hospital life july august 2011 - ekhuft.nhs.uk
TRANSCRIPT
hospitalThe East Kent hospitals’ magazine
July/August 2011 life
Putting patients first
There’s no place like homeHelping joint replacement patients recover faster
£11 million of new kit opens across east Kent
Inside dragon’s denSee how staff got instant funds for their service improvements
PLUS: Staff survey special
hospital life
The Communications Team has seen a lot of red ribbon in the last two months,
with lots of exciting openings taking place - as you will see from our photo album.
But it was the lack of red tape that made one event special. The ‘After Dragon’s Den’
event, where staff were given £50K to make their dreams for service improvement
a reality, was a breath of fresh air for everyone there. Questions were asked and
decisions were made quickly - no forms, no meetings, no fuss, just simple solutions
to age-old problems sorted in minutes. If you have no idea what I’m talking about,
turn to page 5 for the full story. Then, think about what idea you have always
July/August 2011
Editor-in-chiefJames Murray
EditorGemma Shillitoext 73843DL 01227 866384e-mail:[email protected]
ContributorsSamantha Mullins, Kunle Thomas, Dr Robin Mackenzie, Stephen Dobson
Hospital life is produced by East Kent Hospitals University NHS Foundation Trust Communications Department tel: 01227 866384 e-mail: [email protected]
Unless otherwise indicated, views expressed in Hospital life are those of its contributors and are not necessarily the views of the Trust.
If you would like a large print copy of this magazine, please contact the Trust’s Communications Department on 01227 866384.ÿivot v nemocnici je dostupný vo väÿšine jazykov. Pre výtlaÿok zavolajte prosím na 01227 866384 alebo pošlite e-mail na [email protected]
“Hospital life” je k dispozici ve vÿtšinÿ jazykÿ. Výtisk si mÿÿete objednat buÿ na ÿísle 01227 866384 nebo emailem na: [email protected]
Broszura “Hospital life” dostÿpna jest w wiÿkszoÿci jÿzyków. Jeÿli chcieliby Paÿstwo otrzymaÿ jej kopiÿ, prosimy o kontakt telefoniczny na numer 01227 866384 lub e-mailowy na adres [email protected]
3 Hospital news
What’s going on at our hospitals and community sites
5 They came, they spoke, they got £££s...
What happened at the Trust’s first ‘After Dragon’s Den’ event
7 There’s no place like home
How the T&O multidisciplinary team are improving care for joint replacement patients
8 Are you engaged?
How involving our patients and local population in plans for our services can bring great results
10 Who’s who
Meet the divisional directors
11 Behind the scenes at Project Search
A day in the life of intern Luke
12 Publishing: the key to research success
Dr Robin Mackenzie, Director of Medical Law and Ethics at the University of Kent, explains how getting published can increase your credibility when applying for research funding
12 Do not disturb
The story behind the tabards which will shortly be made available for all wards
14 Hospital people
Acting on the 2010 staff survey
wanted to put into practice in your area to improve your service. Could you take it to
the next ‘After Dragon’s Den’ on 6 Spetember? It could be worth your while!
Gemma
In this issue...
3
hospital news
centreof
Head & Neck patients are now benefiting from the sparkling new £5m Maxillofacial Department at William Harvey Hospital, where state-of-the-art technology, specialist staff and co-location with other Head & Neck services are providing a centre of excellence for this patient group. The transfer of Department of Oral & Maxillofacial surgery, Orthodontics and Restorative Dentistry to a purpose-built unit at William Harvey Hospital was a significant moment for Kent, as it marked the completion of East Kent Hospitals’ centralisation of all inpatient Head & Neck Services at the William Harvey Hospital, and formed the only Improving Outcomes Guidance compliant Head & Neck cancer unit in Kent.
The new Maxillofacial Department, which was officially opened in June, includes several dedicated procedure rooms, a minor operations theatre, the latest 3-D imaging technology and a state-of-the-art laboratory.
It is immediately adjacent to the dedicated Head & Neck ward and provides a full range of oral and maxillofacial surgery, including specialist facial reconstruction and microvascular reconstructive expertise.
