Everyday, Everyone.Dorothy House Strategic Plan 2018–2025

Our storyPatients, families, carers and our people

Over

we have cared for more than

patients,40

45,000years

their families and carers

Number of people

2,000

1,000

1,500

500

Our historyConstantly evolving to meet the needs of our community

First shop opens

1989

Macmillan Nurses become Dorothy House Nurse Specialists

2000

Move to Winsley

1995

First Social Worker appointed

1994

First Hospice at Home service

1991

IPU opened and first Day Patients

1979

Bloomfield Road expansion

1980

First Domiciliary Nurse

1977

Foundation of Dorothy House

1976

People: Deaths and family/carer referrals | Source: Dorothy House annual reports

40th Birthday

2016

2017

Expansion of Winsley

2006

Peasedown St John outreach centre opened

2013

2012

Trowbridge outreach centre opened

Our peopleAt the heart of everything we do

TOP

6%ADULT SOCIAL CARE PROVIDERS

PROUD TO BE RATED

OUTSTANDING BY THE CARE QUALITY

COMMISSION

We cared for 2,919 patients, families and carers

Our 24/7 Advice Line handled 1,611 calls and our Hospice at Home Team delivered 25,000 hours of care

Our Nurse Specialist Team managed 1,495 patient and client referrals

We spent £7.6m on charitable activity

Our achievements 2016 –17

Our community

56Surgeries

WEST WILTS 10

BaNES26

NE SOMERSET6

NORTH WILTS 14

Our community Surgeries

Figures represent 2016–17

541,195Population of surgeries

WEST WILTS 120,929

BaNES202,654

NE SOMERSET64,064

NORTH WILTS 153,548

56Surgeries

Our community Population of surgeries

Figures represent 2016–17

541,195Population of surgeries

3,680People with

palliative need

WEST WILTS 822

BaNES1,378

NE SOMERSET436

NORTH WILTS 1,044

56Surgeries

Our community Palliative need

Figures represent 2016–17

541,195Population of surgeries

Dorothy House patient deaths

1,148

NORTH WILTS 327

WEST WILTS 278

OUT OF AREA 14

BaNES384

NE SOMERSET145

56Surgeries

3,680People with

palliative need

Our community Dorothy House patient deaths

Figures represent 2016–17

*Formerly known as Accountable Care Organisations (ACO's)

Our landscapeEver changing and evolving

Increasing social isolation

NHS cost savings / public

sector cuts in social care funding

Expansion of private sector

healthcare providers

Complex health and care

system

Emergence of Integrated Care

Systems*

More than cancer Complex

care needs

Growing elderly population

How do we continue to serve the growing needs of our community in an increasingly challenging landscape, without compromising our values or outstanding care?

● To deliver more outstanding care● To meet the growing needs of our community● To meet increasingly complex needs● To look after patients and their families for

longer and closer to home● To grow existing and develop new

sustainable income streams● To ensure our people, supporters, partners

and our volunteers are valued

So that we continue to be at the heart of our community, when it matters most, not just now but in the future.

Our challengeMeeting needs, now and in the future

Our strategyBuilding for the future

Our strategic houseThe plan for our future

How we will achieve our mission

Mission

Value Value Value Value

Vision

MISSION

VISION

VALUES

What we contribute to achieve the vision

What we need to ensure

Our foundations

Why we exist

Enabler Enabler EnablerEnabler Enabler Enabler ENABLERS

Goal Goal Goal Goal Goal GOALS

InnovationPartnership Financial stewardship

People

Our valuesThe foundation on which we are built

Governance We will pursue excellence and continuous development, ensuring that these are embedded in all that we do, across the organisation.

Education & Research Will be at the heart of everything we do.

Leadership We will lead in a manner that motivates and inspires the organisations and the communities with whom we work.

Sustainability We will fund our mission effectively with the right people, partners and resources in the right place, at the right time.

Engagement We will be clear on intent and outcomes with all stakeholders and regularly confirm their understanding.

Excellence We will ensure that the highest standards are maintained and exceeded.

Our enablersWhat we need to ensure

Death is a part of life

Living well

Peaceful death

Increase in income

Supported bereavement

Our goalsHow we will achieve our mission

Death is a part of life

Promote wider understanding in our community that death is a part of life.

Living well

Enabling everyone to live their life to its fullest potential.

Peaceful death

Provide outstanding care and support, when it matters most.

Increase in income

Develop sustainable income streams crucial in realising our mission.

Supported bereavement

Provide families and carers with the support they need through bereavement.

