Torbay and South Devon NHS Foundation Trust Annual Report and Annual Accounts 2016/17

230 Pages·2017·2.99 MB·English

by  Company Secretary

Torbay and South Devon NHS Foundation Trust
Annual Report and Accounts 2017/18

Torbay and South Devon NHS Foundation Trust Annual Report and
Accounts 2017/18

Presented to Parliament pursuant to Schedule 7,
paragraph 25 (4) (a) of the National Health Service Act 2006.
©2017 Torbay and South Devon NHS Foundation Trust
Annual Report and Accounts 2017/18
Incorporating the performance report, accountability report and quality
report.

Alternative formats
If you require any assistance in communicating with us, or wish to receive
information in an alternative format please contact our Patient Advice and
Liaison Service on:
| Telephone: [phone]
| Free phone: [phone]
| Email: [email protected] |

Laid before Parliament
This Annual Report 2017/18 has been produced to be laid before Parliament in July 2018,
together with the full accounts for the same period, and to be presented to the Trust’s
Council of Governors at its annual members’ meeting. It will be available on the Trust’s
website https://www.torbayandsouthdevon.nhs.uk/ and Monitor’s website.
32TU U32T
A Summary Annual Review based on this report will also be available later in the year.

Torbay and South Devon NHS Foundation Trust
Hengrave House
Torquay TQ2 7AA
Contents
Foreword by the Chairman and Interim Chief Executive 9
Part I – Performance 13
Part II – Accountability 24
Part III – Remuneration 43
Part IV – Staff Report 53
Part V – Governance Statements 61
Appendix A – Biographies of Members of the Trust Board of Directors 77
Appendix B – Further Information and Contact Details 84
Appendix C – Annual Accounts 2017/18 87
Appendix D – Quality Report 2017/18 148

Page 8 of 233
Foreword by the Chairman and Interim Chief Executive
We write at what has been without doubt one of the most rewarding years for this Trust. We say
‘rewarding’ because, while it has undoubtedly been challenging, we want to place emphasis on our
considerable achievements, and pay tribute to all our staff and partners. Without them, nothing you
will read about in the following pages would have been possible.
Some five years ago we harboured ambitious aspirations in the way we wanted to change how we
provide health and care to our local people. This ‘new model of care’ signified a change in thinking
for everyone involved: we would be asking people to behave and work differently, both as
recipients of and providers of health and care services. Thanks to the tireless efforts of staff not only
in this Trust but those working for our partner organisations, after years of planning we are now
seeing our ambitions start to come to fruition. There are many tangible examples across our Trust
and indeed the whole health and care system, of people working differently, and in turn, the ‘patient
experience’ is shifting – for the better. More people are being cared for in the familiarity and
comfort of their own homes, avoiding hospital admission wherever possible, with extra help and
support from their local community being more available thanks to the strong networks we are
forging with our voluntary sector partners. We can co-ordinate care planning so much more
effectively because we are working in a more joined-up way with local GPs, who are now part of
our community teams along with pharmacists and voluntary sector workers. This integrated way of
working reduces cost, improves the accessibility of care, and the patient’s experience and we will
continue to refine this model of care.
We know there is still a long way to go, but the ‘green shoots’ of change have now appeared, and
we now need to seize the momentum and just keep going. We both remain committed to continuing
to support the health and care journey of this Trust and those of our local people. There will be
further changes in the coming year as we move towards further integration of care across services.

Richard Ibbotson, KBE, CB, DSC, DL Liz Davenport
Chairman Interim Chief Executive
23 May 2018 23 May 2018

Page 9 of 233
Brief History and Statutory Background
Torbay and South Devon NHS Foundation Trust was established as a public benefit corporation
under the Health and Social Care (Community Health and Standards) Act 2003.
We employ approximately 6,000 staff including front-line health and social care staff, such as
nurses, occupational therapists, social workers, consultants, and physiotherapists who work in
people’s homes and community locations. We also have over 800 volunteers who make a difference
every day to the people we care for. Our hospitals are well supported by the League of Friends who
work tirelessly to raise vital funds to help improve our services.
We have around 500,000 face-to-face contacts with service users and carers in their homes and
communities each year and see over 78,000 people in our A&E department annually. We serve a
resident population of approximately 286,000 people, plus about 100,000 visitors at any one time
during the summer holiday season.
We receive most of our income from our commissioners, South Devon and Torbay NHS Clinical
Commissioning Group, who receive an allocation of NHS money from the government each year
and decide on healthcare priorities for the local population. The responsibility for the adult social
care budget is delegated to us via Torbay Council, and we have a memorandum of understanding
with Devon County Council to run social care services in a joined-up way.
As the Trust is entrusted with public funds, it is essential that we operate according to the highest
corporate governance standards. For this reason, the Trust is following the guidance laid down by
NHS Improvement, in the NHS Foundation Trust Code of Governance. https://improvement.nhs.uk
32T 32T
We are indebted to all our Governors who volunteer their time and are committed to safeguarding
their local NHS for the local community, including all of us.
It has been well-known across the NHS for years that we need to work differently, to provide more
care in people’s homes and the community and break down barriers between services.
In October 2015, with our health and care partners across the South Devon and Torbay system, our
Trust took a bold step to establish England’s first truly Integrated Care Organisation (ICO),
bringing together acute and community health and adult social care services under one provider
organisation, to enable us to implement a new model of integrated care. In creating our ICO we
brokered a financial Risk Share Agreement with our partners, which enabled us to make the major
changes to how we deliver health and care - changes which have resulted in improved care
pathways for our local people, and financial savings that are helping to secure our Trust a
sustainable future (this RSA has been further refined in light of lived experience, with partners
signing up to a further three years, to 2021).
We have now completed the first phase of our integration journey and developing our new care
model, with “home first” as the defining feature. We have invested millions of pounds in
community services so that more people can receive care at home or in their community, rather than
having to be admitted to hospital, or return home sooner if they medically need a hospital stay. We
want to support people to live their lives to the full, to stay well and independent at home, and only
receive care in a hospital setting when this is medically necessary.
This move away from bed-based care to community care has resulted in reducing our beds by
nearly 20%. Hospital-based care is not always the best for unwell people, especially the elderly who
may be living with several health conditions including dementia.
Page 10 of 233