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Moorfields Eye Hospital NHS Foundation Trust Our year of achievements Annual Review 2016/17 www.moorfields.nhs.uk

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Page 1: Moorfields Eye Hospital NHS Foundation Trust Annual … Annual... · Moorfields Eye Hospital NHS Foundation Trust ... Our long-term plan for a new centre of research, ... completing

Moorfields Eye Hospital NHS Foundation Trust

Our year of achievements

Annual Review2016/17

www.moorfields.nhs.uk

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2 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

ContentsWelcome from:Tessa Green, chairman 3David Probert, chief executive 4Who we are 5What we do 6Our new vision of excellence 8Our vanguard 10Focus on quality 11A patient perspective 12

Our performance 14Our patients 16Our staff 18Making new discoveries 20Developing tomorrow’s eye experts 22Commercial divisions 24Money matters 25How we are managed 26Our charity partner 29

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Moorfields Eye Hospital NHS Foundation Trust 3Annual Review 2016/17

Tessa Green CBE Chairman

2016/17 was an exciting year to join Moorfields.

Our research in partnership with the UCL Institute of Ophthalmology continued to push boundaries by translating experimental research into sight-saving treatments, attracting worldwide attention. Our CQC inspection recognised many areas of good and outstanding practice, including our extensive research portfolio, our children and young people’s services at City Road and our urgent and emergency services. We received additional recognition as an NHS vanguard, demonstrating how to support networked models of care, and launching a toolkit.

We saw more patients at our 32 NHS UK sites than ever before, and performed well in our NHS quality and financial duties. Our ophthalmic clinical outcomes continue to be evidenced as amongst the best in the world, and our patients and staff consistently rate us highly in surveys.

This was a year in which Moorfields has lived up to its reputation as a world-class organisation committed to innovation. I would like to thank our staff for their outstanding care and commitment, ensuring our patients experience world-class clinical care informed by internationally-rated eye research and education.

Welcome from Tessa Green, chairman

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4 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

2016/17 was a very positive and productive year for Moorfields.

I look back on my first year at Moorfields with great pride and respect for colleagues whose expertise, professionalism and commitment have ensured that we remain one of the best performers in the NHS. Our patients continue to report that their confidence in and experience of the care we provide at Moorfields is overwhelmingly positive. The CQC report and overall ‘Good’ rating provides further assurance of our achievements whilst importantly helping us focus on ways to improve and learn.

I would like to thank all our staff for their dedication and support, for striving to constantly improve, support others, and always aiming to ensure patients receive the best possible experience at Moorfields. The future will bring new challenges and the NHS is facing one of the most significant periods of uncertainty in its long history. This will require us to act flexibly, remain determined and seek new ways of working to ensure we do more, with less. Looking back on the past year, I have every confidence that Moorfields has the foundations on which to build and drive forward our ambitious agenda.

Welcome from David Probert, chief executive

David Probert Chief executive

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Moorfields Eye Hospital NHS Foundation Trust 5Annual Review 2016/17

Our reputation for providing the highest quality of ophthalmic care has developed over 200 years. Moorfields’ 2,350 staff are committed to sustaining and building on our pioneering history, and ensuring we remain at the cutting edge of developments in ophthalmology.

We are registered without conditions and with an overall rating of ‘Good’ with the Care Quality Commission (CQC), the independent regulator of health and social care in England.

We were one of the first NHS organisations to become a foundation trust in 2004, and a founder member of UCL Partners – one of the UK’s first academic health science centres. We are one of only 20 sites nationally that has National Institute for Health Research (NIHR) Biomedical Research Centre (BRC) status, which provides us with the infrastructure to support major innovative research initiatives and enables us to fast-track projects to benefit patients more quickly.

Who we are

Moorfields Eye Hospital NHS Foundation Trust is the leading provider of eye health services in the UK and a world-class centre of excellence for ophthalmic research and education.

