A presentation given to the QualityWatch 2015 annual conference by Dave Evans, Chief Executive, Northumbria Healthcare NHS Foundation Trust.

1. Maintaining high quality care – whilst delivering
efficiencies
Mr David Evans , Chief Executive

2. About us…..
• Provide hospital, community and
social care (latter Northumberland
only)
• Covering One of the largest
geographical areas
• 10 Hospital sites
• 3 DGH
• 7 Community (2 outpatient
facilities)
• Specialist Emergency Care Hospital –
opened in 2015
• Contrasting demography
• affluence –v- poverty
• Despite this one of the best Trusts in
England – strong brand and excellent
reputation but still with more to do.

3. Our scale……..
£471m
Staff
circa
9.5k
BEDS
11
SITES
A&E
167k
Budget
Providing care for
over 71,000
inpatients on 57
wards every year
Treat Adult Social
CARE
78k
Appointments
& home visits
5 Clinical
Business
Units
• 36k operations
• 47k day cases
• 1.4m appointments
with patients
outside of hospital
1290

5. How do we do it…..

6. • Tight
grip
on
the
money
– Board
through
to
ward
level
• One
of
the
few
Trusts
with
a
surplus
• Efficient
–
devolved
budget
responsibility
to
Business
Units
– Take
ownership
of
the
£
– Drives
innovaAon
within
teams
• Buy
back
PFI
–
yield
£3.5m
per
year
• Healthy
commercial
business
–
invests
in
new
innovaAons
across
the
organisaAon
and
workforce
• Recognise
that
quality
service
supports
efficient
prac5ce
–
ge7ng
it
right
first
5me
is
cheaper
Managing the money..

7. Priori5sing
safety
• 95%
mrsa
reducAon
over
6
years
and
81%
reducAon
in
trust
apporAoned
c-­‐difficile
rates
over
5
years
• 80+%
reducAon
in
orthopaedic
surgical
site
infecAon
within
4
years
• 40+%
reducAon
in
hip
fracture
mortality
since
2010
• Trust
wide
bundle
compliance
for
all
paAents
with
sepsis
improving
from
10%
in
Aug
2014
to
55%
by
September
2015
A
culture
focused
on
listening
and
improving

8. • CQC
Band
6
(
low
risk
)
raAng
in
intelligence
monitoring
reports
• Safety
walk
arounds,
15
steps,
quality
panels,
safety
films
relaAng
to
SUI’s,
external
and
peer
reviews
• High
reporter
of
safety
incidents
–
top
quarAle
• Mortality
review
and
focus
on
eliminaAng
avoidable
harm
A
culture
focused
on
listening
and
improving
Priori5sing
safety

9. A
culture
focused
on
listening
and
improving

10. The Times 25/7/2015
Seven-day work is no big deal . Our staff have done it for
years
A hospital boss says his colleagues and patients are happy blazing a trail for
Jeremy Hunt’s plans.
‘ Everyone ’ says David Evans , “ sees us as weird…we’ve been quietly doing
seven-day working since 2004” says Mr Evans , the Medical Director of
Northumbria NHS Trust. “ It just so happens that we find we now align
with the things coming from the minister.”

13. Continuous improvement
• 50k patients independently surveyed
every year
• Multi-award winning program
• Leading the way nationally
• Making a real difference at a ward level
• Making a real difference to the
experiences for our patients

14. Open
reporAng…..

15. What next…..

16. Already
on
our
Journey……

17. • Accountable
Care
OrganisaAon
will;
– Deliver
a
beber
service
to
paAents….at
reduced
costs
– Use
simple
outcome
measures
that
are
not
burdensome
–
but
collecAvely
owned
– Develop
contacts
that
incenAvise
integraAon
and
paAent
self-­‐
management
– Develop
soluAons
to
legal
and
IT
barriers
that
inhibit
integraAon
– Create
a
culture
to
assist
further
integraAon
– Joining
up
teams
will
join
up
care
– Greater
innovaAons,
learning
and
conAnuous
improvement
Evolving
our
Health
System….

18. What
are
we
trying
to
achieve….

19. • Beber
paAent
experience
from
hospital
through
to
community
and
social
care
• Streamlined
discharge
• New
model
showing
early
signs
of
significantly
reduced
length
of
stay
• RelaAonships
are
essenAal
to
success
• SupporAng
our
collecAve
sustainability
Learning
to
date….

20. Thank you