West Herts Hospitals NHS Trust

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West Herts Hospitals NHS Trust
Jan Filochowski, Chief ExecutivePresentation to
Annual General Meeting29 October 2009Beechen
Grove, Watford
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What sort of year has it been?

• Continued steady improvement across the board
• Successful implementation of huge changes in
  services

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I want to start with a patient story
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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

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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

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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

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Once in a generation change in emergency services
2 years ago..

• Impossible timescale due to open September 2008
• Totally inadequate planning process
• An NHS Terminal 5 in the offing
• Key partners out of the loop

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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

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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

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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

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The Journey
Elective Care at SACH
AAU at WGH
LGH at HHGH
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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
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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

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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 !

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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

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Environmental Sustainability

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

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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
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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.

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We expected the destination to be this.
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But it may be it will be more like this!