Annual Review

Annual Review

Work starts on Stars Appeal Breast Unit Building work on Salisbury’s first dedicated Breast Unit started during the year.The new unit, which is due to be completed in autumn 2016, will be located next to the existing gynaecology building, and is the result of the successful Stars Appeal Breast Cancer Unit Campaign which raised over £750,000.

Around 4,500 local women, and some men, will benefit from the new unit, which will provide faster diagnosis and treatment in an enhanced environment dedicated to the needs of breast patients.

Peter Hill has been named as one of the top 50 NHS hospital Chief Executives in the country by the UK’s leading health management and policy magazine, the Health Service Journal (HSJ). The judging panel, which included leaders from NHS professional bodies, national regulators and voluntary organisations, looked for chief executives who have shown outstanding leadership and commitment to their organisations.

They considered financial performance and quality of care, communication and internal and external engagement, their effectiveness in driving cultural and performance improvements, and working within and outside their organisation to develop and deliver plans to reform models of care.

Top Chief Executive

Open and transparentSalisbury District Hospital has been rated as Outstanding and in the top five in the country for openness and transparency in the Learning from Mistakes league table published by the national regulator of hospitals, NHS Improvement.

The publication is based on information drawn from NHS staff surveys and takes into account individual Trust’s performance around national reporting and any associated risk factors regarding their approach.

“It’s essential that we all recognise when we don’t get things right, investigate all incidents properly and share our findings open and honestly with relatives.” said Dr Christine Blanshard, Medical Director.

“This report not only highlights the importance we place on reporting of incidents in this hospital but also the culture of openness and transparency which is key to improvements in the safety of our patients.”

“Leaders from key organisations with a major interest in health services have looked very carefully at the qualities, skills and performance of chief executives across the country and it’s fantastic news to see that they feel that in Peter Hill, we have one of the very best in this field.”

Dr Nick Marsden, Chairman

Patient WiFiA free to use patient WiFi service has been launched across the hospital funded by the Stars Appeal. The service is provided by Hospedia, and fully supported by their 24/7 helpdesk.

Dave Cates, from the Stars Appeal said: “It is really beneficial for patients who have to spend a long time in hospital as it allows them to stay in contact with friends and family and helps them keep up with their everyday lives.”

To log into our hospital free guest wifi, select ‘The Cloud’ network option, then insert your contact details when prompted when you access the internet.

2015/2016

Website: www.salisbury.nhs.uk Twitter: @SalisburyNHS Facebook: Salisbury District Hospital Official

The Care Quality Commission (CQC) has rated the overall care and effectiveness of services provided at Salisbury District Hospital as Good following its routine inspection.The inspection team assessed eight core services, as well as the Trust’s regional spinal unit against the five domains of safe, effective, caring, responsive and well led, with the Trust rated as Good in 25 of the 44 elements. Medical care, maternity and gynaecology, outpatients and diagnostics were all rated overall as Good.

While the inspection team identified areas of good practice

Peter Hill, Chief Executive

across many parts of its services, the overall rating for the Trust was ‘Requires Improvement’, reflecting the rating given to the majority of Trusts inspected under this new rigorous inspection process.

Peter Hill, Chief Executive said: “This report by the CQC is thorough and detailed and highlights both outstanding areas of practice and aspects for improvement which we had already started to address.“

“I am pleased to see that our patients and staff both rate the care at Salisbury District Hospital highly and that the majority of feedback from patients and relatives was extremely

positive. The report also said that staff provided kind and compassionate care which was delivered in a respectful way, and that emotional support

was recognised and provided. Our staff also showed great respect for each other and communicated well.”

Mr Hill added: “I know that our staff work hard to provide good quality care for our patients and should be proud of the work that they

do for our local community, in what are difficult and challenging times for the NHS.”

The Trust is working with its partners in health and social care on any improvements identified in the report as part of its cross-organisational action plan.

Good quality care recognised

“Staff provide kind and

compassionate care delivered in a respectful

way”

In summary, our scores were:

Cleanliness – 99.3% (national average 97.57%)

Food – 94.57% (national average 88.93%)

Privacy, Dignity and Wellbeing – 89.47% (national average 86.03%)

Condition, appearance and maintenance – 95.31% (national average 90.11%)

Dementia standards - 84.66% (national average 74.51%)

Hospital above average Cleanliness, food quality and patients‘ overall experience of facilities and support have been rated highly in the national report on the Patient Led Assessment of the Care Environment (PLACE). The national report follows an assessment made by patient and public representatives and modern matrons.

“When people come into hospital for treatment they want to know that the hospital is clean, that the food is nutritious and that they will be treated with dignity and respect,“ said Ian Robinson, Head of Facilities.

“These results are good news for our patients and visitors and reflect the commitment and professionalism of our staff.”

Staff and fundraisers mark the start of building work on the new breast unit

Grant for research into Parkinson’s disease

Specialist nursing team for end of life careWe now have a specialist nursing service that gives additional support to ward nursing and medical teams who provide end of life care to patients.

While the Hospital Palliative Care Team currently treats patients who have complex physical, psychological and emotional needs, the new specialist nurses will give extra support to ward staff caring for patients who need less complex support.

Our specialist nurses will provide staff training and advice around end of life care to ward staff, and will also have a key role in supporting the introduction of personalised care plans across the hospital.