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6 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

We provide a wide range of clinical services, caring for patients with routine ophthalmic needs as well as those with rare and complex conditions. Our 32 NHS sites across London and the south east of England allow us to provide expert treatment closer to patients’ homes.

In partnership with the UCL Institute of Ophthalmology, we conduct world-leading research. We play a leading role in the training and education of eye care clinicians, working with strategic partners to provide undergraduate training to almost 1,400 medical students each academic year. We manage two commercial divisions: Moorfields Private, and Moorfields United Arab Emirates.

What we do

“For the first time this year, we patients had the opportunity to get involved in the development of Moorfields’ new five-year strategy. Patients helped shape many aspects of the strategy, and in particular Moorfields’ purpose, and its emphasis on working together. It’s really exciting to see a commitment from the trust to involving patients as partners in discovering, developing and delivering the best eye care.”Irenie Ekkeshis, patient at Moorfields

NHSMoorfields

Education & training

Commercial*

Research & development

*Moorfields PrivateMoorfields United Arab Emirates

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Moorfields Eye Hospital NHS Foundation Trust 7Annual Review 2016/17

BEDFORD(NORTH

AND SOUTH)

BromleyCroydonSutton

Kingston

Richmond

Hounslow

Ealing

Brent CamdenIslington

HaringeyHillingdon

Hammersmith and Fulham

West London Central London

Wandsworth

Lambeth

Merton

Southwark

West KentEast SurreySurrey Downs

North west Surrey

Dartford, Gravesham and Swanley

Bexley

Dubai

Abu Dhabi

OmanSaudi Arabia

Qatar

Iran

United Arab Emirates

Persian Gulf

Greenwich

Lewisham

Havering

West Essex

Redbridge

Waltham Forest

City and HackneyNewham

Tower Hamlets

Barking & Dagenham

HarrowBarnet

Herts Valleys

Enfield

Map of Moorfields’ sites

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8 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Our long-term plan for a new centre of research, education and clinical care in the St Pancras area is gathering pace. Together with our university partner, the UCL Institute of Ophthalmology, and our charity partner, Moorfields Eye Charity, we will work towards securing the site and completing the business case. We also have ambitions to redevelop our existing facilities on the St George’s hospital site and in the east of London.

Our new vision of excellence

Working together

means we collaborate with one another as individuals, with our patients and with other organisations

Discover

the best eye care means we will focus on setting the agenda, being at the forefront for others to follow

Develop

the best eye care means we will practically apply our discoveries to benefit our patients, staff and the services we provide

Deliver

the best eye care means we will consistently provide an excellent, globally-recognised service

thebest

eye care

During 2016/17 we engaged our staff, patients and key partners in refreshing our organisational strategy and agreed our core belief ‘people’s sight matters’. Together, we developed a cohesive plan setting out our clinical, research and educational aspirations, for the first time in one overarching framework. We launched our new vision of excellence 2017-2022 in July 2017, with a new purpose – ‘working together to discover, develop and deliver the best eye care’.

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Moorfields Eye Hospital NHS Foundation Trust 9Annual Review 2016/17

Our new objectives describe what we need to become and what we need to do to realise our purpose. They are deliberately ambitious because we want to challenge ourselves to deliver the best we can for our patients.

We have eight objectives; four are ambitions that represent the impact we aim to have in the world; and four are enablers that represent what we need to do within Moorfields to achieve our ambitions. We will use these objectives to track progress over the next five years, to make our strategy focused and measurable.

Corporate objectives for 2017/18

Ambitions

We will pioneer patient-centred care with exceptional clinical outcomes and excellent patient experience

We will be at the leading edge of research, making new discoveries with our partners and patients

We will innovate by sharing our knowledge and developing tomorrow’s experts

We will collaborate to shape national policy

Enablers

We will attract, retain and develop great people

We will have an infrastructure and culture that supports innovation

We will have a sustainable financial model

We will be enterprising to support and fund our ambitions

Working together to discover, develop and deliver the best eye care

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10 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Our vanguard Our participation in the national vanguard programme as one of the acute care collaboration sites has allowed us to share our experience of delivering networked care. In collaboration with partners across the health system, we have developed a networked care toolkit that describes what good looks like for networked care and articulates how it can be implemented successfully across the NHS.

