Agenda item

Presentation - Verbal

John Pelly, Chief Executive and Bill Tidmass, Governor Moorfields Eye Hospital,        were present for discussion of this item and made a presentation to the Committee, a copy of which is interleaved.

During consideration of the presentation the following main points were made –

·         In A&E Moorfileds achieved over 99% target within 4 hours despite consistent growth in activity and 82% within 3 hours

·         Referral to treatment time (RRT) -  18 targets missed until final quarter

·         Cancer – two week wait achieved other than in two cases where patients chose to wait longer

·         Readmission within 28 days following cancellation of surgery was not achieved on three occasions

·         No breaches of mixed sex accommodation

·         No cases of MRSA or C difficile

·         On A&E Moorfields would have featured as one of the top 10 Trusts but for responses to two questions, pain management and wait for first examination and the definition of this was being discussed further with the CQC

·         On daycare there were generally good results- 98% of patients would definitely or probably recommend Moorfields

·         Main negative comments concern wait for procedure and wait for discharge

·         On outpatients there were generally positive results – 95% rated Moorfields as excellent, very good or good, and 97% would definitely or probably recommend Moorfields

·         Negative feedback mainly concerned with waiting times and choice of appointment date/time

·         Friends and Famiies Test – more than 25,000 patients -20% - responded in Q3 and 97% extremely likely or likely to recommend Moorfields and only 1% would not recommend Moorfields

·         Patient led assessment of the care environment – cleanliness rated 99.6% as opposed to 97.3% nationally, Privacy, dignity and wellbeing 88.3% as opposed to 87.7% nationally, Condition, appearance and maintenance 99.1% as opposed to 92% nationally and food and hydration 100%

·         On the NHS Choices website Moorfields has 4/5 stars based on 134 ratings

·         The 2014 staff survey results are being analysed and based on 2013 results Health Service Journal rated Moorfields as one of the top 10 best places to work in healthcare, and one of only 2 hospitals to feature in the top 10

·         Moorfields is in the Mutuals pathfinder programme

·         There had been three new satellite locations established in 2014 in Croydon University and Purley War Memorial Hospitals, Darrant Valley Hospital, Kent and the Olympic Park, Stratford

·         A new service had been established for Merton residents and ocular oncology service currently managed by Barts is to be taken over by Moorfields from April 2015 and will be a specialised service commissioned by NHS England and transferred to Moorfields as a result of concerns following a review

·         In terms of financial matters there is likely to be only a £2 million surplus compared with a planned £5million with the principal cause being the pause in manufacturing production at Moorfields Pharmaceuticals following an MHRA inspection and the decision to close this facility. In response to a question it was stated that to meet regulations for inspections the facility was  not viable however many of the drugs were still being provided through different providers

·         The financial position was also impacted adversely by excess costs of carrying out additional activity to address the RTT 18 issues

·         The monitor risk ratings remain strong

·         The proposal is to develop with the Institute of Opthalmology a unique state of the art, integrated ophthalmic treatment, research and education centre in the Kings Cross/Euston area

·         The preferred site of the centre is at St.Pancras hospital and is currently in the ownership of the Camden and Islington Mental Health Foundation Trust and is in need of redevelopment. The site fully aligns with Moorfields selection criteria and the proof of concept feasibility study demonstrated it was a feasible and fit site

·         In response to a question it was stated that the Trust did have alternative plans if the St.Pancras site did not go ahead, however it would be very difficult to redevelop the current site

·         Patient, public and staff engagement exercise showed strong support for the move and the design brief will be ready for patient consultation with the earliest date for a move planned for 2022

·         In response to a question it was stated that if the Trust moved to the same site as Camden and Islington Mental Health Trust there could be links made and the different faculties may be able to work together on some areas

·         Bill Tidmass stated that Governors were being kept informed at all stages of the proposals for relocating the Trust and that Governors regularly visited all the clinics and spoke to patients on a regular basis. He added that it was important for Governors to challenge all aspects of the work of the Trust

The Chair thanked John Pelly and Bill Tidmass for attending