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West Herts Hospitals NHS Trust

West Herts Hospitals NHS Trust. Jan Filochowski, Chief Executive Presentation to Annual General Meeting 29 October 2009 Beechen Grove, Watford. What sort of year has it been?. Continued steady improvement across the board Successful implementation of huge changes in services.

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West Herts Hospitals NHS Trust

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  1. West Herts Hospitals NHS Trust Jan Filochowski, Chief ExecutivePresentation to Annual General Meeting29 October 2009Beechen Grove, Watford

  2. What sort of year has it been? Continued steady improvement across the board Successful implementation of huge changes in services

  3. I want to start with a patient story

  4. Steady improvement: the big picture • Annual rating improved again • Current performance even better • A second year in surplus and a bigger one (£4.4m) • Infections now very very low • Waiting times targets met • Delayed discharges reduced • Cancelled operations reduced

  5. And….. • More patients treated • Better patient survey results • Better staff survey results • Low death rates • Low readmission rates • Better value for money • On track for a £4m surplus this year

  6. Steady improvement: the big picture ……and the small • Reduced waits for medicines to take home • Discharge Lounge improved • 48-hour discharge follow-up • Car parking and traffic flow • Single-sex accommodation • Our “Pledge” created and embedded

  7. Once in a generation change in emergency services • Impossible timescale: due to open September 2008 • Totally inadequate planning process • An NHS ‘Terminal 5’ in the offing • Key partners out of the loop 2 years ago…..

  8. We tackled that • Credible timescale • Opened flawlessly in March 2009 • Working well – Dr. Johnston will tell you more in a moment • £7m invested in improving facilities at Hemel

  9. We think we have successfully implemented a model applicable to the whole NHS for the future Others do too: • Short listed for hospital (Trust) of the year • Already won two awards for the building

  10. What next? We are • Applying to become a Foundation Trust • Working on the outline business case for a new Hospital at Watford, with a big emphasis on partnership and sustainability • Preparing for tough economic times ahead

  11. The Journey…… Elective Care at SACH AAU at WGH LGH at HHGH

  12. How? Watford Health Campus ‘the transformation of west Watford through a unique partnership to deliver improved health, a sustainable community, improved access, and enhanced leisure facilities’

  13. What is the Campus? • Acute hospital 2016 • Business incubator units 2012 • Primary health facilities 2012 • Mixed Tenure Housing 2012 • Community facilities 2017 • Public amenity spaces 2017 • Hotel & Conferencing 2018 • Leisure facilities 2018 • New access & link roads 2012 And … • Tube station by 2014

  14. Is it Recession proof? • Yes….. • Combination of AAA rated investment alongside commercial opportunities • Immense market interest from equity providers • 60% pre-let backed by private sector covenant • Phased hospital solution – minimising risk • Ongoing long term development return • Opportunity for construction activity • Legacy employment opportunities • Location, Location, Location !

  15. What is special about it? • ‘Partnership’ of 8 public and private sector stakeholders • Enables significant infrastructure costs to be shared e.g. the new road • Enables “non-clinical” facilities to be accommodated in commercial premises at less cost to NHS • Regenerates a socially deprived area on brownfield site • Delivers real environmental sustainability

  16. Environmental Sustainability • Combined Heat, Power and Cooling Plant • Rainwater harvesting • Recycling • Flood Mitigation And also… • A low carbon, naturally ventilated hospital

  17. Current NHS Designs ….. • Enormous energy usage at enormous cost • Sealed buildings • Temperatures artificially controlled • Built to save cost, run at higher energy cost • Often very deep plan • Create lots of CO2 PFI Hospital of Year 2007

  18. Generally…….. No building should be designed now without some strategy for dealing with a changing climate, more frequent hot summer spells in the UK, particularly in the south. New and existing buildings need to be resilient and robust.

  19. We expected the destination to be this….

  20. But it may be it will be more like this!

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