Our goalsHow we will achieve our mission

To ensure that everyone has access to outstanding palliative and end of life care

Our missionWhat we contribute to achieve the vision

A society where death is a part of life

Our visionWhy we exist

Our strategic houseThe plan for our future

Death is a part of life

Living well

Peaceful death

Supported bereavement

Increase in income

To ensure that everyone has access to outstanding palliative and end of life care

People Partnership Innovation Financial stewardship

A society where death is a part of life

MISSION

VISION

GOALS

VALUES

What we contribute to achieve the vision

How we will achieve our mission

What we need to ensure

Our foundations

Why we exist

Governance Engagement SustainabilityLeadership Education and Research Excellence ENABLERS

Film

Our approachHow we will deliver

Clinical Excellence

Income Generation

Information Management

Workforce

Education and Research

Governance

Working together

Our overviewWhat we will deliver

Single, integrated point of access

Excellence in education

Ecosystem

Innovation

Home not hospital

Our methodologyKey building blocks

Single, integrated point of access ● New Clinical Coordination Centre (CCC) ● One contact number● 7 days a week● Multi-Disciplinary Team (MDT) model● Measuring patient outcomes

Ecosystem● A network of services coordinated

by a hub● Services designed around local patient

and family need● Integrated services, owned and designed

by the local community● More services, closer to patients’ homes

Home not hospital ● Expanded Hospice at Home Service● Avoid hospital admissions● Enable early hospital discharge● Provide more respite, end of life

and crisis care● Sustainability in the community

Excellence in education ● International reputation in palliative care● Portfolio of accredited programmes● Centre of Excellence for End of Life Care ● Partnership and development with

further education

Innovation● Embrace technology to enhance services

and develop new ones● Drive Integrated Care Systems (ICS)

to deliver community care provision● Influence palliative and end of life

care provision

Our partnersWorking together to deliver

Commissioners

Higher & further

education

Community health & social care providers

Influencers Hospitals

Third sector Primary care

Corporates

Our cultureEveryday, Everyone

● We will live by our values Everyday● Everyone will be treated with dignity and respect● We will evolve Everyday to ensure all of our community is served● We will all, Everyone of us, be flexible and adaptable in our approach● Our enablers will be at the core of our activity Everyday

To ensure Everyone has access to outstanding end of life and palliative care, Everyday

Our impactHow we will measure success

Education, Information and Drop in Website and Literature Coffee Club and Carers Course

Day Patient Services DHNS, IPU, FST and H@H Bereavement Support

People

1,148 DH Deaths

554 DH family and carer referrals

541,195 GP patients

TIME

3,680 Palliative need

SERVICES*

*All services offered according to the patient need

£7.6m Current expenditure on charitable acitivity

End of life 56% Preferred Place of Death achieved (across our area)

Peak spendDiagnosis Referral

Our services2016–17

Education, Information and Drop in

Social prescribing and Community Partnerships

Companions: RUH and Community

Eco-hub activity

Live Well

Home care including MDT and H@H

Community beds

IPU 1:1 and MDT

Bereavement Support

People

TIME

SERVICES*

595,315 GP patients(+10%)

5,263 Palliative need

961 DH family and carer referrals

1,922 DH Deaths

*All services offered according to the patient need

£13.5m Future expenditure on charitable acitivity

End of life 85% Preferred Place of Death achieved (across our area)

Peak spendReferralDiagnosis

Our services2024–25

Our reachA beacon of palliative and end of life care

Palliative need

DH deaths Current and future expenditure on

charitable activity

2016–17

2024–25

£7.6m£13.5m

DH family and carer referrals

Communityfocused

1,148

1,922

554

1,978

961

2,380

Our commitmentWhat we will deliver

5,263

3,680

Our financesSustainability at our core

Retail Legacy Fundraising New Ventures

Retail Fundraising Governance

NHS and Social Care Contracted Services Education & Research Investment Returns

Investments Health & Social Care services Clinical Services Development

Our income 2024–25

Our expenditure 2024–25

£5.2m

£4.5m

£6m

£3.7m

£0.8m

Total

£21.5m

£4.6m

£1.6m

£13.5m

Total*

£21.5m£0.1m

£0.1m

£1.6m

*Includes allocated central costs

£0.6m£0.7m

CONTINUE TO BE RATED

OUTSTANDING BY THE CARE QUALITY

COMMISSION

56%DH PATIENTS WITH NON-CANCER

Inequality of access and care no longer an Issue

Every patient owns their own

care pathway

PATIENTS DYING IN THEIR PREFERRED PLACE

85%ADVANCED CARE

PLANNING CONVERSATION

95%OF PATIENTS WITH PALLIATIVE NEED OFFERED AN

Our targetsSuccess factors 2025

SUSTAINABLE COMMUNITIES

International educational excellence

Excellence in innovation and technology

A BEACON INPALLIATIVEEND OF LIFE CARE

FINANCIAL STRENGTH

Our targetsSuccess factors 2025

3,000

2,500

2,000

1,500

1,000

500

2017 202520061990

2,883 people

1,702 people

719 people

1,361 people

People: Deaths and family/carer referrals | Source: Dorothy House annual reports

Our futureMore outstanding care

Our peopleAt the heart of everything we do

● Ensure that everyone has access to outstanding palliative and end of life care

● Share and drive our vision of a society where death is a part of a life

We will meet this challenge:● By ensuring our patients, families, carers

and our people continue to be at our core● By partnering to develop services our

communities need and in locations they want● By maintaining financial stewardship and

outstanding governance● By delivering outstanding care and excellence

throughout our community● By constantly evolving, embracing change

and innovation...

In over 40 years we have cared for more than 45,000 patients, families and carers, when it mattered most. Our landscape, and the communities within it, will continue to change and increasingly provide challenge.

Our conclusionDeath is a part of life | Everyday, Everyone