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An Associated University Hospital of Brighton and Sussex Medical School

All Staff Meeting 14 March 2014. Paul Simpson Deputy Chief Executive. An Associated University Hospital of Brighton and Sussex Medical School. An Associated University Hospital of Brighton and Sussex Medical School. Today’s agenda . Performance and quality update - Paul Simpson

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An Associated University Hospital of Brighton and Sussex Medical School

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  1. All Staff Meeting 14 March 2014 Paul Simpson Deputy Chief Executive An Associated University Hospital of Brighton and Sussex Medical School An Associated University Hospital of Brighton and Sussex Medical School

  2. Today’s agenda • Performance and quality update - Paul Simpson • Friends and Family Test score – Ian Mackenzie • Staff survey results – Sally Knight • Chief Inspector of Hospitals (CQC) mock inspection – Fiona Allsop • NHS foundation trust consultation update - Paul Simpson • Questions and Comments from staff An Associated University Hospital of Brighton and Sussex Medical School

  3. Performance

  4. Quality update

  5. Ian Mackenzie Friendsand Family Test An Associated University Hospital of Brighton and Sussex Medical School

  6. The Friends and Family Test Net Promoter Scores Response Rates January scores placed ED 5th best in country and inpatient wards above the national average

  7. Patient Experience • Feedback from Your Care Matters – recent changes • Menu cycle changing from weekly to fortnightly • Increased parking provision • Working on a system to inform patients of estimated waiting times in ED • Improvements in patient information – DSU, Endoscopy, Comet, Chaldon • Reducing and managing noise at night – inpatient wards • Communication • Monthly FFT scores displayed for all inpatient wards and ED • ‘You said ….. So we have’ posters available in all areas • Trust-wide list of all changes being made at ward, department and Trust level (on Intranet) • Updating Internet to give more detail of changes • Patient Experience Committee • Current Task and Finish Groups – Customer Care Training, Written Information, Car Parking

  8. Next Steps • Refreshing the survey • Consultant re-validation • Option of data by specialty • PROMS • Capturing speech on telephone survey • Text analytics • Better reporting functionality • Rolling it out into the remaining clinical areas: • Paediatrics • Radiology • Therapies • Staff Friends and Family Test • Three times a year (Q1, Q2 and Q4) • Two FFT questions, free text and limited number of additional questions • Using external provider to re-assure staff of anonymity

  9. Sally Knight NHS National Staff Survey 2013 An Associated University Hospital of Brighton and Sussex Medical School

  10. The sample response rate for the Trust was 68% in 2013, which is in the highest 20% when compared against other Acute Trusts The 2013 response rate is an improvement on the 57% in 2012 The NHS Benchmark Report reports present the data under the four Staff Pledges and two additional themes of Staff Satisfaction and Equality and Diversity This presentation highlights the key findings from the NHS Benchmark Report Background

  11. 10 issues in the best 20% 5 issues better than average 8 issues at the average 3 issues worse than average 2 issues in the worst 20% 8 issues improved since 2012 0 issues deteriorated since 2012 Summary of Key Findings

  12. KF 2 - Percentage agreeing that their role makes a difference to patients – (92%) KF 6 - Percentage receiving job-relevant training, learning or development in the last 12 months – (87%) KF 8 - Percentage of staff having well structured appraisals in the last 12 months – (44%) KF 9 - Support from immediate managers – (3.78) KF 11 - Percentage suffering work-related stress in the last 12 months – (29%) Key findings where the Trust is in the best 20% of Trusts

  13. KF 19 - Percentage experiencing harassment, bullying or abuse from staff in the last 12 months – (21%) KF 20 - Percentage feeling pressure in the last 3 months to attend work when feeling unwell – (23%) KF 21 - Percentage reporting good communication between senior management and staff – (37%) KF 23 – Staff job satisfaction – (3.69) KF 25 - Staff motivation at work – (3.99) Key findings where the Trust is in the best 20% of Trusts

  14. Key findings where the Trust is in the worst 20% of Trusts (areas for improvement) KF7 - Percentage appraised in the last 12 months – (79%) KF 16 - Percentage experiencing physical violence from patients, relatives or the public in the last 12 months – (18%)

