Agenda item

-        Karen Cvijetic, Head of Quality Improvement, to present

Karen Cvijetic, Head of Quality Improvement, gave the following powerpoint presentation:-

 

What is a Quality Report?

-          Coalition Government White Papers set out the vision of putting Quality at the heart of everything the NHS did

-          Key component of the Quality Framework was the continuing requirement for all providers of NHS Services to publish Quality Accounts

-          This was the opportunity to enable the OSC to review and supply a statement as to whether “the report was a fair reflection” of RDaSH services

-          2013/14 was the 6^th Quality Report produced by RDaSH

 

2013/14 Quality Performance

-          Care Quality Commission (CQC)

Registered with no conditions

-          CQC Inspections

11 inspections of Trust services

3 of Learning Disability Services in Rotherham

1 Trust-wide inspection

-          Compliant with essential standards of quality and safety reviewed

-          CQC Mental Health Act Monitoring Visits

18 monitoring visits of Trust Mental Health Inpatient Services

7 monitoring visits of Rotherham Mental Health Inpatient Services

-          Compliant with some minor improvement actions

-          Commissioner-led Quality Visits

Adult Mental Health Community Services

Positive feedback

-          Quality improvement Initiatives

Child and Adolescent Mental Health Services

Trust Quality Improvement Team

-          Commissioning for Quality Indicators (CQUIN)

Patient Safety i.e. Safeguarding, Patient Safety Thermometer

Clinical Effectiveness i.e. Outcome Measures, Transitions

Patient Experience i.e. Patient/Carer Survey

 

Review of Quality Markers 2013/14

Three domains of quality:-

-          Patient Safety

-          Clinical Effectiveness

-          Patient Experience

Plus

-          Our people/staff

 

Examples of Quality Improvement Work

-          Patient Experience

·           Respecting, involving and empowering patients

·           Improving care through patient feedback

·           Improving access

·           Making service/treatment information available

-          Patient Safety

·           Changes in practice through lessons learned

·           Environmental safety/accessibility

·           Personalised care planning

·           Records management

·           Safeguarding

-          Clinical Effectiveness

·           Access to supervision

·           Implementing evidence based practice

·           Staff engagement in clinical effectiveness activity

·           Development of care pathways

·           Development of outcome measures

 

Process for 2014

-          Consultation with Select Commission

-          Engagement with Trust Council of Governors – regular agenda item/draft Quality Report for comment

-          Draft Quality Report to Trust Clinical Governance Group and Board of Directors

 

Quality Priority for 2014/15

-          Clinical Leadership – developed by Board of Directors, Council of Governors and Business Divisions

 

Francis Declaration

-          Trust Francis Declaration jointly signed off by Board of Directors and Council of Governors in December, 2013

-          4 Francis priorities for 2014:-

Culture

Engagement

Non-professionally quality staff

Whistleblowing

 

National and Public Health Priorities 2014/15

-          Tier 4 CAMHS

-          7 day working

-          Better Care Fund

-          Closing the Gap

-          Public Health – provision of Substance Misuse Services and possible retendering of services

 

Local Commissioning Priorities 2014/15

-          Consideration of investment in priority areas following the outcomes of the reviews

-          A review of Mental Health and Learning Disability Services

-          A review of the Learning Disabilities Assessment and Treatment Unit and Community Services

-          Development of a comprehensive CAMHS Strategy

-          Development of care pathways and packages (Mental Health Payment and Pricing Systems)

 

Next Steps

-          Receive Select Commission’s comments for inclusion in the Quality Report – May, 2014

-          Report to Board of Directors – 24^th April, 2014

-          Report to Council of Governors – 16^th May, 2014

-          Report to Monitor – 30^th May, 2014

-          Review by Audit Commission – April/May, 2014

 

Discussion ensued on the presentation with the following issues raised/clarified:-

 

·           Review of the Learning Disabilities Assessment and Treatment Unit and Community Services was being conducted in conjunction with the commissioners looking at if there were the right number of beds, in the right environment, staffing levels as well as financial implications

 

·           Development of a comprehensive CAMHS Strategy – currently RDaSH was not commissioned to provide the Inpatient Service.  Work was taking place to ascertain how that could be developed.  Work was taking place to review the full Service and  Pathways. Seamless transfers were raised for transition. The Strategy could come to a future meeting of the Select Commission

 

·           Another piece of work was around Child and Adolescent Mental Health Services and taking part in a pilot on Child and Mental Health

 

·           The inspection regime and its ratings were in the process of changing to that similar to the rating used by Ofsted.  The indications were that RDaSH would not be found to be “Inadequate”; it was hoped to be found “Good”.  It would be more in depth looking at leadership, quality, governance and services. RDaSH hoped to receive a “Good” rating and have had positive indications.  Minimum standards were what was assessed

 

·           Work was taking place on how to report whistleblowing figures as they were currently not published.  Internally there were various methods that could be used to whistleblow as well as through the Care Quality Commission.  There had been approximately 30 incidents of whistleblowing.  The organisation was confident that the public were aware of the processes and were using them.  Each incident raised by the CQC had been responded to and reported to the Board and Clinical Governance Group

 

·           Work was taking place with commissioners and partners with regard to 7 day working to ascertain the possibility of sharing resources and locations/buildings in order to make the best use of what was available

 

·           An identified area for improvement was around communications with GPs and thereby access into RDaSH services, information sharing between the 2 and data quality.  A lot of work had taken place on communications with GPs including visits to practices, newsletters and health events and also on improving the Key Performance Indicators.  A survey had recently been conducted with the GPs from which there had been very positive feedback.  Due to the concerns there had been a contract query from the commissioners, but due to the aforementioned work, it had now been signed off as complete

 

Karen was thanked for her presentation.  It was noted that she would supply the final report to Select Commission Members as soon as possible for comment

 

Resolved:-  (1)  That the presentation be noted.

 

(2)  That upon receipt of the final report, Members of the Select Commission forward any comments to the Chairman.

 

(3)  That, upon receipt of comments on the final report, the Chairman and Vice-Chair submit to RDaSH on behalf of the Select Commission.