We launched our single specialty networked care toolkit in April 2017 and in the coming year we will promote the toolkit, continue our patient participation work, and consider the implications for regulating and commissioning a networked care model.

Samantha Jones*, NHS England director of new models of care, said: “Moorfields has shown that through the networked care model, patients have greater access to locally delivered, clinically sustainable services. Hospitals can become more sustainable and care is supported by effective and sustainable governance structures, underpinned by a strong organisational culture.

“The learning from Moorfields will help develop future networks across the NHS in a planned way at pace. Sharing this good practice, through the toolkit, will enable others to understand the opportunities and risks of this way of working and how it can support patients and staff.”

*Stepped down as NHS England director of new models of care in May 2017.

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Moorfields Eye Hospital NHS Foundation Trust 11Annual Review 2016/17

Focus on qualityDuring the year we were pleased to receive an overall ‘Good’ rating from our CQC inspection, which noted areas of outstanding practice. It also highlighted some challenges, in particular improving the full use of the World Health Organisation (WHO) surgical safety checklist.

We are committed to improving our services and encourage all staff to be part of our 50-point improvement action plan. We completed over a third by the end of March 2017, and aim to complete 48 of the 50 improvements by December 2017.

We have set ourselves 11 quality objectives for 2017/18 using Lord Darzi’s three headings of patient safety, patient experience and clinical effectiveness. We will develop a quality improvement programme to drive quality and service improvement in every corner of the organisation, encouraging ideas and sharing to maximise the wealth of expertise and innovation internally.

We want our patients to have a positive and empowering experience; being treated at the right time, in the right place, by the right professional. We want people to choose Moorfields because they will be confident of receiving the best clinical outcome and an excellent personal experience.

Moorfields aspires to be outstanding in everything it does and we are committed to progressing from a ‘Good’ organisation to an ‘Outstanding’ organisation.

“We will pioneer patient-centred care with exceptional clinical outcomes and excellent patient experience”

Good

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12 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

A patient perspectiveLiving with wet age-related macular degeneration (wet AMD)

Elaine lives in London, and has been a patient at Moorfields since 2013. Here she tells her story of living with wet AMD.

“In 2000 my left eye felt really irritated and cloudy. I’d spoken with a pharmacist, and used eye drops, but nothing helped. I was really worried. My GP sent me to King’s College Hospital. The consultant there told me ‘this is very serious’ and went on to explain that I had a central bleed in the macular. I asked him ‘will I go blind?’ but he couldn’t give me any reassurances, just that my only option was to have the central bleed lasered.

“I hoped that my eye was going to be fine as I wasn’t given any other information. After I had the laser done I was totally and utterly devastated when I realised it had completely knocked out my central vision. When I covered my right eye I couldn’t see people’s faces, the television or any detail whatsoever.

“For the next 12 years I went for regular eye tests, unaware that this cruel disease would begin to affect my right eye too. In 2013 my right eye started to see straight lines as wavy and my GP sent me to Moorfields A&E. I waited several weeks for diagnosis and treatment of my good eye, having already lost the vision in my left eye. It was bad news. My right macular had a bleed. I was in total shock. I began to have eye injections, I was so grateful that something could be done to help.

“The team at Moorfields make you feel like a person and not a number. When my consultant Pearse asked me about my left eye, I felt so choked up and emotional that someone cared enough to ask me, and I realised how overwhelmingly raw it was after all these years. I had four injections at the time, the bleeds stopped and I was told to return to A&E immediately if I saw any more changes.

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Moorfields Eye Hospital NHS Foundation Trust 13Annual Review 2016/17

“The following year I was worried that I had another bleed and rushed straight back to Moorfields. Following a scan the doctors told me I needed more injections, they showed empathy and understanding. I was feeling distressed, which they picked up on and I felt a hand on my hand which was absolutely great.