The co-location of all Head & Neck specialities, including Ear, Nose and Throat and Oculoplastic surgery and the Head & Neck skin cancer service, means that the people of Kent can now benefit from dedicated specialist staff with the full back up of all general medical services to form an easily accessible centre of excellence.
excellence
Hayley Stout, Miss Fran Coutts and Mr Andrew DiBiase in the polyclinic.
The Trust’s new state-of-the-art maxillofacial laboratory boasts the latest technology for othodontic and facial reconstruction.
hospital news
4
The latest in radiotherapyThe new linear accelerator (radiotherapy treatment for cancer) at Kent & Canterbury Hospital is now fully installed, commissioned and benefitting cancer patients. The £4.6 million machine and treatment planning system, which allows more precise treatment of the tumour site, is part of a massive refurbishment of the Oncology department.
Tomorrow’s world... today The Trust began offering robotic surgery in May. A £1.5million robot is currently being used to operate on prostate cancer at Kent & Canterbury Hospital by Consultant Mr Ben Eddy. It is the only robotic surgery taking place in the South East outside London. Its benefits for patients include less pain and faster recovery.
�Mr Ben Eddy remotely operates the robot.
5
hospital news
£££s!they came...they talked...they gotFive staff persuaded three senior managers to give them £50K between them to fund their ideas for improving their service at the Trust’s first ‘After Dragon’s Den’ event in June.
You can see the action for yourself - watch the film at www.ekhuft.nhs.uk/dragonsden
Dragons’ shopping listDevelopment of heat exchangers for 52 renal dialysis machines - £11K‘Vital signs’ monitors for Kings D Ward - £10K ‘Do not disturb’ tabards for drug and nutrition rounds, plus small patient items storage - £15KDigital dictation machines - £9KInterative training devices - £5K
Poker-faced: the ‘dragons’: Jeff Buggle, Steve Hams and Chris Farmer.
The dragons deliberate over who - if anyone - should get the cash.
An agonising wait for the results...
Urology secretaries Victoria Hughes and
Jennifer Welfare.
Hurrah! A dream becomes reality for ward manager Penelope Searle.
Steve Milne, Renal Technical Manager, presents his team’s case.
6
Every month, hundreds of people in east Kent have a joint replacement operation. Many patients have traditionally been unpleasantly surprised at how long it can take to recover from their surgery.
So when South East Coast NHS launched an Enhanced Recovery Programme for Trauma & Orthopaedics in October, the T&O team jumped at the chance to try out new techniques for joint replacement surgery and post-operative mobilisation to further improve the quality and efficiency of care for their patients.
A team of anaesthetists, orthopaedic consultants and pharmacists have worked together to produce a set of guidelines for the most up-to-date techniques for patients undergoing joint replacement surgery.
The nurses and therapists on the
orthopaedic wards are working together to develop mobilisation competencies so that the patients can be treated in a holistic and timely way.
As a result, more patients are starting to mobilise on the day of their surgery because they are recovering more quickly and their pain is better controlled.
Patients are also being better prepared for their surgery and post-operative mobilisation through a ‘joint school’ being run at Margate and Ashford.
Joint school is where groups of patients come in to the hospital to have their surgery and recovery fully explained to them and have basic assessments done by the nursing and therapy teams. Possible problems are picked up there, and if necessary, therapists visit the patient’s home to make any
necessary adjustments to ensure a smooth discharge.
For Joyce Adegoroye, who was out of bed the day after her knee surgery, this was the key to success.
“The explanation of everything helped me and my family feel more positive about my going home,” she said.
“The staff were worried that I might have difficulties returning home because of the layout of my house, so a therapy technician came to my house and showed me equipment I would need at home and how to use it. I thought this was a great service because it sorted out all the issues before the operation.”
Surgical Care Practitioners, who started with T&O last year, are offering flare-up contact details to patients giving them the
How the orthopaedics teams are improving their patients’ experience and outcomes.
Swithun Price, Occupational Therapy Assistant, with patient Joyce Adegoroye.
There’s no place like
home
hospital life
7
skills for sale
The child and adolescent self-harm team, based at Orchard House, St Peters, has generated a regular income by developing and selling self-harm training.
