Employment Brochure - County Durham and Darlington NHS

County Durham and Darlington
NHS Foundation Trust
Our Trust
A great place to work
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County Durham and Darlington
NHS Foundation Trust
Contents
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ABOUT COUNTY DURHAM AND
DARLINGTON NHS FOUNDATION TRUST
03
OUR STRATEGIC DIRECTION 2012-15 SUMMARY
09
ABOUT THE TRUST CARE GROUPS
12
ABOUT THE TRUST THE BOARD
14
AROUND COUNTY DURHAM
AND DARLINGTON
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all the way
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County Durham and Darlington NHS Foundation Trust is
one of the largest integrated care providers in England,
serving a population of 600,000 people. We are a high
performing organisation with a track record of success.
Acute services: University Hospital of North Durham
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County Durham and Darlington
NHS Foundation Trust
About County Durham and
Darlington NHS Foundation Trust
County Durham and
Darlington NHS Foundation
Trust is one of the largest
integrated care providers in
England, serving a population
of around 600,000 people.
We are a high performing
organisation with a track
record of success.
We have been listed in the CHKS
40 top hospitals for the last four years,
and were named as one of Dr Foster’s
Trusts of the Year in 2009.
The Trust has been an integrated
acute and community services provider
since 2011, and a foundation trust
since 2007.
Acute services
The Trust provides acute hospital
services at Darlington Memorial
Hospital and University Hospital of
North Durham. Core services at each
of these sites include accident &
emergency; acute medicine; critical
care; emergency and planned surgery;
orthopaedics; women and children,
and a full range of support, diagnostic
services and outpatients.
Both Darlington Memorial and UHND
have been accredited with trauma unit
Acute services: Darlington Memorial Hospital
status which secures both hospitals
as acute sites for at least the next
three years.
A £40 million investment in upgrading
the infrastructure at Darlington
Memorial Hospital will be completed
in 2012. This includes an expansion
of accident and emergency, a new
intensive therapy unit, and new energy
centre and engineering services.
The Trust is also developing a
portfolio of centres of excellence at
each hospital in a range of specialties,
operating on a hub and spoke model,
to ensure local sustainability. These
include new services, but also include
services where each hospital has a
traditional strength.
In Darlington Memorial these
include: upper limb surgery, ENT,
bariatric surgery and upper gastro
intestinal surgery.
In University Hospital these include:
revision orthopaedic surgery, vascular
surgery and hyper-acute stroke.
University Hospital is a sub-regional
centre for plastic surgery and
dermatology, providing these services
for a population of more than 1 million
across County Durham and South
of Tyne.
The hospitals work closely with the
tertiary centres at Newcastle upon Tyne
Hospitals and James Cook University
Hospital in Middlesbrough.
A £40 million investment in upgrading
the infrastructure at Darlington Memorial
Hospital will be completed in 2012.
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Elective services
Bishop Auckland Hospital
provides local hospital services for
its community, and planned care
in a range of specialties for the
population of County Durham
and Darlington.
Bishop Auckland’s centres of
excellence include an arthroplasty unit
for low-risk hip and knee replacement;
an ophthalmology unit, with its own
operating theatre where the cataract
surgery is performed; and bowel
screening investigations as part of
the national screening programme.
Bishop Auckland also has a specialist
centre of rehabilitation excellence
including stroke, orthogeriatrics,
and neurorehabilitation, staffed
by highly skilled nursing staff and
experienced therapists, supported
by consultant teams.
Elective services: Bishop Auckland General Hospital
A midwifery unit offers care to
women with low risk pregnancies.
Community services
The Trust provides community services
from six community hospitals and 80
other community based locations, as
well as providing care in patients’ homes.
Community hospitals provide a
range of services including elderly
care and respite beds, outpatients
and diagnostics. They provide a
hub for other services and staff.
Community hospitals are located in:
• Barnard Castle (Richardson
Community Hospital)
• Chester-le-Street
• Peterlee
• Sedgefield
• Shotley Bridge
• Stanley (Health Centre)
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Community services: Sedgefield Community Hospital
Adult community services include
community nursing; intermediate care;
nutrition and dietetics and therapies.
Children’s services include
therapies, nutrition, health visiting
and school nursing.
Other community services include
six urgent care centres; home
equipment loans; wheelchair
service and mental health.