“I’m still attending Moorfields and I need brighter lights now. I struggle when I go into dimly lit restaurants and venues. I like to go to the theatre but worry that I might trip over people. My spatial awareness has diminished and if I’m pruning something I have to make sure I don’t cut my fingers off.

“Moorfields is the centre of excellence and continues to care for me and support me. They are just awesome and reassuring! I would be totally lost without Pearse and all the wonderful staff there. They hold me up in safe arms just as the instructor did when I did my tandem skydive for Moorfields Eye Charity last November. The whole experience was very symbolic for me.”

“Now the future really is illuminated with hope. It’s no longer deep despair stumbling along a lonely pathway of fear filled with darkness and shadows. I feel hopeful.”

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14 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Our performance

Patient safety performance 2016/17

Waiting times performance 2016/17

32NHS sites

treated record numbers of patients across our

This year we:

achieved all national waiting time targets improving year on year performance in most

continued to provide high quality care and treatment evidenced by positive feedback from our patients

0 reportable Clostridium difficile cases

0 reportable MRSA bacteraemia cases

Improved venous thromboembolism (VTE) screening levels (screening for blood clots in the vein) 98.9%

98.1% 4 hour maximum wait in A&E from arrival admission, transfer or discharge

98.5% Cancer 2 week waits from urgent GP referral to first appointment

100% of patients waiting less than 6 weeks for a diagnostic test

97.8% of patients waiting less than 18 weeks for their treatment to begin in 2016/17

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Moorfields Eye Hospital NHS Foundation Trust 15Annual Review 2016/17

Place of care

Grand total

Day case (patients with planned treatment who need a bed in the day, but don’t need an overnight stay)

A&E2015/16

103,926

1,073

561,495

35,335

2,413

704,242

2016/17

102,564

1,114

586,917

35,999

2,757

729,351

Inpatient planned (patients with planned treatment who need an overnight stay)

Outpatients (patients with a planned appointment who don’t need an overnight stay)

Inpatient unplanned (patients who need emergency treatment and an overnight stay)

Patient activity

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16 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Our patientsMany patients tell us what they think in the friends and family test. 111,995 people took part in 2016/17 across 53 clinics. 96.4% of our patients would recommend Moorfields to their friends and family. Many comment on the friendliness, helpfulness, excellence, clinical outcomes, professionalism and organisation at Moorfields.

Around 200 patients a month name specific members of staff as giving exceptional care. The number of staff mentions has increased by 100% following the introduction of The Moorfields Way commitments.

We know that patients are disappointed with long waiting times in clinic and our patient experience committee is looking at ways to improve this.

introduced patient pagers so patients can leave a clinic area without missing their appointment, and to help people who are deaf or have hearing loss

trialled patient check-in kiosks to improve patient check-in waits

worked with patients to identify our 2017/18 quality priorities

established a patient engagement group to improve patient communication

worked with patients and partner organisations such as RNIB to improve communication and wayfinding

the waiting area seating

colour coded

Providing the best patient experience is at the heart of everything we do. In 2016/17 we:

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Moorfields Eye Hospital NHS Foundation Trust 17Annual Review 2016/17

PALS and complaintsIn the year our patient advice and liaison service (PALS) dealt with nearly 3,000 enquiries, covering a range of issues. We received around 200 complaints which the complaints team helped to resolve. Where we recognise an issue, we take action so it does not happen again.

“Moorfields is an amazing hospital and we are very lucky to have this facility… We have nothing but praise for the children’s A&E department, from the moment we arrived, the care and the staff were amazing, the nurses, the doctors doing the tests, the consultant and even the porter were all helpful and understanding… Thank you” (NHS Choices)

“Great treatment and care from everyone I

saw at @Moorfields today. Thank you!” #nhs

“It was a pleasant, stress free and in fact an enjoyable morning! The nurses were kind, efficient and clear in their explanations. The operation was painless and effective – I can now see so much more clearly – it’s like magic!...I can’t recommend it highly enough and can’t think of anything that could have been done better” (FFT comment)

ComplimentsWe love to hear compliments; here are some from 2016/17.

