Bryan Stoten Chairman

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2 A buy year Once again i ha been a very buy bu exciing year a he hopial. We have reduced he ime ha people have o wai for operaion and appoinmen, furher developed our world renowned ervice and employed more aff o rea and care for people. Our hopial have been raed a among he cleane in he counry and we have refurbihed many deparmen. Our repuaion for clinical excellence in he imporan reamen area of cancer, hear dieae and older people coninued o grow along wih our ucce in he field of reearch ino new reamen and he prevenion of dieae. We are delighed ha during he year we received good repor from exernal review bodie including he Commiion for Healh Improvemen. We alo cored well in he governmen' ar raing, bu more imporan were he hundred of hank you leer we had from paien for he care hey received. Our view i ha o really achieve improvemen in our ervice we need o lien o he view of he people who ue he hopial and he people who deliver he care. Therefore, our philoophy of paien focued care ha been furher developed o encourage paien involvemen and aff view have been key in deciion making abou ervice improvemen. Thi ha reuled in ome of he amazing orie oulined in hi calendar. A major even in 2002/03 wa he ar of building work on he new hopial being buil on he Walgrave Hopial ie. The new medical chool i alo near compleion and already paien and aff are benefiing from he new Cenre for Reproducive Medicine and creche. I do hope you enjoy reading he aricle conained wihin hi calendar and when you are browing hrough he page pleae remember ha many of hee developmen would no been poible wihou he 100% commimen of our excellen aff and voluneer. Bryan Soen Chairman 1

3 2 Fir choice for care The Univeriy Hopial Covenry and Warwickhire NHS Tru i he major eriary acue hopial for Covenry, Warwickhire and ouh we Leiceerhire, erving a combined populaion of around one million people. A one of he large organiaion of i ype in he UK, he Tru ha 1,337 bed, around 6,500 aff and pend over 200 million a year on hopial ervice. The Tru which wa eablihed in 1998 operae from hree ie: Covenry and Warwickhire Hopial in Covenry Walgrave Hopial in Covenry Hopial of S. Cro in Rugby The Tru wa graned Univeriy au in Ocober 2000 and provide a number of peciali healhcare ervice on a regional bai. Thee include: renal dialyi and ranplanaion cenre; neurourgery; cardiohoracic urgery and invaive cardiology; cancer ervice; major rauma for he eaern par of he We Midland and neo-naal inenive care. Our aim i o make Univeriy Hopial Covenry and Warwickhire NHS Tru he fir choice for paien and a place where people chooe o work. Our key aim are: o achieve exraordinary paien aifacion by providing he be poible healh care ervice o develop and enhance our leading edge ervice o be a cenre of excellence and innovaion o provide and uppor educaion, raining and work/life balance for all aff o encourage paien and public involvemen in he developmen of ervice

4 Mary Johnon wa preparing o go o he Caribbean o celebrae her ilver wedding when he found ou he had brea cancer. Mary' view have been echoed by he Commiion for Healh Improvemen, who during 2002 highlighed he Brea Uni a Walgrave Hopial a offering exemplary paien care and an example of good pracice for oher hopial acro he UK o follow. During he year he Uni ha expanded o include hree more urgeon wih eablihed repuaion for brea cancer care and i alo leading he field in brea cancer reearch for new reamen. Mary explain: I had gone o he hopial for rouine brea creening and following a biopy i wa confirmed ha I had brea cancer. I have now had a maecomy of he lef brea, chemoherapy and radioherapy. I am alo going o have a brea reconrucion operaion. Thi involve aking ummy mucle and moving i up inide my body wih vein ill aached o reconruc he brea. The care and uppor I received from everyone in he brea care eam a Walgrave Hopial wa econd o none. The urgeon were fanaic and he oncology nure are aboluely brillian and alway go he exra mile for you. You ge call anyime day or nigh aking hing like: Have you aken your drug? I here anyhing I can help wih? They make you feel imporan a wha i poibly he lowe poin in your life and nohing i ever oo much rouble. m w f January

5 Sar performance All hree hopial have been commended for providing qualiy healhcare in he naional performance ar raing. The Tru wa awarded 2 ar, which mean we are performing well overall. I i he hard work of our aff which ha conribued o he Tru aaining i wo ar raing le han 18 monh afer being zero raed. The Commiion for Healh Improvemen (CHI) i now reponible for deermining he ar raing and o he reul wa paricularly imporan a i wa a CHI repor in 2001 which reuled in he Tru being made a zero ar hopial. Afer a recen review CHI ha now lifed he rericion placed upon he Tru a a reul of heir original repor and ha aid baed on he ignifican improvemen in he la wo year i can now ee no reaon why he Tru hould no go on o achieve 3 ar. A well a achieving key performance arge for waiing ime and reducing deah and re-admiion rae, he Tru ha received praie from paien afer urvey howed hey fel hey were being given afe, high qualiy, co-ordinaed care wih good informaion and choice. Paien alo commened ha he hopial had good andard of privacy and digniy. 3 The Tru achieved all of he naional performance arge for he following area: Waiing ime for operaion and oupaien appoinmen A&E emergency admiion wai Toal ime in A&E Cancelled operaion no admied wihin 28 day Hopial cleanline Financial managemen Improving working live

6 Henry like a be on he hore bu he wa aking no chance when i came o hi hear bypa operaion. Henry aged 73, from Birmingham explain: During one of my day ou I realied I wa becoming breahle and hen uffered pain in my che. I had e a he hopial and wa diagnoed a needing a riple bypa operaion. Surgeon a Walgrave Hopial ued a pioneering procedure called 'beaing hear' urgery. Thi involve uing pecial device which enabled me o have he operaion wihou having o be conneced o a hear and lung machine. Being on a hear and lung machine can poe rik when ued on paien needing muliple bypae like me. The operaion involved aking a vein from my arm o be ued o replace he arery in my hear. Ju wo monh laer I am back a he race and he only fluer I have i he one on he hore no my hear. Norman Briffa, Conulan Cardiac Surgeon explain: We were one of he fir hopial in he UK o pioneer he 'beaing hear' or 'off pump' urgery. There are rik for older or very ick paien who are pu on a hear and lung machine for a prolonged period and in Henry' cae we needed ha ime becaue we were carrying ou hree bypae in one operaion. By uing he beaing hear procedure we were able o carry ou Henry' operaion uccefully wih le rik o him. m w f february

