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Transforming the nation's health and wellbeing PDF

116 Pages·2016·2.21 MB·English
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Transforming the nation’s health and wellbeing Annual Report 2015 Gyms + Health Checks + Physio + Hospitals 2015 highlights £768m £86m £99m revenue Earnings before interest, investment in health taxes, depreciation, and wellbeing services amortisation and exceptional items (EBITDA) 759,000 206,000 336,000 physiotherapy sessions hospital procedures gym members 6 18 Chief Executive Looking after Officer’s statement our customers and employees 14 Our impact www.nuffieldhealth.com Our charitable purpose is the foundation of all our activities. To advance, promote and maintain health and healthcare of all descriptions and to prevent, relieve and cure sickness and ill health of any kind, all for the public benefit. Introduction Trustees’ report 2 At a glance 54 Report of the Board of Trustees 4 Chairman’s statement 55 Governance and remuneration 6 Chief Executive Officer’s statement 56 Board committees 57 Trustee’s review of our objectives Strategic report 58 The Executive Board 60 Mr Douglas Gardner’s report of the 10 Our markets Trustees’ Remuneration Committee 12 Our strategy to the members 14 Our impact 61 Trustees’ responsibilities for the 16 Board of Governors’ quality financial statements assurance statement 62 Appointment of auditor 18 Safe 2 340 ECfafreicntgive Independent auditor 34 Responsive 63 Independent auditor’s report 40 People and leadership to the Members and Trustees of 46 Quality and safety framework Nuffield Health 48 Risk management and principal risks 50 Financial review Financial statements 64 Financial statements 30 Other information Caring for our patients, 102 Appendices members and employees 110 Professional advisors 111 Glossary of terms 112 Contact and registered office details Nuffield Health Annual Report 2015 1 Introduction Strategic report Trustees’ report Independent auditor Financial statements Other information At a glance Nuffield Health will help individuals achieve, maintain and recover to the level of health and wellbeing they aspire to, by being a trusted provider and partner. This means we: • Clinical services – physiotherapy, • Work with customers to stay well health assessments, private GP Our connected health services, women’s health services and reach the level of day-to-day and wellbeing model and travel clinics health and wellbeing that they seek We combine our hospitals, medical • Occupational health services – • Provide timely and expert treatment centres, fitness and wellbeing gyms, providing occupational health to our when things go wrong or diagnostic units and a wide range of corporate clients across a range of when customers experience treatments into one complete health diverse industries health problems and wellbeing service. We aim to • Community services – ensure that people enjoy life to the • Help customers to regain the level providing fitness and wellbeing full through a connected health and of health and wellbeing that they services in schools, colleges and wellbeing model that keeps them seek after receiving treatment universities. Deliver the Amateur healthy and active throughout Our services include: Swimming Association Learn to their lives. Swim programme, nursery care and • Hospital care – consultations, free Meet Our Experts events Through continuous support and diagnostics, inpatient, day case assessment, we help people to get and outpatient treatment and We provide all these services through fit and healthy and stay that way. We rehabilitation services a nationwide, connected network of identify when they need treatment, 31 hospitals, 209 corporate fitness and we help them get better and then • Fitness services – group exercise wellbeing centres, 77 consumer health get them fit and healthy again. classes, personal training, health and wellbeing gyms, with support MOTs, swimming lessons from over 12,000 employees and • Health and wellbeing services our digital channels. To see evidence of our connected – nutritional therapy, Healthy Weight health and wellbeing model in programme and emotional health action, look out for the following icons throughout this report. 