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18 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Our staff March 2017 saw the eighth Moorfields’ Stars event, our annual award ceremony to recognise and reward staff for their professional and academic achievements in the last year, supported by our charity partner, Moorfields Eye Charity. This year’s celebration was our biggest yet with nearly 300 staff and guests attending.

We expanded our award categories and received a record number of nominations this year, including almost 200 nominations from patients for the new patient choice award. Our charity partner introduced the charity champion award, which celebrates staff activity that benefits its fundraising programme.

“We will attract, retain and develop great people”

2016 Moorfields’ Stars award winners:

Chairman’s award for an outstanding contribution to Moorfields Carole Thomas, orthoptist

Chief executive’s star of the year Roxanne Crosby-Nwaobi, head of clinical research nursing

Moorfields’ team of the year Northwick Park theatre team

Moorfields Eye Charity’s award for innovation, research or education #knowyourdrops campaign team, pharmacy and communications teams

The charity champion award Professor Jim Bainbridge, consultant ophthalmologist

The patient choice award Peter Coggin, senior ocular prosthetist

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Notable achievementsEach year many of our colleagues are acknowledged externally for their achievements and contributions. Of particular note this year are:

Alison Davis, consultant ophthalmologist on her appointment by NHS England to chair the specialised ear, nose and throat (ENT) and ophthalmology clinical reference group (CRG).

Melanie Hingorani, consultant paediatric ophthalmologist, on her prestigious appointment to the Royal College of Ophthalmologists to chair the professional standards committee.

The role also carries the title of senior vice president of the college and Melanie has a seat on the college council.

Vincenzo Maurino, on his award of the Order of the Star of Italy by the Italian Ambassador. The award is one of Italy’s highest honours, recognising Italian citizens who have distinguished themselves abroad.

The Moorfields WayWe are into year three of our major programme of cultural change, to make Moorfields caring, organised, excellent and inclusive. This programme was in direct response to patients telling us they wanted to be kept waiting less, needed better communication and wanted staff to work better as a team. Staff asked for better communication, protection from bullying and equal opportunities.

We track our progress in The Moorfields Way, asking staff about it in our staff friends and family test (FFT). This year, over 96% of participating staff told us that they had heard of The Moorfields Way, and almost half said that it was making a difference in their part of the trust.

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20 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Our research in partnership with the UCL Institute of Ophthalmology continues to push boundaries by translating experimental research into sight-saving treatments.

Moorfields celebrated many exciting and innovative research developments in the year and we were successful in gaining accreditation for five further years as a National Institute for Health Research (NIHR) Biomedical Research Centre (BRC) and Clinical Research Facility (CRF).

Making new discoveries

“We will be at the leading edge of research, making new discoveries with our partners and patients”

• Our BRC for ophthalmology was awarded £19 million over five years in recognition of the world-leading excellence of our partnership with the UCL Institute of Ophthalmology.

• Our CRF was awarded £5.3 million over five years in recognition of our world-leading excellence in the translation of ground-breaking experimental medical research into sight saving treatments.

“This is recognition of the world class research we deliver at Moorfields in partnership with the UCL Institute of Ophthalmology. This substantial investment in eye research will enable us to continue to rapidly develop and deliver life-changing treatments for our patients. With sight loss predicted to double by the year 2050, this vital funding for eye research has never been more important.”Professor Sir Peng Tee Khaw Director of research and development

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Moorfields Eye Hospital NHS Foundation Trust 21Annual Review 2016/17

In 2016, we launched a new medical research partnership with DeepMind Health, one of the world’s leading artificial intelligence companies, which could revolutionise the way professionals carry out eye tests and lead to earlier detection of common eye diseases. Our collaboration with DeepMind is investigating how artificial intelligence technology could help to rapidly analyse eye scans, giving clinicians a better understanding of eye disease. The project involves Moorfields and DeepMind analysing a set of one million anonymised eye scans.