7 4 Wha a reul Paien waiing for an operaion a our hopial are benefiing from even lower waiing ime. Inead of ju meeing he Governmen' arge o reduce he number of people waiing for an operaion, we exceeded i by carrying ou an exra 4,000 operaion. Thi mean our hopial now have ome of he hore waiing ime in he counry. Our arge wa o reduce he number of people on he waiing li o 5780 by 31 March A he beginning of January 2003, here were almo 9,500 people waiing. By he end of March he Tru had 5568 people waiing which i 200 le han he arge. A well a having le people on he waiing li we have worked hard o reduce he lengh of ime paien wai for an operaion. Already no paien wai over 12 monh for an inpaien or daycae operaion and no hear paien wai more han 9 monh for heir urgery. We alo me our arge o have no paien waiing more han 21 week for heir fir oupaien appoinmen and many of hem were, in fac, een wihin four week. We alo achieved 89.6% of paien no waiing more han 4 hour in A&E. The environmen in which paien are cared for i ju a imporan a he reamen hey receive and he ime hey wai. Tha i why aff a all hree hopial work very hard on a daily bai o enure paien vii clean and welcoming hopial. In he la year hi work wa recognied when our hopial were raed a among he cleane hopial in he counry by NHS inpecor (PEAT). In he word of he PEAT Team he cleanline of our hopial i a 'credi o all aff.'

8 Surgeon Chri Dunbar explain: I wa decided o inroduce day cae caarac urgery a Hopial of S Cro becaue previouly hi procedure wa only available a Covenry & Warwickhire Hopial and o offering he urgery a S Cro ha proved o be far more convenien for paien living in he Rugby area. I made ene for hem o aend hi hopial raher han ravel ino Covenry. Ju a few monh ago, Margare Wood would no have even conemplaed picking up a newpaper becaue her viion wa o bad he could no even negoiae ep never mind read mall prin. Thank o a new caarac clinic launched a Hopial of S Cro in Rugby, Mary now ha a new leae of life. Mary explain: I had urgery on boh eye o remove caarac and i ha made a remendou difference o my life. I wa fanaic o be able o have he urgery a my local hopial becaue i made i eaier for my family o ake me o and from hopial for all my appoinmen. Since my operaion I have aken up reading again and going ou and abou. I wa unable o do hi before becaue I couldn' ee properly. Thank o he urgery ha ha all changed. The wice weekly clinic allow he dedicaed caarac eam o carry ou up o 27 operaion per fornigh. m w f march

9 Ready o lien During any one year we receive many hundred of complimen abou he ervice ha paien have received. We alo have people wrie o u offering uggeion on how ervice could be improved and we have a mall number of people who are unhappy wih heir hopial experience. Complain are addreed a quickly and horoughly a poible o achieve wo main aim: To provide he complainan wih an explanaion of he inveigaion ino heir concern and if appropriae an apology. Learn from miake ha are made o preven hem happening in he fuure. Improvemen made o our ervice la year a a reul of complain include more porer receiving raining in reuciaion echnique and change were made o he handover procedure for medical aff on he Labour Ward. We alo improved he rae a which we repond o complain. In 2001/02 he percenage of complain reponded o wihin 20 day wa 19%, la year hi wa more han double wih over 42% of complainan receiving a repone o heir complain wihin 20 working day. 5 Complain figure for 2002/03: Toal received 357 Concluded wihin 20 working day 150 Concluded afer 20 working day 178 Sill being purued a a 31 March Number of reque for Independen Review 10 Number of Independen Review reque reurned for local reoluion 22 Number of Independen Review held during he year 3

10 Life i buy and noiy for he Peake family who afer everal year wai welcomed Jacob and Luckia ino heir family. The win are ju wo of more han 200 lile miracle born a Walgrave hopial la year hank o he kill of he Cenre for Reproducive Medicine eam. Sharon Peake explain: We alway waned children and afer five failed aemp a in-uerine ineminaion and one micarriage, we were loing hope of ever having a family of our own. We hen called upon he experie of Richard Kennedy and hi eam o undergo IVF reamen and a few monh laer, Jacob and Luckia were born. I can' pu ino word how i feel o have wo healhy babie and i' a bonu ha hey're one of each. Richard Kennedy explain: Twelve year afer he birh of Louie Brown, he fir e ube baby, our viion of having a feriliy cenre for Covenry came o fruiion. Since he Cenre opened in 1990, we have een well over 1,000 birh. We ee couple from around he We Midland and omeime furher afield. Caue of inferiliy are numerou and divere and can range from problem wih perm o car iue on fallopian ube, endomerioi, fibroid or polyciic ovarie for which a range of reamen including laer urgery, IVF and ICSI are available. Now in 2003, he new purpoe buil Cenre for Reproducive Medicine ha become he fir building opened a par of he 359 million new hopial complex. The new cenre ruly ake he ervice ino he 21 cenury. m w f april