Self-harm is a big problem, with one in ten young people reportedly engaged in it. However, those who have their behaviour recognised and are seen by health professionals are only the tip of the iceberg.
“We saw a need for other professionals in contact with young people, such as teachers, health visitors, school nurses and some private charities, to have specialised training in self-harm,” said Psychotherapist Terence Nice.
“We charge a small fee for the training and in the six years it has been going we have generated around £9000 additional income, of which 50% goes to the Trust and 50% comes direct to us to spend on extra equipment like laptops, books and videos. This means we have been able to improve awareness and understanding of self-harm amongst many of the adults who affect a young person’s environment, while generating a small income. Feedback from those who have taken part in the course has been very positive.”
� The team runs annual tripartite self-harm training, including an introductory, intermediate and advanced course for professionals. Please contact Terence Nice at [email protected] for details.
reassurance that they can easily get back in touch with someone if necessary when at home.
“As a result of the hard work of all the teams involved we are starting to see our patients recovering faster and able to be discharged home more quickly,” said Alanda Tofte, Senior Matron for Surgery. “Early discharge is what we are aiming for as we know that our patients are safer and happier to be at home than in hospital.”
� For further information please contact Alanda Tofte via e-mail at [email protected]
hospital life
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hospital life
In June 2010, three focus groups made up of Trust
staff were held to discuss how the Trust can be better enabled to deliver a ‘gold standard’
service to people with learning disabilities.
In September 2010, over 90 people attended the resulting ‘Improving Communication’ event at the Westgate Hall in Canterbury
City Centre. Amongst the attendees were people with learning disabilities, their family, carers, care workers, Trust staff and community
professionals. Highlights of the event included:
• Gathering a wealth of information on patient experience. This was done through panel discussion, question and answer session and ‘icebox’ used in gathering questions and issues requiring one-to-one conversation with staff• Expressions of interest among attendees to work on producing a ‘patient passport’ on behalf of the Trust for those with learning disabilities. Originally conceptualised by Mencap, the UK’s leading learning disability charity, the ‘patient passport’ is a communication tool with information on likes, dislikes, medication any other information that health care professionals
may find useful about a person with learning disability.
A steering group on the ‘patient passport’, including people with learning disabilities, has since been working hard on
producing the ‘patient passport’ - due to be launched in October 2011.
are youengaged?
y
in aff
The newly-formed Dermatology Patient Panel is
the result of an approach from Andrew Langford, Chief Executive of The Skin Car
Campaign (an umbrella organisation that unitpatient, healthcare professions, pharmaceutica
and politicians who have a connection with skin dand conditions), to give dermatology patients a fac
to raise issues about dermatology care.
The team used the Leeds model to set up the panel.east Kent who had expressed an interest in being invalong to The Friends Dermatology Centre at Kent & CHospital and met over a cup of tea for about an hourabout how the patient panel had worked in Leeds, reinformation about local and national issues for dermservices, met members of the team and identified
would like go forward. Straight away they startedideas about how they would like to represent th
fellow patients and link with them. They decimeet monthly at first to “get going” and ar
being facilitated by the dermatology administrator.
“Putting patients first has an underlying prerequisite - having a good grasp of what patients need,” says Head of Public and Patient Engagement Kunle Thomas.
Asking patients what they think about our services and responding to their views can lead to fantastic results - the patient passport project (below) is just one example of how it can change the system for both patients and staff for the better.
Trusts that engage with their users regularly like this are more likely to have a good reputation with their patients and local communities and have a lower number of complaints. The big question is: how do you go about it? Read on and be inspired...
Case study: patient passport
Case study: Dermatology Patient Panel
Did you know?Under the NHS constitution, our population has the right to be involved, directly or through representatives, in the planning of health care services, the development and consideration of proposals for changes in the way those services are provided, and in decisions to be made affecting the operation of those services.All NHS Trusts are required by law to engage with patients and the public as part of their decision making processes.
the dustry eases ated voice
atients from ved came nterbury hey learned eived some ology
ow they develop
r d to
hospital life
Emma Sayell, Respiratory Nurse Specialist
“Putting patients first is about giving them the best service you possibly can. For me, this means being there 24 hours a day to answer their questions as quickly as possible and in a way they can understand. It means being there for them all the time so they don’t sit at home worrying or don’t have to wait for an appointment if they feel ill. I don’t keep my patients waiting for anything.
