Agenda item

Siobhan Harrington, and Carol Gillen, Whittington Hospital was present for discussion of this item and made a presentation to the Committee, copy interleaved.

During discussion the following main points were made –

·         The Trust’s score of 3.83 is above the national average of 3.8 and a local improvement from 3.79 in 2015 on the staff engagement indicator and is an improvement on last year

·         However, for the first time the percentage of staff experiencing harassment, bullying or abuse from service users has been highlighted as a cause for concern and this will require specific attention later in the year

·         With regard to the CQC a formal inspection of Whittington Health NHS Trust between 8-11 December 2015, with further unannounced inspections taking place on 14,15 and 17 December and the findings published in July 2016 gave a Good rating overall and Outstanding for Caring

·         The Trust met all its last year targets except – 75% of staff who work in Emergency Department to have specific training in the care of patients with Learning Disabilities. The Trust is working towards this target – the Trust needs to reduce its in patient falls that result in severe/moderate harm by 25%. This target has not been met however a new ‘falls bundle’ was introduced which provides more comprehensive risk assessments and care plans for our patients. Selected as one of only 20 Trusts to participate in the NHSi falls collaborative – no avoidable grade four pressure ulcers target not met as despite zero in the acute setting there were five in the community. This is being targeted for 2017/18

·         The Sepsis target was achieved over the target ED96 against 90% and has been an important safety initiative and success for Whittington Health

·         The Trust has set targets re: patient experience and these priorities were determined through triangulation of information from complaints, local and national surveys, including Family and Friends Test, and the very useful feedback from service users via the engagement and workshop event with Islington Healthwatch

·         The Committee noted the Quarter 1 performance data as outlined in the presentation

·         Key priorities are – urgent and emergency care admitted pathway – discharge to assess, reducing DTOCS – improving mental health pathway in ED – Islington and Haringey Wellbeing Partnership and Community Services alignment with CHINS – Winter resilience – workforce – staff engagement and morale – community engagement and delivering the estates strategy

·         The Panel noted that funding had been obtained for a mental health recovery room

·         Workforce recruitment and retention is crucial and this would be a priority for the Trust

·         The Estates strategy was an exciting development for the Trust and a final decision would be taken by the Trust Board in October and a potential partner had been identified. Community engagement would take place on the proposals

·         It was stated that Whittington were committed to the NHS and private health provision would be minimal if at all

·         The Trust stated that the new strategy would involve the creation of a new maternity unit, community centre and provision of nursing accommodation

·         The Panel noted the measures being taken by the Trust to reduce bullying and harassment for staff

·         Reference was also made to the proposal for mental health beds to be relocated at the Whittington and that the Committee welcomed this

·         It was stated that work is taking place with Local Authorities on discharge of patients and generally this is not a significant problem

·         The Committee welcomed the increase in responses from patients in the FFT

RESOLVED:

That the report be noted and the Committee be kept informed of development proposals on the Estates Strategy in the future

The Chair thanked Siobhan Harrington and Carol Gillen   for attending