Annual Review - North Staffordshire Combined Healthcare · Annual Review 2013/14 Ken Jarrold CBE,...

Annual Review 2013/14

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Adult Mental Health Division

Clinical Director

Clinical Governance Manager



Service LinePSYCHOSISRECOVERY

Clinical Lead

Service LineManager

Service LineCOMMUNITYEMOTIONAL& MENTAL

HEALTH

Clinical Lead

Interim ServiceLine Manager

Service LineINPATIENTMENTALHEALTH

Clinical Lead


Service LineCHILDREN

WITHCOMPLEX

NEEDS

Clinical Lead


Service LineNEURO &OLD AGE

PSYCHIATRY

Clinical Lead

Service LineManager

Service LineNON

PSYCHOSIS

Clinical Lead

Service LineManager

Service LineLEARNINGDISABILITY

Clinical Lead

Service LineManager

Service LineSUBSTANCE

MISUSE

Clinical Lead

Service LineManager

Clinical Director

Business Manager Business Manager

Clinical Director

Learning DisabilitiesNeuropsychiatry

& Old AgePsychiatry Division

Children & Young People’sService Division

CLINICAL STRUCTURE

About us

We serve a population of approximately 464,000 people and currently work from both hospital and community based premises, operating from approximately 30 sites.

The Trust manages its services through a service line structure, as shown below:

North Staffordshire Combined Healthcare NHS Trust was established in 1994 and is responsible for providing mental health and learning disability care to people predominantly living in the city of Stoke-on-Trent and in North Staffordshire.

As of 31st March 2014

Medical DirectorDr Buki Adeyemo

Director of Nursing& Quality

Karen Wilson

Director of OperationsAndy Rogers

Director of FinanceKieran Lappin

Acting Director of Leadership & Workforce

Paul Draycott

Supported by Corporate Services

Chief Executive

Our Purpose: Working to improve the mental health and wellbeing of local communities

Our Vision

• To provide patient centred mental health, specialist learning disability and related services for people of all ages

• To be the best in all that we do

• To work in partnership to deliver services that promote recovery wellbeing and independent living

• Valuing people as individuals

• Providing high quality innovative care

• Working together for better lives

• Openness and honesty

• Exceeding expectations

1. To deliver high quality person centred models of care, throughout the organisation

2. To be at the centre of an integrated network of partnerships to provide a holistic approach to care

3. To engage with our communities to ensure we deliver the services they require

4. To be a dynamic organisation driven by innovation

5. To be one of the most efficient providers

Our Strategic Goals

FinancialStrategy

WorkforceStrategy

EstateStrategy

Customer Focus

Strategy

IM&TStrategy

GovernanceStrategy

InnovationStrategy

Clinical Strategy

Our Values

Visions, Values and Strategy

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Working to improve the mental health and wellbeing of local communitiesWorking to improve the mental health and wellbeing of local communities

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Performance

In the last 12 months we have achieved a number of successes, including:

• We achieved an excellent level of performance, which resulted in quality improvements for those using our services. Against the Commissioning for Quality and Innovation (CQUINs) payments framework, we achieved 100% of our 2013/14 goals: NHS Safety Thermometer; progressing the pathway to employment; patient experience; patient engagement in Payment by Results (PBR) Clustering; suicide prevention; and physical health

• We ‘balanced our books’ with an operational surplus of £31,000 – the ninth consecutive year the Trust has had a surplus

• The Trust’s closing income for the year was £87.5m

• We are looking at opportunities to extend the scope of our research work and develop new partnerships with external organisations, best illustrated by the Suicide Bereavement study. Conducted in partnership with the University of Manchester, the study has engaged with parents bereaved by suicide and professional non-statutory staff providing support and has also worked with GPs, paramedics and DOVE charity workers

• The Trust has continued to embrace new technology, in particular through the adoption of the ATTILA Trial which aims to evaluate the role of assisted technology in supporting individuals with memory problems to live safely and independently in their own homes

• We continued to sponsor a large multi-centre National Institute for Health Research portfolio trial into stroke. The Stroke Oxygen Supplementation study is studying the long-term benefits or risk of routinely prescribing oxygen to patients for the first 72 hours after a stroke

• There have been no MRSA infections since 2007 and no reported Meticillin sensitive Staphylococcus aureus (MSSA) blood stream infections. One Clostridium difficile infection (CDI) occurred, the same number reported for the previous year

• We introduced a Staff Handbook, which features a range of staff benefits to support a healthy work- life balance and encourage healthy lifestyles, both in and out of work