11 6 Our greae ae There are over 6,500 member of aff working a our hopial and we hink hey are our greae ae. Throughou 2002/03 we coninued o implemen new iniiaive o uppor heir profeional need wih 3,700 aff aending raining coure and anoher 173 aff gaining Naional Vocaional Qualificaion. We alo hink here hould be a balance beween work and home life and o we offer flexible working hour, good qualiy child care faciliie including a new nurery a Walgrave Hopial and holiday club a Walgrave and Rugby Hopial. There i alo help wih childcare co wih he inroducion of a childcare voucher cheme. Thi work wa recognied when he Tru wa awarded Pracice Sau under he Governmen' Improving Working Live iniiaive. We alo believe ha aff hould no only know abou he Tru' aim bu ha hey are involved in making change. A well a he Hopial' magazine and Team Brief, he Chief Execuive hold breakfa meeing wih aff o hear view on ervice and faciliie. A par of he Healh Promoing Hopial and Healh a Work in he NHS we have inroduced a aff moking ceaion uppor programme, a flu vaccinaion programme and held a aff Healhfayre aimed o raie awarene of healhy eaing, exercie and relaxaion echnique. Saff counelling ervice, re awarene workhop, harp awarene raining and Inciden Managemen Seion are alo in place o proec he welfare of our aff. The Tru i commied o enuring ha curren and poenial employee are no diadvanaged by heir ehnic origin, gender, age, exual orienaion or diabiliy and ha robu equaliy/diveriy police. We are commied o widening employmen opporuniie for diabled people by enuring ha elecion deciion and policie are baed on objecive crieria and no on unlawful dicriminaion, prejudice or unfair aumpion, and in reaining aff who become diabled, enuring ha heir kill and experience are ued o heir full poenial. To uppor hi commimen, he Tru ha in place a policy on he employmen of people wih diabiliie and ha underaken diabiliy awarene raining wih aff. We have reained our Employmen Service' 'wo ick' ymbol which demonrae ha we are an employer who i poiive abou recruiing and reaining diabled people. I ha been a very ucceful year for he recruimen of nure and docor. Succeful overea recruimen drive reuled in anoher 58 qualified nure of he highe andard coming o work for he Tru. Six addiional Conulan alo joined he Tru and over he nex year hi figure will rie by anoher 40 Conulan. The Tru ha alo achieved 81% compliance of junior docor' hour in raining.

12 Thank o he love of her broher and pioneering reamen a Walgrave Hopial, young mum, Michelle i one of he fir paien in he UK o have her blood "wahed" o ha he could have a kidney ranplan. anibodie being removed from her blood and mixed wih powerful ani-rejecion drug before being replaced. Once hi wa ucceful, we could remove one of Toby' kidney o ranplan i ino Michelle. I am hrilled ha he operaion wa a ucce and ha Michelle can now look forward o eeing her daugher grow up. The Kidney Tranplan Uni a Walgrave Hopial ha he highe 'living donor' ranplan rae in he UK and i a he forefron of ranplan reearch. Michelle ell her ory: Twelve hour a week for even year, I had o have dialyi, bu now I am looking forward o geing married and living life o he full wih my lile girl. I developed dangerou anibodie when my kidney failed while giving birh o my daugher Shannon, now aged even. I mean I would be likely o rejec any kidney ranplan, even hough a number of my family member were a perfec mach and my broher Toby had offered o give me one of hi kidney. Wihou a ranplan I wa given ju en year o live. The only hope I had wa he 'blood wahing' reamen developed here in he UK by Dr Higgin and hi eam. Dr Higgin explain: Plama exchange or 'blood wahing' wa performed every oher day for 10 day before Michelle' ranplan. Thi involved he m w f 1 2 may

13 A irele army Behind every good hopial, here i ure o be a irele army of voluneer and our hopial are lucky o have ome of he mo commied people of any. From fundraiing o chaperoning paien, our voluneer provide he lile hing which make life more pleaan for paien, viior and aff. In addiion much new equipmen a he hopial coninue o be provided hank o he hard work pu in by he voluneer. The conribuion voluneer make o our hopial i 'incalculable. Their enhuiam and dedicaion hine ou and i an example o u all. Inereed in becoming a voluneer? Could you pare a lile a 2 hour a week o help make life a bi brigher for paien. Anybody who i aged from 18 upward, available during he day from 10am-4pm, Monday - Friday, can be a voluneer. If you are inereed pleae conac , beween he hour of 9am - 5pm Monday o Friday or leave a meage on he 24hr anwer machine ervice and your call will be reurned he nex working day. Wha a PAL! The Paien Advice and Liaion ervice (PAL) guide paien, heir family and friend hrough he differen ervice available wihin he hopial and help hem or ou any concern hey may have abou he care hey receive. I olve problem here and hen wherever poible. Member of he PAL eam are available a he Help Dek in he main enrance of all hree hopial: Walgrave Hopial, Monday o Friday, 9am - 5pm Covenry and Warwickhire Hopial on Monday and Thurday morning Hopial of S Cro, Rugby on Tueday and Wedneday morning or you can elephone FREEPHONE

14 Baby Jaden i ju one of over 4,000 babie born a one of he buie birhplace in he counry - Walgrave Hopial. A home from home feel o he delivery uie i alo proving a hi wih mum. Beanbag, recliner chair and hand held ulraound canner are all helping mum o remain mobile and deliver naurally. And finally we have wo midwive who offer uppor o mum who wan o breafeed. Thi ha ignificanly improved he number of mum who brea feed paricularly in he Special Care Uni where 99% of mum expre milk for heir babie unil hey are rong enough o ake o he brea. Mum, Jackie explain: Even hough hi i my econd baby I wa very nervou abou he birh bu he midwive here pu me a eae immediaely. Carmel our midwife wa wih u hroughou and hank o her he whole experience of having our beauiful on i omehing we will never forge. Carmel add: The be hing abou working here i he hrill we have a midwive every day - of haring wih familie one of heir mo inimae momen, a hey ee heir new child aking i fir breah. Of coure i i no ju he birh which we are involved in, he care before and afer babie come ino he world i alo a key par of our work. During he year Midwife Kay Hayward joined our eam o help women op moking during pregnancy. Kay ha had amazing reul wih 135 mum quiing he habi. m w f June

