The Healthy Staffordshire Select Committee Joint Health Scrutiny - PDF document

05/09/16 The Healthy Staffordshire Select Committee – Joint Health Scrutiny Accountability Session 5 th September 2016 Interesting facts about North Staffordshire & Stoke-on-Trent Oatcakes Sir Stanley Matthews One of the most Stoke City F.C. was home to iconic products of Sir Stanley Matthews, the the area. Great only footballer to ever be with bacon and knighted while playing cheese Alton Towers Musical The country’s favourite theme park, Talent water park and hotel complex Robbie Williams of Turnstall and Slash of Hanley would go on to become two of the worlds best The Potteries known artists The world famous Potteries of Stoke- on-Trent helped drive the expansion of 6 towns during the industrial revolution 1

05/09/16 Some other interesting facts about North Staffordshire & Stoke-on-Trent Stoke bottom 10% most deprived Area nationally and deteriorating CHALLENGED HEALTH ECONOMY – legacy Mid Staffs Life expectancy least v most deprived areas reduced by nearly 7 yrs women & over 5 ½ yrs men Our Trust 6 Directorates £84 m Substance Misuse Learning Disability annual income Children and Young People Neuropsychiatry and Older People Adult Mental Health – Inpatient Adult Mental Health – Community Work across 41 We are a key partner in the STP providing leadership on Mental Digital System leadership/OD Health Sites 2

05/09/16 Executive Directors Our Board Non-executive Directors Additional Members Our Approach Our Vision – What we want to achieve To be an outstanding organisation delivering safe, personalised, accessible and recovery-focussed services & support, every time. Our Quality Priorities Our Values The way we deliver services The way we behave (developed with staff) 3

05/09/16 Our continuing journey of improvement 1 2 3 Strategy with ambition Quality Service User and Carer Engagement 5 6 4 Strengthening Strengthening Staff Engagement Partnerships Governance 7 8 Digital by Choice Openness and transparency 1. Strategy with ambition Secondary Specialist Social care Primary care Third sector care mental health “The plan sets out a clear vision and “The plan sets out a clear vision and Locality based mental Alignment of Council Develop emergency Total health economy Enhance relationships health teams aligned and Trust LD mental health services demand mapping and with voluntary sector with GP practices functions to 24/7 provision milestones for 2016/17 which draws on milestones for 2016/17 which draws on (MCP) the Trusts own 5 year strategy, the local the Trusts own 5 year strategy, the local Quality strategy transformation priorities identified in transformation priorities identified in Integrate care model Reduce emergency Expand model to Deliver seamless care the STP and links to national priorities the STP and links to national priorities with primary care, attendance and broader collaboration Repatriate services with voluntary sector social care and third admission rate per into health economy and enhance every services sector capita service user contact including the 5 Year Forward View” including the 5 Year Forward View” Digital (NHS Improvement, August 2016) (NHS Improvement, August 2016) In collaboration with Enhance self care Develop predictive Locality based secondary care Develop specialist model alongside the tools and capacity to capitated budgets increase out of centres of excellence voluntary sector respond and needs assessment hospital provision Workforce planning and development 4

05/09/16 2. Quality ‘SPAR’ 40 % Safe Further development of the learning lessons framework - reduction newsletter recognised as in dispensing errors achieved best practice (Aug 15-Jul 16 to Aug 14-Jul 15) by the WM Patient Safety £1.5 m Collaborative recurrent investment in CYP staffing following last CQC inspection (23 additional frontline clinicians in post by end September with improved management and admin capacity) Ligature Risk Reduction Plan £273k £273k £273k £273k spent and further work 2. Quality ‘SPAR’ Personalised 85 % Mandatory person centred care planning training Decrease Complaints handling strengthened in people being taken to the Police Custody Suite Assessment Care Environment Team (PLACE) Privacy Privacy Privacy Privacy Food and Hydration Food and Hydration Food and Hydration Food and Hydration Condition, Condition, Dementia Dementia Condition, Condition, Dementia Dementia Dignity Dignity Dignity Dignity Disability Disability Disability Disability Appearance Appearance Appearance Appearance Cleanliness Cleanliness Cleanliness Cleanliness and and and and PLACE 2016 PLACE 2016 and and PLACE 2016 PLACE 2016 and and (new for (new for (new for (new for % % % % Organisation Ward Well Well Well Well Food Maintenance Maintenance Maintenance Maintenance Food Food 2016) 2016) 2016) 2016) Being Being Being Being % % % % % % % % % % % % Organisation Organisation Organisation Organisation 99.60 97.20 92.97 99.88 97.54 98.44 96.26 96.48 Average score Average score Average score Average score National National National National 98.06 88.24 87.01 88.96 88.16 93.37 75.28 78.84 Average score Average score Average score Average score 5