These will ensure that patients who may die within a few days receive clear communication on any decisions and actions that affect them or their family; that there is sensitive communication between staff, our patients and those important to them and that we look carefully at their personal needs and act on them.

Trust signs up to national dementia support Salisbury District Hospital is now a part of the national Stay with Me campaign. This recognises hospitals that have stated publicly that they welcome carers of patients with dementia whenever they need them, including overnight if necessary. Salisbury was one of the first hospitals to be awarded the John’s Campaign Certificate and campaigners described Salisbury as “being in the forefront of a real change in the way vulnerable people are supported in hospital”.

Three years of mobile chemotherapy As part of Chemotherapy in the Community Week, staff, patients and carers joined the team from Hope for Tomorrow to celebrate the first three years of the Mobile Chemotherapy Unit (MCU).Based at Salisbury District Hospital, the MCU visits locations in Gillingham, Westbury, Ludgershall and Fordingbridge and has so far saved patients over 20,000 hours in travel and waiting time.

Sister Jan Lunnon said: “Over the last three years we have delivered over 500 treatments for patients in a relaxing and comfortable environment in their own communities, avoiding the stress and strains of travelling long distances to hospital.”

“It was great to have this opportunity to celebrate the achievement and again recognise the enormous contribution Hope for Tomorrow has made to patients in this area by funding this fantastic unit, and of course the family of Kayleigh Wickes, as the unit was named in memory of Kayleigh who was a cancer patient at Salisbury District Hospital.”

Continence clinic for womenStaff in the urology department now run a female led one-stop clinic for women with urinary incontinence. Investigations and decisions about treatment are made during this appointment, reducing the number of outpatient attendances needed.

New one-stop kidney stone clinicPatients now have access to a one stop kidney stone clinic where they have their initial outpatient appointment and any diagnostic tests during the one visit, reducing waiting times for appointments and subsequent treatment.

National award for Salisbury blood clot servicesSalisbury nurses who assess, manage and treat people for blood clots won a national Quality in Care (QiC) Programme Award.

The nurse-led Venous Thrombosis (VTE) and Anticoagulation Services cover all aspects of care in this area, with the VTE Service assessing and treating patients in outpatient clinics and the Outreach Anticoagulation Service assessing patients in hospital and providing support and guidance for ward staff.

“In this award our staff were “head and shoulders” above the rest, with the judges impressed by the way in which nurses are used in this role,” said Lorna Wilkinson, Director of Nursing.

“They were also impressed with our streamlined integrated care pathway, collaboration with other departments, the assessment of care and the involvement of people who use the service. All supported by a wealth of positive feedback.”

Ms Wilkinson added: “We are very proud of our teams and this outstanding achievement reflects the high standards of care provided by them and the way their expertise and knowledge can influence services and patient care in other parts of the country.”

Hospice at Home Salisbury Hospice charity has launched a new service that provides nursing care at home for palliative patients coming to the end of their life. “Hospice at Home provides care to keep people at home if this is their wish, rather than going into Hospital or the Hospice,” said Ceri Hurford-Jones, Chairman of the Salisbury Hospice charity.

Fully funded by Salisbury Hospice charity, the service acts as crisis intervention, preventing any unnecessary admissions to an acute hospital, hospice or alternative care setting and supports patients, their carers and families.

“With an ageing population we are seeing more older people with complex conditions that require hospital care or treatment and some of them may also be nearing the end of their life. It’s essential that patients who are coming to the end of their life have the very best all round care that we can provide and that our staff have the support that they need to do so.”

Lorna Wilkinson, Director of Nursing

For more about supporting Salisbury Hospice: www.salisburyhospicecharity.org.ukTel: 01722 416353

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Sister Alison

Richards

A Salisbury team of clinical scientists and specialist staff have been awarded an initial grant of £244,000.

The team will lead new research that will look at whether Functional Electrical Stimulation (FES) could improve co-ordination and movement for patients with Parkinson’s disease.Functional Electrical Stimulation (FES) involves the use of electrical devices to stimulate paralysed nerves and muscles to produce useful movement. The team, which is in the forefront of clinical science and engineering in this area, have a track record of developing their own pioneering devices that have improved the quality of life for people who have had a stroke or other neurological disorders and are now looking for Parkinson’s disease patients to take part in this new research.

Dr Paul Taylor, Clinical Scientist and Project Lead, said: “The aim of this research is to test a new device that aims to improve walking for people who have Parkinson’s disease as they often have difficulty in walking. This causes them to move slowly and increases their risk of a fall. FES is used to stimulate underactive muscles, by applying small electrical impulses to their nerves, enabling them to walk more effectively.”

“In previous small studies, we have shown that patients are able to walk faster and have reduced symptoms after using FES, and we want to carry out a formal research study to investigate whether FES would be beneficial to patients in the longer term when compared with routine care.”

The team needs to carry out another smaller study before they move into a major research phase and need people who have Parkinson’s disease to help with the study. Information gathered from this study will be used to design a full research project and apply for an additional grant.

