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Annual Report
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Liverpool Community Health has experienced a challenging year
of change during 2011/12. So it is uplifting to be able to present a
review of our year and to focus on our key achievements where our
staff have continued to deliver outstanding services for our patients.
The last 12 months has seen continued significant changes in health related policy which has set some real challenges for the NHS and our Trust. In November 2010 we became an independent NHS Trust, and on 1 April 2011 acquired the majority of NHS Sefton’s community services and the Community Dental services for Knowsley.
In addition, we also acquired the Public Health services for Liverpool, enabling us to deliver far greater public health interventions and work towards improving the health of our communities. It is exciting that we can play such a key part in the provision of health services in the region.
I would like to pay tribute to the hard work and support of all our staff and the significant contribution they have made in improving the health of our communities.
Chair’s Welcome
Frances Molloy, Chair of the Board
Community-‐based services are an essential part of the future of
the NHS. We know that patients wish to receive more care in their
communities and closer to home. This is a key part of what we
are here to do; we not only serve the community, but are part of
that fabric of the community. This means we work everywhere
and with everyone. I am proud to be part of an organisation that
makes a difference to the lives of thousands of people every day.
As an organisation we are working towards the goal of achieving Foundation Trust status in 2013, as well as continuing to provide a high standard of quality patient care. The expertise, commitment and passion of our staff is the foundation of our organisation and of the high quality services that we deliver. We have a dedicated and stable workforce drawn from across our local community.
The commitment and dedication of our staff to the local communities we serve has been recognised through our nomination or winning of 25 awards, notably:
1. Three Queens Institute of Nursing awards 2. Public Servant of the Year – Shelly Stoops3. Awarded 1st Place in UK for smoking cessation programme
Chief Executive’s Introduction
Bernie Cuthel,
Chief Executive
A Warm Welcome!
Our vision is underpinned by our values
CareWe care for our patients, their families, each other and the community. CommunityWe are a community of professionals dedicated to providing the best quality healthcare for the community.
CollaborationWe collaborate across disciplines, with patients and the community to ensure best possible health outcomes.
CourageWe have the courage to deliver care to communities and groups that present significant health and social challenges. We develop and try new solutions to tackle healthcare problems. CommitmentWe show commitment in our work, taking personal and team responsibility for our actions. We encourage and support our patients in taking responsibility for their health.
Liverpool Community Health is the major provider of community
healthcare and public health services in Liverpool, Sefton and
neighbouring areas, with a proud history of providing valued and
innovative care.
The Trust delivers a wide range of community healthcare to people in their own homes, in over
100 locations including health centres and clinics, 5 Walk-in Centres, two Intermediate Care
units at the Royal Liverpool and Broadgreen Hospital and 10 GP practices.
We deliver care and specialist services to an estimated population of 750,000 people and enable
people to be cared for in their own community and remain as independent as possible, rather
than having to go to hospital. Many of these services are delivered out-of-hours, with 24 hour,
7 day a week access.
In 2011/12 we had an annual turnover of £143m and employed a team of 3,225 dedicated staff.
Roll Up! Roll Up!hear all about us!
Our contacts with the people we serve are extensive and diverse. Each year:
535,394Our nursing staff have had 535,394 face-to-face visits with patients in their own homes. 30,489We have over 1,620 admissions to our community hospital, with a further 30,489 visits from the Community Intermediate Care service to patients within their own homes. 67,375Our treatment rooms had more than 67,375 appointments, providing patients with flexible, local and accessible health care and treatments 7 days a week through a central booking system.
32,44632,446 Dental treatments completed throughout Liverpool, Knowsley and Sefton, providing emergency access and providing a flexible service across Merseyside.
57,14557,145 Community Equipment Service deliveries completed throughout Liverpool and Sefton, enabling patients to remain as independent as possible, whilst continuing to exceed delivery time targets of 85% within 7 days. 18,47418,474 contacts by Palliative Care Nurses to patients in Liverpool and Sefton who are on End of Life pathways.
Our contacts with the people we serve are extensive and diverse. Each year:”
Look At OurKey Achievements
173,355We receive over 173,355 patients to our five Walk-in Centres, providing convenient access to services and relieving pressure on A&E departments. 128,091Our Vaccination & Immunisation team delivered 128,091 jabs, helping to protect children across Merseyside.
54,390Our Community Sexual Health Clinics provided 54,390 appointments and contacts and screened 13,390 for Chlamydia, exceeding our target for the 4th successive year.
83,62483,624 Podiatry treatments to patients across Liverpool and Sefton in clinic settings and patients’ own homes that enable patients to remain independent and mobile. 91,82791,827 Community Therapy contacts including Physiotherapy, Occupational Therapy and Speech and Language Therapy which help improve patients’ quality of life. 13,10713,107 Prison Health patient contacts giving prisoners access to the same quality and range of NHS services available in the community.
Look At OurKey Achievements
Public Involvement
Over the last 12 months we have continued to develop our relationships with key partners and community groups in order to improve the quality of patient and public involvement.
The Trust continues to attend various community events, groups and meetings to raise awareness of services being provided. These events also provide an opportunity to raise staff awareness of the differing needs of those communities. LCH staff and service users worked together to ensure a second successful Liverpool Pride Festival and have begun activities in preparation for 2012 which have included winning the Liverpool Pride 5 a side Football v Homophobia Tournament.
Liverpool Community Health also has an active Volunteer Programme, with over 100 volunteers supporting services and patients across the Trust. The volunteers have been deeply involved in helping to shape how services are delivered and in our plans to become a Foundation Trust. The Trust aims to increase the number of opportunities for volunteers over the next 12 months.
Our first ever Annual General Meeting, held in September 2011, was a huge success, with over 250 staff and public attending. A key element to that success was the participation of patients in the presentations, describing their experiences and the benefits community services had given to them.