• We achieved an ‘excellent’ or ‘above average’ score in four of the five areas of our Patient Led Assessment Care Environment (PLACE) audit of non-clinical healthcare relating to Cleanliness, Condition, Appearance and Maintenance, Privacy, Dignity and Wellbeing and Food

• Steady progress was made in reducing sickness absence, with the overall sickness rate for 2013/14 lower than that of the previous year

• We retained our ‘Investor in People’ status in July 2013 and will have proudly held the award for 16 years by July 2014


How We Spend Our Money

Where We Spend Our Money

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Our WorkforceOur team of around 1,451 staff (1,278 whole time equivalents) are committed to providing high standards of quality and safe services. They are made up of the following staff groups:

Our workforce profile as at 31 March 2014

n Nursing and Midwifery Regisitered

n Additional Clinical Services

n Administrative and Clerical

n Add Prof Scientific and Technical

n Estates and Ancillary

n Medical and Dental

n Allied Health Professionals

2.97%

32.09%

27.68%

16.80%

11.17%

5.38%3.91%

n Pay

n Premises

n Drugs

n Travel, Printing & Telephones

n Capital Costs & Finances

n “Hosted” Research Networks

n Other

n Childrens

n Adult Mental Health

n Learning Disability/Neuro/Old Age Psychiatry

n Corporate

n Capital Costs & Finances

n “Hosted” Research Networks

Staff Achievement Awards The Trust celebrated its fourth REACH (Recognising Excellence and Achievement in Combined Healthcare) Awards to recognise staff who have made an outstanding contribution above and beyond their job roles.

More than 230 nominations were made by staff, service users and carers across 11 categories, as well as the Chairman’s Award.


Ken Jarrold CBE, Trust Chairman, with the help of the Awards Panel, selected Josey from all of the worthy winners to win the Chairman’s Award. He said: “Josey received many nominations for this award, from volunteers to ward staff to managers and nurse specialists alike. The overriding themes which came from the nominations relate to her going above and beyond what would normally be expected of someone in this role, her positive, supportive and compassionate approach and her ability to bring about change and improve standards whilst taking the team with her. The support she gives to her team is clearly appreciated.”

JOSEY POVEY, winner of the Chairman’s Award

The overall winners were:

• Innovation Award: Jennifer Royse, Judith Champion & Carolyn Wilkes, Step On

• First Class Customer Service Award: Karen Wetton and Tracy Taylor, Ward 6 Housekeepers, Older People’s Services

• Volunteer of the Year: Anna Macowecky, Volunteer, Edward Myers Unit

• Leadership Award: Josey Povey, Ward 2 Manager, Harplands Hospital

• Service User and Carer Award: Ann Ashley, Receptionist, Sutherland Centre

• Educator of the Year: Sue Slater, Psychological Therapist, Learning Disabilities

• Health and Wellbeing Award: Improving Physical Healthcare CQUIN Team

• Partnership Award: Amy Garside and Sue Garvey, HR Team, Adult Mental Health Division

• Unsung Hero: Val Moss, Health Care Support Worker, Edward Myers Unit

• Shining Through Award: Kerry Ann Richardson, Medical Secretary, Greenfields Centre

• Team of the Year: GrowthPoint

• Chairman’s Award: Josey Povey, Ward 2 Manager, Harplands Hospital

Edward Myers Unit event

Highlights of the Year

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April 2013 • Success at Edward Myers Unit event

Over 70 people gathered at the Edward Myers Unit at Harplands Hospital to hear about services available for people on the road to recovery from drug and alcohol misuse. Healthcare professionals, local councillors, commissioners and people who have used the substance misuse service attended the awareness morning, which included information about the unit as well as real life stories from three people who have used the services. Each gave an honest account about their journey from addiction to treatment and how staff at the unit supported them through their recovery.

• Parent and Baby Service Open Day

The Parent and Baby Service held an open day in Hanley, at which people were able to sign up to visit its new base. The event provided an opportunity to understand what the service offers as well as meet a variety of professionals who explained how the service works.

May 2013 • Home Treatment Team seen as best

practice

Healthcare professionals in Belgium have recognised services at the Trust as best practice. Belgian colleagues selected the Home Treatment Team as a place where they would like to learn from to improve their own services. They intend to use the Trust’s model for caring for someone in their own home as an alternative to acute mental health ward care.

June 2013 • Brain Injury Conference delivered at

the Britannia Stadium

Professionals and individuals with an interest in Acquired Brain Injury attended a UK national conference organised by the Trust. The event, held at the Britannia Stadium, was well attended with over 190 delegates consisting of clinicians, patients and interest groups from across the UK. Delegates attended a full day of presentations and seminars discussing the personal, social, medical and legal aspects of brain injuries.

