Kidderminster site include a full range of outpatient clinics, including outpatient cancer treatment in the Millbrook Suite, MRI and CT scanners 4
and a renal dialysis unit. There is also a modern education centre with seminar rooms, IT suite, library and break out areas. 4.4 Worcestershire Royal Hospital Worcestershire Royal Hospital is the latest of the Trust s three sites. The main hospital was built under the private finance initiative (PFI) and opened in 2002. It provides specialist services for the whole of Worcestershire including stroke services and cardiac stenting. It has 500 beds and serves a population of more than 550,000. The hospital has nine operating theatres including four laminar theatres. It has a level 2 neonatal intensive care unit and a cardiac catheterisation laboratory. Worcestershire Oncology Centre opened in early 2015. When it is fully operational 95 per cent of radiotherapy and almost all chemotherapy will be delivered within Worcestershire The Meadow Birth Centre opened in April 2015, providing an alongside midwife led birthing centre for the women of Worcestershire. 4.5 Evesham Community Hospital (ECH) and Malvern Community Hospital (MCH) are run by Worcestershire Health and Care Trust. Worcestershire Acute Hospitals NHS Trust provides a range of regulated activities at these community hospitals, for which it is registered. All activities at these locations are managed through the governance arrangements of Worcestershire Acute Hospitals NHS Trust. 4.6 We also provide some acute services at other satellite locations. Satellite locations include, but are not restricted to; Princess of Wales Community Hospital, Bromsgrove; These services are managed under the Trust s overarching governance arrangements. The contact details for the Accountable Officer are set out in 5.1. 5. Legal Status of the Trust 5.1 The Worcestershire Acute Hospitals National Health Service Trust (Establishment) Order 1999 came into force on 1st January 2000 and authorised the Trust to operate with effect from 1 st April 2000 under section 5.1 of the National Health Service and Community Care Act 1990. The details of the Nominated Individual for registration purposes are; Name: Mr Chris Tidman Designation: Chief Executive, Worcestershire Acute Hospitals NHS Trust 5
Address: Worcestershire Royal Hospitals NHS Trust, Executive Suite, Charles Hastings Way Worcester, Worcestershire WR5 1DD Email address: chris.tidman@worcsacute.nhs.uk Telephone 01905-733960 6
Appendix 1 Details of services and specialties provided in each of the trust s registered locations Abbreviations used; ALEX Alexandra Hospital, Redditch KTC Kidderminster Hospital & Treatment Centre WRH Worcestershire Royal Hospital ECH Evesham Community Hospital MCH Malvern Community Hospital Service/ Specialty ALEX KTC WRH ECH MCH Comments Diabetes Cardiology Respiratory Infectious Diseases Renal Neurology A&E Minor Injuries Unit Acute Medical Unit Medical Assessment Unit Elderly medicine Dementia Stroke * *Low risk TIA only Neurophysiology Therapies Gastroenterology Haematology Oncology Acute Oncology Palliative Care Radiotherapy Upper GI Lower GI Vascular 7
Service/ Specialty ALEX KTC WRH ECH MCH Comments Breast Urology ENT / Audiology Audiology only at ECH Maxillofacial Oral surgery Dermatology Trauma Orthopaedics Hands service Paediatrics Neonatal Gynaecology Maternity Chronic Pain Critical care Ophthalmology Rheumatology Endoscopy Bowel Screening Programme Pathology Pharmacy Imaging Radiology Note; In addition to the services provided within the trust s registered locations, additional activity (mainly outpatient activity) may also take place in other satellite units within the community. These satellites include, but are not restricted to; Princess of Wales Community Hospital Wherever services are carried out outside of the trust s registered locations, this activity is managed through the overarching governance arrangements of Worcestershire Acute Hospitals NHS Trust and is managed through managers located within one of our registered locations. 8