15 8 Tru Board Led by he Chairman and Chief Execuive, he Tru Board i he deciion making body for he Tru and comprie Execuive Direcor who are paid by he Tru for paricular role wihin he organiaion. They are uppored by he Non Execuive Direcor who are member of he communiy and who are appoined by he Independen NHS Appoinmen Commiion. The primary role of he Tru Board i o: Se he raegic direcion and key corporae objecive of he Tru Monior he Tru' performance again hoe objecive Be reponive o he local communiy and accounable o he Secreary of Sae for he ervice provided by he Tru Enure ha he Tru complie fully wih he Code of Conduc and Accounabiliy for he NHS iued by he Secreary of Sae for Healh in April 1994 A par of he Tru' commimen o openne and accounabiliy, you are invied o aend any Public Board meeing. Meeing currenly cheduled are: 12 November January March May July 2004 All public Tru Board meeing ar a 2pm: They are uually held a Brookfield Houe, Hopial of S Cro, Rugby. However he venue may occaionally change o one of he oher hopial ie and you are herefore advied o conac he Chief Execuive' office on for confirmaion. MEMBERSHIP OF THE TRUST BOARD IN 2002/03 HAS BEEN: Bryan Soen Chairman Dr Jonahon Nicholl Non Execuive Direcor Ria Sewar Non Execuive Direcor Lady Sonia Hornby Non Execuive Direcor (July March 2003) Mr Phillip Townend Non Execuive Direcor Mr Phillip Blundell Non Execuive Direcor (July March 2003) Mr Mohamed Sarwar Non Execuive Direcor (July March 2003) Mr L Riley Non Execuive Direcor (April June 2002) Jim Hayburn Direcor of Finance (December March 2003) Paul Elkin Direcor of Finance (April May 2002) John Adcock Direcor of Finance (June Augu 2002) John Smih Direcor of Finance (Sepember November 2002) David Loughon Chief Execuive (April Augu 2002) David Rober Chief Execuive (Sepember March 2003) Hilary Scholefield Direcor of Nuring Dr Lionel Booh Medical Direcor Alice Caey Chief Operaing Officer and Depuy Chief Execuive (June March 2003) Peer Marh Developmen Direcor (April January 2003) - Member of Finance and Audi Commiee 2002/03 - Member of he Remuneraion Commiee 2002/03

16 A only 45 and a regular a he gym, he rik of having a oke could no have been furher from Kim Beddow hough. urgery allow he par of he arery ha ha narrowed o be removed. In ome cae a plaic panel i inered o allow he flow of blood o reume a normal. Afer urgery, we ue an ulraound machine o rack naural debri in he blood, which i known o caue furher roke. Thi debri can hen be eliminaed wih he ue of blood hinning drug. Over 350 paien have benefied from hi reamen and we have proven ha when he debri i opped, he likelihood of anoher roke i virually nil. Kim came home from work one day wih a violen headache and wen o bed. When he woke up he wa blind in hi lef eye and hi wa followed by he claic ympom of a roke including paralyi and lo of peech. Kim explain: The docor believe he problem wa caued when I hi my head ome week before a work cauing leion on he brain. I didn' require urgery o rea he roke bu I had a new blood hinning reamen which ha been pioneered by Surgeon Chri Imray and hi eam. Wihin week, he ympom were revered and I am now leading a full life again including being back a he gym. Oher UK hopial are now looking o Chri and hi eam o learn more abou he pioneering reamen of paien who have uffered a roke. Chri explain: Mo roke are caued by he narrowing of blood veel o he brain, and m w f July

17 A Queion of Qualiy The Tru coninue o improve he Clinical Governance yem and procee o guaranee clinical afey and ever improving qualiy for he paien we ee and rea. The Aurance & Governance Commiee monior Clinical Governance on behalf of The Tru Board. Each pecialiy wihin The Tru ha i performance of Clinical Governance moniored and repor o he Aurance & Governance Commiee hroughou he year. The Tru ha olid rucure in place o cover all apec of Clinical Governance. Each elemen of Clinical Governance ha i own commiee, who alo repor o Aurance & Governance, and each of hee group have Developmen Programme in place o enure ha all of he meaure required o enure clinical governance i boh delivered and moniored are in place. The Clinical Governance elemen are; Paien & Public Involvemen - The Tru ha i own Paien' Council. Clinical Audi - All pecialiie have programme in place o audi heir ervice. Clinical Effecivene Tru yem enure ha he care given i baed on he be available evidence from uch bodie a he Naional Iniue for Clinical Excellence (NICE). Clinical Rik Managemen - Improving paien afey ha been a major focu of he work in clinical governance over he la year. Saffing and Saff Managemen - The Tru i enuring ha i ha he appropriae aff, in he required number and in he righ place. Training & Developmen -The Tru ha yem in place o ae raining need of aff and ha aff are appropriaely developed in order o fulfil heir own ambiion. Clinical Informaion - Thi enure all our clinical aff have he appropriae informaion o enure hey can no only deliver care appropriaely bu o monior and audi how effecive heir care ha been. 9

18 Jamie and Liam came ino he world 11 week early weighing ju 2lb10oz and 1lb 8oz Jamie and Liam weighed le han a bag of ugar when hey were born, wih Liam almo half he weigh of hi broher. The broher were ju wo of houand of babie whoe live have been aved hank o he experie of aff in he Neonaal Uni a Walgrave Hopial. Mum Margare explain: Jamie and Liam were born very premaure and were o iny hey fied ino he palm of my hand. I wa a very upeing ime bu he aff in he Neonaal Uni were fanaic and wih lo of peciali care from he docor and nure we have wo beauiful baby on o complee our family. The Neonaal Uni a Walgrave Hopial ha one of he highe ucce rae of urvival and qualiy of life for premaure babie in he UK. The Uni admi 650 babie a year ranging from le han 1lb 8oz in weigh o around 11 pound and from 24 week geaion. A well a caring for he iny o while hey are in he Uni, paren and he babie coninue o be uppored when hey leave hopial by he Communiy Neonaal Team. The eam alo make home vii o offer pracical help and uppor on iue uch a feeding and general well being. m w f 1 augu