Elaine, a patient at Moorfields said: “I feel that this highly innovative and exciting research is crucial in enabling prompt detection and treatment for devastating and debilitating eye conditions.”

In 2016 NHS England pledged funding for further testing of the Argus II, also known as the Bionic Eye. Five patients will undergo surgery at Moorfields to tackle Retinitis Pigmentosa, an inherited disease that causes blindness. NHS England will assess how the Bionic Eye helps patients function with everyday tasks.

“For patients with Retinitis Pigmentosa who have profound vision loss, the long-term benefits of this technology in restoring some useful vision can be life-changing. Our work at Moorfields has shown that the Argus II can increase patients’ functional vision for many years after implantation which represents significant progress in the evolution of artificial sight.” Professor Lyndon da Cruz Consultant retinal surgeon

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22 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Developing tomorrow’s eye expertsWe are the largest provider of NHS-funded ophthalmology education and training, and supply education and training externally. We work closely with the UCL Institute of Ophthalmology and aim to recruit a joint director of education.

In 2016/17 there have been significant developments in education, teaching and training.

Medical educationIn 2016, our undergraduate education team received a team award in undergraduate teaching, as well as the Saad al-Damluji Excellence in Clinical Teaching award. Our students performed well in the prestigious national Duke Elder undergraduate prize examination taking eight of the top 20 places, including the top place. 483 students competed for the prize in 2016.

Nurse education The CQC commended nurse education praising “the development of staff skills, competence and knowledge, and development of extended nursing and allied health professional roles. Staff reported that they felt well supported and received good training opportunities.” The Moorfields and UCL postgraduate certificate in clinical ophthalmic practice is now in its second year; the second full time cohort achieved a 100% pass rate. We attained City & Guilds accreditation for the ophthalmic care certificate. This offers a formal qualification to healthcare assistants and technicians in ophthalmic practice.

“We will innovate by sharing our knowledge and developing tomorrow’s experts”

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Moorfields Eye Hospital NHS Foundation Trust 23Annual Review 2016/17

Optometry educationWe formalised a comprehensive training package for our sought-after resident programme, introducing new courses. We offer courses to optometrists worldwide which attract revenue, receive excellent feedback and help to train our staff.

Pharmacy We developed the #knowyourdrops patient education campaign which has received positive feedback from patients with all event attendees saying they felt more confident about putting in their eye drops. We are now offering this as a training package for other organisations.

Leadership and management developmentWe successfully bid to be one of the first specialist trusts piloting the new Mary Seacole programme, developed by the National Leadership Academy. We launched a comprehensive development programme to support our newly established clinical divisions transition to semi-autonomous business units.

Apprenticeships and graduate traineesWe appointed a dedicated apprentice manager to increase apprenticeships, and develop a management apprenticeship programme. Graduate trainees from the NHS and Civil Service graduate schemes continue to

give us good feedback, and provide real benefit. One recent graduate built up our e-commerce ability in a learning management system, allowing us to sell training programmes externally. We achieved £100,000 in revenue from selling courses, with the profit channelled into the NHS to benefit our patients.

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24 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Commercial divisions

Moorfields Private

During the year we completed a major capital refurbishment project funded from commercial profits. The new Moorfields Private outpatient centre in Bath Street provides an improved patient experience and reflects the trust’s reputation as a world leader in ophthalmology.

Moorfields United Arab Emirates (UAE)

2016/17 was a successful year for Moorfields Eye Hospital Dubai, which was awarded International Eye Clinic of the Year by two different international medical congresses – the International Medical Tourism Journal Summit and the 11th World Health Tourism Congress.

2016 saw both the official opening of Moorfields Eye Hospital Centre in Abu Dhabi, and the launch of Moorfields paediatric ophthalmology services at the Al Jalila Children’s Specialty Hospital in Dubai. The hospital was inaugurated by HH Sheikh Mohammed Bin Rashid Al Maktoum, Vice President of the UAE and Ruler of Dubai. HRH the Duchess of Cornwall, and Chairperson of Dubai Healthcare City Authority HRH Princess Haya Bint Al Hussein toured the new service in November 2016.

