agenda - westlondon.nhs.uk · agenda time item 18.30 – 18.35 welcome – tom hayhoe, chair 5 mins...
TRANSCRIPT
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p.1
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AGM 2020 p.2
Agenda Time Item
18.30 18.35 Welcome Tom Hayhoe, Chair 5 mins
18.35 18.55 Review of the Year Carolyn Regan, Chief Executive 20 mins
18.55 19.05 Financial overview Paul Stefanoski, Director of Finance and Business 10 mins
19.05 19.15 Developments in local services - Sarah Rushton, Director of Local Services
- Dr Christopher Hilton, Clinical Director of Integrated Care 10 mins
19.15 19.30 Service story Hannah MacDonald 15 mins
19.30 19.55
Panel:
Tom Hayhoe Chair
Dr Christopher Hilton, Clinical Director of Integrated Care
Hannah MacDonald, Service User
Paul Stefanoski, Director of Finance and Business
Nathan Christie-Plummer, Deputy Director of Workforce
25 mins
19.55 20.00 Thank you and close Tom Hayhoe 5 mins
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Review of 2019/20
Carolyn Regan
Chief Executive
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AGM 2020 p.4
188,167 patients using or referred to our services
182,226 patients seen in the community
6,247 older people using or referred to our dementia services
8,141 children & young people using or referred to our services
2,965 inpatients
142,107 in Ealing
21,153 in Hammersmith & Fulham
22,174 in Hounslow
During 2019/20
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AGM 2020 p.5
Our staff in 2019/20
Administration & estates 28%
Healthcare assistant & support
27%
Nursing 25%
Medical & dental 6%
Scientific, therapeutic & technical
10%
Allied Health Professionals
4%
White British 34%
White Other 11% Asian
21%
Black 24%
Other 4%
Not specified
3%
Mixed 3%
Female 65%
Male 35%
Registered disabled 4.3%
LGBTQ+ 2.8% 3770 staff
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AGM 2020 p.6
> Acute wards for adults, specialist community mental
health for children and young people, perinatal
services all inspected in January/February 2020
> Report published in June 2020
> Outstanding for caring and forensic services
Our performance
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p.7
> Provides treatment for up to 210 men, over the age of 18,
with mental illness and personality disorder
> Spacious ward areas, with plenty of natural light and access
to ward gardens
> A modern layout which allows staff to observe patients
effectively and maintain a safe environment
> A multi-disciplinary team located on every ward
Opening of new Broadmoor Hospital - December 2019
Improving
patient environment
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AGM 2020 p.8
> Launched 1 July 2019
> Partnership
> Collaboration
> Integrated Care System
Ealing Community Partners
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AGM 2020 p.9
Partnerships
Working with London
Ambulance Service
Mental health emergencies make up
11% of calls to ambulance services.
CAMHS collaborative Fewer admissions and reduced
lengths of stay for young people
requiring psychiatric inpatient care.
More young people treated closer to
their home.
Working with GPs
The Trust is developing a new
model of integrated primary and
community mental health care to
work more closely with local GPs
and local services.
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AGM 2020 p.10
Achieved first Triangle of Care star
Working with patients,
service users and carers
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AGM 2020 p.11
Staff survey
A total of 1,935 staff members completed the survey, with headline results showing that:
> We ranked well compared to other mental
health, learning disability
and community trusts
> More staff than ever would recommend the
Trust as a place to work (67%).
