Without DDL and sample data, here's my first thought:

SELECT YearRecruited, Hospital, Jan, Feb, Mar, Apr, May,

Jun, Jul, Aug, Sep, Oct, Nov, Dec, MyCounter,

(Jan + Feb + Mar + Apr + May + Jun + Jul + Aug + Sep

+ Oct + Nov + Dec) AS Total

FROM (

SELECT * FROM (

SELECT YEAR(DateFormCompleted) AS [YearRecruited], Hospital,

left(datename(month,DateFormCompleted),3) AS [Month],

PersonCounter AS MyCounter

FROM tblPerson p

JOIN tblManagementOfBleeding m

ON m.SubjectNumber = p.SubjectNumber)

AS s

PIVOT (

COUNT(MyCounter) FOR [Month] IN (

Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep, Oct, Nov, Dec

))AS p )

ORDER BY YearRecruited ASC, Hospital ASC