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Annual Members and Public Meeting 2019 Salford Royal NHS Foundation Trust (Salford Royal) and Pennine Acute Hospitals NHS Trust (Pennine) Chairmans Welcome Mr James Potter Chairman Introduction to the Northern Care Alliance From 1 April


  1. Annual Members and Public Meeting 2019 Salford Royal NHS Foundation Trust (Salford Royal) and Pennine Acute Hospitals NHS Trust (Pennine)

  2. Chairman’s Welcome Mr James Potter Chairman

  3. Introduction to the Northern Care Alliance From 1 April 2017, Salford Royal and Pennine, came together to form the • Northern Care Alliance NHS Group (NCA)

  4. Group Council of Governors As the NCA was formed, the Salford Royal Council of Governors • established a subcommittee, known as the Group Council of Governors. The Group Council of Governors is composed of the Salford Royal • Council of Governors, plus elected Shadow Governors from the Pennine constituencies. Over the last 12 months there have been four • Council of Governors meetings

  5. Group Council of Governors - Changes Welcomed Stepped Down − David Davis, Public Bury & − Luise Fitzwalter, Public Bury & Rochdale Rochdale − Sylvia Edney, Public Bury & Rochdale − John Rodgers, Public Bury & − Marie Douglas, Public Bury & Rochdale Rochdale − Robert Scott, Public Oldham − Brian Davis, Public Bury & Rochdale − Fabhia Chowdhury, Public Oldham − Eduard Sieg-Hogg, Staff Elected − Maurice Gorton, Public Oldham Oldham − Julia Riley, Staff Elected Oldham − Ruth Boaden, Appointed University − Georges Na Man Kwong, Staff Elected of Salford Oldham − Councillor Julie Reid, Appointed − Mireia Cassou, Staff Elected North Manchester City Council Manchester − Councillor Wendy Cocks, Appointed − Nick Grey, Appointed Salford Rochdale Council − Councillor Karen Leach, Appointed Bury Council

  6. Group Council of Governors : By-Elections (February 2019) Name Constituency/Organisation Term of Office Ends Jimmy Allen Oldham Care Organisation (Public) 3 years (2019) Mohammed Jahan Oldham Care Organisation (Public) 3 years (2020) David Edwards Oldham Care Organisation (Public) 3 years (2020) Eduard Sieg Hogg* Oldham Care Organisation (Staff) 3 years (2019) Allan Cordwell* Oldham Care Organisation (Staff) 3 years (2020) Mark Taylor North Manchester Care Organisation (Staff) 3 years (2020) * Uncontested

  7. Group Council of Governors : Public Elections (July 2019) Name Constituency/Organisation Term of Office Ends Gill Collins Salford Care Organisation 3 years (2022) Mark Duman Salford Care Organisation 3 years (2022) Paul Attwell Oldham Care Organisation 3 years (2022) Patricia McWilliam-Fowler Bury & Rochdale Care Organisation 3 years (2022) Nicholas Filer Bury & Rochdale Care Organisation 3 years (2022) Syed Abidi North Manchester Care Organisation 3 years (2022) Sandra Breen Rest of England and Wales 3 years (2022) Aaron Davies Rest of England and Wales 3 years (2022)

  8. Group Council of Governors : Staff Elections (July 2019) Name Constituency/Organisation Term of Office Ends Lynn Jones Salford Care Organisation 3 years (2022) Lubana Ahmad Salford Care Organisation 3 years (2022) Gemma Liveseley Oldham Care Organisation 3 years (2022) Jay Patil Oldham Care Organisation 3 years (2022) Craig Wood* Bury & Rochdale Care Organisation 3 years (2022) Mark Mustard* Bury & Rochdale Care Organisation 3 years (2022) Ezmi Mulhearn* North Manchester Care Organisation 3 years (2022) * Uncontested

  9. Non-Executive Director Appointments • Mrs Carmen Drinkwater Appointed for a three year term commencing on 1 st April 2019 • Mr Tim Crowley Appointed for a three year term commencing on 1 st June 2019 • Mr Jim Potter (Chairman) Reappointed for a one year period commencing on 1 st July 2019

  10. Now let us review: • The NCA’s achievements during 2018-19 • 2018-19 Annual Accounts and Audit Opinions for Salford Royal and Pennine • The NCA’s plans for 2019-20… Followed by: Information about the work of the Group Council of • Governors

  11. Chief Executive’s Report Raj Jain Chief Executive

  12. 2018-19 Another year in which our teams excelled in bringing to life our values These remain the bedrock, they are owned by staff and we are proud of them

  13. 2018-19 Our staff delivered many successes • Awards • Innovations • Ratings • That “personal touch” and more…..

