Transcript Slide 1

WELCOME
CNWL Quality Account Priorities
2015-16 Workshop
Thu, 5 March 2015
WELCOME
Dot Griffiths,
CNWL Chair
Agenda
Timing
Session
9:30 – 10:00
Registration
10:00 – 10:10
Welcome and introduction
Dot Griffiths, CNWL Chair
10:10 – 10:35
Setting the scene: The journey so far
Ela Pathak-Sen, Associate Director for Quality and Service Improvement
10:35 – 11:30
Walkabout: Draft Quality Account Priorities 15/16
consultation, discussion, networking and feedback
Introduction by Santino Vassell & Jay Sugar, Recovery Trainers, CNWL
College & Wellbeing College
11:30 – 12:20
Table discussions: Compare, contrast and report back top 2 “hot topics”
Andy Mattin, Director of Nursing and Quality
12:20 – 12:30
Summing up and next steps
Ela Pathak-Sen, Associate Director for Quality and Service Improvement
12:30 – 12:35
Closing remarks and thanks, followed by sandwich lunch
Andy Mattin, Director of Nursing and Quality
Setting the scene:
The development of Quality Priorities
2015-16
Ela Pathak-Sen,
Associate Director for Quality and Service Improvement
Setting the scene
A brief background to Quality Accounts
• What are they? What are they for?
• Forms one half of CNWL’s annual report
• Reports on last years’ Quality Account Priorities &
presents next years Quality Account Priorities
• Externally audited and assured
• Includes commentary from Healthwatch, OSCs and
CCGs
• Submission to Monitor, our regulator
• NHS Choices and EasyRead
How we support an open and engaging approach
• Right here, setting our Quality Account Priorities via wide consultation (5th
year running)
• Via our 4 Trust values – Compassion, Respect, Empowerment, Partnership
• Measuring performance through survey carried out by trained service users to
service users/carers
• Encouraging feedback via our website and comments cards
• Quality staff survey
• Development of carer priorities via the Trust’s Carer Council
• Results shared quarterly with Board, governors, Healthwatch, and public
(Quality Account)
• 6 public Board meetings with service user feedback on the agenda
• Recovery College: training AND learning along side users and carers
• Patients on interview panels for senior posts, and on Nursing Assessment
Centres
• Patient members of inspection teams for hospital environments
• Programme of Board to Ward visits
• Annual national patient and staff survey
Divisional structure
Jameson Division
Goodall Division
Diggory Division
The journey so far
• Drafting the beginnings of the draft Quality Account
• Data collecting for quarter 4 and year end positions, while..
• In consultation with our stakeholders for where Quality
Priorities 2015-16 should focus
To listen
To share and
compare views
To feed back
Why are we all here
today?
Ultimately –
FOR THE
PATIENT/SERVICE USER
& THEIR CARERS
To network and
meet colleagues
CNWL Quality Account Stakeholder Involvement Plan 15-16
Pre-consultation mini-QAP
events
Main consultation
Finalisation and sign off (3stage)
Publishing
Patients workshop,
14.01.15
Main Stakeholder QAP
Consultation Event, 9.301330, 05.03.15 (Bevans)
1. QPC final QA sign-off
19.05.15
Annual report Monitor
submission, 29.05.15
2. Board final QA sign-off,
13.05.15
June to create stand-alone
and EasyRead Quality
Account
3. Audit Committee final QA
sign-off, 27.05.15
30 June 2015 NHS Choices
and dissemination
Carers workshop,
14.01.15
Council of Governors,
15.01.15
Staff/Union reps,
03.03.15
Healthwatch,
5.02.15
QPC/Ops Board
17.02.15/19.03.15
Carers Council
23.01.15
30-day public consultation,
02.04 - 05.05.15
Quality Priorities Consultation
1. Current quality
indicator performance
3. Key themes from CQC
assessments
2015/16
2015/16
H’watch
H’watch
2. Organisational Learning
themes
4. Strategic/Operational
plans
1. Quality indicator
performance
Current Quality Priorities: Achieving 10/12 (83%) to date
1. Involvement in
care/treatment
2. Supporting carers
3. Competent and
compassionate
workforce
‘Patients report definitely
involved’ (81%; target 65%; n=2601)
Thematic review/action re
carers feeling supported by
CNWL and know how to access
services
Staff have had their annual
appraisal (upward trajectory: Q1 63%;
To provide patient/carers with
leaflets on local
information/groups/contacts
Patients report feeling treated
with dignity and respect
‘How well does your lead
professional organise your care’
(91%; target 75%; n=623)
Continued roll-out of Improving
Involvement Project
Q2: 68%; Q3: 84%; target 95%)
(98%; target 90%; n=2618)
Staff reporting they would
recommend CNWL services
(70%; target 66%; n=523) (Q3 tba)