“I look after 321 patients who are on non-invasive ventilation at home. Every one of them has my phone number so they can contact me at any time if they are worried about something. I will go to see them at their home out of hours
“what putting patients first
means to me”
“I don’t keep my patients waiting for anything”
if they need it. It’s tiring, but I get the satisfaction of preventing a person from being admitted or having emotional stress - people with long-term medical problems don’t need the stress of not knowing what to do or who to call to find out.
They need to feel as though they are the only person you have to look after.
“I like my job, I’m happy with the service I provide - if I wasn’t doing my job properly, I would be worrying outside of work. As it is, I’ve got my work-life balance. “A qualification on a piece of paper doesn’t make someone a good nurse or a good doctor or a good health care assistant. You have to like people to care for them. This isn’t ‘just a job’, it’s a caring profession. There’s no room for judging people or making assumptions about them. Everyone deserves to be treated well and treated equally.”
EKHUT now has a new public and patient engagement strategy that sets out how the Trust will go about fulfilling its PPE duties. This is available on www.ekhut.nhs.uk/ppe. This work is being led by Kunle Thomas. If you would like to set up a patient group or organise an engagement event in your area, please contact Kunle for advice on ext 73657 or e-mail: [email protected]
Do’s and don’ts of public and patient engagement• Set up a patient group. Each department is encouraged to set up a patient group for regular sharing of patient experience and feedback. Where appropriate, two or more departments within a division may consider having a joint patient group. • Include PPE from the planning stage of a service review or project, not as a last minute ‘bolt on’ • Produce patient leaflets with patient input, giving information about your services in plain English. The back page of all Trust leaflets is standardised to address the issue of equality of access to information • Don’t assume you know best; get feedback through simple questionnaires or any other appropriate research method.
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hospital people
10
Who’s whoMeet the divisional directors
Rachel worked as a Diagnostic Radiographer specialising in vascular studies until 2000 when she became a department manager.
She moved to Kent from Manchester in 2003 and
became a radiology manager in an east London Trust. Rachel then went to Kent and Medway Strategic Health Authority, focusing on health improvement before coming to EKHUT for the first time as general manager for radiological sciences. Rachel left the Trust in 2008 to gain experience in primary care with the acute contracting team and returned in 2010 as the Associate Director of Elective Care and as interim General Manager in the Head and Neck Directorate.
In 2009/10 Rachel completed the Aspirant Director Programme and has just completed the second year of a Masters degree.
“The opportunity to manage the division with my medical and nurse colleagues is a privilege and I am very much looking forward to developing all of the services in order that patients choose EKHUT for their surgical care,” she says.
Rachel JonesDivisional Director for Surgical Services
Jane Ely Divisional Director for Specialist Services Jane qualified as a Dietitian and worked in several London hospitals before specialising in Paediatrics which gave her the opportunity to work at Kings College Hospital for more than eight years as part of a wonderful team caring for children and families with complex conditions such as liver disease, cystic fibrosis, and eating disorders.
Having had the opportunity to visit hospitals in both America and Australia, Jane became more interested in managing healthcare and completed a masters degree in business administration. She has since progressed in management posts including Clinical Support services, Women’s and Children’s services, Sexual Health, Central Booking and Outpatients, maintaining her professional interest by training as a Sports Dietitian and
supporting cyclists who had the potential to get into the national squad. Jane joined the Trust after working in the national Elective Care Intensive Support Team for almost four years. Within that time she worked with more than 30 organisations helping teams to deliver sustainable improvements to waiting times and care pathways.
Rob was General Manager for Radiology in EKHUT between 2008 and 2010, supporting the team of the year 2010.