2015 snapshot Gyms Our gyms are cutting edge facilities with expert employees to support people on their fitness journey. We offer a broad 77 31 range of in-gym services and facilities. fitness and wellbeing gyms hospitals We utilise our clinical expertise providing physiotherapists, nutritional therapists, health mentors and physiologists, as well as more conventional gym services, 209 4 including swimming lessons and personal training. All members are offered a health corporate fitness and medical centres MOT when they join us – an in-depth, one- wellbeing centres ohouur rh ehaelatlht hm cehnetcokr sc aorrr ipeedr soounta bl yt roaninee orsf. No other gym offers the same level of clinical testing and expert advice in 1,600 336,000 one place. business customers gym members 2 Nuffield Health Annual Report 2015 Hospitals We offer the highest standards of clinical care at our 31 hospitals across the UK. They are consultant led and supported by teams of experienced nurses. Nuffield Health hospitals are open to all, with procedures offered via health insurance, through self-pay or from NHS referral. Occupational health People at We provide occupational health services to corporate clients across a range of industries. the heart Because we are a national provider, with a comprehensive range of products and services, we are able to deliver bespoke solutions aligned to meet specific business needs and cultures. Nutritional therapy e We have a team of nutritional therapists e who advise how to integrate healthy eating with exercise for real lifestyle change to improve long-term health and wellbeing. Physiotherapy Health assessments Employee wellbeing We are the largest provider of physiotherapy We offer a wide range of health assessment We currently work with 1,600 businesses in the UK, outside of the NHS, offering the options which provide a comprehensive to deliver the highest standard of health and widest range of physiotherapy services. view of a person’s health, covering key health fitness within the workplace. This includes We work with patients, members and concerns such as diabetes, heart health, delivering bespoke health and wellbeing non-members to help heal and prevent cancer risk and emotional wellbeing. Our centres within the workplace, with expert injuries and support post-surgery recovery. health assessments are delivered by Nuffield personnel on-site. We offer corporate All of our Nuffield Health physiotherapists Health physiologists and doctors who are wellbeing programmes that actively reduce are members of the Health & Care clinically trained in lifestyle and behavioural employees’ health risks and improves their Professions Council (HCPC) and are change to help our people improve their quality of life both at work and at home. registered with Chartered Society of health for the future. Physiotherapy (CSP). The majority of our customers are treated in five sessions or less. Nuffield Health Annual Report 2015 3 p l o y y G E m s m t h a l e H l a n o i t H e a l a p u c t h A c O s s e s s Introduction Strategic report Trustees’ report Independent auditor Financial statements Other information m e n t s y h P h t o i s p a r e p y y h e r a o n a l T u t r i t i p s o H N s l a t i n g e l l b e i W Chairman’s statement 2015 was a significant year for Nuffield Last year, we had a separate Quality Health. We made solid financial progress, Report and Annual Report. This year we have combined both documents invested nearly £100 million in furthering our to more accurately reflect the key role charitable aims and importantly following quality and safety play in our priorities the appointment of a new Chief Executive, as well as allowing us to update you we have built an executive leadership team more clearly on our progress. that will focus on accelerating the We are proud to be a charity with the implementation of our strategy of sole aim of improving the health and connected health. wellbeing of the UK’s population. With an ageing demographic, increased co-morbidities, funding challenges in the NHS and the growth in lifelong conditions such as diabetes, it has never been more important for us to fulfil the need to invest in the long- term to help address many of these issues. We are a complex operation. We now have 31 hospitals, 77 fitness and wellbeing gyms and over 200 corporate fitness and wellbeing centres. We also now employ over 12,000 people. 4 Nuffield Health Annual Report 2015 £525m Looking forward, the whole team hospital revenue is focused on delivering at pace up from £498m in 2014 the vision of connected healthcare at improved levels of performance. £254m wellbeing revenue up from £224m in 2014 2015 – A year of solid 2016 – A new leadership the strategic, customer and digital areas, as well as promoting internally performance team and a One Nuffield for the HR Director and Medical 2015 saw us deliver our highest ever Health approach Executive Director roles. This new EBITDA. At £86 million this was a Given our desire to accelerate progress team, combining the best of the old pleasing advance on 2014 and we saw and with David Mobbs, our previous and the new, are already producing progress across our portfolio. Hospitals Chief Executive stepping aside, the results. Looking forward, the whole saw EBITDA increase by 4 per cent and Board of Governors and I decided in team is focused on delivering at pace fitness and wellbeing by 52 per cent. late 2014 to change the executive the vision of connected healthcare at This strong performance allowed us to leadership at Nuffield Health. After improved levels of performance. continue our investment programmes. a worldwide search, assisted by one I would like to place on record my As Steve Gray will detail in his Chief of the leading search companies, we thanks to my fellow Governors. 