• Service users ‘Step On’ the employment ladder

A new service working with people in North Staffordshire accessing mental health services to support them into paid employment was launched by the Trust. The Step On service derives from the ‘Improve Project’ and follows the Individual, Placement and Support (IPS) approach, which originated in America and has been adapted by Shropshire Mental Health Services with The Centre for Mental Health.


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The Step On service is being provided in Stoke-on-Trent and the team are working in partnership with the Making Space team, who provide the service in Staffordshire Moorlands and Newcastle-under-Lyme, known as Work4You.

July 2013 • Trust shortlisted in HSJ Efficiency

Awards

NSCHT was shortlisted as a finalist in the HSJ Efficiency Awards. The Trust was nominated in the Efficiency in Community Service Redesign category for the Model of Care Phases 1 & 2 redesign of Mental Health services in North Staffordshire and Stoke-on-Trent. The HSJ Efficiency Awards recognise how important efficiency is for the health service and champion innovative solutions and cost effective measures that deliver tangible improvements whilst maintaining the highest level of patient care.

• Trust welcomes new Board member

The NHS Trust Development Authority confirmed the appointment of Bridget Johnson as a Trust Non Executive Director. Bridget, who lives in Whiston, Staffordshire, has extensive experience of working with a wide range of voluntary and community organisations, providing the management teams with advice and guidance on business planning, finances and risk management. For the past two years, Bridget has been

the Chair of Moorlands Housing, a registered charity and not-for-profit company which owns and manages homes and provides support to its vulnerable tenants and the wider community across the Staffordshire Moorlands. Prior to this Bridget worked as the treasurer for Brighter Futures, a social housing association which provides supported housing and associated services for vulnerable people in North Staffordshire.

August 2013 • Harplands Hospital Garden in Bloom

‘All things bright and beautiful – all creatures great and small’ provided the theme and inspiration for this year’s Garden in Bloom competition at Harplands Hospital. Staff and patients from each ward took inspiration from the famous hymn to create a series of bright and colourful displays, using a variety of craft skills. The competition was won by Ward 4 where patients are assessed and treated for Alzheimer’s. They created colourful decorations for the communal gardens which include paper flowers, butterflies, papier-mâché animals and colourful bunting to decorate the garden.

September 2013

• Trust celebrates vales at Annual General Meeting (AGM) Examples of how staff, through their services demonstrate the Trust’s five values were shared at its Annual General Meeting.

Harplands Hospital Garden in Bloom

Launch of Step On service.

The Trust’s vales are: • Valuing People as Individuals • Working Together For Better Lives • Openness and Honesty • Providing High Quality Innovative Care • Exceeding Expectations

The event also included presentations on the Trust’s Annual Report and Accounts, while the Executive and Non Executive teams answered public questions about Trust developments.

• Local builder supports Harplands Hospital

A generous local businessman donated sports equipment worth £700 to Harplands Hospital after his daughter was cared for on one of its wards. Ian Woolliscroft, the managing director of Woolliscroft Homes, a local building company, and his partner Kathy Brakes, heard that Ward 1 at Harplands was in need of a pool table. Ian explained: “My daughter, Jenny, was cared for by staff on a ward at the hospital after she contracted meningitis aged 21. The care she received was second to none and Jenny, Kathy and I wanted to do something to thank the hospital for the work the wonderful staff do.”

• Patients put hospital care under the spotlight

The Trust welcomed a positive Patient Led Assessment Care Environment (PLACE) audit. NSCHT achieved ‘excellent’ or ‘above average’ in four of the five categories. The PLACE audits provide an important exercise for hospitals, as the inspections are led and driven by patients and independent assessors. Each hospital receives an audit of all areas of non-clinical healthcare in the following categories: Cleanliness, Condition, Appearance and Maintenance, Privacy, Dignity and Wellbeing and Food.

October 2013 • It’s a Goal

World Mental Health Day was the perfect day to kick off a new football-based partnership between NSCHT and Keele University aimed at helping students to talk about their problems. Part of the It’s a Goal project, the partnership was the first of its kind as part of the national programme. It’s a Goal has been running successfully in North Staffordshire since 2009, providing therapy programmes for people suffering from depression, lack of confidence and low self-esteem. The therapy programme uses football as a metaphor; for example the therapist is ‘the coach’, each member of the group is a ‘player’, each session is a ‘match’ and each match has up to eight ‘players’ who work together as a ‘team’. Participants in the programme use football as an inspiration to find solutions to help with each other’s problems and build strategies to cope with life’s issues.