Before that he was Head
Robert RoseDivisional Director for Urgent Care and Long-term Conditions
of Improvement and Performance at Thanet District Council between 2005 to 2008 (leading Communications, HR, Policy and election teams). He has also worked as Deputy HR Director at Maidstone and Tunbridge Wells NHS Trust and National Lead Workforce Designer at the Modernisation Agency.
“My vision for UCLTC is for all the patients that we care for to be cared for as well as we’d care for our own family members; for all our staff to enjoy coming to work because they feel that this is the best place to work; and to know that we do, no one does better or more efficiently.
“I am proud to be a member of the newly formed UCLTC team and I’m really grateful for all the hard work that staff are doing caring for our patients. I’m looking forward to getting to know all 1500 of the team members better!”
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hospital people
Project Search is a programme which seeks to give young adults (18–25) with learning disabilities the skills to enable them to get a job. Over the last year, Project Search interns have worked in 11 clinical and support areas of Queen Elizabeth The Queen Mother Hospital in Margate. But what has it been like for the interns and the hospital staff mentoring them? Hospital life follows a day in the working life of intern Luke Cramp in Occupational Therapy...
Luke Cramp currently works in Occupational Therapy and is under the mentorship of Gina Saint, Assistant Practitioner. Luke’s day in Occupational Therapy starts at 10.30 (after lessons) and begins with collecting and collating mail. A top priority for the department is stock maintenance, and Luke checks that all crutches and equipment are in working order.
As well as taking telephone messages, Luke carries out administrative tasks such as preparing information packs, creating departmental notices, photocopying and laminating.
In addition Luke helps transport equipment to wards and is involved in the setting up of exercise classes. He helps order equipment with
behind the scenes at Project Search
minimal supervision.Luke also goes on home visits with an Occupational Therapist, who assesses their patients’ home mobility needs. Luke’s role is to measure furniture heights as part of the assessment.
“Luke is very professional and very polite, always wanting to be busy and keen to be developed into the same professional standard expected from a Band 3 Occupational Therapist,” said Gina. “He has a personal development portfolio and has aims and objectives to be met just like any other staff member.
“Luke is easy to manage and is a pleasure to have in the department. He is interested in his role and
Luke checking and repairing crutches.
Receiving instruction from Gina.
Luke fits an adjustable seat.
has the ability to remember names easily… it’s almost as if he has been here forever.
“Occupational Therapy have benefited from having an intern from Project Search on each rotation and are keen to continue with the programme when its runs again in September.”
For Luke, the experience has also been a good one. “My confidence has improved and I have learned to be well-motivated and manage my time well,” he said.
“Without this project I would not have had the opportunity to gain experience and improve my CV.”
Publishing is key to research successEKHUT staff have the clinical expertise and original ideas to take advantage of the Government’s emphasis on healthcare research as part of its Plan for Growth, announced by the Chancellor in the Budget.
Yet a track record in publications is essential if researchers’ grant applications are to be seen as credible by funding bodies.
This may seem like a Catch-22 situation. Without research grants to fund the research to write up for publication, how can would-be researchers publish, in order to attain credibility?
One strategy is collaboration in interdisciplinary or transdisciplinary research.
The fruits of one such collaboration are pictured here. I and Dr Mohamed Sakel, Director of Neurorehabilitation and Director of Research and Development at EKHUT, provide an example of what is possible in a clinician/academic partnership.
Together we have published five groundbreaking articles on legal and ethical implications of aspects of Dr Sakel’s clinical practice, with others in the pipeline, while collaborating as co-investigators on various research projects.
Our latest article, on legal and ethical issues associated with assessing capacity in patients with neurodegenerative conditions, appeared in a pioneering publication, Law and Neuroscience, published by Oxford University Press.
All areas of clinical practice have legal and ethical aspects, which clinicians must be aware of in the changing landscape of healthcare delivery in Britain today. Writing about these not only tells clinicians things they need to know but also contributes to research
By Dr Robin Mackenzie, Director of Medical Law and Ethics at the University of Kent
Dr Robin Mackenzie and Dr Mohamed Sakel pictured with the publication Law and Neuroscience.
portfolios essential for researchers’ credibility.
Research funding bodies like the NIHR prioritising health services research, or research into long term conditions and dementia, are only two of the current exciting opportunities for EKHUT staff.