19 10 Balancing he book FINANCIAL POSITION The Tru ha been hrough anoher challenging year in 2002/03 wih an almo complee change in managemen eam over he financial year. In addiion he Tru implemened he full year effec of he Commiion for Healh Improvemen (CHI) Acion Plan, whil igning he New Hopial Projec (NHP) Agreemen, aring he raniion plan and acually moving ino ome of he new faciliie ha he projec will deliver. The Tru mainained i enviable record of achieving a balanced income and expendiure poiion, generaing a urplu of 6,000 in 2002/03. In order o mainain financial balance he Tru received planned non-recurren uppor of ome 17.5m in 2002/03, hi being ued o uppor he NHP ( 14.1m) and he CHI acion plan and oher co preure ( 2m). The Tru alo provided brokerage of 1.4m o he Sraegic Healh Auhoriy via a SaFF reducion. REMUNERATION COMMITTEE The remuneraion and erm of ervice of Execuive Direcor of he Tru are deermined by he Remuneraion Commiee, which comprie olely of he Chairman and Non-Execuive Direcor of he Tru. The Commiee review he alarie of Execuive Direcor each year and agree wih he Chief Execuive a he commencemen of he year performance crieria again which all Execuive Direcor will be meaured. The remuneraion of he Chairman and Non-Execuive Direcor i deermined naionally by he Secreary of Sae for Healh in common wih all NHS Tru, and applied in accordance wih appropriae noificaion. The Tru ha complied wih he Secreary of Sae' leer of he 11h April 2002 regarding manager' pay no exceeding 3.6% increae during he year. The ummary financial aemen are merely a ummary of he informaion in he full accoun of Univeriy Hopial Covenry and Warwickhire NHS Tru for 2002/03. A full copy of which i available free of charge by conacing he Direcor of Finance on INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 March / / Income from aciviie: Coninuing operaion 232, ,964 Oher operaing income: Coninuing operaion 21,203 17,836 Operaing expene: Coninuing operaion (244,661) (202,288) OPERATING SURPLUS: Coninuing operaion 9,146 8,512 Excepional gain: on wrie-ou of clinical negligence proviion 0 12,377 Excepional lo: on wrie-ou of clinical negligence debor 0 (12,377) Profi (lo) on dipoal of fixed ae (372) 0 SURPLUS BEFORE INTEREST 8,774 8,512 Inere receivable Oher finance co - unwinding of dicoun (17) (679) SURPLUS FOR THE FINANCIAL YEAR 9,133 8,088 Public Dividend Capial dividend payable (9,127) (8,083) RETAINED SURPLUS FOR THE YEAR 6 5

20 When Olivia hur her foo on a nail while ou playing lile did he know ha he would be one of he fir children o benefi from he 'innovaive diverional herapy' on offer in he Acciden and Emergency deparmen a Covenry and Warwick Hopial. Ligh diplay, mobile and diverional oy are ued o dirac children while hey are examined and reaed wih he minimum of dire. The waiing area have alo been pecially deigned for children and are away from he main hule and bule of he A&E deparmen, which can ofen be dauning for young children. The brighly coloured faciliie have been highlighed a a role model for oher hopial acro he counry by he Deparmen of Healh. Mum Heidi explain: A&E can be epecially reful for young children like Olivia bu he mobile, oy and ligh diplay helped ake her mind off being examined and reaed. I i a imple idea which make a big difference. The deparmen ha alo been raed by paien a among he be 20% in he counry for waiing ime, clear informaion on reamen and aff who ake he ime o lien o paien. Thee were he finding of he naional paien urvey reul publihed by he Commiion for Healh Improvemen. The A&E deparmen a Covenry and Warwick Hopial rea almo 65,000 people a year and of hoe 15,000 are children. m w f epember

21 Balancing he book STATEMENT OF TOTAL RECOGNISED GAINS AND LOSSES FOR THE YEAR ENDED 31 March / / Surplu (defici) for he financial year before dividend paymen 9,133 8,088 Unrealied urplu (defici) on fixed ae revaluaion/indexaion 20,370 4,595 Increae in he donaed ae and governmen gran reerve due o receip of donaed and governmen gran financed ae 2,402 1,244 Reducion in he donaed ae and governmen gran reerve due o he depreciaion, impairmen and dipoal of donaed and governmen gran financed ae (1,042) (573) Toal gain and loe recognied for he financial year 30,863 13,354 Prior period adjumen - Pre-95 early reiremen (2,071) 0 Toal gain and loe recognied in he financial year 28,792 13,354 BALANCE SHEET AS AT 31 March 2003 A reaed FIXED ASSETS 152, ,843 CURRENT ASSETS Sock and work in progre 4,679 4,580 Debor 22,112 10,395 Invemen 0 0 Cah a bank and in hand 5, ,530 15,581 CREDITORS: Amoun falling due wihin one year (34,409) (19,203) NET CURRENT ASSETS (LIABILITIES) (1,879) (3,622) TOTAL ASSETS LESS CURRENT LIABILITIES 150, ,221 PROVISIONS FOR LIABILITIES AND CHARGES (4,171) (2,568) TOTAL ASSETS EMPLOYED 146, ,653 FINANCED BY: TAXPAYERS' EQUITY Public dividend capial 91, ,090 Revaluaion reerve 45,657 29,336 Donaed Ae reerve 6,535 4,652 Income and expendiure reerve 3,107 (425) 11 TOTAL TAXPAYERS' EQUITY 146, ,653

