AV Annual report approved by audit

AV Annual report approved by audit

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Annual Report and Accounts 2005/06 Annual Report and Accounts 2005/06 1 Welcome to Amber Valley PCT’s Annual Report and Accounts 2005/06. Adrian Evans - Chair This will be the last Annual Report from Amber Valley Primary Care Trust. Changes in the NHS mean that from October 2006 the PCT will become part of a new Derbyshire County Primary Care Trust. There is some sadness that the organisation will be no more. We have all been proud of the achievements in Amber Valley and these pages set out results in the year 2005/06. They are a testament to what can happen when you have excellent staff who are committed to the NHS and the delivery of excellent services. In five years, people from Amber Valley PCT and our partners such as GPs and Dentists, have transformed the way things are done and created health services that are fit and ready for whatever challenges lie ahead. I cannot end without thanking my fellow Board members for their continuous support. The Volunteers & Leagues of Hospital Friends give their own time to support the NHS. Their fundraising and support for our hospitals mean a lot, both to the PCT and their local community. Thank you. Wendy Lawrence - Chief Executive What a year 2005/06 proved to be for Amber Valley Primary Care Trust; it was probably the most challenging yet. However, once again, I can proudly report that we achieved ...

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Annual Report and Accounts 2005/06
1
Annual Report and
Accounts
2005/06
Annual Report and Accounts 2005/06
2
Welcome to Amber Valley PCT’s
Annual Report and Accounts 2005/06.
Adrian Evans - Chair
This will be the last Annual Report from Amber Valley Primary Care Trust.
Changes in the
NHS mean that from October 2006 the PCT will become part of a new Derbyshire County
Primary Care Trust.
There is some sadness that the organisation will be no more.
We have all been proud of the
achievements in Amber Valley and these pages set out results in the year 2005/06.
They
are a testament to what can happen when you have excellent staff who are committed to the
NHS and the delivery of excellent services.
In five years, people from Amber Valley PCT
and our partners such as GPs and Dentists, have transformed the way things are done and
created health services that are fit and ready for whatever challenges lie ahead.
I cannot end without thanking my fellow Board members for their continuous support.
The
Volunteers & Leagues of Hospital Friends give their own time to support the NHS.
Their
fundraising and support for our hospitals mean a lot, both to the PCT and their local
community.
Thank you.
Wendy Lawrence - Chief Executive
What a year 2005/06 proved to be for Amber Valley Primary Care Trust; it was probably the
most challenging yet.
However, once again, I can proudly report that we achieved all of our
statutory duties to the public and the wider NHS, including our financial duties.
For those of
you that have followed our progress throughout the years you will know that these
achievements are due to the continuing professionalism of our staff and the support of our
partner agencies, who help us to deliver the very best services to the people of Amber
Valley.
The staff employed by the PCT, along with those people working in GP Surgeries,
Dental Surgeries, Pharmacies and Opticians have all contributed to the ever growing
reputation of the PCT and local health services.
This will be the last Annual Report from the PCT, as on 30
th
September 2006 our
organisation will merge with other local PCTs to become part of a new Derbyshire County
PCT.
I sincerely hope that our staff will go forward and influence the new organisation to
deliver to the same high quality standards as those developed by Amber Valley PCT.
I think
we can all be proud of our achievements over the past few years and it will be with great
sadness that I say goodbye to my colleagues across the PCT.
Without these people, Amber
Valley PCT would not have been the organisation it is today.
The challenges for the National Health Service certainly continue but I believe that what we
have created locally will certainly ensure that the local people of Amber Valley will continue
to enjoy top quality services, delivered by top quality staff.
John Stephenson – Executive Committee Chair
The past year has seen the start of further changes within the NHS.
Despite the
destabilising effect of constant reform, GP surgeries have continued to provide quality
primary care services and our local hospitals are keeping rehabilitation services closer to
home.
The intermediate care team has been expanding its services across Amber Valley to
treat patients in their own home and to help maintain their independence.
Now this PCT is
coming to a close, I can confidently say that this PCT has made a positive difference to the
health of Amber Valley’s population.