05/09/16 2. Quality ‘SPAR’ Accessible IAPT IAPT England Target England Target Our performance Our performance IAPT IAPT England Target England Target Our performance Our performance 6 weeks 6 weeks 75% 98.5% 6 weeks 6 weeks 18 weeks 18 weeks 18 weeks 18 weeks 95% 100% Early Intervention Access Service in Psychosis non-urgent target hit for 6 waits - consecutive RAID 9to1 months June 2016 performance Performance 73% weeks (4 hours – 96%, wider referrals same day – 90%) Memory Clinic Diagnosis rates – Best performing Trust in the North Midlands 87.9% 2. Quality ‘SPAR’ Recovery Focused STEP ON employment scheme 89 jobs secured for service users Shared IAPT care LD LOS reduced by service – Ward 4 Recovery rates improved from 60% reduction in 75 % 36% April 15 to Nursing Home admission 61% 20% increase in June16 discharge to home in past 18 months 6

05/09/16 3. Service User & Carer Engagement Service User and Carer Council Young Peoples Council New Parents Council 3. Service User & Carer Engagement 7

05/09/16 4. Staff Engagement 44 Quality CEO Blog Improvement Teams under Listening into Action (LIA) Assertive Recruitment Campaign – reduced clinical Aston Team Development – vacancy rate from 93% 11% (May) to of teams have commenced their Aston journey with 5.7% (Aug) with 75% 3.5% (42.7) showing an improvement from their ART+ 1 baseline score awaiting commencement 4. Staff Engagement Staff Survey Highlights 81% Improved in majority of areas Average or Above (2014 – 48%) The National Workforce Race Equality Scheme Top performing Mental Top performing Top performing Top performing Health Trust for BME staff experiencing experiencing experiencing experiencing harassment , bullying or abuse from staff and patient 8

05/09/16 4. Staff Engagement LiA Analysis of 20 Picker Key Findings from the 2015 Staff Survey 4. Staff Engagement LiA Staff Survey Results 2104-16 100 90 80 70 60 50 40 30 20 10 0 Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 2014 2015 2016 9

05/09/16 5. Strengthening Partnerships CYP Adult Community “Working directly with “The innovative work of Combined Combined has enabled a Healthcare with the city council has smooth transition for young been extremely effective in people from Tier 2 to tiers 3 improving the lives of the local and 4 and back down resulting community – Cooperative in the most appropriate and Working” timely service – Younger Mind” Older People Crisis/Inpatient “The commitment from Combined “Working in partnership with the to work in partnership with Trust has resulted in an 85% reduction primary care to improve the lives in the number of people going to of the population through new police custody on Section 136 – ways of working is making a real Staffordshire Police” difference - North Staffordshire GP” Substance Misuse LD “The many benefits of the integrated “The excellent partnership working partnership working between ADS between Stoke Council and and Combined include staff daily Combined is providing ease of knowledge exchange resulting in access and reduced duplication swifter access and treatment for through integrated person centred clients – ADS” services for people with learning disabilities and autism.” 6. Strengthening Governance Board to Team Execs Q&A’s • “The Trust has strong governance “The Trust has strong governance NED/Exec visits • Team Brief • arrangements which have been in place for a arrangements which have been in place for a numbers of years and the revisions currently numbers of years and the revisions currently Management of Management of Management of Management of being made to the Board Assurance being made to the Board Assurance � QSG score – 4 out of 5 risk risk risk risk Framework should only strengthen those Framework should only strengthen those � External Audit � CQINS arrangements during 2016/17” arrangements during 2016/17” Internal Auditers RSM Internal Auditers RSM Professional Leadership Board Assurance for all professions Framework 10