To undertake a review of
care/treatment planning
Improve screening in the
recruitment process
Staff listening events
Publishing staffing levels on
wards
1. Quality indicator
performance
Considering all our quality indicators…
Quality indicators
requiring improvement:
Quality indicators
performing well:
- Service satisfaction (patients and staff
- Staff appraisals (although upward
trajectory: 63%-68%-84%)
- Care/treatment planning
e.g. MH community patients reporting that
they were offered a copy of their care plan;
risk assessments completed and reflected in
care plans; and definitely involved in
care/treatment planning (MH Brent, Harrow,
Hillingdon and Camden Community)
- Review of the care/treatment
planning system/process
reporting that they would recommend
services)
- Involvement in care and treatment
(especially in community health services)
- Dignity and respect
- Sexual health waiting time to be seen
- MH patients with a number to call for
urgent advice
- How well MH patients report the care
and services they need are organised
- Inpatients with a nursing and medical
physical health assessment on admission
1. Quality indicator
performance
Staff and patient feedback
• Patient Friends and Family Test: 94% (n=2843) of patients reported that
they would be likely or extremely likely to recommend CNWL services to
friends/family if they needed similar care/treatment
2. Organisational Learning
themes 2013-14
Organisational Learning themes: Triangulation of complaints, claims, PALS,
incidents, other sources
THEME
1
Communication & information sharing during handover,
discharge, or transfers of care internally and externally
THEME
2
Risk assessments, risk management and mitigation
through care planning
THEME
3
Understanding and managing patient and family
expectations
THEME
4
Workforce and Leadership, especially clinical leadership
3. Key themes from CQC
assessments
2 key themes:
1. Quality of
care/treatment plans
2. Learning locally
from our incidents
and complaints
Taking all this into account…
Overall.
Improved patient and staff experience (FFT)
Quality Account
Priority
Area 1.
Involvement
in care and
treatment
with support
of carers
Quality Account
Priority
Area 2.
Strengthening
our learning
culture
Quality Account
Priority
Area 3.
Integrated
physical and
mental
healthcare
Other ideas
and
feedback
Draft Quality Account Priority principles
- Relevant to all services
- Aligned with the Annual Plan (reflects service line
priorities)
- A focus on 2/3 areas to ensure quality embedded/
sustained
- Written in the patient voice
- Challenging but not crippling
- Focus on process, outcomes or experience
- Be both quantitative (indicators) & qualitative
(commitments)
Walkabout:
Draft Quality Account Priorities 2015-16
“chat – network – feed back”
Santino Vassell
Jay Sugar
Peer Recovery Trainer,
Recovery & Wellbeing College
Recovery Trainer,
Recovery & Wellbeing College
Involvement in care and treatment with support of carers
Catherine Knights, Associate Director for Quality
Jason Lane, Quality Governance Lead (Jamerson)
Santino Vassell, Peer Recovery Trainer
Walkabout:
Strengthening our learning culture
Introducing
the market stalls
Ela Pathak-Sen, Associate Director for Quality
Lorna Longman, Quality Governance Lead (Goodall)
Integrated physical and mental healthcare
Pramod Prabhakaran, Medical Director (Goodall)
Ruth Weetman, Interim Governance Lead (Diggory)
Other ideas and feedback
‘Be good to hear your feedback’
“Also visit our
patient/carer
information and
Recovery &
Wellbeing College
stands”
Giving us your views:
“chat – network – feed back”
Stakeholder Group
Signature
Patients
PT
Carers
CA
Healthwatch
HW
CCG / GP
CCG / GP
OSC
OSC
Council of Governors
CoG
Internal
CNWL
Write your post-it
feedback here…
…and sign:
CoG
Table discussions and
feeding back your thoughts:
“Top 2 themes per table”
Andy Mattin,
Director of Nursing and Quality
From previous CNWL QAP Consultation Events:
Summing up key messages
Next steps
• Finalise Quality Priority areas, measures and targets for 2015-16 from
what we have heard today
• 30-day public consultation of draft Quality Account 2014-15 (2 April – 5
May 2015)
• Take into account comments from consultation, and include
Healthwatch/CCG/OSC mandated statements in our final Quality Account,
signed off and submitted to Monitor at end of May
• Formatted Quality Account and Summary version to be developed and
published in June 2015 for dissemination, and uploaded on NHS Choices
Thank You
Andy Mattin,
Director of Nursing and Quality
Lunch is served, please join us