Staff from the Hospice at the launch of the new service

Photo: Spencer Mulholland

The all-female team from left to right. Urology Nurse Kate Chadwick, Continence Nurse Specialist Karen Redgrove and Consultant Urologist Melissa Davies

Anyone interested in taking part in this initial phase of research into FES for Parkinson’s disease should contact: Dr Paul Taylor on 01722 429119 or email him at: p.taylor@salisburyfes.com

Salisbury first in region to carry out latest laser prostate surgery Men who need treatment for an enlarged prostate can now have the latest laser surgery at Salisbury District Hospital, avoiding the need for open surgery in some cases and the side effects associated with more conventional surgery.

Salisbury is the first Urology Centre in the Wessex region to carry out the treatment called Holmium Laser Resection of the Prostate (HoLEP).

The prostate is a small gland at the base of the bladder which surrounds the urethra in men. Over time the prostate cells begin to swell and get larger, making it difficult to pass urine. This is a non-cancerous condition called benign prostatic hyperplasia.

The procedure works by using a high powered laser within a tiny telescope inserted through the urethra removing the prostate tissue that is causing the obstruction.

Salisbury demonstrator site for new national barcode standardsSalisbury District Hospital is one of only six sites across the country that has been selected by the Department of Health as a demonstrator site for new national barcode standards for procurement, reflecting the excellent “quality standards” already used in Salisbury.

The new national standards will be similar to those used in shops by retailers and aims to help improve patient safety and provide a more efficient and effective service to hospital staff across the NHS.

Rob Webb, Associate Director of Procurement and Commercial Services said: “While this will clearly reduce costs, new common barcode standards will have a significant impact on patient safety and patients’ experiences of care in hospitals throughout the country. This is because across the supply chain, the NHS and its partners use a range of methods for managing procurement and aspects of patient care.”

Carer’s café for advice and supportCarers who have loved ones or friends in Salisbury District Hospital can now share their experiences over a cup of coffee and get advice and support from specialist staff in a “Carer’s Café”.

The carer’s café, which is supported by the Salisbury Hospital League of Friends, takes place in Springs Restaurant between 2.30pm and 4pm every Thursday and is aimed at carers of any age.

“Carers are true unsung heroes and nationally there are many such people providing some sort of support or help as a carer to family or friends,” said Sandy Woodbridge, lead nurse for dementia. “The café provides a place for carers who specifically have loved ones or friends in hospital to come together, eat, drink and talk in a stress free environment. We also have volunteers from the Alzheimer’s Society, Age UK and Carers Support Wiltshire who are on hand to answer any questions or to signpost to the appropriate help in the community.”

Salisbury one of the best for work and treatment Staff rated Salisbury District Hospital as one of the best places in the NHS to work and receive treatment, in the national staff surveyGood communication between senior management and staff, the ability to contribute towards improvements and staff motivation at work were other areas where the Trust scored highly in the survey, in which Salisbury was among the best performing Trusts in the country in 25 of the 32 key findings.

“This survey is excellent news for our patients, our staff and anyone interested in looking at starting a new career with us, as it shows that our staff believe that Salisbury District Hospital is a good place to work and receive treatment,” said Alison Kingscott, Director of Human Resources and Organisational Development.

“It is also great to get independent recognition of how well motivated and engaged our staff are and that they are able to make a positive contribution to improvements at work.”

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Staff, patients and visitors had an opportunity to visit the Alzheimer’s Society’s Dementia Roadshow at Salisbury District Hospital. The aim of the roadshow was to increase local awareness and understanding of the condition which affects more than fifteen hundred people in Salisbury. Staff were on hand to provide advice to anyone with queries about the condition, as well as helping to promote the benefits of an early diagnosis.

“This really is an innovative form of treatment and a first for this area. While it will not be suitable in all cases, it will be especially beneficial for men with very large prostates, as using the laser avoids the need for traditional open surgery and longer recovery times compared with laser treatment.”

James Brewin Consultant Urologist

New Electronic Patient RecordsThe hospital will be implementing an Electronic Patient Record (EPR) in late autumn 2016 to replace a number of separate clinical databases and its patient administration system. This

means that all of the information about a patient’s medical history will be contained in one place with access to health records available anywhere in the hospital to staff that need to see it. The old system of using and storing paper records will gradually be replaced with electronic records.

Mandy Cripps, Business Change Manager said: “All hospital staff who are directly involved with patient care will have some level of access to this system depending on their job role. They will be able to share important information quickly, such as test results and diagnoses, giving an accurate picture of the medical history. By having quicker access to records, including any prescriptions or allergies, staff will be able to provide more effective care without the need to refer to paper hospital records. “

Two teams from Salisbury District Hospital won awards from the Wessex Patient Safety Collaborative (PSC) recognising the positive way they

have implemented patient safety initiatives within the hospital.

The Sepsis Team received the award for the drive and energy they have shown in making improvements to the way blood poisoning (sepsis) is diagnosed and treated within hospital. Sepsis is a life threatening condition which can lead to shock and multiple organ failure if it is not recognised early.

The Transfer of Care Team won their award for the way they engaged with patients in this programme, which aims to improve handovers and discharge between hospital and community based care.