> 79% of staff are happy with their immediate managers
> Areas for improvement:
bullying and harassment
increasing participation
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AGM 2020 p.12
Recruitment > High vacancy rate across the Trust
> Growing our own workforce:
25 nurses recruited from the Philippines
21 nursing apprentices in training
18 nursing associates in training
> Apprentices
> Recruiting volunteers
82 joined during Covid-19 pandemic
New post created to coordinate volunteer workforce
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AGM 2020 p.13
Success stories
Neil Ragoobar
Career progression
Megan Heaphy
Apprentice
Pat McKee
Retire and return
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AGM 2020 p.14
New board recruits
Nina Singh
Executive Director of Workforce &
Organisational Development
Jaspal Dhillon
Non-Executive Director
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AGM 2020 p.15
Award winners Neil Ragoobar
Service Director for Medium
Secure Services
Nurse Manager of the Year,
Nursing Times Workforce
Awards
Balraj Basra
Domestic Supervisor,
Thames Lodge
Leadership Category
National Unsung Heroes
Awards
eRostering
Team
Fair and Safe Shift Charter
Allocate Award for Cultural
Excellence
BK
a service user at West London Forensic
Services
Outstanding Achievement Award, National
Service User Awards 2019
LEAD by Example
programme
Silver for Best Training Partnership, Training
Journal Awards
Vincent Kanyi
Executive Chef, Broadmoor Hospital
High
Becky Martin
Redevelopment Service Transition Lead,
Broadmoor Hospital
High Award
Quality Awards 2019
Our annual awards ceremony attracted
over 500 nominations from staff, service
users and stakeholders across 12
categories
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AGM 2020 p.16
Response to
Covid-19
> Emergency planning crisis mode from March 2020
> Redeployment of staff across the Trust
> Different ways of delivering services
> 5 x PPE hubs created
> Risk assessments
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AGM 2020 p.17
Child & Adolescent Mental Health Services Avonmore Ward Hammersmith & Fulham
Older Health Service
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AGM 2020 p.18
Impact on staff
> Wellbeing offer:
Keeping Well service across
NWL and London Ambulance
Mindfulness sessions
Thrive webinars
> New ways of working e.g. remotely and/or
those shielding
> Virtual listening events (40+ so far)
> Support for BAME staff
> Risk assessments over 75% completed
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AGM 2020 p.19
Juliet Alder
(1962-2020)
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p.20
Mary Robinson Unit opened
Dr Roopak Khara
selected as one of the faces of the NHS response
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AGM 2020 p.21
Where next?
> Resuming services safely
> Maintaining improved ways of working
> Engagement is crucial
Service users, patients and carers
Staff
Local stakeholders
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AGM 2020 p.22
Thank you
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AGM 2020 p.23
Looking ahead
> Preparing for possible second wave
of Covid-19 and flu season
> Tackling inequalities
> Key partner in the North West
London integrated care system
> Continued progress towards being
an outstanding organisation
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Financial Overview 2019/20
Paul Stefanoski
Director of Finance and Business
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AGM 2020 p.25
Financial performance
statutory requirements
Financial
Control Total
Capital
resource Limit
Paying
Bills on time
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AGM 2020 p.26
Summary financial position 2019/20
Operating Income 314,973
Expenditure (434,302)
Operating Surplus/(deficit) (119,329)
Finance cost (17,874)
Other gains 2,191
Surplus/(deficit) for the year (135,012)
Impairment /capital grant amortisation/prior year PSF 142,648
Adjusted retained surplus/(deficit) 7,636
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AGM 2020 p.27
Financial performance How we spent our money in 2019/20 (£000)
Pay
75%
Non-pay &
impairments
25%
£6,990
£8,493
£20,698
£7,315
£1,691
£5,479
£6,249
£1,853
£13,730
Puchase of Healthcare
from NHS & non NHS
Bodies
Other
Supplies (clincial &
general)
Estates & facilities cost
Consultancy
Operating lease
Establishment costs
Education & training
Depreciation
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AGM 2020 p.28
Financial performance How we spent our capital funding in 2019/20
> The Trust invested £37m capital funding on buildings and equipment to improve the
service delivery environment for service users and staff.
> Examples include:
Continuation of Broadmoor redevelopment
Completion of Medway Lodge refurbishment
Fire safety upgrades
Rolling redecoration programme
Rolling maintenance programme
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AGM 2020 p.29
£15,332
£13,244
£15,472
£12,000
£13,000
£14,000
£15,000
£16,000
17/18 18/19 19/20
Agency spend has increased in
2019/20, as a result of the trust
taking on Ealing Community
Partners services from 1st July
2019
Financial performance How we spent our Capital funding in 2019/20
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AGM 2020 p.30
Financial performance 2019/20 Cash
> Cash movements during the year
From an opening balance of £52.1m to a closing balance of £35m
Cash
1 April 2019 Income Pay Expenditure Non pay spend Capital spend
Cash
31 Mar 2020
52,140 309,679 -192,419 -96,229 -38,165 35,006
20
19
/20
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AGM 2020 p.31
Looking ahead
> Financial flows due to Covid-19
> Additional IT expenditure
> Funding the achievement of the Long Term Plan
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Developments in Local Services
Sarah Rushton
Director of Local Services
Dr Christopher Hilton
Clinical Director for Integrated Care Services
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AGM 2020 p.33
> NHS Long Term Plan, launched Jan 2019
> New investment will help shape the way we plan and
deliver our local services
> Further integrate mental and physical health in the
future
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AGM 2020 p.34
Community and recovery
> Won a competitive bid process to
become an early implementer site for
the new community framework from the
Long Term Plan.
