1. Derbyshire Community Health Services NHS Trust 2012/13 in brief Tracy Allen Chief Executive To be the best provider of local healthcare and to be a great place to work

2. A year of challenge and change in the NHS A new commissioning landscape : working with new Clinical Commissioning Groups (CCGs) and other partners Continued increasing demand – particularly supporting larger numbers of frail older people Reflecting on the Francis inquiry into failings at Mid Staffordshire Hospital. To be the best provider of local healthcare and to be a great place to work

3. The DCHS Way / BIG 9… To be the best provider of local healthcare and to be a great place to work Within each element of the DCHS Way, we developed three top priorities for 2012/13 – the Big 9…

5. Quality Services Cared for, treated and supported people in Derbyshire and Leicestershire – nearly 1.8 million patient contacts this year Met most national and local commissioned targets and standards Supporting frail older people better: Single Point of Access (SPA) branches out Enhancing services for children and their families - Early implementer for national Healthy Child Programme. To be the best provider of local healthcare and to be a great place to work

6. Quality Services Improving our facilities –Innovative roof garden at Cavendish Hospital opens –Significant improvements in Patient Environment Action Team assessments measuring how patients experience our environment, food, and privacy Promoting equality, diversity and inclusion across our services Prioritising dignity for our patients – Derbyshire Dignity Campaign – 11 services achieved their Bronze awards, another 37 working towards it. To be the best provider of local healthcare and to be a great place to work

7. Quality Services Whitworth Hospital undergoing major refurbishment New state-of-the-art electric beds and anaesthetic equipment at Ilkeston Community Hospital. New podiatry equipment at Loughborough Hospital. Supported by our volunteers and League of Friends across the Trust… To be the best provider of local healthcare and to be a great place to work

8. Quality People We wouldn’t be anywhere without our staff! To be the best provider of local healthcare and to be a great place to work

9. We aspire to be a great place to work and an employer of choice NHS Staff Survey demonstrated high levels of staff engagement Launched a new annual in-house essential training programme Reviewed and revised our leadership appraisal Committed to reducing levels of sickness absence. Quality People To be the best provider of local healthcare and to be a great place to work

10. Quality People Many individuals and teams regionally, nationally and internationally recognised for their work…

11. Quality Business Minimising our impact on the environment –Launch of pool car scheme –Energy bill cut by 6% –Recycled more than a third of our waste Improving efficiency and value –Our Improvement Leaders Programme a success in Finland! –Redesigning services to support better quality and lower cost Making sure our services are resilient and can respond to emergencies. To be the best provider of local healthcare and to be a great place to work

12. Quality Business – developing our accountability Welcome to our newly elected Council of Governors! At the end of the year we had 11,723 members and growing! To be the best provider of local healthcare and to be a great place to work

13. Moving forward… Becoming ‘critical friends’ with our Governors and members Working with commissioners and the public on the national ‘Call to Action’ NHS strategy Continue to be your local community provider of choice Preparing to become an NHS Foundation Trust. To be the best provider of local healthcare and to be a great place to work

14. Annual General Meeting Quality Report 2012-13 Ben Lobo, Medical Director Carolyn White, Director of Quality / Chief Nurse To be the best provider of local healthcare and to be a great place to work

15. Quality and DCHS Our Vision: To be the best provider of local healthcare and to be a great place to work Our values: To get the basics right To act with compassion and respect To make a difference To value and develop teamwork To value everyone’s contribution to our service delivery and development. DCHS Way: quality is the golden thread To be the best provider of local healthcare and to be a great place to work

16. Annual Quality Account Quality is measured in three ways: 1. Patient Safety 2. Clinical Effectiveness 3. Patient Experience. Annual Quality Account Public statement of our plans and outcomes Assurance of quality Achievement and improvements Priorities for the next year. To be the best provider of local healthcare and to be a great place to work

17. Overview 2012-13 Context Major changes within NHS and local health community Francis Report into Mid Staffordshire Hospital Winterbourne View CQC inspection regime DCHS Foundation Trust application –Quality Governance Assurance framework –Quality Strategy. To be the best provider of local healthcare and to be a great place to work

18. Patient Safety 98% patients screened for DVT against target of 90% No cases of MRSA bacteraemia 50% reduction in incidents where patients were harmed through moving and handling Patient safety visits now include visits in patients own homes 50% reduction in number of patients requiring catheters Improved medicines management. To be the best provider of local healthcare and to be a great place to work

19. Clinical Effectiveness Improved prescribing - antibiotics and anti- psychotics Care at the End of Life Improvements in dementia screening and care Making Every Contact Count. To be the best provider of local healthcare and to be a great place to work

20. Patient Experience Picker Institute review Friends and Family test consistently above 90% Patient stories Patient Environment Action Team (PEAT) - all services rated excellent or good Learning from complaints. To be the best provider of local healthcare and to be a great place to work

21. What could we have done better? Reducing risk of falls for our patients Reducing the number of injuries due to pressure damage Protecting our patients privacy and dignity Communicating with patients and relatives. To be the best provider of local healthcare and to be a great place to work

22. What are we especially proud of? Single Point of Access Specialist speech and language service for children Compliments about our services Achieving all our quality targets set by our commissioners Our infection control record. To be the best provider of local healthcare and to be a great place to work

23. Things we want to do better in 2013/14 1.Keeping People Safe - Harm Free Care: reducing harm from falls and pressure ulcers 2.Keeping Patients (and Families) at the Centre of Care - Patient and Carer Engagement 3.Getting the Basics Right – focus on care planning, record keeping and discharge planning. To be the best provider of local healthcare and to be a great place to work

24. Chris Sands Director of Finance, Performance & Information To be the best provider of local healthcare and to be a great place to work Financial Performance 2012/13

25. Turnover £188 million £175 million of this is clinical income We spent a total £185 million £500,000 per day spent throughout the Trust £121 million spent on pay costs Land and buildings leased from Primary Care Trusts Cash at year-end of £11 million. To be the best provider of local healthcare and to be a great place to work About us in 2012/13 :

26. To be the best provider of local healthcare and to be a great place to work Our financial performance in 2012/13: Financial TargetPerformanceAchieved Achieve breakevenSurplus £2.8 million √ Achieve productivity targetAchieved efficiency target of £9.2 million √ Deliver capital programme within resource limit Net Capital programme of £1 million against resource limit of £1.9 million. √ Meet our duties to pay 95% of suppliers within 30 days 4 out of 4 measures achieved √

27. Looking ahead into 2013/14: Our turnover is planned to be £175.6m Asset transfers received of £77 million We are receiving £2.6m additional income to provide more services in a community setting each year, and £0.9 million for winter capacity We will need to deliver further efficiencies of £9.7 million We will work closely with health and social care partners to ensure services are safe, effective and efficient.