22 Firefigher Paul Hayward arrived a Walgrave Hopial in a coma afer uffering wo aneurym in hi brain. Hi condiion wa o poor ha only one of he mo ucceful brain urgery eam in he UK could ave hi life. Paul ell hi ory:" I wa a home when I collaped. I had wo aneurym which were caued when blier on blood veel in he brain bur. Mr Chokey and hi eam operaed on me and I have ince learned ha hi wa probably he reaon I am back fighing fire oday. Mr Chokey' philoophy i 'never give up' and depie being aeed a having a minimal chance of urvival, he wa deermined I wa going o live." The Neurourgery eam a Walgrave Hopial make up one of only hree peciali Neurourgery Cenre in he We Midland and heir urvival rae are among he be in he counry. Naionally he acceped figure for he % of Grade 5 criically ill paien (hoe in coma) who urvive afer an aneurym rupure i 5%. A he Walgrave Hopial he number of paien who recover i eigh ime higher, a ju over 40%. Mr Chokey explain: " We believe ha even he mo criically ill paien hould be given every opporuniy o urvive o we figh o ave hem. Paul i a perfec example of 'never giving up'." The Neurourgery eam alo have a zero olerance approach o infecion, when performing urgery o iner hun. Shun are required when paien develop hydrocephalu. The average worldwide infecion rae i abou 8%. Our eam ha an infecion rae approaching zero. The eam e a high andard which mean he Tru ha he one of lowe hun infecion rae ever repored. m w f ocober

23 Balancing he book CASH FLOW STATEMENT FOR THE YEAR ENDED 31 March / / / / OPERATING ACTIVITIES Ne cah inflow from operaing aciviie 20,139 13,819 RETURNS ON INVESTMENTS AND SERVICING OF FINANCE: Inere received Inere paid 0 (679) Ne cah inflow/(ouflow) from reurn on invemen and ervicing of finance 376 (424) CAPITAL EXPENDITURE Paymen o acquire angible fixed ae (7,971) (8,888) Receip from ale of angible fixed ae 0 7 Ne cah inflow (ouflow) from capial expendiure (7,971) (8,881) DIVIDENDS PAID (9,127) (8,083) Ne cah inflow/(ouflow) before managemen of liquid reource and financing 3,417 (3,569) Ne cah inflow (ouflow) before financing 3,417 (3,569) FINANCING Public dividend capial received 0 4,513 Public dividend capial repaid (no previouly accrued) (2,400) 0 Public dividend capial repaid (accrued in prior period) (81) (172) Ne cah inflow (ouflow) from financing (2,481) 4,341 Increae in cah

24 can hen pu he babie in a of harne for a few week and in mo cae hi correc he problem and preven he child from needing o have painful urgery in laer year. The Children Uni a Covenry and Warwick Hopial provide emergency and peciali care o 7,500 children under 16 each year. Lile Simran wa born wih a weak hip which lef undeeced could have caued year of pain and made her fir ep much more difficul. Thankfully Simran wa born a Walgrave hopial and o ha benefied from an innovaive creening programme which i no ju prevening babie growing up wih evere hip problem bu alo aving he NHS million of pound on poenial hip replacemen in laer year. Conulan Orhopaedic urgeon Mr John Clegg explain: Wihin he fir few hour of a baby being born, hey will have wha i known a he 'clicky hip' e. Thi involve manipulaing he babie hip o check for any irregulariie or weakne. We hen ake hi one ep furher and rouinely creen all newborn uing an ulraound machine. Thi i much more accurae and pick up problem immediaely. We november m w f

25 Balancing he book MANAGEMENT COSTS 2002/ / Managemen co 8,917 7,629 Income 253, ,800 Managemen co a a percenage of income 3.5% 3.6% BETTER PAYMENT PRACTICE CODE - MEASURES OF COMPLIANCE 2002/ /02 No Toal bill paid in he year 89,426 79,656 68,612 Toal bill paid wihin arge 82,889 70,558 57,522 Percenage of bill paid wihin arge 92.69% 88.58% 83.84% The Beer Paymen Pracice Code require he Tru o aim o pay all valid invoice by he due dae or wihin 30 day of receip of good or a valid invoice, whichever i laer. 13

26 reidenial accommodaion. A children' day nurery ha already been buil and opened and a new Clinical Science building (Medical Educaion Cenre) i well underway and due o open in auumn A new Menal Healh Uni will open in The new hopial projec i a privae finance iniiaive and he conrac ha been le o a Conorium led by Skanka. Afer en year of deailed planning, he new 'uper hopial' for Covenry and Warwickhire i riing from he ground on he Walgrave Hopial ie. The new hopial projec i one of he UK' bigge hopial complexe wih building and equipmen co of 359 million. The new hopial will conolidae he Walgrave and Covenry and Warwickhire Hopial ino a ingle ae of he ar hopial and new Medical School. Due o be compleed in 2006, he new hopial will be five orey high and a quarer of a mile long. For he fir ime in Covenry, acciden and emergency ervice will be on he ame ie a he peciali ervice, which are ofen required for emergency paien. Thi will mean paien requiring emergency care will no longer have o be ranferred acro he Ciy. A par of he new hopial developmen, a number of oher faciliie will alo be provided: The Myon Hopice Chariy i o build and operae a hopice. A Houing Aociaion will provide purpoe buil december m w f