Salisbury teams win patient safety awards

“Our staff picked up two of the eight patient safety awards, highlighting the outstanding work taking place here to assess and change practices that improves the care we give to our patients”

Lorna Wilkinson, Director of Nursing

Transfer of care team

Sepsis team

Dementia Roadshow

Team Salisbury wins Military Challenge Team Salisbury who won the South West NHS Military Challenge on Dartmoor, were presented with the blue glass plate by the 243 (Wessex) Field Hospital at a special ceremony at Salisbury District Hospital. The 10 strong team, including executive directors and clinical and managerial staff beat 14 other hospitals in seven of the nine challenges, which included the assault course led by the Royal Marines, a number of physical and mental tests and the delivery of care and the building of communication systems under fire. 243 (Wessex) Field Hospital praised Salisbury’s team working and leadership, which was really put to the test under the most extreme conditions.

Corps Colonel Ashley-Boreham 243 (Wessex) Field Hospital presented the award to Directorate Senior Manager and Team Leader, Jonathan Wright.Women rate

Salisbury maternity services New mothers have rated the quality of care and level of support they received highly in an independent Care Quality Commission survey of NHS maternity units.The survey looked at women’s experiences of care provided by hospital and community staff from early pregnancy to four weeks after the birth. When compared with all 133 providers of maternity services, Salisbury District Hospital scored well in many areas women were questioned about.

Major new national researchSalisbury District Hospital is involved in one of the biggest clinical trials in the UK to see whether aspirin can prevent cancers from coming back.

Staff support our Armed Forces Staff across the hospital took part in Uniform to Work Day which was one of a series of events intended to raise awareness of the work of our Armed Forces. Salisbury has a long tradition of support for our armed forces and this event gave reservists an opportunity to demonstrate their commitment to both civilian and military roles by wearing their reservist uniform to work on that day.

Award winning volunteers receive recognition Volunteers on the award-winning Engage programme were rewarded for their commitment to patients at the programme’s long service awards.

Around 66% of patients in hospital are aged 65 or over and need some form of short or long term care. Stimulation and social interaction can help alleviate some of the problems that older people could face when they suddenly find themselves in an unfamiliar environment.

There are around 60 Engage volunteers who are trained to provide psychological support - visiting different wards and sitting with the patients, talking to them and using techniques such as quizzes, discussion groups and memory games that help keep patients motivated.

Anna Knight, Engage Coordinator said: “Our volunteers do a remarkable job and see around 3,500 patients a year. We know that older people can often lose independence when they come into hospital and develop psychological problems such as anxiety and depression. Our research suggests that the work of our volunteers is improving levels of depression, anxiety and their length of stay in hospital.”

Want to train to be an Engage Volunteer?We are always looking to expand and develop the project all the time. If you are interested in becoming a volunteer please contact the Clinical Psychology Department on 01722 425105 or e-mail at engage@salisbury.nhs.uk

If you’re interested in becoming a ward companion please contact Jo Jarvis, Voluntary Services Manager on 01722 336262, extension 4026 for more details

New portable ultrasound scannerThe Maternity Department has invested £26,000 in a portable ultrasound scanner that can be used in peripheral antenatal clinics in Tidworth and Shaftesbury. The scanner will enable sonographers or midwife sonographers to carry out more detailed and accurate scans which will improve the detection of babies that are small for their gestational age. Use of a portable scanner also means that women who need regular scans can have them closer to home.

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Ward companions needed to help patients Staff are looking for new volunteers who can give some of their free time to provide companionship to patients with dementia to support them in hospital.

While the Trust runs the successful Engage programme, where volunteers increase social interaction for patients through quizzes, discussion groups and memory games, ward companions will act as “friends”, giving additional support and company for patients during their hospital stay.

Jo Jarvis, Voluntary Services Manager said: “While the Engage programme is interactive and specifically designed to provide

stimulation for older patients, for many they still have time on the ward where they can benefit from someone just sitting with them, talking and giving them company during their hospital stay.”

Mrs Jarvis added: “We have a strong tradition of volunteering at Salisbury District Hospital and our volunteers find the work and time that they give to our patients interesting and rewarding. We are looking for people who have good communication and interpersonal skills, an approachable friendly and caring manner and would be able to give up around two to three hours a week for a morning or afternoon. Interviews and checks would be carried out, and training provided for successful candidates.“

Midwife Jenny Stagg with a new mum on the postnatal ward

“In Salisbury we will be looking to involve around 40 to 50 patients a year with their consent in this research into preventing cancer from returning. Patients who are interested in taking part in the ADD ASPIRIN trial should talk to their doctor, who will be able to consider whether they are suitable for the trial.”

The ADD ASPIRIN trial will be run in around 100 centres within the country and will involve people who are having, or have had, treatment for early cancer.

“This is an excellent achievement for Salisbury and another example of where reputation, local expertise, knowledge and a ‘can do’ attitude has been recognised, enabling us to be one of the first hospitals to offer patients an opportunity to take part in this high profile and important research project,” said Stef Scott, Head of Research.

“Women’s views are very important to us and we are very pleased to hear that they think we are offering high quality care for them, their partners and babies,” said Fiona Coker, Head of Midwifery and Neonatal Services.”

“Their views suggest that Salisbury is better than many other Trusts at treating women in labour and during the birth. The care that they give at home following the birth of their baby was also good, and women said they had confidence in our midwives, that midwives were conscious of the way mothers felt emotionally and that they listened to what women have to say.”