� Dr Mohamed Sakel, Director of Research and Development, can be contacted via e-mail at [email protected]
hospital life
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13
hospital life
Every day about two and a half million medicines are prescribed in hospitals and in the community across the UK.
Medication error is the third most likely patient safety incident in hospital according to figures released by the National Patient Safety Agency1.
The team on Sandwich Bay Ward identified that interruptions to the drug round are a key factor in errors. These might be telephone calls, a patient asking to use the toilet, or other staff asking questions about patients.
“We came up with the idea of using a red tabard to wear when the drug round is in progress,” explained Penny. “We wanted to implement something that could make the nurse undertaking the round easily identifiable.
1 NRLS Quarterly Data Workbook up to September 2010.
Do notdisturb
Penny Searle, Ward Manager of Sandwich Bay Ward, persuaded senior managers at the ‘After Dragon’s Den’ event to part with £15K for ‘do not disturb’ tabards for nurses across the Trust to wear when doing drug and nutrition rounds. Here’s why...
“We arrogantly assume that patients and members of the public know what we are doing when we are doing the drug round, but they often don’t. The tabards encourage both staff and patients to not interrupt them.
“We recognise that a change in the mindset of nurses undertaking the round is also essential. We are trying to encourage the nurses doing the drug round to become more ‘selfish’ and delegate duties to the other members of the team.”
Nurses doing the drugs round began wearing the tabards on Sandwich Bay in March, and immediately felt more empowered to concentrate fully on their task and take responsibility for their patients’ medications.
Following this success, the ward has now also brought in green tabards for the nurse or HCA responsible for encouraging and helping patients to eat at meal times, so they could further improve standards of care in nutrition.
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hospital people
you said... we’re doing
The results of the 2010 annual NHS staff survey - in which 377 staff from EKHUT took part - have been released.
What you said
The survey results have improved in three areas since the previous survey, namely:
• perceived fairness and effectiveness of incident reporting• perceptions of effective action towards violence and harassment • impact of staff health and well-being on ability to perform work or daily activities.
There were areas where we did not perform as well. These were:
• quality of job design• job relevant training• percentage of staff appraised/
2010 staff survey report
appraised with a full personaldevelopment plan in place in the last12 months• staff satisfaction with the quality of work and patient care they are able to deliver • staff motivation.
� You can find the full staff survey results at www.cqc.org.uk
4priorities for actionWhat we’re doing
1. Improving communication between senior management and staff
Originator(s): Executive Team 22 June 2011
Progress The new maxillofacial department has officially opened at the William Harvey Hospital. It is an
excellent facility, designed in partnership with the clinical team, equipped with state-of-the-art
equipment. This is a hugely important step for the Trust – it means we now have a centralised
inpatient Head & Neck service at the William Harvey, with all supporting services available on site. We
are the only Trust in Kent to be able to provide a centre of excellence for Head & Neck. Outpatient
and day case services continue to be provided on all three sites.
The Radiotherapy Department at Kent & Canterbury Hospital were able to start using their new state-
of-the-art linear accelerator this month. This accelerator has an on-board CT imaging unit which
allows very accurate positioning of the patient during treatment and enables the disease to be treated
while minimising potential damage to normal tissues surrounding the disease.
The latest balanced scorecard – the way we measure progress against our key targets - is over the
page. Please brief relevant items to your team.
People Dr Tony Beaumont has been appointed as the surgical clinical site lead for QEQM. Mr Jeremy
McKenzie has been appointed as the maxillofacial lead clinician. Helen Goodwin has formally been
appointed as the Deputy Director for Risk, Governance & Patient Safety.
We have not yet appointed to the role of Divisional Director for Clinical Support. Dai Davies will remain
in the interim role.
Plans Maternity Following a surge in births last year, Eastern and Coastal Kent Primary Care Trust is undertaking a
review of maternity services in east Kent, in full partnership with EKHUT, to ensure that we have the
right numbers and mix of teams of experienced midwives and doctors in the right places to continue to
provide a first-class and safe service for the mothers and babies of east Kent. Anyone wishing to
make a comment about their experiences of maternity services in east Kent can do so online at
www.easternandcoastalkent.nhs.uk/maternityreview or write to Sara Warner or Hannah Price, NHS
Eastern and Coastal Kent (Engagement Team), Brook House, Chestfield, Whitstable CT5 3DD.