  15. KF 6 - Percentage receiving job-relevant training, learning or development in the last 12 months – (87%) KF7 - Percentage appraised in the last 12 months – (79%) KF 8 - Percentage of staff having well structured appraisals in the last 12 months – (44%) KF 9 - Support from immediate managers – (3.78) KF 11 - Percentage suffering work-related stress in the last 12 months – (29%) Key findings where the Trust has improved (statistically significantly) since 2012

  16. Key findings where the Trust has improved (statistically significantly) since 2012 KF 19 - Percentage experiencing harassment, bullying or abuse from staff in the last 12 months – (21%) KF 23 – Staff job satisfaction – (3.69) KF 24 – Staff recommendation of the Trust a place to work – (3.74)

  17. Key findings where theTrust has deteriorations (statistically significantly) since 2012 There were no statistically significant deteriorations since 2012

  18. Click Here to read a summary of our Staff Survey results: http://www.surreyandsussex.nhs.uk/wp-content/uploads/2013/02/Staff-Survey-2013-Summary.pdf Any initial thoughts or comments about the staff survey results?

  19. Fiona Allsop CQC Mock Inspection An Associated University Hospital of Brighton and Sussex Medical School

  20. Mock CQC Visit – Focus Groups

  21. CQC Inspection in May Important opportunity for us to demonstrate we are: • Safe • Effective • Caring • Responsive • Well led

  22. What will it involve? • Visiting in teams or groups • External patient focus groups • Focus groups with staff • 2.5 days • 25 – 30 clinically knowledgeable inspectors focused on care delivery at ward and service level • Unannounced visits

  23. What will you need to do? • What still needs to be done • How you raise concerns • The support you give and get • Know your ward/unit in relation to our five standards e.g. – complaints, falls, SI’s, commendations • Be able to tell your story – how have you developed

  24. What will it mean? • We will be acknowledged as good or outstanding • We will proceed with the FT application process • Recognition that we are as good as we think we are Who to contact? • Divisional leads • Ben Emly • Jonathan Parr • Communication Team • Executive

  25. Paul Simpson NHS Foundation Trust update An Associated University Hospital of Brighton and Sussex Medical School

  26. Recruitment of members continues… • Public and staff consultation closed 28th Feb and we are now collating the responses • Membership recruitment continues – currently up to 850 patient and public members (still need help of staff to encourage family members and friends to sign-up for membership) • Staff members will be auto-enrolled by the end of March 2014

  27. Final Quality Report now received • Board Governance Assurance Framework (BGAF) & Quality Governance Assurance Framework (QGAF) External Assessment by Deloitte – final report now received. • We are updating our action plans to include their recommendations. QGAF score was 7 (we self assessed as 6.5) • We need to be aiming for a score of 1 – 2 definitely no more than 3 (no Trust will be authorised with a score greater than 4)

  28. FT Timeline… • TDA Readiness Review – 13th March 2014 – (marks start of phase 2) • Chief Inspector of Hospitals visit – May 2014 • Financial Due Diligence (date tbc) • Election of Governors – Summer 2014

  29. FT Timeline (cont’d) • Final submission to TDA (including Board 2 Board) – Sept 2014 • Application to Monitor – Oct 2014 • Establish Shadow Council of Governors • Authorisation as Foundation Trust – by 1st April 2015

  30. AOB • Please Wash your hands when you enter the hospital • Staff drop-in surgery (monthly) • come along and raise concerns or ask questions of the Exec – 21 March, 1.00 to 2.30pm, PGEC Atrium, first one with Gillian, just drop-in or make an appointment via Comms Team. • Staff drop-in - (daily) • There is an Exec member in the restaurant at 8am every morning for 15 mins – pop along if you want to get advice or raise an urgent issue • NHS Change Day – thank you to everyone who pledged to make life a bit better for patients and colleagues. Some people used it as a comments board which is also useful.

  31. Next ‘all staff’ meeting Friday 25 April 12.00 – 1.00pm An Associated University Hospital of Brighton and Sussex Medical School

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