Annual Report and Accounts 2005/06
3
Chapters
1. About Amber Valley PCT
-
03
2. Developing services
-
08
3. Improving health
-
13
4. Involving people
-
16
5. Meeting standards
-
20
6. Managing finances
-
24
About Amber Valley PCT
Our Vision
Our Trust will treat its staff and local people with consideration and respect, working with
them to discuss, design and deliver local health services to meet local needs. We aim to
provide services that are easily accessible, effective and efficient
Our Values
To achieve our overall vision and apply our values, we will:
P
Put the patients’ interests at the heart of our day-to-day business, being open about
available resources.
O
Obtain all of the facts before making judgements regarding people or issues.
S
Share work with other agencies, working in partnership, to provide a seamless
service.
I
Improve the working lives of our staff.
T
Take the time to learn from our experiences and share these with the people who
work with us.
I
Inspire our staff to be honest, proactive and innovative with clients, responding to
their needs quickly, effectively and objectively.
V
Value, respect and encourage each other, openly and proactively sharing knowledge
and skills.
E
Ensure we remain courteous and good humoured in all of our dealings, thus creating
an environment where cynicism, oppression and rudeness are not acceptable.
S
Seek to ensure that inequalities in health are addressed as a priority.
Annual Report and Accounts 2005/06
4
What is a Primary Care Trust?
Primary Care Trusts (commonly known as PCTs) are NHS organisations that have been
established to plan, fund and provide health services for their local people. An important part
of our work is to consult with the public about what they want from their local healthcare
services.
As well as the above, Amber Valley PCT also:
Plans and develops primary care services – family doctors (GPs), opticians, dentists
and pharmacists.
Provides services from its local hospitals and clinics in
Belper
Ripley
Heanor
Alfreton
Provides community health services – district nurses, health visitors, therapists,
specialist nurses and school nurses
Assesses the health needs of the local population and funds agreements with
hospitals and other organisations to provide services to meet these needs within the
finances available
Works closely with local authorities and other organisations to provide better-
integrated services and promote good health throughout the community. This work is
wide ranging, from participation with the Amber Valley Local Strategic Partnership,
input into the Derbyshire Drug Action Teams and membership of many partnerships
including the Crime and Disorder Reduction partnership.
Promotes and provides advice on healthy living
If you would like to be involved in helping to improve healthcare services please contact our
Patient and Public Involvement team on
01773 525112.
For more details see page 16.
How our organisation works.
A profile of Amber Valley PCT:
We employ 867 staff to meet the needs of the growing population
We have a total of 102 beds in our local hospitals in Belper, Heanor and Ripley
We have 2 Minor Injuries Units – in Ripley and Heanor which treat around 21,000
patients per year
Around 15,300 outpatient appointments were held in our local hospitals
Just over 76% of our staff work in a patient contact role.
Annual Report and Accounts 2005/06
5
Average number of staff employed by the PCT during the period 1
st
April 2005 to
31
st
March 2006:
M
e
d
i
c
a
l
3
9
Administration and Clerical including senior management
206
Support staff, including ancillary
131
Nursing including Healthcare Assistants
340
Allied Health Professionals
145
Other
6
Total
867
Actual Whole Time Equivalent staff is 577.89 including secondments and agency staff.
The accounting policy in note ‘
n’
of the full set of accounts provides details on the PCT’s
pension scheme.
Additional details are also noted in the remuneration report on page 30-31
of this Annual Report.
Who we are and what we do.
When Amber Valley Primary Care Trust was established on 1
st
April 2001 our key objectives
were set and still remain:
To improve the health of the population of Amber Valley.
To commission health services from NHS Trusts and other service providers.
To develop primary and community services.
We also have a very real commitment to reducing inequalities across Amber Valley and this
report will demonstrate to you how we address our key objectives.
As at 31
st
March 2006,
the PCT employed 872 staff, many in part time positions, working in our hospitals, clinics
within the community and with our GP surgeries, to deliver local services to the people of
Amber Valley.
Amber Valley Primary Care Trust encompasses
Primary and Community Services
across
Amber Valley.