2015 Executive’s statement, we invested in identified and recruited an outstanding has been a very demanding year for our hospitals, in our existing and new new Chief Executive in Steve Gray. the Governors and I am very grateful fitness and wellbeing gyms and in the This necessary change, which saw to them all. As our organisation has increasingly important digital area. other Executive Directors and a total become more complex the demands Whilst the advance on 2014 was of 35 senior managers leave the on the Governors has increased pleasing we are still not delivering business, whilst essential, came at a enormously. I would also like to thank the performance we aspire to. financial cost. The total cost of these David for his many years of service. changes was £4 million. We now have David was the one who developed As an organisation with a mix of assets, an executive team focused on pace of the vision of providing integrated Nuffield Health is uniquely positioned delivery and with a reduction in our healthcare and led the acquisition to provide a connected healthcare ongoing overhead costs of £2 million of our gym business and their experience for our customers. To date per annum. Steve will introduce himself development into combined fitness we have achieved this vision to a but I am pleased with the impact he and wellbeing gyms. Nuffield Health limited extent. This reflects the has had on the organisation since he would not be what it is today without complexity of achieving this as well joined on 1 December 2015. his period of stewardship. as where we are on our development journey. 2016 will see us accelerate We have unified the Executive Board Russell Hardy the pace of delivery of our vision. structure to allow us to operate as One Chairman Nuffield Health with our hospital and wellbeing teams under the operational leadership of Dr Andrew Jones as Chief Operating Officer. We have also recruited new Executive Directors for Nuffield Health Annual Report 2015 5 Introduction Strategic report Trustees’ report Independent auditor Financial statements Other information Chief Executive Officer’s statement In December 2015, I joined Nuffield Health as Chief Executive Officer. It was a decision I was extremely pleased to make. We are a world class health and wellbeing provider and I am very excited to lead the organisation at a time when both of these are featuring more prominently in our way of life. In addition, Nuffield Health is underpinned by a strong charitable goal which imbues our organisation with a clear purpose and excellent values. 6 Nuffield Health Annual Report 2015 Nuffield Health’s new Executive Board Read more about the Executive Board on pages 58–59 Equally important to our charitable ensure our sustainability and help far healthy again in a virtuous circle of purpose is that we are financially sound more people and communities with care. Of course, wellbeing is not just and benefit from an excellent network their health and wellbeing needs. This about being physically fit, it is also of health and wellbeing assets in key excites both me and all of our people. about mental wellness and nutrition areas across the UK. Since joining, and here we can also help. As we I have travelled around our sites and discuss throughout this report, for Our market and our strategy have been incredibly impressed and Nuffield Health this extends from inspired by the passion, energy and The UK healthcare sector is facing big innovative programmes such as commitment to care I have seen in challenges, including a rapidly ageing our personalised Healthy Weight our people. population and significant budgetary programme through to health MOTs pressure on the NHS. In the next – all underpinned by our caring, well However all these excellent assets five years, healthcare will change trained people and safe processes should not induce us to rest on our enormously because the current regime and facilities. successes to date. There is still so much is just not sustainable. In addition, more to do – to both improve and unify To achieve One Nuffield Health, we consumers are keen to take control of our health and wellbeing offering and have revisited our structure. We have their own health and wellbeing and are serve the enormous opportunities this now brought together our hospital and prepared to pay to do so. In the face of sector has in the UK, which is changing wellbeing divisions into one Operating these changes, Nuffield Health can have rapidly and dramatically. We are taking Board – with a single line of reporting a huge role to play and we must ensure the quality of our services seriously and to the new position of Chief Operating we are positioned in the best possible working closely with our partners, the Officer, to which Dr Andrew Jones way to do so. Care Quality Commission, Healthcare (formerly our Managing