CARENOTES - OUR NEW PATIENT INFORMATION SYSTEM

BOARD
A NEWSLETTER FOR STAKEHOLDERS
CARENOTES
- OUR NEW
PATIENT
INFORMATION
SYSTEM
ALSO IN THIS ISSUE:
02 March Board
Round-up
05 Developing Community
Hospitals
08 Trust joins Forward
Thinking partnership
10 Freedom to Speak Up
BOARD
PATIENT INFORMATION SYSTEM
MARCH BOARD ROUND-UP
Our Trust Board met on Wednesday, March 11 at the County Hall
in Worcester.
Chief Executive’s briefing
Quality and Safety report
Transformation report
Finance and Performance update
To access the above reports and full agenda please click here
Next board meeting:
Date: Wednesday 13 May 2015
Time: 9.30am
Venue: Council Chamber, Town Hall, Redditch
www.hacw.nhs.uk
The Trust is in the process of
sourcing a new electronic patient
record system to support the
efficient and effective delivery
of patient care. This has been a
business imperative for the Trust
for some time as our current
configuration of systems is not
sustainable and some of our
operating platforms will become
obsolete in 2016. The extensive
tender exercise was undertaken
between October and December
last year, and we are now able
to confirm the position of the
Trust, and hopefully provide you
with some assurance that the
selected system can meet both the
operational needs of the Trust and
the broader health and social care
community.
We can confirm that the Trust has
identified Advanced Health and
Care with the CareNotes product
as the preferred supplier (subject
to contract) of the new electronic
patient record system. We are
now entering a period of contract
clarifications between the Trust
and Advanced Health and Care,
where the detail of the agreement
and solutions will be worked
through and confirmed with the
supplier. The contract clarification
process should be concluded by
the end of March 2015.
The ability to exchange
data between systems
and partners was an
essential component of
the evaluation criteria,
and Advanced Health
and Care had to be
able to demonstrate
interoperability across
a number of systems,
including both EMIS and
Framework-i.
For more
information email:
charlotte.windsor@
hacw.nhs.uk
We had our first contractual
clarification meeting with the
supplier in February, and one of
the key agenda items for that
session was establishing a number
of stakeholder engagement
sessions. These will include high
level demonstrations of the system,
as well as the discussions around
integration with other systems.
These will be advertised soon.
3
BOARD
DEVELOPING COMMUNITY SERVICES
PERFORMANCE UPDATE
While we recognise that we will always have a challenge to reduce
pressure ulcers in the community as patients are not in our care 24 hours
a day, the great care our teams provide to patients mean that the number
of avoidable pressure ulcers has been reducing consistently in the past
few months.
% of Avoidable Pressure Ulcers
This trend can be explained by a number of changes in the way staff
look after patients, including staff undertaking an investigation when a
pressure ulcer has occurred, thus learning directly from their own care, a
sharing of lessons via serious incidents forums as well as greater provision
of education and support to staff.
% of Avoidable Pressure Ulcers
(data taken from the monthly patient saftey reports)
Our Community Hospitals
are and will continue to be
a key part of our strategy
moving forward. We want to
increase the types of treatment
they can provide as part of our
wider plans to provide care as
close to home as possible. Part
of this includes working with
colleagues at the Acute Trust and
our commissioners to shift some
activity from Acute Hospital sites
to Community Hospitals, offering
more local treatment for local
people.
• We are currently working
through plans for the expansion
of planned IV therapy work at
both Evesham and Princess
of Wales Community Hospital
(PoWCH) and the proposed
endoscopy service at Malvern
Community Hospital
• As part of the plans to transform
the use of inpatient beds on
the Princess of Wales site and
create assessment, sub-acute
and specialist stroke rehab beds,
agreement with the Bromsgrove
Town GP’s for senior medical
cover at POWCH is being
worked through. The approach
has been to co-design the new
model on POWCH in partnership
with local GPs
• Lickey ward, on the PoWCH
site, has now converted two six
bedded bays to 4 bedded bays
in preparation for the proposed
stroke unit within the ward.
Consultant medical cover and
clinical supervision for stroke
patients is in the final stages of
agreement.
• As part of a formal tender
process undertaken by Wyre
Forest CCG the Trust submitted
a proposal to Commissioners
in February to provide a new
service to transform the way
in which intermediate care is
provided in the Wyre Forest (WF)
locality. The Intermediate Care
Unit (ICU) would bring together
the various intermediate care
inpatient services that already
exist within the locality and
ensure they are linked to the
Trust’s community services.
