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Chairman's Bulletin May 2014

Chairman's Banner May 2014

Welcome to the May e-bulletin, and I am very pleased to begin by telling you about an exciting new joint venture which is set to make Manchester one of the country's leading centres of cardiac excellence. The Boards of our Trust and University Hospital of South Manchester NHS Foundation Trust (UHSM) have agreed to develop a single cardiac service, providing care for patients in Greater Manchester and the North West. We have an existing collaboration with UHSM and The University of Manchester focusing on research into cardiovascular health as part of the Manchester Academic Health Science Centre (MAHSC) partnership.

In early June there will also be an official announcement about the opening of the new Anthony Nolan Cord Collection Centre at Saint Mary's Hospital.  New mums will be given the opportunity to donate their umbilical cord blood to someone in desperate need of a stem cell transplant.  We are delighted that this facility is coming to us here in Manchester.

Other positive news to share with you is that CMFT has completed its CQC self-certification process and is compliant in every category apart from health records.  Work is ongoing to ensure we quickly become compliant in this area.

Governors participated in two excellent events this month.  David Edwards, a former patient, attended the official opening of the Manchester Royal Eye Hospital (MREH) bicentenary exhibition on 13th May.  I'd encourage all Governors to drop into the MREH atrium and see the free exhibition, which runs throughout 2014 - it's an amazing journey through the past and current work of the hospital.  Our Trust HR team also put on an outstanding staff Equality & Diversity conference on 20th May, and they were delighted that Keith Paver, Rabnawaz Akbar, Erica McInnis and Sue Webster all took part in the day's wide range of activities.

Looking ahead, our next high profile member engagement opportunity is the Young People's Event on 24th June from 10.00 am to 3.00 pm at the Nowgen Centre.  More details are on the website and do please let Donna Beddows know your availability to help man the Membership stand and interact with our young visitors.

We recently held our inaugural Governor Development Group meeting to discuss the findings of the annual Governor Questionnaire, Skill Mix Matrix and Working Group Reviews plus additional training needs highlighted by Governors.  All this valuable feedback from Governors is being included within the Governor Development Plan for 2014/15, and this will be shared with you at the July Council of Governors meeting.

The Trust continues to perform well across the majority of services, but action is being taken to improve two areas:

  • The A&E four hour standard - although we managed to achieve the target for Q4 and therefore for the year of 2013/14 overall, which was excellent, the current performance for Q1 is demonstrating a dip and actions have been taken to address this position.
  • MRSA - The Trust reported 8 cases during 2013/14 against a de minimus of 6.  Four of these cases were found to be unavoidable; however, the rest were down to poor practice and could have been avoided. Individual cases are rigorously investigated (root cause analysis undertaken) which is led by Gill Heaton (Director of Patient Services/Chief Nurse).  The findings from the investigation are fed back to Divisions/Trust in order to prevent future occurrence (lessons learnt). The key message to staff in our May Team Brief has been around the importance of hand hygiene.

Our Emergency Department was built in the 1980s with a maximum capacity of 50,000 patient attendances a year, but current levels are now double this.  Extensive modifications have extended this capacity, but a team led by our Chief Operating Officer Julia Bridgewater has prepared a strategic development case (Project Red) anticipating the capacity requirements for the next 20 years.  We are also looking at future growth in the context of foreseeable changes to the broader configuration of hospitals across the Greater Manchester conurbation.  The creation of an 'Emergency Village' including assessment, treatment and outpatient areas will cost around £80m, and the Trust is now exploring possible external funding options.

Delivering safe, high quality care remains a key focus for our Trust, and for the wider NHS. Health Secretary Jeremy Hunt used a keynote speech at the Patient Safety Congress on 22nd May to call for increased reporting of concerns about the safety and quality of patient care.

Finally, looking at the national financial picture, the NHS Trust Development Authority has confirmed that the NHS trust sector finished 2013-14 in deficit by £241m.  At year end, our own position of a £3.3m surplus was slightly below what we had planned, and action is underway to remedy this during 2014/15.

If I can be of any assistance to you in your role as Governor, do please contact me on 0161 276 8661 or at peter.mount@cmft.nhs.uk