Transforming the nation's health and wellbeing

116 Pages·2016·2.21 MB·English

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
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Introduction Strategic report Trustees’ report Independent auditor Financial statements Other information
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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