HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST

1. HULL AND EAST YORKSHIRE HOSPITALSNHS TRUST ANNUAL GENERAL MEETING 27 SEPTEMBER 2013

2. Patient Involvement Leadership Communications Board Development Development Service Development Themes Staff Involvement Elective Access Emergency Access Teamwork Time for Reflection Robust systems & processes for Clinical Governance Partnership Financial Working Management

3. Outline • Finances • Performance • Quality and Safety • Staff engagement • Francis review • Issues and Challenges for this next year and beyond…

4. Finances How we used all of our money…

5. FINANCIAL PERFORMANCE REVIEW 2012/13 The Trust achieved all of its financial duties in 2012/13

6. BREAK EVEN DUTY As an NHS Trust we are required to at least break even. For the seventh successive year we achieved an operating surplus. The £34M we have generated over the last 7 years has been used to repay loans and invest in our property, plant and equipment. We generate surpluses so that we can ensure a sound financial basis for the future particularly recognising the challenging economic environment.

7. HOW DO WE SPEND OUR MONEY Our expenditure in 2012/13 was £480M (excluding impairments), which can be summarised as:

8. HOW WE SPENT OUR MONEY

9. 832,104 SLICES OF TOAST £33,284 PATIENTS CONSUMED 761,761MEALS FACTS YOU DIDN’T KNOW ABOUT OUR CATERING SERVICES…… PATIENTS, VISITORS AND STAFF CONSUMED 3,010,620 HOT BEVERAGES 726,024 PINTS OF MILK £246,848 691,600 PORTIONS OF POTATOES £110,656

10. FACTS YOU DIDN’T KNOW ABOUT OUR DOMESTIC SERVICES…… WE USE 4,320LITRES OF TOILET CLEANER WE USE 292,000 MOPS PER YEAR WITHIN THE TRUST THE TRUST WASHING MACHINES OPERATE 8760 HOURS PER YEAR CLEANING MOPS AND CLOTHS 200,000CLEANING CLOTHS ARE USED EACH YEAR

11. HOW WE SPENT OUR MONEY We invested £20M in property, plant and equipment

12. IN SUMMARY • We’ve had another successful financial year • Our sound financial management has helped us grow, develop and invest in our clinical services • The impact of the economic environment will set significant challenges for the NHS over the next few years

13. Performance How we delivered national targets…

14. National Requirements • A and E 95% in 4 hrs • 18 weeks to treat • Cancer 2 week wait • Cancer 31 days diagnosis • Cancer 62 days • MRSA 7 maximum • C-Diff 60 maximum • Learning Disability • MET • MET • MET • MET • MET • MET • MET • MET We saw over 1 million patients

15. Quality and Safety How we made it better for our patients…

16. Issues • Mortality • Complaints • Never Events and SUIs • Patient Experience • Friends and Family Test

18. Complaint numbers Complaints per 1000 spells 2012/13 against similar sized and local trusts

19. Benchmarking our complaint numbers against other Trusts per 1000 FCE

20. Never Events and SUIs Smaller than us Bigger than us Same size as us

21. Friends and Family data July 2013 Trusts ranked by net promoter score Source NHS England July 2013 data Best Hospital in Yorkshire and Humber 12th Best Acute Hospital in England !

22. Top Ten Hospitals for number of Inpatient returnsSource NHS England July 2013 data

24. Changes in Senior Doc Numbers at HEY Highest number of qualified nurses ever in Trust

26. Staff Engagement How we listened and responded to our people…

27. Initiatives • Pioneer Teams • Make it happen fund • Lottery • Flu day • Big Conversations • Pulse check • Great Leaders • Link Listeners • Golden Hearts • Valentine’s Ball • Dragon’s Den • Pathfinders • Setting the Standard • Consultant Conference • Nurse Conference • AHP Conference • Pathfinders • Moments of Magic • Summer BBQ • Christmas Tree and Carols

28. Francis Report How we responded to national concerns about the NHS…

29. Progress • Identified quickly top 11 and top 27 most important themes • Steering Board and sub-groups set up • Supervisory Ward Sisters • Nurse Senate established • Intentional rounding • Transparency project pilot site • Setting the standard for Wards developed • Acuity and dependency levels of patients • Staffing numbers to be displayed • Additional nurse staffing on some wards

30. Issues and Challenges for this next year and beyond How we face an uncertain future…

32. Zanussi washing machine

33. THE FINANCIAL FUTURE • The NHS, along with the rest of the public sector, faces significant financial challenges. In England, continuing with the current model of care will result in the NHS facing a funding gap of around £30BN between 2013/14 and 2020/21. This estimate is before taking into account any productivity improvements and assumes that the health budget will remain protected in real terms. • Funding cuts have not impacted on the NHS as much as other public services, despite this we expect little growth in our funding over the next few years, alongside growing demand for our services and the need to maintain and improve the quality of our services. • We need to save £95M over the next five years in order to remain on a sound financial footing and we will do this by becoming more efficient and more productive.

34. “The scissors of doom…” % GDP

35. “The scissors of doom…” Treasury forecast at 90% GDP “Real” forecast at 161% GDP

36. Paying off the debt at £1 per second… • If we owed £1m • If we owed £1bn • We owe over £1trillion 11.5 days 33.5 years 33,500 years Debt is increasing at £14,000 per second

37. “100 Years Old” Telegrams sent

38. How our staff feel…

40. How our organisation feels…

41. Being Vulnerable… We’re here to help…. DoH Monitor CQC NHS England TDA

42. How our patients must sometimes feel…

44. How I feel…

46. Why we do it??