• Mental health diversion pilot project releases positive 12-month report

A pilot scheme that sees mental health professionals working in partnership with the local police marked a successful first 12 months. A review of the first year of the Stoke-on-Trent and North Staffordshire Police Custody Mental Health

Ward 1 pool table donation

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Diversion Project showed the work undertaken had been central in reducing reoffending rates among known offenders with learning disability, substance misuse or mental health issues. The two-year Diversion Project, launched in June 2012 by the Department of Health, provides funding for two Community Psychiatric Nurses (CPNs) to be based at Northern Area Custody Facility on Festival Park.

November 2013

• Trust shines at NHS Leadership Recognition Awards It was a night of celebration for Trust staff as their excellent leadership skills were showcased at an awards ceremony. Ten Trust staff were shortlisted for NHS Leadership Recognition Awards. Of those nominated, Andy Oakes, Non-Psychosis Service Line Manager, won NHS Partnership/System Leader of the Year; and Jacquie Shenton, Team Manager, Learning Disability Services, won NHS Quality Champion/Innovator of the Year. The awards celebrate leaders at all levels and across all professions, who have improved people’s health and the public’s experience of the NHS.

• Community Psychiatric Nurses support police officers Staffordshire Police and Crime Commissioner Mathew Ellis allocated funding for Community Psychiatric Nurses (CPNs) from NSCHT to support police officers across Stoke-on-Trent and North Staffordshire as part of a new pilot scheme. The pilot involves CPNs working with police officers in the community in cases where an individual appears to be mentally unwell, causing distress or is a risk to themselves or others’ safety.

• Bishop of Stafford licences Reverend Linda at Harplands Hospital

The Bishop of Stafford, the Right Reverend Geoff Annas, visited Harplands Hospital to officially welcome and Licence the Reverend Linda Lucking as the new Chaplain at Harplands Hospital at a Licencing Ceremony. The Reverend Linda was joined by the Bishop and her new colleagues as she was officially welcomed as the Chaplain for Harplands. The Licensing gave the Church’s permission for Linda to exercise her ministry as the hospital’s new Chaplain. The Reverend Linda took over from Reverend Terry Bloor, who was a welcome face on the hospital’s wards for many years.

December 2013

• Intoxication Observation Unit reaches 1,000 patients into service

The Intoxication Observation Unit (IOU) at the Edward Myers Unit saw its thousandth patient – people who have been diverted from A&E who were not in need of emergency services but were too intoxicated to be allowed to go home. Following the initial success of the pilot, the scheme was extended to enable West Midlands Ambulance Service NHS Trust to directly refer to the unit; significantly reducing the impact on A&E, saving money and valuable time in the process. Two beds are utilised in the Edward Myers Unit and there is a staff member dedicated to the service seven days a week, 24-hours-a-day.

Reverend Linda Lucking licensing

• New Non Executive Director appointed

Patrick Sullivan was appointed as the Trust’s newest Non Executive Director. Patrick, who lives in Leek, is a mental health nurse who trained locally but has worked in services across Cheshire, Derbyshire and Lancashire. He has over 30 years’ experience in the NHS, working in a range of clinical and senior management roles. He was, until May 2012, the Executive Director of Nursing at Lancashire Care NHS Foundation Trust; is a Mental Health Act Commissioner for the Care Quality Commission; and sits on Mental Health Review Tribunals as a specialist lay member.

January 2014

• Gala ball raises cash for Lyme Brook Centre

Lyme Brook Mental Health Resource Centre received a donation of £1,213.75 from FuturefineST, raised at a themed gala ball at the Britannia Stadium. FuturefineST is an organisation that represents young professionals in North Staffordshire, providing a networking, career development and social forum. The centre was nominated as FuturefineST’s designated recipient after one of its members received exceptional treatment from staff.

February 2014

• Bid for Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) Project successful

The Trust’s CONNECT CAMHS and First Steps service succeeded in a bid for the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) Project, a service transformation programme for Child and Adolescent Mental

Health Services that aims to improve shared working practice between therapists and children, young people and their families. The programme focuses on extending training to staff and service managers in CAMHS and embedding evidence-based practice across services, making sure that whole services, not just trainee therapists use session-by-session outcome monitoring to inform clinical practice and gain feedback from clients.

March 2014

• Criminal Justice Mental Health Team project secures funding for further 12 months The Criminal Justice Mental Health Team Liaison and Diversion Project, launched in June 2012 on a two-year pilot, was allocated additional funding from NHS England to provide the service for a further 12 months. The project supports those with mental health issues who come into contact with police. It was initially funded by the Department of Health and involves two Community Psychiatric Nurses (CPNs) being based at the Northern Area Custody Facility in Festival Park, seven days a week from 9am-5pm. By being available on site, they are able to provide both a timely mental health assessment at the point of arrest and support for offenders with mental health issues. The first year of the pilot was deemed a success, with a 42% reduction in reoffending within three months by those who have been seen by a CPN.