  14. North Manchester - Achievements in Quality

  15. Bury & Rochdale - Achievements in Quality

  16. Oldham - Achievements in Quality

  17. Salford - Achievements in Quality

  18. But we faced considerable challenges Despite working with partners in each locality all our Care Organisations • experienced significant increases in demand for urgent care, and in certain specialties We were unable to achieve the 95% national • standard for treating patients within 4 hours in the Emergency Department, We did not achieve the 92% national standard for • the number of patients waiting less than 18 weeks for referral to treatment. • Our IT infrastructure remained unreliable and on occasion a hindrance to staff • But our priority is always patients safety, and our staff continue to do us proud

  19. How we maintain q uality in the face of challenges: Example 1: The Nursing Assessment and Accreditation System (NAAS) The NAAS system celebrated its 10 th anniversary at the Salford Care • Organisation in 2018 By March 2019, 35 out of 43 wards and 11 community services had • achieved SCAPE (Safe, Clean and Personal Every Time) status, demonstrating excellent leadership and high quality care. NAAS was first introduced in September 2016 at Pennine. In 2018/19, • 50% of our wards had achieved ‘green’ status, and 2 of these have additionally achieved SCAPE status. Julie Winterbottom , Clinical Matron, A&E, Oldham Care Organisation •

  20. Example 2: End PJ Paralysis Improvements achieved: 100% of wards engaged in the #EndPJParalysis campaign • 23% reduction in falls, and 17% reduction in length of stay • for the ‘Top 5 wards’ engaged in the campaign Winner of two awards at the National End PJ Paralysis Awards • Further improvements identified: Expand the initiative into community services • Launch of the ‘ Dining Companions ’ scheme enabling • volunteers to spend mealtimes with inpatients

  21. Example 3 : End of Life Care The NCA is committed to providing equitable care irrespective of place of dying, for every patient, every family and every time. Improvements include: Bereavement Support Groups • Continued improvement of mortuary environment and facilities • Swan car park vouchers for those visiting loved ones at end of life • Seven day week working for the Bereavement Service • Appointment of Mental Health Bereavement Liaison Worker • Staff trained and empowered to offer mementos every time to every • family At the first ever Greater Manchester Health and Care Champion Awards in July 2018, the NCA’s SWAN bereavement team was awarded the collaboration award for its exemplary work providing support to the victims and their families following the Manchester Arena bombing in 2017

  22. Example(s) 4: Improving Patient Experience − New sensory room on the PANDA Unit and Autism Information Board − Daily activities for patients on the Intermediate Care Unit, including a ‘mocktail’ afternoon − New wheelchairs purchased for use at the Main Entrance of North Manchester − Water dispensing machines installed in Children’s Outpatients − Launch of the ‘ Dining Companions ’ scheme, enabling volunteers to spend mealtimes with inpatients − Volunteer Film

  23. Celebrating Excellence Pam Town, Lead Nurse for Day Surgery & Pre Op, Bury & Rochdale Care Organisation Pam was instrumental in the success of a partnership with Elms Bank • School, Pure Innovations and Fairfield General Hospital, which has led to a supported internship programme. Tom Kural, Cancer Manager & Assistant Directorate Manager for Urology, North Manchester Care Organisation Tom was key to the successful implementation of the Best Timed Prostate • Pathway at North Manchester General Hospital. Glynn Smurthwaite, Consultant Anaesthetist, Salford Care Organisation and Phil Pattinson Dr Smurthwaite used 3D Digital Surgery to offer pioneering surgery to • Helen.

  24. An Impossible Position 2014

  25. 2018

  26. Our People Staff recruitment and retention remains one of the biggest challenges • affecting NHS Trusts across the country; despite this we bucked the trend: Pennine’s nursing vacancy rate fell from 13.86% to 7.66% as at end of • 2019 Salford has one of the lowest vacancy rates in the NHS (nursing) • Steady reduction in Pennine and Salford Royal’s medical vacancy rate in • 2018/19

  27. Our People We launched the new People Strategy . This aims to increased staff satisfaction, • the support they have to do their job and help them in their career aspirations. Activities included: A new Contribution Framework the clearly aligns NCA objectives and staff  activities, and provides feedback on values A new Talent Management Programme, that is aimed at supporting staff in  their career ambitions and ensuring we have “bench strength” in our leadership positions Focus on the CPD needs of our staff, prioritising L&D training programmes  towards Collaborated with Staff Side Organisations to develop and implement policies  and practices to engage staff in more meaningful ways

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