In an exciting new development, maternity has begun a programme of employing maternity support
workers to work alongside midwives on the postnatal ward. This will release a midwife to work on the
labour ward, improving the birth to midwife ratio.
The decision has been taken to continue the temporary closure of the K&C birthing unit to births until
the consultation is complete – likely to be at the end of the year.
Urgent care beds
As reported in last month’s brief, new ways of working in urgent care means we are reducing length of
stay and this brings important benefits to patients, including reducing the risk of infection. As length of
stay goes down, the urgent care bed base is being looked at. The Urgent Care and Long Term
Conditions Division is consulting with staff at Canterbury on proposals to close Harbledown Ward.
Under these proposals, all staff will continue to work at the Canterbury site unless they request
otherwise.
Policy Many of you will know that the Government has responded to the report by the NHS Future Forum -
set up to look at the Health and Social Care Bill and make recommendations. The Government has
accepted the main recommendations and the outcomes of this include plans to ensure hospital staff
and members of the public sit on the boards of clinical commissioning groups with GPs, an extension
of the role of the healthcare regulator Monitor and a timetable for change that ensures clinical
commissioning groups will take over responsibility for commissioning only when they are ready and
Team brief
� The new team briefing process has been launched to make sure all staff get the same information and have the opportunity to feedback their views.
The Trust Board has identified four priorities for action for this year as a result of the staff survey. Here’s what we’re doing...
means we are re
the risk of infection. As length of
gent Care and Long Term
s to close Harbledown Ward.
ry site unless they request
port by the NHS Future Forum -
endations. The Government has
ude plans to ensure hospital staff
ng groups with GPs, an extension
hange that ensures clinical
ng only when they are ready and
�The ‘After Dragon’s Den’ programme was developed to cut red tape and allow frontline staff to present their ideas directly to senior managers.
15
The Human Resources Department is working with the division and directorate management teams to improve appraisal rates and quality of appraisals this year. This will help staff and managers identify any training needs and help ensure job roles and objectives are well-thought out.
� Presentations at the Chief Executive’s Forum are now filmed and placed on the staff website for staff who were unable to attend the Forum.
3. Improving effective team working
Aston University is renowned for its research into how working practices in healthcare organisations affect patient outcomes.
Its research shows that teams that work effectively tend to see fewer errors, lower patient mortality, reduced sickness absence, increased well-being of team members, more innovation and better quality of care.
The Trust has asked Aston University to work with it to improve effective team working in EKHUT. Aston will provide a four-day team coach training programme and the trained coaches will then go on to support team leaders in developing effective teams. � For more information about the team working project, please contact Fiona Stephens, Head of Learning and HR Business Partnering, on ext 73627
hospital people
2. Increasing effective appraisals
Delivering Performance Policy
Version: 3 Ratified by: Staff Committee Date ratified: 4 May 2011 Name of originator/author: Kelly Martella / Claire Berry
Name of approving committee: Organising for the Future Programme Board Director responsible for implementation: Peter Murphy, Director of Human Resources and Corporate Affairs Date issued:
10 May 2011 Review date: 10 May 2014 Target audience: All Agenda for Change Trust staff & Medical Staff with Leadership or Management component
4. Increasing the number of staff receiving job-relevant training, learning or development
The appraisal and KSF policies have been redesigned to make this easier. The new Delivering Performance policy has replaced these policies, and is available on www.ekhuft.nhs.uk/deliveringperformance.
The leadership and management training provided at the Trust has been revamped.
The range and subjects of e-learning packages have been increased.
We are seeking full revalidation of our doctors.
We are being more responsive to team needs, delivering training via team meetings where appropriate. If you are interested in team-based training, please contact Pat Dawes, Management Development Trainer, on ext 73638.
Come and have a go...After Dragon’s Den6 September 2011Contact: [email protected]