New state-of-the-art operating theatres installed 1966

Carnival parade 1930 in aid of Salisbury Hospital

Want to support the Salisbury Hospital League of Friends?The League of Friends relies on charitable donations. If you would like to help please contact the Chairman of the League of Friends, David Stratton, by telephone (01722 329720), or write to him c/o: The League of Friends’ Shop, Salisbury District Hospital, Odstock Road, Salisbury, SP2 8BJ

email: lofshop.salisbury@gmail.com or visit the website: www.leagueoffriends.salisbury.nhs.uk

Children like our hospitalParents, children and young people have rated their experience of care highly in the national children’s inpatient and day case survey, with safety, friendliness and pain control among the key findings in the report.

The survey, carried out by the Care Quality Commission, looked at inpatient and day case care and treatment from admission to discharge for 0 to 15 year olds and captured the views of parents, carers, children and young people.

Salisbury District Hospital was considered better than most hospitals in a number of areas and ‘no worse’ in any area.

“It’s essential that children and young people are looked after by kind and caring staff and it was pleasing to see that parents, children and young people felt that they had had a very good experience,” said Carl Taylor, Consultant Paediatrician.

“It’s also important that all the needs of this age group are met and that parents, children and young people have enough information about their care and treatment. This was another area which came out strongly in the report.”

Safeguarding adults championsSafeguarding adults champions have been introduced to strengthen the knowledge, skills and capacity of all staff so that they are able to respond appropriately to safeguard and protect all patients and people in their care. A nurse from each ward and department has put themselves forward to ‘champion’ safeguarding adults arrangements in their area and deliver specific activities to promote awareness and help embed best practice across the organisation.

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Major refurbishment to on-site bungalows Patients and relatives who live a long way from Salisbury and need short term accommodation are benefitting from a major £200,000 refurbishment to our two on-site bungalows.

The bungalows were originally built by the Salisbury Hospital League of Friends in 1980 to support relatives of patients who use the hospital’s regional services. The refurbishment was funded by the League, with support from the Stars Appeal.

Each bungalow has a fully fitted kitchen, lounge and six en-suite twin bedrooms, which are available 24 hours a day.

“The League of Friends has been supporting healthcare in Salisbury for over 60 years and building the bungalows was a major investment that provided invaluable help and support to families from far away who needed short term accommodation,“ said David Stratton, Chairman of Salisbury Hospital League of Friends.

“All areas have been modernised, with new furniture, kitchen and bathroom fittings and are tastefully decorated to provide a true ‘home from home’ setting.”

Salisbury patients do well in Spinal Unit GamesThe Salisbury District Hospital team came second in the Inter Spinal Unit Games at the Stoke Mandeville Stadium in Aylesbury.

Our six strong team of patients from across Southern England was pitted against 12 other teams from spinal units across Great Britain and Ireland. Team members have damage to the spinal cord and are either paralysed from the neck (tetraplegic) or the waist (paraplegic) down, depending on how high up the damage has occurred.

Funds to exhibit historic collection The ArtCare team has been awarded a £40,000 grant from the Heritage Lottery Fund (HLF) to archive and expand its collection of historical memorabilia and medical equipment. The collection includes photographs, video, artwork and medical objects that give a distinctive view of Salisbury and the way healthcare has developed from 1700 to the present day. There are letters by Florence Nightingale who writes about the welfare of nurses, to scratched graffiti from G.I.s waiting to deal with D-Day casualties in the 1940s. There is even a musical score composed for the hospital.

Lesley Meaker, ArtCare Lead for the history project said: “We are delighted to receive this funding and, thanks to players of the National Lottery, this grant will enable us to improve the condition of the health and medicine collection at Salisbury District Hospital. It will also enable local people to see more of the collection over the next two years through touring exhibitions, talks and hands-on activities, which will culminate in an online website and permanent history display in the hospital.”

“Our spinal treatment centre provides a wide range of sports and activities for patients which helps keeps them active while in hospital and helps with their own rehabilitation both in hospital and when they go home. The Spinal Unit Games gives patients another opportunity to try new sports, socialise with others of similar abilities and take part in competitive sports.”

Wendy Slater, General Manager and Clinical Nurse Specialist

Hospital one of the most efficientSalisbury has been named as one of the top hospitals in the country by leading national healthcare intelligence organisation, CHKS.

The awards are based on over 20 key performance indicators from safety, clinical effectiveness and health outcomes, to the efficiency of the organisation and overall patients’ experience and quality of care.

“CHKS has access to a wide range of information about the hospitals that they deal with and their performance, and these awards centre on the key factor that matters most to patients, the delivery of good quality, safe care,” said Peter Hill, Chief Executive.

“This really is an outstanding achievement and one that reflects the hard work, commitment and quality of our staff. It shows our patients what they can expect when coming into hospital for treatment and our commissioners and regulators the value of our hospital and our staff.”

On the rooftops of the Salisbury Infirmary with cathedral in the background

Salisbury Infirmary Fisherton Street with hospital bus in late 1960s

My Trusty® products are on sale at the hospital, online and in independent pharmacies throughout the UK.

Visit our website: mytrusty.co.uk for more information and stockists.

Call 01722 425202 for a free sample

The award categories and winners:

Equality and diversity head wins national leadership award Head of Equality and Diversity Pamela Permalloo-Bass won the national Leader of Inclusivity of the Year Award from the NHS Leadership Academy. Pamela who beat nine other shortlisted candidates had already won the regional award from the Thames Valley and Wessex Leadership Academy and picked up this national award at a special ceremony in London.