Specialist services are provided
for patients with conditions
such as multiple sclerosis,
lymphoedema, respiratory disease,
diabetes, and patients requiring
palliative care.
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The Trust provides community services from six community
hospitals and 80 other community based locations,
as well as providing care in patients’ homes.
Community services: care in the home
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Under the strategy of “prevention first”, the Trust
is developing its approach to making every patient
contact an opportunity to improve health.
Rehabilitation: Bishop Auckland Hospital
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County Durham and Darlington
NHS Foundation Trust
Health and wellbeing
The Trust’s Health and Wellbeing
services include health promotion and
health improvement activities provided
in a range of settings across County
Durham and Darlington.
Healthworks, located in Easington
in East Durham, is a pioneering
service which is taking new and
innovative approaches to improving
access to lifestyle advice and
healthier choices.
Under the strategy of “Prevention
First”, the Trust is developing its
approach to making every patient
contact an opportunity to improve
health. We are implementing two
major health improvement
programmes – “Routes to Quit”,
which focuses on smoking cessation
for patients in hospital and “Action
on Alcohol” providing screening,
advice and treatment programmes
for clients and patients.
The Trust hosts two regional
health and wellbeing organisations:
Fresh and Balance, which are aimed
at reducing smoking and alcohol
consumption across the North East.
Health and wellbeing: focus on undernutrition
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Our vision “with you, all the way” encapsulates our
commitment to put our patients at the centre of our activities,
to ensure a high quality experience and outcome for all the
people we serve, wherever they receive our services.
Elderly care
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County Durham and Darlington
NHS Foundation Trust
Our strategic
direction 2012-15
The challenge facing
modern healthcare systems
is to meet the needs of
an ageing population by
transforming the way that
care is provided to people
with long term conditions.
This means supporting people,
usually older people, with
complex health needs to live
independent lives. It is widely
recognised that the response
to this challenge must see less
reliance on acute hospital care
and more focus on an
integrated system.
County Durham and Darlington NHS
Foundation Trust is now one of the
largest integrated care providers in
England. Our aim is to become a
nationally recognised high quality
provider of patient centred health
and healthcare services for our local
community and beyond.
We are giving priority to
providing as much care as possible
closer to home, aligning community
and hospital services to improve
the quality of acute admission and
discharge and improving services
for older people - especially those
with long term conditions.
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Prevention and
enablement
Patient
centred
care
Care closer
to home
Quality
hospital
care
Our strategic challenges
During 2011, we worked with
staff and stakeholders including GPs,
commissioners, local authorities, and
patient representatives to articulate
our vision of integrated patient
centred care.
Our vision “with you, all the way”
encapsulates our commitment
to put our patients at the centre
of our activities, to ensure a high
quality experience and outcome
for all the people we serve, wherever
they receive our services.
Three strategic challenges
underpin our vision to deliver
patient centred care:• Prevention and enablement Making every patient contact an
opportunity to improve health
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• Care closer to home - Streamlining
patient services, providing more care
in community based settings and in
the home. Working closely with
GP colleagues to maximise the
potential of the community hospitals,
our Urgent Care Centres, and our
community-based staff, to provide
local urgent care, planned care,
diagnostic out-patient and
rehabilitation services. In addition,
we will develop Bishop Auckland
Hospital as a Centre of Excellence
for rehabilitation, elective and
other specialist services.
• Quality hospital care - Sustaining
and developing Darlington Memorial
and the University Hospital of North
Durham as major local providers of
acute hospital services. We will also
continue to develop both Darlington
and Durham as centres of excellence
for specialist services such as
bariatric surgery and hyperacute
stroke care. Where appropriate we
will continue to develop partnerships
with other neighbouring foundation
trusts - especially for highly
specialised services.
We want to maintain our
position as a top performing
Foundation Trust by continuing
to deliver excellent performance
against all quality and business
standards required by our
commissioners and regulators.
We are therefore structuring our
operational plans for delivering
our clinical strategy around
four outcomes:• The best health outcomes
for patients – we need to ensure
higher standards of care and
improved outcomes.
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• An excellent patient experience –
Evidence shows that better outcomes
are linked to a better experience.
Patient experience is the focus of
the NHS outcomes framework
for 2012/13.