The proposal is to develop a 24
bedded ICU in the WF locality
with strong links with the
Trust’s Admission Prevention
Team (APT) and other relevant
community, social care, primary,
voluntary and acute services.
Trust leads have since met with
commissioners to scope out
estate options and timeframes
for implementation.
90%
70%
50%
30%
72.6%
68.9%
Sep 14
www.hacw.nhs.uk
65.4%
62.5%
60%
56.5%
Oct 14
Nov 14
Dec 14
Jan 15
54.1%
Feb 15
Patient Saftey Report Month
5
BOARD
MORE PROGRESS AT HMP
OAKWOOD
We provide healthcare to three prisons, including HMP Oakwood in
Staffordshire. A report following a CQC inspection of healthcare services
there has praised our staff and found services to be fully compliant with
the regulator’s standards.
a Consent to care and treatment
a Care and welfare of people who use services
a Cooperating with other providers
a Management of medicines
a Assessing and monitoring the quality of service provision
Following a public consultation
the opening times of the Minor
Injury Unit (MIU) in Tenbury
have changed. The MIU is now
open from 9am to 9pm 7 days a
week.
www.hacw.nhs.uk
MIUs are only suitable for minor
injuries. If you have an injury or
need treatment and you are not
sure where to go then you can
call NHS111 to receive advice
and guidance.
View all our
MIUs opening
times by
clicking here
The report said:
“People were cared for and treated by staff who took the time to listen to
them and people were offered different choices.”
“The provider responded to people’s feedback and complaints about
the service appropriately and put in place actions to improve the service
when possible”
7
BOARD
TRUST JOINS FORWARD
THINKING PARTNERSHIP
FOUNDATION TRUST
APPLICATION UPDATE
Last year we submitted a bid
with partners, which include
Birmingham Children’s
Hospital, to provide 0-25yrs
mental health services in
Birmingham. The partnership
is called Forward Thinking
Birmingham.
The Forward Thinking
partnership has now been
named as the preferred bidder.
This is really significant news
for us. Alongside being more
efficient and transforming
our services, a key part of
the approach to meeting our
financial challenges is to seek
appropriate opportunities to
grow and expand what we
do both within and outside
of Worcestershire. It is also
significant for us to be working
alongside an organisation with
an international reputation
in Birmingham Children’s
www.hacw.nhs.uk
Hospital, as well as the other
organisations which make up
this innovative and exciting
partnership.
Forward Thinking Birmingham
partnership includes:
•B
irmingham Children’s
Hospital
• Worcestershire Health and
Care NHS Trust
• The Priory Group
• Beacon UK
• The Children’s Society
We are now working through
further details ahead of
formal contract award. In the
meantime will be involved in
developing an action plan for
how we make this happen so
that the service can go live as
soon as possible.
For more information please
click here.
Our application for Foundation
Trust status is moving forward
and consists of a number of steps
which have to be completed
ahead of potential authorisation.
In October last year we welcomed
an inspection team from Monitor
which is the body regulating
aspiring FTs. Then in January
around 80 inspectors from the
CQC spent a week visiting many
of our services as part of the new
Chief Inspector of Hospitals visits.
This was a real root and branch
inspection to check our services
were safe and effective.
Although the initial feedback
was positive, we won’t get the
more formal response from the
CQC until April when we attend
the Quality Summit. The Quality
Summit will involve the CQC, Trust,
TDA, NHS England, CCGs, local
authority, Quality Surveillance
Group as well as other relevant
stakeholders.
If we are deemed to comply
with the CQCs standards we will
progress to the next stage and will
be on track for authorisation as an
FT later this year.
So far we are one of only a handful
of Community and Mental Health
Trusts to have been rated as ‘Green’
(meaning on track) against all
relevant targets relating to safety
and performance by the TDA
(Trust Development Authority).
Council of Governors:
Part of our plans to become an
NHS Foundation Trust means we
will have a ‘Council of Governors’
comprising 13 Governors elected
by public members, 6 elected by
staff members and 4 appointed by
partner organisations.
Becoming a Governor is a great
way to represent the views and
needs of local people
• Chapter 3 of the ‘Your Statutory
Duties: a reference guide for
NHS Foundation Trust Governors’
provides more on the roles and
responsibilities. Please click here.
Providing our plans towards
accreditation as an FT go to plan,
we expect elections to take place
later this year.
