Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

203 Pages·2017·6.2 MB·English

Robert Jones and
Agnes Hunt
Orthopaedic Hospital
NHS Foundation
Trust

Annual Report and
Accounts 2016–2017

Robert Jones and Agnes
Hunt Orthopaedic Hospital
NHS Foundation Trust

Annual Report and Accounts for the
period of 1 April 2016 to 31 March 2017

Presented to Parliament pursuant to
Schedule 7, paragraph 25 (4) (a) of the
National Health Service
Act 2006
©2017 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Contents

ANNUAL REPORT ........................................................................................................................... 8
INTRODUCTION ........................................................................................................................... 9
Statement of Chairman and Chief Executive ....................................................................................... 9
Highlights of the year .............................................................................................................................. 11
PERFORMANCE REPORT ........................................................................................................ 12
Overview of Performance ...................................................................................................................... 13
Statement from the Chief Executive .................................................................................................... 13
The Trust .................................................................................................................................................. 15
Performance Analysis ............................................................................................................................ 19
ACCOUNTABILITY REPORT ..................................................................................................... 27
Directors Report ...................................................................................................................................... 28
Staff Report .............................................................................................................................................. 57
NHS Foundation Trust Code of Governance Disclosures ................................................................ 63
NHS Improvement’s Single Oversight Framework ............................................................................ 69
STATEMENT OF THE CHIEF EXECUTIVE’S RESPONSIBILITIES AS THE ACCOUNTING
OFFICER OF ROBERT JONES AND AGNES HUNT ORTHOPAEDIC NHS FOUNDATION
TRUST ........................................................................................................................................ 70
ANNUAL GOVERNANCE STATEMENT 2016/17 .......................................................................... 72
QUALITY ACCOUNT 2016/17……………………………………………………………………………..88
ANNUAL ACCOUNTS 2016/17……………………………………………………………………….....148

7
1
/
6
1
0
2
t
r
o
p
e
R
al
u
n
n
A
r:
e
t
p
a
h
C
7
ANNUAL REPORT

7
1
/
6
1
0
2
t
r
o
p
e
R
al
u
n
n
A
r:
e
t
p
a
h
C
8
INTRODUCTION
Statement of Chairman and Chief Executive
Our driving ambition is to be recognised as a world class centre of excellence. Providing the highest
quality care is the clear priority for all who work in the hospital, and we are extremely fortunate in
having experienced and dedicated staff who are fully focussed in delivering that care.
The following Annual Report details our performance for the 2016/17 financial year. The report
outlines our key objectives and how we have progressed against these; it describes our governance
arrangements, and provides detail on the important aspects of quality and finance which underpin
our organisational achievements. The performance report across all these areas is contained within
this document.
In the past year, we have seen many reasons to be proud – not least of which was the
commissioning of our £15.1 million Theatre and Ward Development. This has enabled us to provide
state-of-the-art operating theatres and new ward and outpatient facilities - ensuring we are best
placed to continue to provide first class treatment to patients for many years to come.
This project was in part funded by a £500,000 Bone Cancer Centre Appeal and we must thank the
army of supporters and fundraisers who made this possible. It is always one of the highlights of the
working week for either of us when we get the chance to meet some of these fundraisers in person
and recognise their achievements.
Another reason for pride is the tremendous progress we have made over the past 12 months with
regards to the historical challenge this Trust has faced around the reporting of waiting times. We
knew that some patients were being made to wait longer for treatment than we would want or
expect, and it was one of the main reasons we were placed in breach of licence by NHS
Improvement in January 2016.
We are, at the time of writing, just short of achieving the national waiting times target and are
projecting that we can be compliant and in a sustainable way, by the end of September 2017. That
is a remarkable achievement and all the more so when you reflect on a national picture of
deteriorating waiting times. Our progress has been recognised by our regulators, and we are
working hard to come out of breach of licence over the next period.
We can also point to the excellent patient feedback we receive – in the 2016 National Inpatient
Survey we were amongst the best performing Trusts in England. Indeed, in the data published by
the Picker Institute, we were ranked as No 1 in the country. That is a credit to all the staff here, and
is something the Board does not take for granted. We are grateful to the significant contribution of 7
1
/
staff from across the hospital. 6
1
0
2
Every week we receive comments, letters and feedback from our patients and much comment on rt
o
the high quality of care they receive from the clinical teams, on the quality of the food, and on the p
e
R
cleanliness of our wards and departments. al
u
n
Our quality focus is essentially underpinned by robust and sound business management, which is n
A
demonstrated in our delivery of a surplus of £1.5 million in 2016/17. This surplus was in line with our r:
e
t
control total set by NHS Improvement and therefore made us eligible for additional sustainability p
a
h
C
9
and transformation funding. This will provide a basis for our future growth and development,
enabling re-investment to improve care for patients. In the current financial climate across the NHS
it was quite an achievement, and one of which we are very proud.
Over the next 12 months, we will look to the past as we continue a Year of Celebration to honour
our founders Sir Robert Jones and Dame Agnes Hunt.
But we will also look forward with confidence as we continue our quest to build on already high
standards and deliver truly world class patient care.

