Annual general meeting

27 September 2011

Welcome and introduction Mr John Trewby

Chair

The financial year2010/11

Alastair MatthewsDirector of finance and

investment

Annual report and accounts

• Full accounts on Trust website

• Summarised accounts in annual report

• Surplus of £2.9m before impairments of £3.3m- Income of £514m- Costs of £511m

• Surplus was underpinned by £33m of savings

• Trust not receiving full tariff for its activity

• Net liquidity improved but requires further improvement in 2011/12

Annual costs of £511 million How is it spent?

Staff costs1090 doctors

4023 nurses & HCA921 scientific & thera-

putic1563 estates, admin and

other

Clinical supplies & services

Premises & deprecia-tion

Other supplies

Research & devel-opment

Clinical negligence insurance PDC dividend

Other

Annual income of £514 millionWhat are the main sources?

NHS Hampshire

NHS Southampton CityOther SHIP

Southwest

Other

Education

R&D

Other

Audit Commission - annual audit letter

• Improving levels of engagement across the Southampton Health System• Sound assurance, risks and performance management processes• Key actions:

•deliver cost improvement programme•work with local partners to improve activity management•improve cash and liquidity position•implement service changes e.g. major trauma centre

Unqualified Audit Opinion

Proper arrangements to secure value for money

Biomedical research in Southampton

Professor Iain CameronDean of faculty of medicine University of Southampton

Surgical frontiers

Mr Tim UnderwoodMRC clinical scientist

University of Southampton

Managing intestinal failure

Dr Trevor Smith Consultant gastroenterologist

Intestinal failure

SUHT intestinal failure (IF) service

• Phased opening of IF unit from April 2010

• High standards of care compared to NCEPOD

• CRS: five fold reduction– savings £180K

• 18 complex IF operations – ten able to stop HPN– savings £0.5-1m

• HPN avoided in six out of 16 referrals; – savings ~£0.5m

• Regional clinical network

Nutrition and catering: our journey to excellence

Judy GillowDirector of nursing

Nutrition

• Where we were

• Where we are now

• Where we plan to be

Our journey to excellence

Nutrition – Where we were two years ago

• Change in catering contract

• Inconsistent patient feedback

• Media articles reduced patient/public confidence

• Early implementation of new system/roles for nursing and catering staff

• Inconsistent nutritional screening

• ANT nutrition link nurses in place

Nutrition in 2011

Where we are now

Logistics and quality improved and destination Excellent

• Meeting CQC and BAPEN standards

• PEAT Scores “excellent” (2/4)

• Catering and SUHT staff working in partnership

• Introduction of patient protected meal times

• Nutrition screening much improved

How

Nutrition in 2011

On the right path

• Red trays and beakers in use

• Meal time co-ordinator role being implemented

• Improved patient feedback from . . . .

Achieving nutrition excellence going forward

• Trust quality priority

• Rigorous monitoring framework

• Improved patient feedback

• Recognition as a biomedical nutrition research centre

• Successful implementation of mealtime assistant initiative

Review of the year:Turning the

2020Vision into a reality

Mark HackettCEO

A changing health economy

• GP commissioning• Reconfiguration at regional and local level• QIPP savings to be delivered• Research and education funding • Tariff reductions• Emergency demand rising in tertiary centres• Developing world class hyper-acute services

Responding to change

• Developing our working relationships with GPs• Working closely with partners to agree our five year strategy• Embracing requests to change the way we receive referrals• Delivering savings of £33 million• Growing our research and how we develop it into new treatments• Investing in new services, facilities and equipment• Improving the effectiveness of local and regional services• Improving patient safety and outcomes• Improving staff satisfaction

Better care for patients

• Keeping you safe:

- MRSA at all time low

- Record reductions in C. difficile

- Exemplar site for blood clot prevention

- Preventing falls in hospital

- Preventing pressure sores

- Safer operating theatres

- Managing deteriorating patients

Better care for patients

• Improving your outcomes:

- Vascular surgery

- Cardiac surgery/cardiology

- Colorectal

- Stroke

- Cancer

- Intensive Care

- Upper GI

- Intestinal Failure Unit

Better care for patients

• Improving your experience of receiving care:

- Parking improvements

- Same sex accommodation

- Access to services

- Supporting patients with learning disabilities

- Acute oncology unit

Major Trauma Centre

Vascular and stroke services

Clinical service developments

Clinical service developments

Children’s congenital heart surgery

Children’s hospital

Clinical service developments

Cancer services

Obstetrics and maternity

Neurosciences

Cardiac services

Respiratory services

Gastro-intestinal

Interventional radiology

Future developments

Closer partnerships with providers and GPs

• Cancer• Child health• Emergency care• Day surgery• Cardiac• Chronic diseases – COPD/heart failure• Radiology services

Research and development

Challenges ahead

• High quality services that patients admire• Timely access to our services• Developing children’s heart surgery• Delivering our 2020Vision

- Managing our regional role

- Delivering excellent emergency and local services

- Improving services to community for chronic disease• Investing in staff capacity and capability to be a great place to

work• Managing with less resources

Questions?