If you are interested in standing
for election to the Council of
Governors you are invited to
attend Governor Information
Sessions, details of which are
online.
9
BOARD
FREEDOM TO SPEAK UP
“OPEN AND TRANSPARENT” CULTURE –
In February Robert Francis released a follow-up report
to the one following the scandals at Mid-Staffordshire
NHS Foundation Trust which was published in 2013.
This subsequent report, called Freedom to Speak Up,
makes a number of recommendations for all NHS
Trusts to adopt. In the main these focus on developing
and maintaining an open and transparent culture
within Trusts where staff feel supported and confident
to raise any issues.
helps raise standards even further and we will
continue to raise awareness of the routes and options
available to our staff.
We have focussed a lot over the last few years on
culture within the Trust. Our Raising Concerns at Work
policy is designed to support and protect staff to raise
concerns when something isn’t right.
While that’s good news, it’s fair to say that as an
organisation we probably learn more from the
complaints we receive and we are committed to
acting on these and learning lessons to drive up
standards even further.
We believe strongly that an open and honest culture
This is the name of the
investigation into historic abuse
carried out in NHS organisations
by Jimmy Savile. Again there are
a number of recommendations
for which NHS organisation must
adopt.
We also want patients and families to tell us their
views on the services we provide. The number of
compliments we receive far outweighs the number
of complaints, and in fact the volume of compliments
has risen significantly over the last couple of years.
We have established a Yew
Tree Task & Finish Group to
work on implementing the
recommendations relevant to
our organisation. Part of that is
to develop a Policy on managing
and co-ordinating visits to our
services and sites from celebrities
and other VIPs.
An update will be provided to
Board at its May meeting.
Staff Side, an independent
group which represents the
views of staff within the Trust,
has described the culture within
the organisation as “open and
transparent”. This is in response
to recent allegations made by a
local campaign group.
The NHS Trust Development
Authority (TDA) plans to
look into circumstances
surrounding four cases at the
Health and Care NHS Trust and
the predecessor organisation
following claims made by
a group called Betrayed By
Their Trust. This review will be
completely separate to the
investigation into concerns
at the Worcestershire Acute
Hospitals NHS Trust led by the
Good Governance Institute.
Staff Side:
“The role of Staff Side is to
represent the workforce at
Worcestershire Health and
Care NHS Trust to make sure
its voice is heard and listened
to by the organisation. Since
the Health and Care Trust was
launched in 2011 we have
worked in partnership with
the current management on a
range of issues, including the
development of its Acceptable
Standards of Behaviour and
Raising Concerns at Work
policies, both of which set
out clear expectations and
guidance for staff. The Trust
has worked hard over the
last few years to support and
We support the Trust’s
senior management team in
continuing to promote this
culture and we are confident
that any suggestions of
widespread bullying or
harassment within this Trust
are inaccurate and not a
fair reflection of the current
organisation.”
How to provide feedback:
Contact our Patient Relations Team
Telephone: 01905 681517
Email: [email protected]
Online: Click here
www.hacw.nhs.uk
value its staff and to develop
and maintain an open and
transparent culture where
staff can raise any concerns
they have. We have witnessed
first-hand how seriously the
Trust takes any claims made
by colleagues in relation to
unacceptable behaviour from
other staff, including those in
senior positions.
Complete our Friends and Family Test
The FFT asks if people would recommend the services
they access to their friends or family. Patients can give
their feedback using a short paper survey after their
appointment/admission, by returning a postcard, or online
by clicking here.
11
BOARD
DEMENTIA PRESENTATION AT HOSC
Our Early Intervention in Dementia team delivered a presentation
at Worcestershire County Council’s Health, Overview and Scrutiny
committee in March on how we can help people live well with Dementia.
Click here to
download the
presentation.
The Trust’s Clinical Director for Older Adult Mental Health Dr Bernie
Coope said about 8,500 people in Worcestershire – 3.4% of the entire
population – are currently living with Dementia, about half of whom are
older than 85 and 450 of whom are younger than 65. He stressed the
importance of early diagnosis and the need for healthcare organisation
to work together to help people live well with Dementia.