• Staff REACH Awards

More than 230 nominations were received for the awards to recognise staff and volunteers for their outstanding contribution to the Trust; with 12 overall winners selected. See ‘Staff Achievement Awards’ for the full list.

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Future Steps

NHS Foundation Trusts are able to provide a more responsive health service to their local communities as a result of the direct involvement of their patients, staff and other local people. In addition, they have more financial flexibility and freedoms to invest in research, innovation and facilities that ensure the delivery of good quality, personal healthcare.

In 2012 the Trust gave due consideration to the option of being acquired by a larger NHS mental health trust. Given the current financial challenges posed in the local health economy and the efficiencies required by the local NHS over the longer term, the North Staffordshire Combined Healthcare NHS Trust Board recommended the option of acquisition to the NHS Trust Development Authority [TDA] for further consideration. The Board believed that being part of a larger trust is in the interest of service users and carers, in so much as it provides a stronger voice for mental health and learning disability services across Staffordshire. The Board were also confident that this option provides a critical mass, bringing opportunity for the long term financial stability that is required to deliver safe, high quality services across North Staffordshire.

It is essential that before taking this option forward, local stakeholders (especially NHS commissioning bodies) and the NHS TDA Board have assurance that the benefits of acquisition are likely to outweigh the costs. The NHS TDA Board is clear that an acquisition must only be pursued if it can be shown to improve the quality of healthcare available to patients and be value for money for the taxpayer. These benefits are likely to be both in terms of improving current standards of care to patients and financial benefits. Service

users, staff, GPs and other interested parties will be consulted as necessary before any decisions are made on the future of services.

The Accountability Framework sets out four gateways that our Trust would need to pass through to provide assurance on an acquisition, as well as the timelines associated with each gateway. The gateway detail and timescales indicate that going down this route would mean that North Staffordshire Combined Healthcare NHS Trust would be working towards an authorisation date between October 2014 and April 2015.

In December 2013 it became clear the commissioners had significant concerns about the case for acquisition. Following a positive clinical summit in January 2014 it was agreed the acquisition process would be suspended for six months whilst the Clinical Commissioning Groups [CCGs] for Stoke-on-Trent and North Staffordshire and the Trust reviewed clinical pathways in order to achieve integration of mental and physical health services and of health and social care services. Discussions with commissioners will be resumed when this work has been completed. It now seems likely the Trust will continue in its present form until at least March 2016 and a two year plan has recently been approved by the NHS TDA.

Over the coming months, the Board will be working closely with the NHS TDA to meet the expectations in the Accountability Framework. As part of that work, the Board continue to assess the best way forward for the Trust.

Annual Report & Summary Financial Statements 2012/134

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The Annual Review of North Staffordshire Combined Healthcare NHS Trust is a summary of the Trust’s Annual Report. A copy of the Annual Report can be made on request to the Communications and Membership Team on 08000 328 728 or via email to [email protected]. The Annual Report and Quality Account can also be viewed on our website, please visit www.combined.nhs.uk.

www.combined.nhs.uk

Follow us on Twitter at www.twitter.com/NSCHT1

0300 123 1535 ext 2676 or freephone 0800 0328 728

or write to our FREEPOST address:Freepost RTCT-YEHA-UTUUCommunications & Membership TeamNorth Staffordshire Combined Healthcare NHS TrustTrentham Business Centre, Bellringer RoadTrentham Lakes SouthSTOKE-ON-TRENTST4 8HH

or email: [email protected]

The Trust is committed to providing communication support for service users and carers whose first language is not English. This includes British Sign language (BSL).

This document can be made available in different languages and formats, including Easy Read, on request.

If you would like to receive this document in a different format please telephone freephone 08000 328 728 or write to our FREEPOST address:

North Staffordshire Combined Healthcare NHS Trust Freepost MID25483 Stoke on Trent ST4 6BR

www.combined.nhs.uk

North Staffordshire Combined Healthcare NHS Trust Harplands Hospital, Hilton Road, Stoke on Trent ST4 6TH

The Trust is committed to providing communication support for service users and carers whose first language is not English. This includes British Sign language (BSL).

This document can be made available in different languages and formats, including Easy Read, on request.

Annual Review - North Staffordshire Combined Healthcare · Annual Review 2013/14 Ken Jarrold CBE,...

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