“We will be enterprising to support and fund our ambitions”

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Money mattersIn 2016/17 our income continued to grow. Most of our income comes from NHS activities (services) which commissioners pay us to provide. Our NHS activity increased this year.

We receive additional income from research and development and education and training activities, and from our commercial divisions – Moorfields Private, Moorfields United Arab Emirates as well as Moorfields Pharmaceuticals which we sold in 2016. Surplus from this non-NHS activity is reinvested to benefit all our patients.

In 2016/17 our underlying financial surplus was £12.8 million surplus (2015/16 2.0 million)

“We will have a sustainable financial model”

All figures in £’million 2016/17 2015/16

IncomeIncome from activitiesNHS income 163.9 152.3Private patient income 26.8 23.0

Total income from activities 190.7 175.3NHS Improvement Sustainability and Transformation Fund 6.7† -Other operating income 24.6 26.6Total other operating income 31.3 26.6Total income 222.0 201.9ExpensesPay costs 113.0 108.9Non-pay costs 85.2 80.3Depreciation and amortisation 8.1 8.5

Total operating expenses 206.3 197.7

Operating surplus excluding impairments 15.7 4.2

Interest and dividends (2.0) (2.2)Other one-off costs related to joint ventures and disposal of assets (0.9) -

Surplus for the year excluding impairments 12.8* 2.0

*Excludes £0.4 million from Sustainability and Transformation Fund allocated after accounts deadline. To be reflected in 2016/17 financial results when submitting 2017/18 accounts.

†£5.6 million of this was allocated to Moorfields from NHS Improvement in recognition of our in-year financial performance.

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John Quinn Chief operating officer

How we are managedMoorfields is led by the board of directors, made up of executive and non-executive directors, and also has a board of governors, known as the membership council.

Our board of directors 2016/17

Non-executive directors

Executive directors

Tessa Green CBE Chairman

Professor Andrew Dick Rosalind Given-Wilson

Nick Hardie Deborah Harris-Ugbomah*

Professor Phil Luthert* Andrew Nebel*

Sumita Singha Stephen Williams

†Interim chief executive – Julian Nettel.*As of 1 April 2017 no longer serving.

Professor Sir Peng Tee Khaw Director of research and development

Steven Davies Chief financial officer

Mr Declan Flanagan Medical director

Tracy Luckett Director of nursing and allied health professions

26

David Probert Chief executive†

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Johanna Moss Director of strategy and business development

Elisa Steele Chief information officer

Sally Storey Director of human resources

Ian Tombleson Director of corporate governance (director of quality and safety from 1 April 2017)Mariano Gonzalez

Commercial director

Our associate directors attend board meetings but do not have voting rights

Membership council 2016/17

Constituency Elected governors*

Public

Bedfordshire and Hertfordshire

• Jane Colebourn • Harry Davies from 25 November 2016

North east London and Essex

• Istvan F Selmeczi • Simon Tan from until November 2016 25 November 2016

North central London • Jane Bush • Paul Murphy

North west London • Simon Mansfield • Brian Watkins

South east London • Allan MacCarthy • Suryanarayanan Naga Subramanian

South west London • Emily Brothers • Bernard Dolan

Patient

• Brenda Faulkner • Robert Jones• Jill Wakefield

Staff

City Road class • Alexandra Edwards • Stacey Strong

Satellite class • Colin Carter • Feyitimilehin Onafowokan from 25 November 2016

27*Full details including vacancies are available online at www.moorfields.nhs.uk.

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28 Moorfields Eye Hospital NHS Foundation TrustAnnual Review 2016/17

Become a memberMembership is a chance to support and get involved in our work. You can do as much or as little as you feel able, but all members have the opportunity to have a say in how we develop and to help shape our future – and your experience and knowledge means that we can be more responsive to members’ needs.