This was followed with the launch of the I Love LCH campaign, which aimed to encourage staff and the public to be involved in our consultation on our governance arrangements for when we become a Foundation Trust, as well as providing the opportunity to increase awareness of the services we provide. In total nearly 2000 local people got involved and this included a flashmob by Mersey Harmony choir in Liverpool One.
The Trust delivers a unique programme in partnership with a local agency called D-MYST. The D-MYST project engages a group of young people on creating a peer-led health campaign to remove smoking from all pre-watershed television. The project also aims to create the world’s first ‘virtual’ social marketing agency.
The Trust was also proud to support students from Parklands School in a new social enterprise business and mentors from LCH helped the project win a national Award at the Global Entrepreneur Conference in February 2012.
We have patient satisfaction surveys for all services. Over the last 12 months we have collected 7,618 patients’ views which help to ensure our services reflect the needs of the local communities. In addition we have continued to develop close links with third sector and voluntary organisations across the city region to enable us to represent their views in our service delivery.
We are passionate about improving community patient care. We think you are too. Liverpool Community Health understand we can only improve services by listening to our patients, staff, public and our communities.
We will continue
to develop links
and work in
partnership
with the diverse
communities that
we serve.
Step Up! Step Up!and get involved
Over the last 12 months our staff have made over one million patient contacts, supporting patients in a range of settings, from state of the art local clinics to patients’ own homes. The feedback we receive from all of our patients, from first time young mums, to palliative care means a huge amount to our staff.
Here are a few of the things you have said to us over the last year. Hopefully the quotes give
a sense of the lasting impression made, not just by what our staff do, but how they do it.
Emergency Response Team
Thank you for the excellent level of care my
Aunt received. The staff have shown her
exemplary dignity and respect, and made a
very difficult week not only bearable for my
Aunt, but have relieved the stress felt by the
wider family.
Children’s ServicesThank you so much for attending
M’s meeting at the school. I really
appreciate the time, effort and support
you showed towards M and myself.
Walk-In CentreThe staff dealt with my daughter with patience and kindness, we were impressed with the service we received. I cannot praise all the staff highly enough.
Radiology ServiceA very customer friendly
experience, they put your mind
at rest and are encouragingly
cheerful.
District Nursing ServiceWe wanted to express our gratitude for
the way the District Nurses have worked
with our family. The kindness and
professionalism we have received has really
helped us at a tough time.
Rehab at Home TeamThank you for all the guidance and
support, just knowing you will be
visiting is a great help to me.
1 Million Thank You’s
Financial Review 2011-12
Liverpool Community Health received total income of £143m from all sources.
£98m (69%) was received from Liverpool PCT and £33m (23%) from NHS Sefton, £6m (4%) was received for services provided to other commissioners and a further £6m (4%) from other sources.
Analysis of Income by Source (£m)
Our costs for the year totalled £139.5m which resulted in a surplus of £3.5m. This financial result was achieved in a year in which our staff delivered high quality services whilst also working to secure a challenging level of efficiencies.
The Trust has had a strong and successful financial year, achieving all its statutory financial duties.
Tickets Please! financial review
Savings equivalent to 5.0% of turnover were made during the year which means that we were able to provide even greater value for money for people receiving our services. We recognise that staff are our greatest asset; three-quarters of the money we spent in 2011/12 was on employing staff and delivering training and development.
Of our total expenditure, £112m was spent directly by our service divisions, with a further £27m spent on our estate, other support services and overheads.
Analysis of Expenditure £m
Income is forecast to be £142m for the 2012/13 financial year, with a target surplus of £3.1m after efficiencies totalling 4.4% of turnover. All NHS Trusts are required to make an annual surplus to meet regulatory requirements.
A Capital expenditure programme totalling £2.2m for 2012/13 is planned, subject to formal Department of Health capital resource limit approval, targeted to support patient outcomes, improve staff effectiveness and create cost efficiencies. To read the full Annual Report and Summary Financial Statements please visit www.liverpoolcommunityhealth.nhs.uk
Tickets Please! financial review
As we move towards becoming a Foundation Trust there are a number of key priorities that we will be focussing on. These priorities are structured around our four key strategic objectives.
To provide high quality services
of patient satisfaction by involving and
engaging patients in their own care.
services including implementing a
new neighbourhood model of nursing,
extending our phlebotomy services and
improving access to our Intermediate
Care service.
local initiatives to improve the basic
fundamental delivery of patient care.
of staff.
understand ‘how we are doing’.
procedures.
To be a provider of choice
scheme and plan to recruit 7,500
members and elect 22 Governors,
ensuring we are truly accountable to the
local communities we serve.
in how we deliver services and greater
opportunities for the community to be
involved in shaping our services.
the local community receive high quality
health and public health and contribute
to the overall cost reduction required
in the health economy through greater
Let Us Take Youto the future
To reduce inequalities and improve health
technology and innovation to transform
the quality of care for patients and
increase self-care.
Contact Counts programme to deliver
public health interventions for every
patient we treat.
To be an employer of choice
to meet the changing demands of
commissioners whilst providing quality
the communities.
Charter to help to make our
organisational values become
demonstrable in staff behaviours.
and well-being of our staff by establishing
rapid access to support services
including mediation, occupational health
and physiotherapy and are planning to
implement a range of other services.
representative of the local population we
serve and ensure we continue to provide
equal opportunity and treatment for all.
Let Us Take Youto the future
Trust Headquarters
Wavertree Technology Park
Customer Service T: 0151 295 3086
Communications TeamT: 0151 295 3131
Patient Advice and Liaison Service (PALS)T: 0300 790 0224
Follow us on twitter @nhsliverpoolch
www.splinter.co.uk 0151 709 9066
