Mike Cooke - Rampton Secure Hospital

Transcript Mike Cooke - Rampton Secure Hospital

FT Fit for Future

Forensic Services Division Business Planning and Key Priorities 2013-2014 Angela Close Associate Director, Performance & Contracting

Our Core Services

Rampton High Secure Hospital 359 inpatient beds 2 Medium Secure Units 166 inpatient beds All the Clinical Directorates are supported by

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Forensic Security Service

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Therapies and Education

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Primary Care Service Forensic Facilities Service

Forensic Inpatient beds Low Secure Services 69 inpatient beds Community Forensic Services High Secure Medium Secure Low Secure Offender Health Offender Health Services to 12 prisons

Our Staff

Low Secure and Community Forensic Arnold Lodge Wathwood Lodge Offender Health Mental Health and Learning Disability Service Personality Disorder and Women’s Service Peaks Therapies and Education Security Facilities Forensic Support Services Total

Number of Staff

179 319 176 303 491 377 229 146 133 193 130

2676

Manager to A&C ratio

6.25:1

A&C to Clinical ratio

1:6.16

Qualified to unqualified Nursing Care staff

1:0.82

Cost Improvement Plans

Release of savings with minimum impact on service delivery or patient care.

Over the next

years the Division will have to achieve cost improvements of:       High Secure Services Medium Secure Services at Arnold Lodge Medium Secure Services at Wathwood Hospital Medium Secure Facilities Low Secure and Community Forensic Offender Health £16.1m

£2.73m

£1.3m

£426k £1.35m

£2.97m

Total = £24.9m

Forensic Division Budget

Annual Budget (£000) CIP Target 2013/14 (£000) based on 4.5%

High Secure – Rampton Hospital 88,000,000 3,462,436 Medium Secure – Arnold Lodge 13,107,658 589,845 Medium Secure - Wathwood Hospital 6,370,401 286,668 Medium Facilities and Capital Charges Low Secure & Community Forensic Services Offender Health 2,039,980 6,500,000 14,253,358 91,799 290,000 641,401

CIP Target 2014/15 (£000) based on 4.5%

3,323,868 625,891

304,187 97,409 308,000 680,598

TOTAL 130,271,397 5,362,149 5,339,953

CIP Plans being considered

High Secure

 Review of management and administrative roles and structures  Changes to existing working practices to improve service delivery    Implementing new technologies – expanding telemedicine, digital dictation, wireless introduction etc.

Increase clinical caseloads Review of Therapy provision

Medium Secure

 Additional beds both at Arnold Lodge and Wathwood Hospital Medium Secure Units

Low Secure and Community Forensic

 Additional beds and services – learning disabilities and women’s low secure

Offender Health

 Re-negotiation of contracts to ensure value for money

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Our Service Priorities 2013/14

Changing staff working practices and clinical processes to enhance service delivery and assist with CIP release  Review of Therapy and Education Services in High Secure Services  Review of management structures in High Secure Services  Marketing of additional beds at Wathwood Hospital, Arnold Lodge and Wells Road  Re-negotiation of sub contracts in Offender Health Services  Mobilisation of new prison service contracts  Developing relationships in the new commissioning environment  Reduction of sickness absence across the Division  Implementing any future national recommendations (Francis Inquiry)  Continuation of development and implementation of Business Intelligence, EPR and E-ICP and other technology innovations across the Division

Capital Priorities 2013/14

 Development of Energy Centre for Rampton Hospital  Development of business cases for High Secure C and D Block, Health Centre and Pharmacy refurbishment  Development of business case for expansion at Arnold Lodge

Developing Integrated Working

  Look at opportunities for partnership working across all Divisions.

Improve the integration between physical healthcare and mental healthcare.

 Greater integration between departments and teams.

Staff/Service User/patient Interfaces

 Confirm and Challenge Session with Staff groups, Staff side groups, Governor Champions and Service Users  Discussion at High Secure Patients’ Council  Medium/Low Secure forums with patients  Newsletters/ correspondence with patients  Future event planned in six months to discuss progress, challenges and further opportunities

Challenges

 Changes in Commissioning arrangements  Cost Improvement Plans  Developing national strategies and Inquiries   National Specifications for High, Medium and Low Secure Services Strengthening relationships with Commissioners