Chief Executive’s Update

29th November 2007

TRUST BOARD

“Our Future, Our NHS”

• Clinical Leaders Forum now established

• Cancer Services added to the brief

• Staff Engagement day held

• Links to West Midlands SHA 8 Pathway Groups

SaTH FT Application

• 41 out of 68 presentations complete

• Good support for our application but low numbers at public meetings

• “Should any Trust be unable to progress towards NHS Foundation Trust Status then the SHA will need to identify how its services will be delivered” – David Flory, Director General Finance, Performance and Operations

• External “State of Readiness” review 3rd/ 4th December

“Lean Initiatives”

• Theatre stocks/ utilisation• Pre-operative assessment test• A&E event• MAU event• Productive Ward (Pilot for West Midlands) – Ward 26• Presentation to West Midlands Chief Executives• Presentation at HSJ Conference in London and

Birmingham• External evaluation – Warwick University –

31st January Trust Board

Health Care Acquired Infections

• Good progress currently on monthly profile

• No “Central Line” cases for 6 months

• DoH/ SHA/ Health Economy “Roundtable” discussion on C.diff (11th December)

• Deep clean/patient improvements – £1.8 M revenue

• Replacement of 80% of bed frames – £1.2 M capital

Health Care Acquired Infections

Published C Diff

Rate 2006

Sandwell & West Birmingham Hospitals 1.76

The Shrewsbury and Telford Hospital 2.18

South Warwickshire General Hospitals 2.63

Walsall Hospitals 2.68

Dudley Group of Hospitals 2.88

The Royal Wolverhampton Hospitals 2.89

HEFT 3.03

UHCW 3.19

Worcestershire Acute Hospitals 3.31

UHB 3.56

Burton Hospitals 3.62

Mid Staffordshire General Hospitals 4.02

George Elliot Hospital 4.47

UHNS 5.18

A&E 98% within 4 hours target

• A real challenge because of early year performance and delayed discharges

• Escalation policy

• Problems across West Midlands but we perform well on ambulance waits

A&E 98% within 4 hours target

0 50 100 150 200 250 300 350 400

Alexandra

Hereford County

Worcestershire Royal

Royal Shrewsbury

Princess Royal

Heartlands

Solihull

Queen Elizabeth

Selly Oak

Good Hope

Dudley Road

Russells Hall

New Cross

Walsall Manor

Sandwell

Birmingham Childrens

Warwick

Walsgrave

George Eliot

St Cross

North Staffs

Stafford General

Burton

Hours Lost - October

Health Care Commission Ratings

• Quality of Services - Good

• Use of Resources - Weak (because of deficit)

• Only 16% of Provider Trusts in England scored better for quality of services – only 1 Acute Trust in West Midlands

• Level of financial support influenced scores on Use of Resources

• Only 19 Trusts received excellent for both – ALL were Foundation Trusts

Good News Stories

• Wards 8 and 9 at PRH passed their “observed medicine rounds and formal drug assessments” with flying colours

• Letter to Sister MacKune at RSH re pre-operative assessment “Thank you for sorting me out so promptly – people like you are far too few today – you have restored my faith in NHS services”

Good News Stories

• Scottish Health Department visit to review IT system “We found this a very positive experience and an example of what can be achieved in terms of patient management system development”

• Jane Jones – RSH Radiotherapy Dosimetrist – represented Great Britain in the World Triathalon Championships – ranked 57th in the world in her age group

Good News Stories

• Chris Needham – Head of Estates and Facilities – invited to be Vice Chair of Health Estates and Facilities Management Association and will become Chairman in spring 2008

and finally

• “The reports showed the greatest possible alarm at the financial position”

• “A second period of financial anxiety followed …… these bad times continued and for the first time in its history the Board were compelled to curtail facilities”

• “The financial position was entirely recovered and the hospital was at long last able to balance its budget”

and finally

• “The reports showed the greatest possible alarm at the financial position” 1757

• “A second period of financial anxiety followed …… these bad times continued and for the first time in its history the Board were compelled to curtail facilities” 1857

• “The financial position was entirely recovered and the hospital was at long last able to balance its budget” 1933