The award recognises how outstanding leadership has influenced the way in which equality and diversity good practice has been used to design services that meet the needs of the local community. It also reflects the active promotion of equality within the workplace and the involvement and engagement of NHS staff.

Habib Naqvi, Inclusion Lead at NHS England said: “Pamela showed very strong skills across all of the judging criteria. She is an ‘inspirational, exceptional example of inclusive leadership in action, and a widely respected, highly regarded role model. She hasn’t been afraid to take on difficult and challenging work in the field of inclusion, the results of which have been improved quality of care and greater engagement that’s both meaningful and sustained. When things have felt difficult, she has led the way and taken others with her.”

Pamela Permalloo-Bass said “I am very grateful to the Leadership Academy for this award. While it recognises the work that I do here in Salisbury, it also highlights our commitment to equality and diversity, the involvement of staff at all levels of the organisation in equality issues and the value of our staff to our hospital, our patients and our local community.”

Nutrition and hydration weekAs part of the national Nutrition and Hydration Week, staff held a range of events to highlight the importance of good nutritional care and how food and mealtimes can be used to provide additional support for patients in hospital.

During the week speech and language therapists promoted the new range of modified texture meals such as pureed lunches and dinners amongst all ward staff to heighten their awareness of different food textures, with dieticians promoting pre-thickened supplementary drinks. Both are essential to support good nutrition in patients with swallowing difficulties.

As part of the Elevate programme, patients on Winterslow Ward were able to enjoy tea and cake from the vintage tea trolley and have a singalong at their bedside, entertained by a musician and 1950s style tea party hostess. The catering team took round cream teas to all wards.

Ian Robinson, Head of Facilities said: “There are a number of initiatives taking place in hospital to ensure that our patients receive good nutrition and hydration, from protected mealtimes and support to help patients eat, to food choice, quality and suitability for patients in hospital. Nutrition and Hydration Week gave us an opportunity to highlight the importance of food choices and availability and the role good food plays in our patients’ recovery.”

Staff awards Staff were rewarded for their professionalism and commitment and the way in which they have improved services for patients as part of the hospital’s Striving for Excellence Awards. There were 15 categories in all, and award nominations were made by patients, staff and volunteers, with members of the public voting for the winners in the Service Improvement categories.

Winners and the highly commended were presented with certificates and flowers by Chief Executive Peter Hill and Chairman Nick Marsden at a special ceremony at Salisbury District Hospital.

Chief Executive’s Leadership Award

Gill Hibberd, Head of the Orthopaedic Therapy Team

Chairman’s Outstanding Contribution Award

Beckie Benson, Associate DSN for Medicine

Unsung Hero Award

Chris Racey, Facilities HQ Receptionist

Customer Care Team Award

Chilmark Ward Customer Care Individual Award

Ines Oliverio, Redlynch Ward

Living the Values AwardThere were four awards, each reflecting one of the Trust’s values of professional, patient centred and safe, friendly and responsive. The winners were:

Professional Paediatrician Dr Rowena Staples

Patient Centred and Safe Redlynch Ward

Friendly Pharmacist Louise Pitman

Responsive Porter John Martin All were exceptional in the way they met the Trust’s values throughout their work.

Service Improvement Individual and Team Award

James BrewinService Improvement Sponsored Project Award

Intensive Care Unit, Estates and Artcare staffService Improvement Learning Award

Hospital junior doctorsGovernors’ Volunteer Award

Jane MiddletonEquality and Diversity Award

Switchboard and Sandy Woodbridge were joint winnersPinder Award (Mentorship Award)

Petra Bowman

Pamela Permalloo- Bass receives her award at the NHS Leadership

Recognition Awards at the University of London.

Left to right: Chris Lake, Head of Professional Development, NHS

Leadership Academy, Pamela Permalloo- Bass, Habib Naqvi,

Equality Lead at NHS England, Tracie Jolliff, Head of Inclusion

and Systems Leadership, NHS Leadership Academy.

Gill Hibberd receives her award from Chairman Nick Marsden and Chief Executive Peter Hill

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“This year saw a number of significant financial and operational challenges yet staff continue to provide the very best care that they can for our patients. These awards give us an ideal opportunity to acknowledge the enormous contribution our staff have made to local health services and give them recognition for the outstanding work that has taken place this year.”

Peter Hill, Chief Executive

Speech and Language Therapy staff visited wards to show staff the range of modified food textures recommended for patients with swallowing difficulties. From left to right: Jean Cable (Senior Carer), Jess Willetts (Speech and Language Therapist), Yvonne Bennett from Simply Puree and Elizabeth Evans (Nursing Assistant) on Britford Ward.

Hospice on the Salisbury Art Trail For the first time, artwork from patients, staff and supporters at the Salisbury Hospice featured in the Salisbury Art Trail. Artwork can be a powerful coping tool in life, and also for families in bereavement. The work exhibited by patients provided a unique opportunity for them to reflect on their lives and this was demonstrated by the textile work on show. The artwork also included pictures, sculptures, knitting and much more, with everyone displaying work having a connection with the Hospice.

Representatives of Chilmark Ward

My Trusty® Sunflower Cream Wins Best Skincare AwardThe My Trusty Sunflower Cream has won another national award in the Natural Healthcare in the Community Awards.