Frank Collins Mark Brandreth
Chairman Chief Executive

7
1
/
6
1
0
2
t
r
o
p
e
R
al
u
n
n
A
r:
e
t
p
a
h
C
10
Highlights of the year

The Trust has, like many NHS organisations, had a challenging year but there
have been many highlights:

• Our £15.1 million Theatre and Ward
development opened its doors to the • The inaugural (staff) Celebration of
public for the first time in August 2016. Achievement Awards were launched, and
were held in November 2016. Among the
• The RJAH Bone Cancer Centre Appeal winners was Kate Betts, a Physiotherapy
closed, having successfully reached its Technical Instructor, who won the Patient
£500,000 target. Choice Award.

• A Year of Celebration was launched to • RJAH joined forces with two other Trusts in
recognise two significant anniversaries in Shropshire, in a bid to ensure patients get a
the lives of our founders – with the year good night’s sleep in hospital – by signing up
marking the 150th anniversary of the birth to a 'Quiet Night Sleep Tight' charter.
of Agnes Hunt and 160th anniversary of
the birth of Robert Jones. • RJAH signed up to the Leading with
Compassion recognition scheme – giving
• Extended working hours introduced for staff and patients the chance to say thank
physiotherapists on the Baschurch Day you to individuals who display compassion.
Unit, allowing more patients to begin
rehabilitation work in a timely fashion • RJAH held its first families clinic as part of
after surgery. the 100,000 Genomes Project – a
Government funded programme using
• RJAH hosted the prestigious Guttmann genetics to help improve knowledge and
Conference as part of the 50th treatment of rare diseases.
anniversary celebrations for the Midland
Centre for Spinal Injuries. • The Trust had two entries shortlisted as
finalists in the prestigious HSJ Patient Safety
• A unique partnership with the Open Awards.
University saw RJAH running a
programme to allow some of its own staff And last, but certainly not least . . .
to train as nurses on an Adult Nursing
degree course. Funding is being • Percy, the hospital’s resident peacock who
accessed through Health Education West had entertained staff and patients alike since
Midlands via the Local Education and arriving in the mid-1990s, sadly passed
Training Council (LETC) to train a total of away in January 2017. A sculpture is being
10 nurses across Shropshire. made in his memory.

7
• Ludlow Ward – the hospital’s dedicated 1
/
private patients ward, was awarded the 6
1
0
internationally-recognised ISO9001 2
quality standard for a fifth year in a row. rt
o
ep
R
al
nu
n
A
r:
e
t
p
a
h
C
11
PERFORMANCE REPORT

7
1
/
6
1
0
2
t
r
o
p
e
R
al
u
n
n
A
r:
e
t
p
a
h
C
12