Hull and East Yorkshire Hospitals NHS Trust
Annual General Meeting
Review of 2014/2015
Chris Long – Chief Executive
A year of significant change for the Trust…
I arrived in September 2014 with some clear issues to address:
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Actions required following the CQC inspection
Performance against NHS constitution commitments
had slipped significantly
Concerns about the culture raised by
CQC/ACAS/Unions and staff survey
Lack of stability and cohesion at board level
Confusion over our long-term future – Foundation
Trust status seemed a long way off
To put this into context….
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I was the third chief executive in five months
Lots of movement and unrest within the Executive team
Interim chairman in post due to leave in December
Media furore regarding governance – KPMG report
A bullying culture identified by ACAS
Lack of engagement with external partners
Financial landscape deteriorating rapidly (the forecast
remains extremely challenging)
And to top it all off, winter was coming and A&E was
moving into a Portacabin
Achieve your objectives and look
after your men
Six clear objectives identified – one stood out
as being critically important and urgent
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Achieve
quality and
safety
improvements
Strengthen
accountability
arrangements
Quality and safety
priorities
Patient satisfaction
Reduce infections
Never events
Clear objectives
Roles and
responsibilities
Performance
management
framework
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Deliver our
financial
plan
Strategy agreed
with the board
Deliver
financial plan
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Improve
our culture
Achieve
delivery of
key targets
Develop a
vision and plan
for Five-year
Forward View
Learning and
development
Staff satisfaction
Anti-Bullying
Volunteers
Innovation and research
Emergency Dept
Referral to treatment
Cancer targets
52- week waits
Secondary care
Trauma
Cancer
Cardiac
Lots of slogans
But one struck a chord…..
The staff here are already Great
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Spent time with porters, ED staff etc
Struck by their passion and commitment
Response to challenging circumstances is
humbling – last year was the toughest
winter we’d ever experienced
The Golden Hearts Awards nominations
reminded us of how Great our staff are
Lots of work and focus has been
dedicated to reminding our staff how
much we value them
Great staff recruitment
International
recruitment
110 nursing staff
Apprenticeships
90 to be recruited by Dec 2016
Growing our own!
Currently training our first cohort of
Theatre Assistant Practitioners
Great staff Recognition
Chris Venton,
Teacher/Trainer - nominated
for a 2014 Women of
Achievement Award in
recognition of her work to
support older people with
dementia
The Cancer Survivorship Team shortlisted
for a 2014 Macmillan Professionals Award
in Team Excellence.
Chief Nurse Information Officer, Steve
Jessop -shortlisted for National Patient
Safety and Care Awards 2014.
Palliative Care Nurse
Specialist, Maggie
Simkiss was
recognised with a
2014 ‘Henry Garnett
Award’ by
Macmillan Cancer
Support
Two of our apprentices
were shortlisted for
regional awards.
New values chosen by our staff
Our values will set the tone
for a different culture
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A long-term objective but we have made
progress
Anti-bullying work has seen the appointment of
Dr Makani Purva as Anti Bullying Tsar
2,000 staff undertaken Professionalism and
Cultural Transformation (PaCT) training
New staff charter in place
SALS established to give staff an outlet for raising
concerns
All new starters receive PaCT training and spend
their induction day focusing on expectations of
them as HEY staff
Fixing the culture
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Investment into nursing to address staffing issues and prevent
staff being moved around from ward to ward every day they
came to work
Clarity on objectives to enable all staff to connect their role to the
vision and purpose of the Trust
Briefings began in-year to engage all managers and ensure they
are clear what is expected of them
Leadership development work at an advanced stage of
development
The latest FFT results indicate a positive shift against all measures
Leadership
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A new board is in place to
provide leadership and stability
– permanent appointments to
CMO & CNO
Greater visibility and
engagement with Executive
ward and department visits
Development of Clinical Leads
through the Great Leaders
programme and work
underway to ensure continuous
engagement and
communication with this group
Focus on developing our
leaders will continue
Great Care – Improving the experience for
Emergency care patients
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New £11m Emergency
Department – one of the
largest and best equipped in
the country
World class facilities
Designed and built in full
consultation with the teams
who deliver the care to our
patients
Great Care –
Medicine transformation
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Transfer of medical wards to HRI
Opening of ward 500
Opening of Ambulatory Care
Unit/Elderly Admissions
Unit/Medical Day Unit
Improved relationships with Local
Authorities/Ambulance
Service/Mental Health and
Community Services
Green shoots of recovery
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Improved discharge
Reduction in delayed transfers of care
Shorter length of stay for many patients
Fewer medical outliers
NB: Recently the impact of this work has seen us improve
against the four-hour target but more effort and work is
required if this improvement is to be sustained and continue,
particularly as we approach winter once again
Great Care - Innovation in
treatment
New radiotherapy treatment for cancer patients
SABR (Stereotactic Ablative Radiotherapy) – a
short course of high dose radiotherapy
treatment which targets small tumours in the
lung
E-observations
Staff are using iPads and iPods to improve the
process of recording patient information, such as
their blood pressure, temperature and heart rate
Da Vinci robot
Hull City Football Club owner, Assem Allam and
his family, pledged the funds to buy the ‘Da Vinci’
robot – used for minimally invasive surgery
Great Care – pride in our services
Endometriosis
The Endometriosis Specialist Centre, has earned
accreditation from the British Society for Gynaecological
Endoscopy for the second year running
Reducing falls
Physiotherapists have been trialling the use of yellow
wristbands to highlight those who are vulnerable to falls or
who require help with mobility. Reductions in falls of more
than a third were seen on Wards 8 and 80 at Hull Royal and
Ward 19 at Castle Hill Hospital
Endoscopy
Following a recent assessment by a panel of independent
experts; the Joint Advisory Group (JAG) on Gastrointestinal
Endoscopy has been given the highest possible rating of ‘A –
Excellent’
Great Future - Looking forward…
We continue to focus on our six objectives and ensure
everyone is working in service of these
1. Further improvements against our safety objectives: sepsis, dementia,
medicines management, infections etc
2. Performance management framework, leadership development, cascade
of objectives through PDR
3. Unprecedented financial challenge – savings of £27m again in 2015/2016
4. Ambition to perform alongside the top 20% of Trusts in the national staff
survey
5. Meet our NHS Constitution Commitments
6. Focus on delivering our services in partnership with the local health
economy