27 DIRECTOR S INTERESTS 1 APRIL MARCH Bryan Soen Chairman Dr Jonahon Nicholl Non Execuive Direcor Ria Sewar Non Execuive Direcor Lady Sonia Hornby Non Execuive Direcor (July 2002-March 2003) Mr Phillip Townhend Non Execuive Direcor Direcor PMA (Public Managemen Aociae) Truee: Hear Save Lady Kaherine Leveon PMA Foundaion Member: Cour of Univeriy Birmingham NHS Confederaion Council Senior Fellow - Warwick Buine School Profeor - Univeriy of Cenral England Regirar - Warwick Univeriy Direcor - non-financial inere: Warwick Reail Service Ld The Univeriy of Warwick Pre Ld Warwick Univeriy Service Ld Warwick Univeriy Training Ld Warwick Conference Ld Graduae Reidence of Warwick Ld AdFab Ld Career Service Uni Ld Naional Cenre for Work Experience Chairman non-financial inere: Univeriy of Warwick Conrucion Ld Secreary non-financial inere: The Univeriy of Warwick Science Park Ld Governor - Covenry School Foundaion Member of eering group - Covenry Sociey for he Blind Direcor - SENSE (The Naional Deafblind and Rubella Aociaion) Parner - "Healh Parnerhip" Chairman - Kingwood Tru Member of Covenry Ciy Council Direcorhip: Birmingham Airpor Holding Ld Warwickhire Law Sociey Ld Prince Youh Buine Tru CV One Ld Mr Phillip Blundell Nil (July 2002-March 2003) Non Execuive Direcor Mr Mohamed Sarwar Nil (July 2002-March 2003) Non Execuive Direcor Leley Riley Nil (April 2002-June 2002) Non Execuive Direcor Jim Hayburn Nil (Dec 2002-March 2003) Direcor of Finance Paul Elkin Nil (Apr 2002-May 2002) Direcor of Finance John Adcock Nil Direcor of Finance (June 2002-Augu 2002) John Smih Direcor of Finance Nil (Sep 2002-November 2002) David Loughon Chief Execuive Nil (Apr 2002-Augu 2002) David Rober Chief Execuive Viiing Lecurer - Harvard Univeriy (Sep 2002-March 2003) Chairman - Serling Planning Alliance Hilary Scholefield Direcor of Nuring Nil Mr Lionel Booh Daugher i an Aian Solicior wih Medical Direcor Bevan Ahford, Solicior Alice Caey Chief Operaing Officer Honorary Reearch Fellow (June 2002-March 2003) Keele Univeriy Member of Employer Panel of Employmen Tribunal for England Peer Marh Nil Developmen Direcor (Apr 2002-January 2003)

28 SALARY AND PENSION ENTITLEMENTS OF SENIOR MANAGERS Name and Tile Age Salary Oher Golden hello/ Benefi Real Toal accrued (band of Remuneraion compenaion in kind increae penion a 5000) (band of for lo of in penion age 60 a 5000) office a age March 2003 (band of (band of 2500) 5000) David Loughon Chief Execuive (April o Augu 2002) Dave Rober Chief Execuive (Sepember 2002 o March 2003) Paul Elkin Direcor of Finance (April o May 2002) * * * 3 (2.5) John Adcock Direcor of Finance (June o Augu 2002) John Smih Direcor of Finance (Sepember o November 2002) *** *** Jim Hayburn Direcor of Finance (December 2002 o March 2003) Hilary Scholefield Direcor of Nuring Mike Harrion Medical Direcor *** *** Jane Powell Medical Direcor Lionel Booh Medical Direcor Peer Marh Developmen Direcor (April 2002 o January 2003) Keih Waller Developmen Direcor (February o March 2003) John Cook Direcor of Planning & Performance (March o Sepember 2002) John Amphle Direcor of Sraegic Parnerhip and Corporae Developmen (Ocober 2002 o March 2003) Alice Caey Direcor of Human Reource / Chief Operaing Officer Karen Marin Direcor of Human Reource (April o July 2002 and Ocober 2002 o March 2003) Keih Boardman Direcor of Compuer & Nework Service Adrian Wilon Direcor of Clinical Phyic and Biomedical Engineering *** *** Glen Burley Diviional Direcor (April 2002 o January 2003) Tim Powell Diviional Direcor (February o March 2003) Nick Forer Diviional Direcor (March 2003) Andrew Shayler Diviional Direcor Andrew Walker Diviional Direcor Bryan Soen Chairman Ria Sewar Non Execuive Direcor * Jonahon Nicholl Non Execuive Direcor Phillip Townhend Non Execuive Direcor Phillp Blundell Non Execuive Direcor (July 2002 o March 2003) Lady Hornby Non Execuive Direcor (July 2002 o March 2003) * Mohammed Sarwar Non Execuive Direcor (July 2002 o March 2003) ** ** ** ** ** ** ** Leley Riley Non Execuive Direcor (April o June 2002) *Denoe conen o dicloure wihheld. **Denoe ha he Tru ha been unable o obain approval o dicloe peronal deail and herefore ha wihheld hi informaion in compliance wih he Daa Proecion Ac. ***Denoe ha he member of aff wa no employed by he Tru and penion deail are herefore no available.

29 16 Balancing he book DIRECTORS' STATEMENTS Saemen of he Chief Execuive' reponibiliie a he Accounable Officer of he Tru. The Secreary of Sae ha direced ha he Chief Execuive hould be he Accounable Officer o he Tru. The relevan reponibiliie of Accounable Officer, including heir reponibiliy for he propriey and regulariy of he public finance for which hey are anwerable, and for he keeping of proper record, are e ou in he Accounable Officer' Memorandum iued by he Deparmen of Healh. To he be of my knowledge and belief, I have properly dicharged he reponibiliie e ou in my leer of appoinmen a an accounable officer. (igned on behalf of he Chief Execuive) Chief Operaing Officer. Daed: 8h Augu 2003 Saemen of Direcor' reponibiliie in repec of he accoun The Direcor are required under he Naional Healh Service Ac 1977 o prepare accoun for each financial year. The Secreary of Sae, wih he approval of he Treaury, direc ha hee accoun give a rue and fair view of he ae of affair of he Tru and of he income and expendiure of he Tru for ha period. In preparing hoe accoun, he Direcor are required o: apply on a conien bai accouning policie laid down by he Secreary of Sae wih he approval of he Treaury make judgemen and eimae which are reaonable and pruden ae wheher applicable accouning andard have been followed, ubjec o any maerial deparure dicloed and explained in he accoun The Direcor confirm o he be of heir knowledge and belief ha hey have complied wih he above requiremen in preparing he accoun. The Direcor are reponible for keeping proper accouning record which dicloe wih reaonable accuracy a any ime he financial poiion of he Tru and o enable hem o enure ha he accoun comply wih requiremen oulined in he above menioned direcion of he Secreary of Sae. They are alo reponible for afeguarding he ae of he Tru and hence for aking reaonable ep for he prevenion and deecion of fraud and oher irregulariie. By order of he Board (igned on behalf of he Chief Execuive) Chief Operaing Officer. Daed: 8h Augu 2003 Direcor of Finance. Daed: 8h Augu 2003