• Improving efficiency – The Trust
is required to reduce its costs by
£20 million in each of the next two
years, and although plans are well
developed for next year, we need
to develop plans for 2013/14, and
implement these successfully.
• Being a best employer –
Evidence shows that high levels of
staff motivation and satisfaction are
related to better patient experience
and outcomes. Our rate of response
to staff survey, and scores on
indicators show where we need
to make an improvement.
Implementation
Major developments are already
taking place:
• Implementation of two major health
improvement programmes - Routes
to quit which focussed on smoking
cessation for patients in hospital
and Action on alcohol which
providing screening, advice and
treatment programmes for clients
and patients.
• With Tees, Esk and Wear Valleys
Mental Health Foundation Trust
and Darlington Borough Council,
we are providing better care for
dementia patients. Ward 51 at
Darlington has been established
as a centre of excellence for
dementia care in hospital and this
best practice is now being spread
right across the Trust.
• With Durham County Council,
we have established the ‘One
Point’ children’s services which
has brought together health
and social care teams and which
is improving services for children
and families across the County.
• We have introduced a 7 day rapid
assessment service for older people.
This means swifter assessment and
diagnosis for older people following
arrival at hospital, and in other
locations with the emphasis on
avoiding hospital admission
wherever possible
• We are working with Macmillan
Cancer Support to help more
patients spend their last days
in their preferred place of care.
• Both Darlington Memorial and
UHND achieving trauma unit status
which secures both hospitals as
acute sites for at least the next
three years. We have established
centres of excellence at Darlington
Memorial Hospital for bariatric
services for people from Durham
and the Tees Valley and at UHND
for hyper-acute stroke services.
Our £40 million investment in
renewing the Darlington site is
nearing completion
Three care groups have been
established to develop detailed
plans on a service by service basis.
Each Care Group’s clinical
representation has been increased
at Executive Directors Group so
that each care group now has four
clinical representatives.
Next steps
The Trust will be sharing this document
internally and externally during the
early part of 2012 in order to hear
views of all stakeholders.
You can also email
[email protected]
www.cddft.nhs.uk
We want to maintain our position as a top performing
Foundation Trust by continuing to deliver excellent
performance against all quality and business standards
required by our commissioners and regulators.
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ABOUT THE TRUST
CARE GROUPS
Therapies: Bishop Auckland Hospital
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www.cddft.nhs.uk
County Durham and Darlington
NHS Foundation Trust
Our services operate
in three care groups:
Care closer to home includes
women’s and children’s services,
therapies, and community nursing
and other services provided in the
community and in community hospitals.
Acute and long term conditions
includes A&E and urgent care, acute
hospital services, and new services
which provide an alternative to
Surgery and diagnostics includes
all surgical specialties, pathology
and radiology provided in hospital
and community settings
Each care group is led by a clinical
director, and an assistant chief
operating officer. Each group has
a further three clinical leads and
a supporting nursing and
management structure.
There are strong links between
the care groups to support the
development of more streamlined
services across care pathways, and
links to health and wellbeing services.
Clinical directors, leads and associate
chief operating officers meet the
chief executive and directors at
a weekly executive directors’
group meeting.
hospital admissions and outreach
into the community
Chief
Executive/Executive
Directors Group
Care Closer
to Home
Acute and Long
Term Conditions
Surgery and
diagnostics
Health and Wellbeing
Clinical directors, leads and associate chief operating
officers meet the chief executive and directors at
a weekly executive directors’ group meeting.
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ABOUT THE TRUST
THE BOARD
The Chairman and members of the Governing Council
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County Durham and Darlington
NHS Foundation Trust
The Board has five executive directors,
including the Chief Executive, five
non-executive directors and a
non-executive Chairman. The roles
of the executive directors are below:
Chief Executive
Executive Medical
Director
Executive Director
of Nursing and
Patient Experience
Executive Director
of Finance
Executive Director
of Commercial
Services
Director of HR
and OD
Director of Estates
and Facilities
The Board committee structure
is outlined below.
Board of Directors
Investments Committee
and Charitable Funds
Committee
Audit
Committee
Remuneration
Committee
Nominations
Committee
Transforming Clinical
Services Task Force
Quality & Healthcare
Governance
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Business &
Operations
Executive
Directors’ Group
Workforce
& OD
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AROUND COUNTY DURHAM
AND DARLINGTON
Durham Cathedral
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www.cddft.nhs.uk
County Durham and Darlington
NHS Foundation Trust
County Durham and
Darlington lies at the heart
of a region whose history
has helped shape the British
nation. It is a region of
great natural beauty, historic
battlefields, castles
and cathedrals.
