Welcome to The Princess Alexandra Hospital’s Local Healthcare Event

1. Welcome to The Princess Alexandra Hospital’s Local Healthcare Event

2. Agenda 6:15pm Introduction Gerald Coteman, Chairman 6:20pm Innovations in Emergency Medicine Dr Alice Dain, Clinical Director for Emergency 6:35pm Developments in Maternity Services Wendy Matthews, Associate Director for Women’s and Children’s Health 6:50pm Now and in the Future Chris Pocklington, Chief Executive 7:05pm The Finances Gordon Flack, Executive Director of Finance 7:15pm Questions to the Speakers 7:30pm Close

3. Gerald Coteman, Chairman • Background • Experience • Family contact with NHS • Determination

4. Personal Priorities • Excellent health outcomes and excellent service • Reinforcing our role in both managing and preventing ill-health • Achieving improvement through partnerships with: • Our staff – the guardians of the modern health service • Our other health partners – especially the PCT • Other key influencers of health and well-being • And crucially our patients, their families and their carers

5. Challenge • NHS Under Pressure • Demand and expectation • Financial constraints • Trust Board • Maintain a course of sound finances – underpinned by achievement of FT status • Engagement with our key constituencies – more visible, more accountable

6. Thank You • Staff • Tim Escudier • Other members of the Board • Chris, our CEO, and his executive team

7. Maternity Services at The Princess Alexandra Hospital Wendy Matthews, Associate Director for Women’s and Children’s Health

8. Overview • 3,800 Births • Home Births • Antenatal Care • Postnatal Care

9. Maternity Unit • Labour Ward • Antenatal Ward • Postnatal Ward • Maternal and Fetal Assessment Unit • Antenatal Clinic

10. Birthing Unit • Birthing Suite • Postnatal Facilities • Home from Home

11. Birthing Unit Pool Room

12. Neonatal Intensive Care Unit • Level II Unit • 16 cots: 2 ITU cots 4 HDU cots 10 SCBU cots

13. Staff • Consultants • Multi-skilled Midwives • Number of Specialist Roles • Maternity Care Assistants • Other Team Members • Training

14. Philosophy of Care • Partnership with Women and their Families • Support Choice, Control and Continuity • Follow National Institute of Clinical Excellence Guidelines

15. What The Princess Alexandra Hospital Maternity Service Offers • Quality • National Awards: • Bereavement • Continence in Midwifery • Vulnerable Women • Quality Care Commission rating – ‘Better Performing’ • Individualised Care

16. User Feedback From Dr Forster7th – 13th September 2009

17. User Feedback From Dr Foster14th – 20th September 2009

18. Growth from East Herts2003/4 to 2008/9

19. Future Developments • New Antenatal Clinic at Herts and Essex Hospital, Bishops Stortford • Nuchal Translucency Service • New Neonatal Intensive Care Unit and Expansion of Maternity

20. Any Questions?

21. Innovations in Emergency Medicine Dr Alice Dain, Clinical Director for Emergency Services

22. Where Have We Come From • Long waits to be seen • Increasing attendances • Cramped department • 4 Hour target introduced 2003 • EAU opened 2003 • Concept of senior decision maker at the front door

23. Where We Are Now • Record numbers of patients during the year • New £1.1m upgrade to the Accident and Emergency Unit • New treatment cubicles • Upgrade paediatric accident and emergency area • Recruitment of additional staff • Two new A&E consultants • Three new Acute Medicine Physicians • Accident and Emergency nurses • Emergency planning officer • Working with private and neighbouring healthcare colleagues.

24. Our Successes • Frequently rated amongst top 30 trusts in the country for achieving the four hour A&E target. • Successfully streamlined emergency patients into the community • Involvement in key clinical networks across the region e.g. cardiac care • Infection control at the front door

25. Plans For The Next Five Years • Bed realignment and the front door • Streamlined Emergency Assessment • Increased senior presence at the front door • Single sex accommodation in EAU • Planning for Urgent Care facilities locally • Urgent Care Hub with the Primary Care Trust

26. Any Questions?

27. The Princess Alexandra HospitalNow and In the Future Chris Pocklington, Chief Executive

28. Our Five Year Vision and Mission “To become the best general hospital in the East of England”

29. Realising our Vision • Targets • 1. MRSA bacteraemia • 2. C-Diff • 3. Accident and Emergency • 4. 18 Week Referral to Treatment Target • Established a firm financial platform for further investment • Innovation • Not just scientific or medical advances • Innovative relationships with commissioners and stakeholders • Quality of Care • Recognise that staff must be at heart of an improved patient experience. • HSMR big reduction • Length of stay improving • Recent information shows upturn in satisfaction score – further progress is needed

30. Our Plans For The Future • FT application • Opportunity to further develop local services • The right service at the right place at the right time

31. Our Finances Gordon Flack, Executive Director of Finance

32. Headline Results Steady delivery of surpluses since deficit in 2005/06

33. Continued growth of the Trust which is expected to remain a feature of the future but challenging economic conditions ahead:

34. Cumulative investment in infrastructure over and above the “wearing” out of our assets:

35. Where We Spent Our Money

36. Staff resources remain at the heart of our business and account for the largest proportion of our costs with a 6% (160) growth in numbers:

37. The Auditors Local Evaluation (ALE) assesses how well NHS organisations manage and use their financial resources.The Trust can show strong and steady progress over the last four years and has attained an excellent rating in Financial Standing and aspires for the same in other areas.

38. Any Questions For The Trust?