Transcript Slide 1

Our Vision & Mission
OUR MISSION
Advancing health and wellbeing
for you and your family
OUR VISION
To become a Foundation
Trust with a passion for
quality, integration &
excellence
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www.leicspt.nhs.uk
Our Objectives
We will continuously improve quality and
safety, with services shaped from user and
carer experience, audit and research.
We will deliver our financial plans and
transform our estate and information
technology.
We will attract, retain and develop a
diverse, capable and flexible workforce
We will maximise opportunities to deliver
the best possible integrated care in
Leicester, Leicestershire and Rutland.
We will build our reputation as a
successful, transparent and inclusive
organisation, working in partnership to
improve health and wellbeing
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www.leicspt.nhs.uk
LPT Quality Strategy
PATIENT
EXPERIENCE
REGULATION
A passion for
quality &
excellence
SAFE CARE
EFFECTIVE
CARE
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www.leicspt.nhs.uk
Our Quality Expectations
Patient Experience
Service users and carers will be
treated with dignity, respect
and compassion, by kind and
helpful staff. Care will be a
collaborative experience in
which service users and carers
are involved and treated as
Safe Care
Our staff will be supported
and empowered to deliver
the safest possible care
through the highest levels
of professionalism. We will
partners. Individual rights
will always be protected and learn from things that do
not go well and make
championed and diversity
changes to ensure that
will be respected.
mistakes are not repeated.
Effective Care
To ensure that we have an
established process for
assessing and
demonstrating the
effectiveness of services and
reporting this to Quality
Assurance Committee, Trust
Board and stakeholders
Regulation Compliance
Minimum requirements and
fundamental standards
should be delivered, and any
risks to non-delivery should
be escalated and actions put
in place to rectify in line
with our risk management
arrangements.
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www.leicspt.nhs.uk
Our Quality Pillars
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www.leicspt.nhs.uk
LPT Responsibilities for Quality
1.Ensure that the organisation is striving for continuous quality
improvement and outcomes in every service:
2.Ensure that every member of staff that has contact with patients, or
whose actions directly impact on patient care, is motivated and
enabled to deliver effective, safe and person‐centred care
3.Ensure that fundamental standards of quality and safety are at a
minimum, being met by every service that the organisation delivers
www.leicspt.nhs.uk
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Our Governance Framework
Board Leadership
STRATEGY
Diversity, Equality
& Human Rights
Plan
Annual Business
Plan
OD Straetgy
www.leicsp.nhs.uk
CAPABILITIES & CULTURE
Service User &
Carer Involvement
Strategy
Review of
Capabilities
Learning
Organisation
PROCESS & STRUCTURE
Organisation &
Individual Roles &
Accountability
Quality Assurance
Committee
IQPR/CQC
Compliance
Board Assurance
Framework
National Reports
& Data e.g. QRP
Divisional &
Service Quality
Structure
Key Performance
Indicators
Quality Strategy
aligned to
Integrated Quality
& Performance
Report (IQPR)
Performance
reviews
MEASUREMENT
LPT Integrated
Business Plan
Patient Reported
Measures
Staff Reported
Measures
Clinical audit
programme
Exec Walkrounds
Board Assurance
Framework
Comissioner
Reviews
Risk Management
Quality Account
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LPT INTEGRATED GOVERNANCE STRUCTURE
BOARD COMMITTEES, SUB-COMMITTEES AND THEIR GROUPS
Quality Assurance Committee
Audit and
Assurance
Committee
Remuneration
Committee
Infection Prevention
& Control Committee
Charitable
Funds
Health & Safety
Committee
Finance and
Performance
Committee
Workforce and
OD Committee
Policy Group
Learning and
Development
Group
Safeguarding
Committee
Healthy
Organisation
Group
Patient and Carer
Experience Group
Clinical Effectiveness Group
Patient Safety Group
Prescribing
Group
MHA Assurance
Group
CPA
Standards
Group
www.leicspt.nhs.uk
MHA
Clinical
Forum
Medical
Devices
Medicines
Management
Group
Missing Patient &
Violence Risk
Reduction Group
Falls
Group
Resuscitation
Group
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Patient Stories will be presented to the
Trust Board on a regular basis to
enable first-hand accounts of the
service to be considered and acted on
Divisions will implement the ‘Changing
Your experience for the better ‘‘
programme across all services,
feedback changes, and the Friends and
family Test (FFT) implemented trust
wide in line with national expectations
Patient Experience
Strategic
Objectives
A review of the Trust approach to
dealing with complaints and managing
concerns undertaken in line with Clwyd
review.
www.leicspt.nhs.uk
Develop a range of methods to ensure
patient, carers, stakeholders and the
public can provide feedback to the
organisation and influence its direction
of travel.
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Full implementation of the Trust
Quality Improvement Plan.
The Trust will have a dashboard of
patient safety metrics that reports
from point of care to Trust Board.
Safe Care Strategic
Objectives
The Trust will have a system that
allows for learning and
demonstrating changes from
patient safety incidents, patient
feedback and carer feedback.
www.leicspt.nhs.uk
The trust will evidence learning
and improvements in patient
safety.
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The Trust will a have an established
clinical audit programme that reflects
annual priorities (patient safety ,
experience and evidence)
The Trust will have systems in place to
systematically evidence compliance
with NICE guidance and the NHS
outcomes frameworks as they apply to
our services.
Effective Care
Strategic
Objectives
Divisional, evidence based outcomes
detailed in the Trust Quality Account.
www.leicspt.nhs.uk
Implement national guidance from
bodies such as NICE and NHS England ,
monitor compliance, identify where
there is none/partial compliance in
exception circumstances and take
corrective action
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The Trust will review its system for
ensuring compliance with CQC
regulations.
Divisions will have in place an
established process to demonstrate
ongoing compliance with CQC and
MH Act requirements.
Regulation
Strategic
Objectives
The Trust will have a system in place
to ensure timely production of the
Quality account that encompasses
divisional performance and is
agreed by the Quality Assurance
Committee and Trust Board.
www.leicspt.nhs.uk
The Trust will establish a process to
monitor compliance with regulation,
escalate risks to maintenance of
compliance and assure that
implementation of plans to maintain
compliance are managed.
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