MENTAL HEALTH CRISIS CONCORDAT
The Trust is part of a partnership
across West Mercia areas
involving the police, police
and crime commissioner, local
authorities, charities and other
NHS bodies who have agreed to
work together to improve mental
health care for people in a crisis,
signing the Mental Health Crisis
Concordant in December 2014.
www.hacw.nhs.uk
The Concordat includes a
commitment to work together
to improve the system of care
and support so people in crisis
because of a mental health
condition are kept safe and get
the support they need - whatever
the circumstances, and from
whichever service they turn to
first.
A local Mental Health
Governance Board has been
established to ensure consistent
standards are delivered by
partners. Local action plans
have to be delivered to the
Department of Health by 23
March and it is anticipated that
national themes will emerge
in April 2015.
PETER AND MARTIN RE-APPOINTED
TO TRUST BOARD
The NHS Trust Development
Authority (NHS TDA) has
confirmed the re-appointments
of Martin Connor and Peter
Lachecki as Non-Executive
Directors of Worcestershire
Health and Care NHS Trust.
Both Martin and Peter have
been a Non-Executive Director
with the Trust since its inception
in July 2011. Martin is the Chair
of the Audit and Charitable
Funds Committees and a
member of the Quality & Safety
Committee and Foundation
Trust Programme Board, while
Peter is the Chair of the Quality
& Safety Committee.
Chairman Chris Burdon said:
“Martin and Peter have played a
key part in supporting the Trust
from when it was formed in
2011 to it becoming one of the
best performing community
and mental health trusts in the
country. Their re-appointments
as Non-Executive Directors
provide continuity at Board
level and with their skills and
knowledge they will continue
to offer effective challenge to
support the organisation as it
moves towards accreditation as
a Foundation Trust and beyond.”
13
BOARD
SELF-HELP, NOT SELF-HARM
AWARENESS MONTH
We dedicated February as
our Self-Help, not Self-Harm
awareness month, which was
in response to recent figures
showing a 40% rise in the
number of local children, aged
ten to 14, who have admitted
to self-harming over the last
three years.
Service (CAMHS) deliver a
presentation to help better
understand why children
resort to harming themselves
and how families, teachers
and friends can help a young
person cope better and more
safely with worries, pressures
or anxieties.
As part of this awareness
month, we launched a social
media campaign to raise
awareness of self-harm
where people wrote on their
wrists something they do to
positively cope with adversity.
We also held an event in
Worcester which saw our Child
and Adolescent Mental Health
With over 50 selfies, 50 articles
in the media, including the
national press, and over 150
people attending the event,
the campaign was a huge
success.
Self-Help
not Self
-Harm!
For more information
about the campaign,
please click here.
tweets on our
Twitter page
Commissio
ner, Ange
la
Kir ton’s se
lf-help selfi
e
www.hacw.nhs.uk
77
40 retweets
#selfhelpnotselfharm
has been used 68
times on Twitter
15
BOARD
15
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HAVE YOU REGISTERED FOR
OUR EIDS CONFERENCE YET?
Intervening Early in Dementia: Bringing
Together Research and Practice
23
JUNE 2015
The Cotswold Suite, St John’s Campus,
University of Worcester, WR2 6AJ
9.00am-4.30pm
DON’T GET THE FLU – GET THE FLU JAB!
The Trust’s latest flu campaign,
encouraging our members of
staff to get the flu jab, has been
shortlisted for a national award.
The Flu Fighter awards are run by
NHS Employers and we have been
www.hacw.nhs.uk
shortlisted in the ‘most improved
flu campaign’ category.
from 37% in 2013/14 to over 50%
this time around.
The campaign, which ran over the
autumn and winter, helped boost
the numbers of staff vaccinated
The winners will be announced
later in March.
Aims
The purpose of this conference
is to provide a clinically relevant
and evidence based series of
presentations and workshops that
will enable delegates to develop
and enhance approaches to early
and timely intervention for people
living with dementia and their
families.
Buffet Lunch, Tea & Coffee
included.
CLOSING DATE FOR BOOKINGS
FRIDAY 15TH MAY 2015
A limited number of free places are
available to Worcestershire Staff
(e.g. HACW. Worcs Acute, Primary
Care, Age UK Worcs, Alzheimer’s
Society Worcs) and People living
with Dementia and their families.
For more information and to
view the programme please click
here.
To complete a booking form
please click here.
17
BOARD
Keep up to date with the latest news and development by visiting
our website www.hacw.nhs.uk
Follow us on Twitter @WorcsHealth&Care or follow
Sarah Dugan our Chief Executive @SarahDuganWHCT
www.hacw.nhs.uk
To give us your feedback please email [email protected]