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Chief Executive's blog

Gavin Boyle

Gavin Boyle is Chief Executive of Derby Teaching Hospitals Foundation Trust, joining the Trust in March 2016.

“Working in the NHS is a huge privilege; there are a few walks of life where it is possible to make such a positive impact on people’s lives. It’s an institution I love and which I think distinguishes us as a nation and as a civilised society. I also believe that we have a responsibility to safeguard it for future generations.

My priorities are delivering the best possible patient care, enabling our people to play their part, working in partnership and being sustainable in improving the care for our community. 

I hope you’ll enjoy reading my regular blog and finding out more about the work of the Trust.  

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February 16th 2018

At last!  I’ve finally been allowed into the exclusive club that is the DTHFT senior managers’ on-call rota.  This is a group of individuals who provide senior support to the hospital ‘out of hours’ at night and over the weekends.  All manner of issues can crop up and it’s this group that help to problem solve and ensure that our clinical teams are fully supported to deliver their vital services.  I popped in last Sunday just to see how things were going and joined the lunchtime bed meeting where we take stock of how the hospital is running and particularly making sure that there’s sufficient bed capacity to accommodate emergency patients who need to be admitted.  One of the team on duty that day was Jenny Deakin who’s a general manager here at the Trust.  We had two patients who needed to be transferred to another centre within the region for super-specialist procedures the following day.  This required support of our ambulance colleagues.  This may seem relatively simple but at times when the system is under great pressure from emergencies it can be difficult to arrange transport for patients waiting for a planned procedure.  However, Jenny wasn’t taking ‘no’ for an answer and after multiple phone calls, she’d hatched a cunning plan to make sure that those patients got their transfer and received the care they needed the following day.  Later on, I was pondering about what stimulated such dogged determination and concluded that it was just an unshakeable commitment to make sure that those two patients were not let down.  I spoke quite a bit last week in my blog about our CARE values and it seemed to me that what was driving Jenny was the basic human value of compassion.  It was so encouraging to see our values in action in such a practical way.

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February 9th 2018

Well, it’s been a funny old week and one that has caused me to reflect on my own personal NHS journey over what is now nigh on 30years! It’s always a real pleasure to be asked to speak to groups of leaders in the Trust and I was delighted on Wednesday to go along to the launch of the latest Derby Lead Programme. This is a development opportunity for mostly Band 7 colleagues working in every part of the Hospitals. It’s an interesting fact that about 50% of everyone who works in the NHS is line managed by somebody at this grade. So this is a really important and influential group of leaders and it was a pleasure to spend a little bit of time with them. They’d asked me to talk about my experiences as a leader in the NHS and I used a really simple model which I borrowed off a chap called Simon Sinek – you can see this on TED Talks. He talks about the importance of thinking deeply about the ‘Why?’ – that’s to say why we commit ourselves to a particular cause. Then about ‘How?’, with the importance of how we approach our vocation. And then finally to focus on the ‘What?’ i.e. the specifics of the task in hand. My personal “Why?”, in relation to my career in the NHS, is that for me the NHS is one of the great institutions of our country – the fact that healthcare is universally free to everybody no matter who they may be is something of immense value. When I look back on my journey in the NHS, I think it’s been time well spent on something that really matters. 

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January 26th 2018

It’s always nice to have visitors and so it was a real pleasure this week to welcome Professor Ian Cummings to the Trust.  Ian is the Chief Executive of Health Education England (HEE), the national body responsible for the education and training of all clinical staff who work in the NHS. I was particularly pleased to see his visit at a time when Ian’srecently launched a consultation on the very first ever national workforce strategy for health and care staff.  It was also a good opportunity to showcase some of the amazing innovations being made at DTHFT to meet some of the national workforce challenges.  We had an update from Krishna Kallianpur, Barbara Day and Faye Leatt about our new Associate Nurses and clinical apprenticeships.  This is a really important part about how we grow local talent and support them throughout their career.  Apprenticeships are not just for young people but actually these days go all the way up to Masters level and can also be a great way of encouraging more mature colleagues to join us or make a career change.  We’re part of a national pilot around the Associate Nurses and Ian had the opportunity to spend a while chatting to some of them over lunch, getting some honest feedback directly at this new programme.

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January 19th 2018

So, it’s been another jam packed week, with Winter Pressures, Flu and a Board Meeting too! But before I get into all of that, I just wanted to mention a couple of brilliant “out and about visits” I made recently and apologise for not having mentioned them before in the blog! The first one was just after Christmas when I met with Kerry Than, who leads the Patient Advice and Liaison Service, the Complaints Team and Bereavement Service too. Kerry and her team are unsung heroes in the Trust and often are faced with supporting patients and families at a time when they may be at their most vulnerable, frustrated and even angry with their experience of our service. One of the things that I think Kerry’s team do so well is not only listening to the patients but also being their advocate to make sure whatever concerns they have are properly addressed. But it’s more than that; it’s also about how that information can be fed into our quality and improvement processes to make things better for future patients. One of the things I do as part of my role is to read all of our responses to any complaints we receive and to sign a letter of apology – I believe if someone has felt it necessary to raise a concern, it is good enough grounds for an apology on its own. I am always impressed by the care and attention of colleagues investigating patient concerns, through the careful way that they seek to respond to every issue raised and also to identify actions that can be taken to improve their service.  Slightly alarmingly, Kerry keeps a chart on her wall which tracks those complaints that are awaiting my attention and signature, so she certainly keeps an eye on me and whether I am doing my bit! 

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January 5th 2018

Well, the pressure has certainly been on this week.  Blog readers will know that we had a sustained period of increased demand for emergency care in the run up to Christmas but as I mentioned last week, this continued throughout the holiday period and became even more intense in the first few days of the New Year.  You can’t have failed to have seen the coverage in the national media about how this surge in demand was affecting the NHS right across the country.  It was the same here in Derby and although we’d prepared for winter and have good plans to increase our emergency capacity, we’ve had to step this up a notch or two.  We’ve seen about a 7% increase in emergency admissions compared to the same period last year – and that felt pretty busy, I can tell you – and we’ve seen some days with record breaking attendances and particularly emergency admissions.  

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