Primary Services are those provided by:
Doctors
Dentists
Opticians
Pharmacists
Community Services are those provided by professionals such as:
Health Visitors
District Nurses
School Nurses
Clerical Staff
Therapists – including Physiotherapists, Occupational Therapists and Speech and
Language Therapists.
We have a responsibility to provide services to our registered population.
This means that
we provide services to all of the patients registered at any of our GP practices across Amber
Valley, regardless of where those patients live.
Annual Report and Accounts 2005/06
6
Who makes up Amber Valley Primary Care Trust?
The Trust Board
Kate Brown
Director of Planning and Performance
Linda Collison
Non-Executive Director
Jackie Dyer
Non-Executive Director
Adrian Evans
Chair
Ian Fisher
Non-Executive Director
Gerry Fryer MBE
Non-Executive Director
Wendy Lawrence
Chief Executive
Chris Martin
Non-Executive Director
Dr. Alan Meakin
Clinical Advisor
Kath Osborne
Non-Executive Director
Kate Rees
Nurse Lead
Chris Rowlands
Director of Primary & Community Services - until 2
nd
October 2005
Alison Shields
Director of Finance, Information and Risk
Dr Carol Singleton
Director of Public Health – from 1
st
November 2005
Dr John Stephenson
Medical Director/Executive Committee Chair
Dr Anne Wright
Director of Public Health - until 31
st
August 2005
Minutes and Administration
Brenda Severn
Board Secretary and Administration Manager
Professional Executive Committee
The Professional Executive Committee is accountable to the Board and is made up mainly
of clinical professional members such as doctors, nurses and allied health professionals.
The committee works with the senior management team and directors of the board to
provide support especially on clinical matters. The Professional Executive Committee is:
Trish Bailey
Head of Physiotherapy
Kate Brown
Director of Planning and Performance
Eileen Carter
Matron - Babington Hospital
Denny Fransman
Allied Health Professional
John Gregory
Dentist
Kieran Hickey
Social Services
Wendy Lawrence
Chief Executive
Dr Alan Meakin
GP
Kate Rees
Practice Nurse
Chris Rowlands
Director of Primary and Community Services - until 2
nd
October 2005
Alison Shields
Director of Finance, Information and Risk
Dr Carol Singleton
Director of Public Health - from 1
st
November 2005
Charmagne Stephenson
Practice Manager
Dr John Stephenson
Chair
Dr Marcus Wilkinson
GP
Dr Anne Wright
Director of Public Health - until 31
st
August 2005
Minutes and Administration
Brenda Severn -
Board Secretary and Administration Manager
Annual Report and Accounts 2005/06
7
Sub Committees
The PCT Board and Professional Executive Committee are supported in their work by a
range of groups, each of which brings together the professional skills and experience
necessary to ensure that the PCT discharges its duties properly and effectively. They
support the PCT's work in the main areas of risk management, education and training,
clinical governance, audit, remuneration, information management and clinical
effectiveness.
The Trust Board has a number of sub-committees to enable it to discharge its statutory
duties, and continually develop the organisation.
Details of these groups are given below:
Audit Committee
The main objective of this committee is to ensure that an effective internal control system is
maintained within the Trust.
Non executive membership from the Board:
Linda Collison
Gerry Fryer MBE (Chair)
Kath Osborne
Risk Management Committee
The Risk Management Committee oversees the development and delivery of an effective
system of risk management within the PCT.
Non executive membership from the Board:
Adrian Evans
Ian Fisher (Chair)
Gerry Fryer MBE
Kath Osborne
Remuneration Committee
Non executive membership from the Board:
Adrian Evans, Chair
Jackie Dyer
Chris Martin
Executive Directors:
Chief Executive – Wendy Lawrence
Advised by:
Associate Director of Human Resources – Vicenta Rose
Annual Report and Accounts 2005/06
8
Chapter 2 - Developing services.
New Primary Care Centre in Ripley
On 20
th
June 2005, almost a year after the initial work commenced, Church Farm Primary
Care Centre opened its doors to patients.
This modern Centre has been built to meet local
demand as both Ivy Grove Surgery and Jessop Medical Practice grew too large for their
previous premises.
Both surgeries are now housed under one roof and boast a variety of new facilities.
Church
Farm now has its own Health Promotion Suite, IT training room, on-site pharmacy and large
meeting room.