Membership packs are available from our membership office, which you can contact on 020 7566 2490 or by email to [email protected].

Represented organisation Nominated governorsLondon Borough of Islington VacantRoyal National Institute of Blind People (RNIB)

Fazilet Hadi

International Glaucoma Association

Helen Doe

University College London Professor Peter Mobbs City University John Lawrenson

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Moorfields Eye Hospital NHS Foundation Trust 29Annual Review 2016/17

Our charity partnerCharitable giving has a huge impact, helping to fund important research projects and improve our services and facilities so that Moorfields is at the forefront of ophthalmic treatment, research and education. Our charity partner, Moorfields Eye Charity, provides the main focus for fundraising and charitable grant-making at the hospital. It works alongside the Friends of Moorfields, an active and dedicated body of voluntary fundraisers.

Moorfields Eye Charity projects 2016/17

Research:

• Investigating the development of eye tumours across or in the eye to inform potential treatments for patients with ocular cancer.

• Supporting two PhD studentships specifically focused on age related macular degeneration (AMD).

• Enabling a pioneering stem cell trial aimed at restoring sight for people with age related macular degeneration. This new procedure developed by the London Project to Cure Blindness,

offers hope that we may be close to identifying a treatment using stem cells to replace existing cells in the eye that are damaged or missing and eradicate this debilitating condition.

• Developing a hand held binocular, which will provide extremely high resolution images of the eye in a completely non-invasive manner. This imaging provides much greater resolution than CT or MRI scanning, and can be obtained in only a fraction of a second.

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30

Eye to EyeOver 700 patients, staff members and supporters took part in Eye to Eye, Moorfields Eye Charity’s flagship fundraising event, which took place on Sunday 12 March 2017. Thank you to all participants, who raised over £105,000 to fund pioneering research at the trust by walking four or 14 miles from Moorfields City Road to the London Eye. Next year’s event takes place on Sunday 4 March 2018, registration will open in September 2017. Email [email protected] or call 020 7566 2486 for more information.

Equipment:

• A tonometer for the Richard Desmond Children’s Eye Centre which measures intraocular pressure in children with glaucoma and enhances existing resources in paediatric clinical and research work.

• Imaging and robotic surgical equipment necessary to support a clinical trial which will enable the precision delivery of a stem cell derived treatment for retinal degeneration.

Patient and service delivery:

• A pilot project to evaluate a sustainable model of eye care at Moorfields North.

• Funding to develop a smartphone app which will apply filters on images to reflect the vision of a person with common eye diseases. The project will also develop a video facility using a smartphone and an inexpensive 3D viewer to visualise a patient’s optical profile.

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Moorfields Eye Hospital NHS Foundation Trust 31Annual Review 2016/17

This annual review summarises Moorfields’ work during 2016/17. This is covered in detail in our annual report and accounts, available on our website at www.moorfields.nhs.uk.

You can request the annual review in alternative formats, please contact the communications team on 020 7566 2628 or email [email protected].

Thank youMoorfields Eye Charity receives millions of pounds every year thanks to the enthusiasm and kindness of our growing numbers of supporters, many of them appreciative patients, members and staff. Thank you to everyone who contributed during the last year.

More support means more research and cutting edge facilities which have the potential to provide breakthroughs that can transform more lives and shape the future of eye care.

Pop into the Moorfields Eye Charity office on the ground floor of the City Road hospital

Call us on 020 7566 2565

Email us at [email protected]

Visit our website at moorfieldseyecharity.org.uk

Like us on Facebook at facebook.com/moorfieldseyecharitylondon

follow us on Twitter @eyecharity

For further information on how you can help and get involved, please:

How you can help

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Moorfields Eye Hospital NHS Foundation Trust162 City Road, London EC1V 2PDTel: 020 7253 3411www.moorfields.nhs.uk facebook.com/moorfieldseyehospital twitter.com/moorfields

Published by Moorfields’ communications teamDesign: Genium© 2017 Moorfields Eye Hospital NHS Foundation Trust