Director of Improvement Scotland and Healthcare Fundamentally, we must more Wellbeing) has been appointed. This Inspectorate Wales, who assess and effectively join up our business – a not only streamlines our processes and regulate us and other providers of strategy we call One Nuffield Health. decision making but equally it will help health and social care in England, Through a more connected model, we create a more unified culture, with Scotland and Wales. You can read will efficiently help people to get fit openness and transparency – critical more about this later in this report. and healthy and stay that way. When steps on our journey. By effectively executing and accelerating they need treatment we will help them our strategic goals, we will be able to get better and then get them fit and Nuffield Health Annual Report 2015 7 Introduction Strategic report Trustees’ report Independent auditor Financial statements Other information Chief Executive Officer’s statement – continued As a result of our new structure, we Across the organisation, we invested have had to make some changes in almost £100 million. This included: our management team, which has In our hospitals in • Opening our state-of-the-art had some financial impact. However, Manchester Diagnostic Suite in 2015, patients across the I believe this was an extremely January 2016. This is an exciting first important action for us to take to UK underwent 206,000 step in our complete health and enable us to effectively meet our wellbeing evolution for the North procedures, a 3.5 per charitable purpose and ensure our West, which we will embed when we sustainability. As part of this cent increase on 2014 open our planned hospital in reorganisation, we are developing Manchester in 2018 our digital strategy, to find the best way to support our customers in a • Opening our new Cambridge connected manner – complementing hospital. Following a £30 million the way we are all living our lives. investment, it is now delivering In our hospitals in 2015, patients modern, technologically advanced underwent 206,000 procedures, Progress over the year facilities to the region a 3.5 per cent increase on 2014. Throughout our network, we also In 2015 and into early 2016, we not • Investing £10 million in new conducted 759,000 physiotherapy only made some important decisions diagnostic equipment, including sessions, an increase of nearly 23 per to position ourselves for the future, MRI machines and CT scanners – cent from 2014 and we also increased we also had a number of notable essential tools in any modern our health assessment sessions by achievements. In particular, we healthcare environment. A further 26 per cent to 62,000. We had a delivered a strong revenue of £768 £10 million investment is planned significant number of corporate million and EBITDA of £86 million. for 2016 customer successes, including starting We also made a number of important • Acquiring two central London gyms the construction of one of our largest investments in new facilities and in Moorgate and Shoreditch. These ever health and wellbeing facilities, equipment that deepen our capacity have been converted to complete which will be based at UBS. to advance, promote and maintain Nuffield Health fitness and health for the public benefit and secure wellbeing gyms with GP and In our communities, we helped our strong position in the UK health physiotherapy services 10,000 children learn to swim. We and wellbeing sector. also continued to support and expand • Adding medical clinics to our fitness our Healthy Start programme which and wellbeing sites in Tunbridge enables young people with various Wells, Milton Keynes, Manchester underlying health issues to increase and Birmingham – all in pursuit their chances of gaining sustainable of our connected health vision employment whilst improving their wellbeing. We also launched our groundbreaking school wellbeing pilot at Wood Green School in Oxfordshire. RECOVERY PLUS A deformity in Derek’s hip threatened One year on and Derek is elated by the his mobility, lifestyle and happiness. difference in himself. “You worry about After seeing his GP he was referred to how you’ll be able to recover from such a the Nuffield Health Woking Hospital. major operation,” he says, “but I haven’t Following his hip replacement surgery he even had to take painkillers and I was off undertook a month-long programme of my crutches within three weeks. Aside physiotherapy before beginning Recovery from extreme flexing, like the swan pose Plus, a bespoke recovery exercise in yoga, I have full movement in my hip. programme supported by his recovery I’m back to who I was before the pain.” coach at the Nuffield Health West Byfleet Fitness & Wellbeing gym. To find out more about Derek’s road to recovery, visit: nuffieldhealth.com/article/dereks-recovery-story 8 Nuffield Health Annual Report 2015

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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.