Gerald Coteman, Chairman Taking Control Foundation Trust Clinical and Patient Empowerment (inc. commissioning) Health versus Hospitals

Health Long term Conditions Biggest global disease burden facing the modern world PAH - reinforcing our role in both managing and preventing ill-health Deep and sustainable reform of commissioning and Local Health Economy

What Else is Important? Stronger and more visible Board Higher priority for patient quality and safety Engagement with staff and patients has improved Dialogue with our partners and stakeholders has increased and improved

Other Things that Matter To you – – Dementia To me – – Carers

Managing Long Term Conditions Rory McCrea, GP

Jane Herbert, Chief Executive The Princess Alexandra Hospital NHS Trust Now and In the Future

Our Five Year Vision and Mission “To become the best general hospital in the East of England” “To deliver the best possible care in a safe, reliable, effective and respectful environment”

Quality: patient safety, outcomes and patient satisfaction Capacity and demand Money Compliance and access target Strategy and strategic relationships Findings and Priorities Foundation Trust Application

Quality Patient safety and outcomes: clinical working groups in place helping to deliver safe care and best practice Patient perceptions: big improvement but A&E still an issue Board focus: new assurance systems being refined Patient experience - more action needed in some areas

Capacity and Demand

Capacity and Demand Management Significant mismatch between demand and capacity Causes inefficiencies Jeopardises access targets Poorer patient experience Workforce issues Threatens the Foundation Trust application Change in strategy needed More support for Care Closer to Home Internal work to reduce demand Refresh bed strategy

Finance – Headline Results Steady delivery of surpluses since deficit in 2005/06

Continued growth of the Trust which will decrease Turnover

Capital Investment

Where We Spent Our Money

The Auditors Local Evaluation (ALE) Excellent (4) Good (3) Adequate (2) Inadequate (1)

Compliance and Access Targets Delivery is varied Problems from increased demand Focus on underlying capacity/demand mismatch Prioritise Ensure milestones for key targets with tight performance management systems

Strategy and Strategic Relationships Relationship with PCT must be constructive White paper maintains drive to FT for acute hospitals by 12/13 GPs to become commissioners New FT application with less not more activity in the future Collaborate with PCT over joint targets Continue to build links with GPs, community services, local acute hospitals

What does this mean for our Foundation Trust Application?

Summary Top priority: work with PCT on “Care Closer to Home” to address capacity and demand imbalance to underpin other key issues Strategy therefore based on doing less, not more Continue to drive quality agenda and refine assurance/governance Focus on finance and cost improvement Build performance management culture Lots to be proud of!

21 st Century Care in Orthopaedics Paul Allen, Lead Clinician and Consultant Orthopaedic Surgeon

The Department 11 Surgeons All branches of orthopaedics – Hip and knee replacement – Upper limb surgery – Spine and foot surgery

Trauma Young Patients High Energy Injuries Sport, Road Accidents Older Patients Hip Fractures Low Energy Injuries Osteoporosis

Trauma National Data Relative Performance Compares How We are Doing

Where Were We Three Years Ago? High mortality Long length of stay No significant care of the elderly input Patients all over the hospital

Where Are We Now? Harold Ward opened 1 September 2010 Care of the Elderly Physician, Dr Jane Snook, started December 2009

Where Are We Now?

Last 12 Months UsSHANational Average time to Ward Average time to Theatres Average LOS Pre op Assesment

Orthopaedics Wide range of services - Joint replacement - Upper limb surgery - Spinal surgery including neck - Foot surgery Joint replacement

Competition Developed a new way to educate our patients Mr Mahaluxmivala Animated video to explain Total Hip and Total Knee Replacement to patients prior to surgery

Hip & Knee Videos