There are also modern staff room facilities and approximately 90 car parking
spaces, including disabled spaces, making parking far easier for both patients and staff.
The development cost approximately £3.5m in total, and all building work was undertaken
by Wildgoose contractors.
General Practice Investment Corporation Ltd, the largest Primary
Care Development Company in the UK (having recently taken over all GPFC properties),
commissioned this development.
Skilled architects came up with the best design for the building based on the available land,
but staff had input into the internal layout.
The Centre will certainly benefit the local
community and staff by providing purpose built modern premises.
In June 2005, Glynis Blyth - Practice Manager at Jessop Medical Practice said:
“All staff are delighted to have the extra space and a bright new building to
work in.
We are all looking forward to sharing the benefits of our up to date
facility with our patients”
The new site is located on Steeple Drive, Ripley, DE5 3TH.
Ivy Grove Surgery:
08454 567789
Jessop Medical Practice:
01773 514110
Alfreton Primary Care Centre
Alfreton currently has a number of health facilities based on separate sites in buildings that
do not have the capacity to meet the increasing demand for these services.
The need for
improvement in this area was prioritised by the Board and during 2005/6 significant progress
has been made to enable the building to be available early 2007.
This exciting development will bring onto a single site a range of services currently operated
in Alfreton, creating a ‘one-stop centre’.
The following will be re-housed in a modern,
purpose built building
The Surgery, Limes Avenue (Drs Pryce, Skidmore, Richmond and MacArthur)
The Alfreton Community Clinic (including all the services currently provided on the
Grange Street site and additional services too)
A pharmacy
Annual Report and Accounts 2005/06
9
A base for our local community teams (e.g. School Nurses, Health Visitors etc).
A base for Social Services and Learning Disabilities staff working in Amber Valley.
The site for the new facility is the disused lido site, Alfreton Leisure Centre, Church Street,
Alfreton.
Construction is progressing well and the scheme is expected to be complete and
handed over by mid January 2007.
More Estates Developments…
Babington Hospital’s Conservatory is now complete, with the Friends of Babington
contributing a major part of funding.
The conservatory, located by the sensory
garden at Babington Hospital, provides a relaxing location for patients and visitors.
The car parking facilities at Babington Hospital and Belper Clinic have been
improved.
Special walkways have been marked out and curbs lowered, both in line
with the Trust’s Equal Opportunities policy.
There are improved waste compound facilities at Babington Hospital.
New digital X-Ray equipment has been purchased at Ripley Hospital.
The out-patient facilities at Heanor Memorial Hospital have been upgraded.
There have been improvements made to the fire alarm systems and fire separation
work carried out at both Ripley and Heanor hospitals.
External signage at Babington and Ripley Hospitals has been improved.
In-patient Physiotherapy and Occupational Therapy facilities at Babington Hospital
have both been upgraded.
General maintenance work continues to be carried out including work on lightning
protection and fixed electrical installation testing across all sites.
NHS Dentistry
Amber Valley PCT has spent time over the past year developing its understanding of
dentistry and the relationships with dental practices in the area.
This was in preparation for
the introduction of the new dental contracts on April 1
st
2006.
The PCT was successful in signing up 14 out of the 15 existing NHS dental practices in the
area.
The signing of such a significant number of dental contracts ensured that Amber
Valley PCT were able to continue to offer access to an NHS dentist throughout the period of
change.
The PCT is now working to ensure that access to NHS dentistry continues to be available in
Amber Valley and also to ensure that the dental health needs of the local population are
met.
Annual Report and Accounts 2005/06
10
Information Management and Technology in Amber Valley
Information management and technology is playing an increasingly important role in
modernising the NHS and delivering better care to patients.
Computers are being used to
provide clinical staff with access to patient information, to expert knowledge and to speed up
communication.
We believe that increasing the effective use of information and information
technology will benefit patients, clinicians and our health services as a whole.
At Amber
Valley Primary Care Trust we are striving to be at the forefront of this modernisation and are
developing information technology in a number of areas.
Connecting for Health
Connecting for Health is an NHS-wide programme that seeks to improve information
systems across the NHS in order to provide doctors, nurses and other health professionals
with access to the information they need about patients, whenever and wherever they need
it.