The award was presented at the Pharmacy Show and is one of a number of awards since the sunflower cream started commercial development of its range of skincare products, reflecting the innovation and creativity at Salisbury District Hospital.

Thank youHealth care staff treat thousands of people each year and many show their appreciation with a kind word or letter of thanks. This is just a small selection of extracts from letters:

The care and consideration that I received was quite exceptional. Every detail of my comprehensive treatment was clearly and reassuringly explained to me and their attitudes ensured that I was without stress or worry.Accident and Emergency Department

All the staff – nurses, doctors, catering, porters, and ambulance were marvellous. I could not ask for anything more. The food too was excellent – hot (with hot plates) and delicious. Pitton Ward

Thank you all so much for looking after my grandfather so wonderfully. Your care of him during his last days was so appreciated by all of the family and enabled him to leave this world knowing he was loved.Redlynch Ward

What particularly impressed me was not just the level of professional expertise, but the unfailing courtesy and helpfulness of everyone I encountered on the hospital premises.Plastic Surgery

I am writing to thank you for the superb level of service and support I have been lucky enough to experience. In short, the level of care received has been both life enhancing and life changing.Audiology Department

Keep doing what you are doing. You make such a difference to people’s lives, not just the patients but the families too. You are truly wonderful each and every one of you. Durrington Ward

Financial and Operational Summary

This has been one of the most challenging years for the Trust, yet despite this we have responded well to the operational and financial challenges we have faced and continued to provide high quality care for our patients. This was reflected in the Care Quality Commission report on the Trust which rated the overall care at Salisbury District Hospital as Good.

We have also made significant improvements that have made a real difference to our patients, their relatives and carers. This includes new and improved facilities, changes to services and additional support at ward level. This would not have been possible without the commitment, professionalism and innovation of all our staff, whether they work on the frontline, or provide an invaluable support role at ward or departmental level.

During the year we continued to see a high number of patients, with over 293,000 operations, outpatient appointments and Accident and Emergency (A&E) attendances taking place in the year. Once again we continued to maintain good waiting times for treatment. As part of this over 92% of patients on a waiting list waited less than 18 weeks of the GP referring them to hospital and waiting times for cancer patients and those needing MRI and CT scans was also good. In A&E 94.8% of people were admitted, treated or discharged within four hours, which is better than most comparable hospitals where the average national figure was 88%.

The Trust has a long history of sound financial management, but had to plan for a deficit, reflecting the financial situation facing all NHS organisations. However, the Trust met its financial target and will look to make further efficiencies as it faces further financial challenges in 2016/2017.

The local community play a key role in the development of the hospital through a wide range of fundraising activities. This year saw the start of building work on the new breast care unit which followed a successful fundraising campaign, raising over £750,000. Capital funding enabled us to make major changes to our facilities. This included improvements to Pitton and Laverstock Wards as part of our ward improvement programme. The Trust is also investing heavily in a new electronic patient record system that will bring major benefits to patients and staff.

It is essential that we remain the hospital of choice for our community and we will continue to review our services so that we maintain our high standards and work closely with our staff, stakeholders and partners. A good example of partnership working can be seen in the way the Trust worked with other providers in Bath and Swindon to set up Wiltshire Health and Care which now provides adult community services across Wiltshire. This is an important step that will have a significant positive impact for people in south Wiltshire. The Trust will also continue to work with local people, hospital Governors and members, staff and other health organisations to provide good quality, safe care for patients across the region.

Quality Account We have published our Quality Account which sets out our priority areas for the coming year and our performance against a range of quality indicators. This is a legal requirement and Quality Accounts are audited in much the same way as our financial accounts to ensure that hospitals have effective systems in place to assure the quality of care, and that patients have access to a greater range of information that can help them judge the standard of their local hospital.

The Quality Account, and the Trust’s Annual Report and Accounts, which give more detailed operational and financial information, are on our website at www.salisbury.nhs.uk

Did you know that at Salisbury District Hospital last year around:

38,300 people had a planned operation or procedure

29,400 people received emergency treatment

180,000 outpatient appointments took place

45,000 people attended A&E

175,500 scans took place (including CT,MRI, X Ray)

2,500 babies were born in the hospital or community

800,000 meals were served to patients, visitors and staff

£203.686 million income received

£129.5 million spent on staffing

£18.2 million spent on drugs

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Staff governor leadership award Staff governor and Directorate Senior Nurse, Colette Martindale was a finalist in the NHS Mentor/ Coach of the Year award from the Thames Valley and Wessex Leadership Academy. Mentors need to have the capacity and capability to encourage and lead others through the work they do and help to build and support them from within the organisation. This award acknowledges Colette’s outstanding commitment and leadership in supporting staff.

This Annual Review summarises the main achievements of Salisbury NHS Foundation Trust during the year 2015/2016. We aim to keep you informed about what is happening in your local health service.

To comment on this review, or if you would like further copies, or a version in larger print, in audio or in another language, please write to:

Patrick Butler, Head of Communications, Salisbury NHS Foundation Trust, Salisbury District Hospital SP1 2BJ or email: patrick.butler@salisbury.nhs.uk

Join us as a member - Contact Isabel Cardoso, Membership Manager on 01722 429390 or email: isabel.cardoso@salisbury.nhs.uk

Governor electionsNick Alward, John Mangan and Mary Clunie have been elected to the Salisbury NHS Foundation Trust Council of Governors following by-elections held in the Trust’s public constituencies earlier in the year.