> Set up integrated services to help rough
sleepers with mental health symptoms
across all three boroughs.
> Roll out 14-45 y/o for first episode
psychosis services with planning to go
all age in 20/21
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AGM 2020 p.35
Serenity integrated mentoring
(SIM) in Hounslow > Across the UK, emergency and healthcare services respond every minute to people in mental health
crisis.
> Approx -
Exposed to higher levels of risk and harm and cause intensive demand on police, ambulance, A&E
departments, and mental health crisis teams
What did we achieve?
> More joined up care with a significant reducing in crisis presentations and use of the criminal justice
system.
> Cost tracking on 5 live cases has identified savings of £59,033 within 2019/2020.
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AGM 2020 p.36
Cognitive impairment
& dementia
> Reduction in wait times from referral to diagnosis
> Increased support to people in the community
> Development of an Older persons Mental Health Service
> Re-accredited by the Memory Service National Accreditation
Programme
> Positive patient and carer feedback
> Offering music therapy and group work in different languages
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AGM 2020 p.37
Acute mental health services
> Bed availability well maintained
> Developed alternatives for people in crisis
Safe haven
Diversion away from A&E inc during Covid-19 pandemic
> Improved discharge planning: reduction in delayed transfers of care
> Maintained safe local bed capacity throughout the year (consistently the safest
percentage in London)
> Dedicated HBPoS team with improved staffing
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AGM 2020 p.38
Child & adolescent
mental health services New Models of Care project
> Fewer CYP admitted and when
admitted, closer to home.
> Better access to crisis services 24h
Success developing NDS offer
> Hounslow: reducing waiting times
> New funding in Ealing: live in October
Workforce developments
> Training and progression project
improves recruitment
Work with vulnerable
families
> Mental health support
teams in schools in
Hounslow and Ealing
> Non-violent resistance
groups for parents
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AGM 2020 p.39
Ealing Community
Partners
> Launched on 1 July 2019
> Smooth transfer of ~500 staff from previous provider into
the new partnership
> Successful transfer of care for >40,000 patients, of whom
a third were known to West London NHS Trust for mental
health or psychological care
> Deployment of 600 new computers
> Took occupancy of 11 new community premises
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AGM 2020 p.40
Key achievements
> Launch of the 24/7 Ealing Community
Referral Hub
> Integration of some community nursing
functions e.g. a 24/7 rapid response (in
2 hours) to help avoid unnecessary
admissions
> based
in Carmelita House
> Adult community teams realigned to
match GP practice networks
> Launch of the adult autism assessment
service
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AGM 2020 p.41
services
> Awarded Disability Language Disorder Friendly status
> Launched new speech and language therapy page on Facebook
with over 1500 and reaching 8000 people per month
Intermediate care
> Enhanced our pathways with London Ambulance Service
> Rosemary Ward (rehabilitation) celebrated 5 pressure ulcer free years
District nursing
> Completed a 24 week programme of service improvement
> Recruited new matrons and specialist nurses
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AGM 2020 p.42
A year in numbers
> 800 staff
> 56% BAME
> Annual budget £45m
> 18 team bases
> 798 inpatients
> 70,000 new adult
community referrals
> 12,000
referrals
> Primary care support to
1,065 care home beds
> 13,000 calls to hub per
month
> @EalingPartners: 613 followers, 330.8k tweet
impression
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AGM 2020 p.43
Covid-19 response
> Rapid implementation of service changes
> Joint working with Ealing Hospital, CCG and GPs e.g. supported care homes
> Cross referenced the national shielding lists with our caseloads and contacted
2,000 patients known to community services to provide support and discuss
adjustments to care plans
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AGM 2020 p.44