This will mean that any authorised clinician treating a patient will have electronic access
to that patient’s medication, allergies and current conditions.
These systems will enable
those treating patients to make more effective decisions which will make for a more efficient
and safer service for patients.
Other aspects of the Connecting for Health programme are designed to modernise the
services already offered and to make the patient’s experience of healthcare more
convenient and efficient.
For example, patients are now able to choose and book outpatient
appointments at the time they are referred by their GP rather than having to wait for hospital
appointment letters to be sent to them.
Amber Valley PCT has been at the forefront of implementing new, national systems to
support the modernisation of healthcare.
Over the last year the PCT has put new
technology into its hospitals, general practices and into its community services as part of this
modernisation programme.
We are working closely with our frontline staff to ensure we
maximise the benefits of these new systems for patients and staff.
Implementing the
Connecting for Health programme continues to be a considerable investment for the PCT
but it is one which will help us grow as a modern and efficient service.
Alongside the work relating to Connecting for Health, the PCT has continued to invest
heavily in existing infrastructure.
As part of our ongoing commitment to general practice
information technology, the PCT invested over £100k in general practice IT in 2005/06.
Data Quality in General Practice
General Practices throughout Amber Valley continue to recognise the benefit of good quality
data to provide high quality patient care. All practices utilise their Chronic Disease Registers
to ensure patients with diseases, such as Chronic Heart Disease and Diabetes receive
regular reviews.
They also continue to take part in the National Project, ‘Primary Care
Information Services’ (PRIMIS), which enables them to assess the quality, completeness
and consistency of their data recording.
Amber Valley PCT continues to provide training, feedback and support for practices to
improve their data quality.
This work helps practices optimise their clinical systems and
Annual Report and Accounts 2005/06
11
move towards the electronic patient record: reducing reliance on paper, improving efficiency
and enhancing the safe treatment of patients within General Practice.
As a result of the
work between general practices and the PCT the completeness and accuracy of information
on the health of patients has continued to improve for all practices.
Amber Valley PCT has worked with a number of practices that have moved to the new
‘Connecting for Health’ approved systems, to ensure data is of good quality as we move
towards wider sharing of important health information.
Information Governance
The management of information is vitally important for health services to run efficiently and
effectively and to ensure that clinicians have the correct information available to them when
treating patients. It is also essential that patient information is stored securely and that
patient confidentiality is maintained at all times.
Amber Valley PCT is committed to ensuring
that all the information we hold about patients who use our services is accurate, is held
securely and that strict confidentiality is maintained.
All areas of information management,
including Information Security, Data Protection, Confidentiality, Freedom of Information,
Information Quality and Records Management are covered under the umbrella term of
‘Information Governance’. Amber Valley PCT has an established Information Governance
Group that is chaired by the senior clinician responsible for patient confidentiality, reports to
the PCT Board and has representation from Non-Executive Directors.
Regular training is provided to all staff to ensure that they are aware of their responsibilities
in protecting the integrity and confidentiality of all of the information which the PCT holds.
Each year all NHS Trusts are required to assess their own performance against the national
Information Governance standards.
Amber Valley PCT submitted its most recent
assessment in March 2006. The PCT has progressed well in all areas of Information
Governance, and remains in line with the national average.
A recent audit of Information
Governance confirmed the progress the PCT has made.
Learning through patient feedback - Complaints
Amber Valley Primary Care Trust welcomes comments, compliments and complaints from
members of the public as they help us to monitor and improve the quality of our services.
Complaints are an important way for Amber Valley PCT to review and improve services so
that the highest possible standard of healthcare can be provided to local people.
During
2005/06, 33 written complaints were made to Amber Valley PCT.
The main areas of complaints this year were about staff attitude, communication, treatment
received and access to local healthcare services.
Amber Valley PCT has improved services following specific complaints.
Changes include
providing better nursing provision for people who use our services; providing a smoother
service for health appointments; and reviewing local procedures to make them more useful
to local people.
Discharge arrangements from hospital are continuously strengthened to
ensure they are effected in a smooth and efficient manner.