The new governors bring a wide range of experience to the Council of Governors.

Nick Alward comes from Salisbury and has a public service background having worked for the police for 32 years at both national and local level. He is now an independent member for the local adoption agency.

John Mangan trained as a qualified psychiatric and general nurse. He was involved in the development of community mental health services in Kent and Sussex and was chief executive of North Kent Healthcare NHS Trust and successor Trusts.

Mary Clunie also has a nursing background in both the NHS and the independent sector and is a consultant with

the Department of Health.

Dr Nick Marsden, Chairman said: “Our Governors provide an essential link between the Trust and our members, feeding back information that can be used to help shape and plan our services for the benefit of our patients and our new governors will have an invaluable role to play in the future success of the Trust.”

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Salisbury NHS Foundation Trust

Successful AGM Foundation Trust members turned out in force again to the Annual General Meeting at Salisbury Arts Centre to find out more about how the hospital had performed last year and hear specialist presentations from staff in A&E.The presentations highlighting the day to day work staff do in A&E, which is well regarded by local people and the Trauma Unit which links in closely with the main centre in Southampton. One of Salisbury’s strengths is its high quality burns, plastic surgery, rehabilitation and spinal presence on the Salisbury District Hospital site, which is an addition and advantage when compared with most other trauma units across the country.

“We enjoy tremendous support from the local community and the turnout once again highlighted the interest people have in the NHS and our local health services,“ said Nick Marsden, Chairman of Salisbury NHS Foundation Trust.

“While the AGM gave us an opportunity to look at the real challenges that lie ahead, it also enabled us to focus on the good performance throughout the year and celebrate the enormous achievements of our staff. I want to thank all those that came along to this successful event and thank you again for all your support.”

Governors appoint new Non ExecutivesGovernors Raymond Jack, Sharan White and Jonathan Wright were involved in the appointment of five new Non Executives to the Trust Board. Governors have a range of duties that includes selecting and appointing the Chairman and Non-Executive Directors.

Staff campaign to increase awareness of organ donation The Trust launched a major new campaign to encourage staff to sign up to the national organ donor register and ensure that families are aware of their wishes. The organ donation leads held a series of hospital events, multi-faith workshops and visited each part of the hospital with an organ donation decision box encouraging staff to sign up on the National Organ Donor Register.

The Council of Governors has a total of 27 Governors and meets formally four times a year, as well as in individual topic based groups. The Governors communicate regularly with their members through the Trust’s website, newsletter and constituency meetings. The full list of the new Council of Governors and information about membership can be found at the foundation website section at: www.salisbury.nhs.uk

Long Service Awards

Forty one members of staff were rewarded for their loyalty and commitment to patients when they received long service awards for completing 25 years continuous service in the 2015/2016 financial year. This included staff from a broad range of roles across a range of hospital services. The Trust held a special ceremony presented by Nick Marsden, Chairman and Peter Hill, Chief Executive.

Staff who completed 25 years of service and received long service awards were: Sara Anstey, Philippa Baker, Elizabeth Baynham, Jacqueline Bettis, Martin Birt, Louisa Blake, Jean Botham, Michelle Carter, Hayley Collins, Alexa Crook, Alison Dean, Karen Dewhurst, Caroline Evans, Berenice Elliott, Alison Gerrett, Judith Gladding, Rosemary Grier, Roger Humphry, Anthony Jones, Maria Keattch, Joanna Lassetter, Suzanne Leonard, Heidi Lewis, James MacPherson, Mary Onstenk, Deborah Phillips, Jane Poole, Caroline Price, Susan Rolfe, Paula Shaw, Beverley Stannard, Susan Steele, Martin Stennings, Karen Trowbridge, Suzanne Warner, Maureen Warren, Bridget Webb, Teresa Weighill, Celia Whiteside, Maria Williams and Kevin Willis.

Have you retired from the NHS? Join the NHS Retirement FellowshipThe NHS Retirement Fellowship provides a wide range of social and leisure activities for people who have retired from the NHS and are looking for friendship from a caring and supportive organisation. This also includes people who have worked as a volunteer in the NHS. Annual membership costs £10 and gives NHS retirees an opportunity to enjoy outings, lunch clubs and walking groups. There are around 60 members in Salisbury who also meet on the last Wednesday of the month, at 2.30pm in St. Elizabeth Hall, Exeter Street. There is a speaker for most meetings, which cover a variety of topics from the life of a midwife to the role of women in Oman. In the summer the Fellowship goes out for a cream tea or picnic and normally has a special lunch or party around Christmas time.

For more details about the Fellowship please contact: Anne Woodman, Secretary of the Salisbury branch of the NHS Retirement Fellowship on 01980 620602

Our thanks to the Salisbury

Journal for the use of their

photographs in this Annual

Review

Annual General Meeting 2016When: Monday 26 September 2016 at 5.00pm (doors open at 4.30pm).Where:

Salisbury Arts Centre, Bedwin Street, Salisbury, SP1 3UT.Who: All members of the public are warmly invited to attend.