Darlington and Bishop Auckland are
historic market towns and Durham’s
Norman Cathedral, a world heritage
site, provides a magnificent backdrop
for a city of winding streets,
picturesque walks and stunning views.
In the rural Durham Dales,
Hamsterley Forest and High Force
are destinations for walkers, and there
are attractive villages such as Staindrop
and Stanhope.
High Force Waterfall on the River Tees in County Durham
Bowes Museum, near Barnard Castle,
is a magnificent building which houses
the largest selection of fine decorative
arts in Britain, as well as some of the
best examples of old masters outside
the National Gallery. Nearby, Raby
Castle dating from the 14th century
is famed for its interior and setting.
The Beamish Open Air Museum, a few
miles out of Durham shows Edwardian
buildings and artefacts, which have
been painstakingly moved and rebuilt
providing a trip through time.
Darlington provides easy access to
the North Yorkshire Moors and the
Yorkshire Dales, both offering some
truly remarkable scenery and unspoilt
countryside.
To the North there is the celebrated
cultural and social life of
Newcastle/Gateshead. Further North
is the Tyne Valley and Northumbria
National Park. The North East coastline
is dotted with picturesque fishing
villages and larger resorts.
Housing
Choice of housing is varied all within
easy distance of the hospitals. Ranging
from apartments and terraced town
houses to the most exclusive
“executive” housing there is an
abundance of locations to choose
from, from town centres to pleasant
rural villages.
Education
There is a high standard of educational
facilities, a comprehensive range of
nursery, infant, junior and secondary
schools. There are also independent
schools in Bishop Auckland, Darlington
and Durham and the surrounding
towns. Many establishments boast a
high level of attainment and attract
pupils from a wide area.
There are highly regarded Universities,
and further education is well provided
for at colleges in Darlington, Durham,
and Middlesbrough, Newcastle and
Sunderland.
Darlington provides easy access to the
North Yorkshire Moors and the Yorkshire Dales,
both offering some truly remarkable scenery.
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In Newcastle, the Theatre Royal is visited by
the National Theatre, Royal Ballet, Opera North
and the Royal Shakespeare Company
Newcastle Theatre Royal
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County Durham and Darlington
NHS Foundation Trust
Culture and social
County Durham and Darlington offers
a wide range of cultural and social
activities. There are theatres based
in Bishop Auckland, Darlington and
Durham, which provide a variety of
performances throughout the year.
In Newcastle, the Theatre Royal is
visited by the National Theatre, Royal
Ballet, Opera North and the Royal
Shakespeare Company.
Gateshead Sage hosts performances
ranging from orchestral to celebrated
solo artists.
There is a growing range of high quality
restaurants and cafes across the area.
Shopping
The busy indoor and outdoor markets
and the excellent selection of stores
and specialist shops in the town
centres at Darlington and Durham
provide the focus for shopping.
Two of the largest shopping centres
in Europe are close by. The Metro
Centre at Gateshead is a complete
shopping and entertainment
complex with over 300 retail outlets,
multiscreen cinema, fairground and
antiques village. Eldon Square in
Newcastle boasts the largest John
Lewis and Marks and Spencer outlets
outside London and has an excellent
selection of retail stores.
Gateshead Sage
Sport
Communication links
The North East is passionate about
good sport. Newcastle United,
Sunderland and Middlesbrough
football clubs are within easy reach,
as are the Newcastle Falcons for Rugby
Union, and the Riverside is host
to Durham County Cricket Club.
The area of County Durham and
Darlington is bisected by the A1M,
and there is good access to Newcastle
and Durham & Tees Valley Airports
both of which host a range of standard
carriers and low cost airlines.
There is plenty of provision for soccer,
rugby, swimming, golf, climbing,
walking, canoeing, and angling and
many other sports at the five multipurpose district sports centres.
Darlington and Durham have main
line east coast stations with direct
access to London in approximately
2 hours 30 minutes.
The busy indoor and outdoor markets and the
excellent selection of specialist shops in Darlington
and Durham provide the focus for shopping.
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County Durham and Darlington
NHS Foundation Trust
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