30 17 Balancing he book STATEMENT OF DIRECTOR'S RESPONSIBILITY IN RESPECT OF INTERNAL CONTROL The Board i accounable for inernal conrol. A Accounable Officer, and Chief Execuive Officer of hi Board, I have reponibiliy for mainaining a ound yem of inernal conrol ha uppor he achievemen of he organiaion objecive, and for reviewing i effecivene. The yem of inernal conrol i deigned o manage raher han eliminae he rik of failure o achieve hee objecive; i can herefore only provide reaonable and no abolue aurance of effecivene. The yem of inernal conrol i baed on an ongoing rik managemen proce deigned o idenify he principle rik o he achievemen of he organiaion objecive; o evaluae he naure and exen of hoe rik; and o manage hem efficienly, effecively and economically. The yem of inernal conrol i underpinned by compliance wih he requiremen of he core Conrol Aurance andard: (I) Governance (ii) Financial Managemen (iii) Rik Managemen A Accounable Officer, I alo have reponibiliy for reviewing he effecivene of he yem of inernal conrol. My review of he effecivene of he yem of inernal conrol ha aken accoun of he work of he execuive managemen eam wihin he organiaion who have reponibiliy for he developmen and mainenance of he inernal conrol framework, and of he inernal audior. I have alo aken accoun of commen made by exernal audior and oher review bodie in heir repor. The aurance framework i ill being finalied and will be fully embedded during 2003/04 o provide he neceary evidence of an effecive yem of inernal conrol. The acion aken o far include: (i) A Rik Regier i in place and here i a good appreciaion of key rik facing he organiaion by he Board. (ii) Developing rucure and yem for rik managemen. Regular raining for aff in hee area i being underaken. (iii) Eablihing a Non- Clinical Rik Managemen Commiee, which mee monhly and repor via he Aurance and Governance Commiee o he Board. (iv) There i a well developed proce of independen review by inernal audi, CHI, and he Rik Pooling Scheme for (v) Tru (RPST). The Tru ha been ucceful in achieving Level 1 compliance in boh he CNST Rik Managemen Sandard and RPST exernal aemen. (vi) Self aemen and acion plan have been developed again he 21 conrol aurance andard, nine of which have been ubjec o inernal audi review, including he hree core andard. (vii) The Inernal Audi review underaken in he la wo year have found he Tru o have relaively good core andard compliance. (viii)the Clinical Governance Sraegy i coninuing o be implemened. In addiion o he acion oulined above, in he coming year i i planned o: (i) Qr 3: Focu on he clear idenificaion of he criical rik aociaed wih he delivery of he key corporae objecive and he enhancemen of organiaional conrol o manage hem. (ii) Qr 3: The arrangemen for obaining aurance on he adequacy and effecivene of hoe conrol ha miigae principal rik need o be pu in place, and he Board will eablih procedure for aurance reporing. (iii) Qr 3: Conider he replacemen for he recenly depared Head of Corporae Affair who wa inrumenal in aking he Tru forward in he area of rik managemen. (iv) Qr 1-4: Coninue o implemen he acion plan ariing from he conrol aurance aemen underaken in 2002/03. Thee being moniored via he Non-Clinical Rik Managemen Commiee. (igned on behalf of he Chief Execuive & he Tru Board) Chief Operaing Officer. Daed: 8h Augu 2003

31 INDEPENDENT AUDITORS' REPORT TO THE DIRECTORS OF UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST ON THE SUMMARY FINANCIAL STATEMENTS We have examined he ummary financial aemen e ou on page 8 o 17. Thi repor i made olely o he Board of Univeriy Hopial Covenry and Warwickhire Hopial NHS Tru in accordance wih Par II of he Audi Commiion Ac 1998 and for no oher purpoe, a e ou in paragraph 54 of he Saemen of Reponibiliie of Audior and of Audied Bodie, prepared by he Audi Commiion. Repecive reponibiliie of direcor and audior Opinion In our opinion he ummary financial aemen are conien wih he auory financial aemen of he Tru for he year ended 31 March 2003 on which we have iued an unqualified opinion. Dae: 8 Augu 2003 The direcor are reponible for preparing he Annual Repor. Our reponibiliy i o repor o you our opinion on he coniency of he ummary financial aemen wih he auory financial aemen. We alo read he oher informaion conained in he Annual Repor and conider he implicaion for our repor if we become aware of any miaemen or maerial inconiencie wih he ummary financial aemen. Bai of opinion Signaure:... PricewaerhoueCooper LLP Cornwall Cour 19 Cornwall Sree Birmingham B3 2DT We conduced our work in accordance wih Bullein 1999/6 'The audior' aemen on he ummary financial aemen' iued by he Audiing Pracice Board for ue in he Unied Kingdom. 18

32 Clifford Bridge Road, Covenry CV2 2DX Tel : Fax : Deigned & prined by Awood Deign Conulancy T :

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