Programme Introduction to the Trust Introduction to Foundation - - PDF document

Your Opinion Counts Update on Achieving Foundation Trust Status

Dr Gillian Fairfield, Chief Executive Sandra Good, Director of Strategic Development

Programme

• Introduction to the Trust
• Introduction to Foundation Trusts
• Why we want to be a Foundation Trust
• Our Vision and Values
• Our Priorities
• Our Strategy for Developing Services
• Governance Arrangements
• Our New Name and Corporate Identity
• Summary
• Questions

Profile of the Trust

• Serves a population of circa 850,000
• Over 2300 staff
• IWL Practice Plus
• Charter Mark
• Positive Healthcare Commission Review 2005
• ‘Excellent’ Healthcare Commission rating 2006
• Revenue £90 million – financial balance

Service Rotherham Doncaster North Lincs North East Lincs Adult Mental Health √ √ Older Peoples MH √ √ CAMHS √ √ √ Learning Disability √ √ Substance Misuse √ √ √ √ Prison Inreach √ √

Portfolio of Services

Introduction to Foundation Trusts

• Established in 2004 following Health and Social Care

(Community Health and Standards) Act 2003

• Regulations revised in 2005 to allow 2 ٭ ٭
• Rationale
• devolved decision making
• greater financial flexibility
• increased local accountability

Benefits

• Opportunities to enhance the local environment by investing

in buildings & services according to local priorities

• Respond quickly to market opportunities
• Set our own pace for initiatives
• Opportunities to innovate
• Implement Payment by Results early

Benefits cont .

• Longer timescales to allow potential to incur losses whilst

awaiting long term benefits

• Opportunities to borrow capital and revenue
• Opportunity to make and retain surpluses
• Facility to form or become corporate bodies
• Opportunity to enter into joint ventures
• Ability to partner a broad range of organisations

Key Differences

• Independent public sector organisations
• Not subject to directions from Secretary of State for Health
• Not performance managed by Strategic Health Authority or

Department of Health

• Have legally binding contracts with commissioners
• Do not have access to or be asked to contribute brokerage

Restrictions

• NHS Foundation Trusts cannot:-
• Borrow from private sector outside Prudential

Borrowing Limit (PBL) set by Monitor

• Disinvest in services
• Ignore national targets & standards
• Ignore legal requirements
• Generate income above private patients limit
• Provide services outside Health and Social Care Act

2003 or terms of authorisation

Why we want to be a Foundation Trust

• Enhance local ownership and involvement through our

governance arrangements

• Maximise our opportunities through the use of financial

freedoms

• Further build on our culture of innovation
• Develop stronger and more diverse partnerships
• Attract and retain high calibre staff

Our Vision

‘Working in partnership to turn our knowledge, expertise and innovation into effective, efficient, accessible mental health and learning disability services that promote social inclusion and choice to people from all walks of life’

Our Values

The Trust will provide services that:-

• uphold the principles of the NHS
• are user, carer focussed
• enhance quality of life
• adopt the principles of recovery
• are safe, whilst promoting independence
• promote social inclusion

Our Values cont ..

• are delivered in the right place at the right

time by the person with the right skills

• are accessed through a single point, with clear

pathways through the system

• are evidence based and continuously

developing in the light of experience

• are effective, efficient and demonstrate value

for money

Key Strengths

• Financial balance for 14 years
• Strong track record of modernisation and delivery
• Strong track record of managing complex change
• Strong track record of partnership working
• Excellent reputation for innovation and quality
• High level of user carer involvement
• Strong and effective staff relationships
• Extensive estate with potential for development

Our Priorities

• Modernise current service provision
• Develop new services
• Achieve Foundation Trust status
• Improve patient focus
• Ensure effective financial management
• Improve Information and Communication Technology
• Develop performance and assurance
• Modernise the workforce
• Develop capacity and capability
• Enhance partnerships

Our Strategy for Developing Services

• In the next 3 years we will:-
• Develop Psychiatric Intensive Care Services in Doncaster *
• Develop Specialist Low Secure Services for people with

Learning Disabilities *

• Relocate Adult & Older People’s Inpatient Services to

modern facilities

• Increase the community orientation of Older People’s

Mental Health Services

• Develop Children & Young People’s Inpatient Services
• Further develop Substance Misuse Services

Governance at the Heart of the Trust

39 5 14 5 5 10 2 GPs 1 Non Clinical 2 Voluntary Sector 1 1 Specialist Services (Substance Misuse) 1 Social Care 1 University 1 North East Lincolnshire 1 Allied Health Professionals / Psychology 1 Strategic Health Authority 1 North Lincolnshire 1 Medical / Pharmacy 4 Local Authority 3 3 Mental Health Services (Adult, Older People, CAMHS) 4 Rotherham 1 Nursing 4 PCTs 1 1 Learning Disability 4 Doncaster Number

• f

Governors Staff Group Number of Governors Organisation Carer User Service Number of Governors Area TOTAL STAFF GOVERNORS PARTNER GOVERNORS SERVICE USER / CARER GOVERNORS PUBLIC GOVERNORS

Our New Name

• Rotherham Doncaster and South Humber NHS Foundation

Trust

• Developed in response to public consultation
• Retains geographical link
• Supporting strap line – ‘serving people from all walks of

life’

• Positively addresses social inclusion

Our New Corporate Identity

• New corporate identity reflects
• fresh modern service
• a clear business focus
• a strong identifiable brand
• positive images representing individuals from a range
• f backgrounds

Summary

‘Working in partnership to turn our knowledge, expertise and innovation into effective, efficient, accessible mental health and learning disability services that promote social inclusion and choice to people from all walks of life’

Any Questions ?