Financial pressures were managed so that they did not compromise the quality of care. 122 people at Southmead Hospital were left on trolleys in corridors for more than 12 hours during December. Our humanity is what binds us together but we mustnt forget that each of us is a uniquely different human being. This included a new integrated CAMHS lead and local teams had nominated lead roles within themselves. NHS Employers (2020), Improving performance by improving staff wellbeing: North Bristol NHS Trust. In the community CAMHS service, young people had access to the staff kitchen at Monks Park House, which contained knives and hazardous cleaning products. The bedroom wings are located on the eastern side, naturally shaded from the afternoon sun by the mechanically ventilated clinical block which houses 24 state of the art operating theatres, intra-operative MRI suite, 48 critical care bedrooms, advanced imaging suites, cardiac catheter labs and endoscopy unit. The BBC is not responsible for the content of external sites. A culture of wellbeing was encouraged, with organised lunchtime walks to wellbeing from the site twice a week and an emphasis on the importance of taking breaks. Leaders and staff actively engaged with patients, staff, the public and local organisations to manage services. Video, The secret mine that hid the Nazis' stolen treasure, Explosion derails train in Russian border region, Trump mistrial request denied in NY rape lawsuit, Banana artwork in Seoul museum eaten by visitor, Trump says 'great to be home' on visit to Scotland, NFL player's daughter, aged two, drowns in pool, Father tells how gunman opened fire on Texas home, JP Morgan snaps up troubled US bank First Republic. ;1~j"R**Pb e$6?D0P"6%E*K%Y7~'b DJFLBBL@ (p*!_ sxc(GsO)Ty'y x0+gb ,JS+;=;e=a$ot~3m3Msgf?R[Yo)`eexH63,R"dH|ukxWz\TWzU[,{d]t;t&M&]NeteDJ#]\Myiz>etn%hTuYNcdmw)MECW4|+*OJ%T2nzL6z|Yzb:5'6Rc[\S;GZt<3~5__v>U\A]~ _MwYZde~5@D@g~N~/WFvpg*R)e1UW2gR. The team made judgements about 14 services. A network of champions helped to overcome obstacles. Some people were not able to access the right care at the right time. Our Trust values tell us what it means to be part of Team UHBW. Safeguarding procedures were in place with clear lines of reporting. The trust actively sought coaches who represented staff with protected characteristics, to ensure maximum inclusivity of the programme. endstream endobj startxref It comes as the Government is poised to rewrite equality law to protect women by making it easier to bar trans people from single-sex spaces such as wards. Staff turnover reduced from 17 per cent in 2017/18 to 14 per cent in early 2020. A development plan had been initiated and coaching was ongoing. Staff did not consistently use safe lone working practices. Create the conditions for them to make suggestions and ensure they can be confident they will be acted on, to lead to effective change. Staff also have access to a 24/7 free, confidential helpline offering counselling about financial, legal, relationships and more, provided by partner organisation Health Assured. There were clear streaming and triage arrangements in place which identified and prioritised patients with serious or life-threatening conditions. Staff sickness levels also fell, generating associated budget savings. Frontline staff and managers were passionate about providing a high quality service for patients with a continual drive to improve the delivery of care. Post-COVID-19 pulse surveys have confirmed that during that difficult period, 57 per cent of staff said they felt cared for by the trust and only 18 per cent said they did not. Following the implementation of Perform, NBTs performance improved massively. There was a high level of delayed transfers of care which was frequently above 100 patients per day and at the time of the inspection was 114.However, there had been significant work undertaken since the inspection in November 2014 to facilitate patient discharges. PDF Contents take action, with others as needed, to improve the flow of patients into, through and from the hospital. The impetus to make a tangible difference to the health and wellbeing of staff at North Bristol Trust (NBT) came after a gruelling winter in 2017/18. Overall, there was a 6 per cent increase in patients cared for, handled with 38 fewer beds. the service is performing well and meeting our expectations. Our policies and procedures | University Hospitals Bristol NHS Local results for every organisation | NHS Staff Survey Is climate change killing Australian wine? Our Values NBT Cares. There were good systems in place to safeguard vulnerable young people and clear procedures for involving child protection services. Results for 2015 showed that the emergency department at Southmead Hospital had the best survival rate of any trauma unit in England and Wales. The service did not follow procedures to ensure cleanliness as a measure of infection prevention and control. All staff were committed to continually learning and improving services. Staff appraisals were undertaken across the hospital, but improvements were required within medical and community CAMHS services. )=c,{MyYY> Consent was obtained for any procedures undertaken by the staff. Riverside had worked closely with Barnardos to give young people and their families a voice in how services ran. The group listening events provided refreshments as an extra incentive to attend. Staff in the pre-operative assessment clinic were able to assess patients cognition and report back to GPs if it was below expected levels. This was particularly strong in the maternity services at Cossham and the community services for children and young people. In February 2018, it ran a series of surveys and staff listening events to collect feedback about how to do better. Start Well, End Well is a quick discussion at the start and end of each shift to debrief what went well and what could be improved, but it ensures that a team starts and ends a shift with their own wellbeing in mind. Existing staff had moved teams to help meet the needs of children and young people. The trust employs over 8,000 staff delivering healthcare across Southmead Hospital, Cossham Hospital, and the Bristol Centre for Enablement, as well as the local communities. We rated urgent and emergency services as good overall. With staff health and wellbeing so firmly embedded into its culture it has been easy to make swift changes to support its teams. Our rating of well-led at the trust improved. David was previously director of operational finance at North Bristol NHS Trust from June 2014. [28] The Wellbeing Programme is funded by their charity, Southmead Hospital Charity, and is made up of a range of physical, psychological and lifestyle support. The rate of completion of staff appraisals was inconsistent between teams. We welcome applicants from all underrepresented groups. Patients length of stays decreased by 13 per cent. However, there were also areas of poor practice where the trust needs to make improvements. [2] Neurosciences [ edit] A new employee assistance programme was instigated, giving staff access to free financial and legal support, relationship advice and counselling 24/7. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Dr Kate Coleman, founder of Keep Prisons Single Sex, said: At face value, everything Lord Markham says is encouraging. _lvO%x(3yH;< 6={' !)|; W^[}' Before that he spent six years at Nottingham University Hospitals NHS Trust, most of them as assistant director of finance. The trust board had the appropriate range of skills, knowledge, integrity and experience to perform its role and were dedicated to delivering high quality patient centred care. The service managed patient safety incidents well and staff were clear on how to report incidents. [5] The trial was funded by Parkinson's UK with support from The Cure Parkinson's Trust and in association with the trust. Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. Overall, North Bristol NHS Trust has been judged as requiring improvement. NBT engaged professional services firm PWC to help develop an approach to improving patient flow, using a staff coaching and empowerment methodology called Perform. Hospitals are set to be told they must guarantee single-sex care amid a row over hospitals allowing transgender NHS staff to treat patients based on their gender identity. Translate this page. We use our system of intelligent monitoring of indicators to direct our resources to where they are most needed. This rating stayed the same. This was an improvement from 5.6 and 6.8 respectively in 2017. Plans were in place to review staffing and caseloads to manage this increase. [14], The hospital recruited a group of volunteers, known as 'Move Makers', to aid the transition from the Frenchay site. #5]%wT$@^@^]H q!zdF*EVUgE. NBT saw a demand increase of 12.2 per cent, with bed occupancy regularly running at 102 per cent, meaning patients waiting in corridors. There was no access to the trusts online records system, for example. Although the trust was meeting its target for the number of staff receiving safeguarding training there were large variations in compliance with this. Our values are how we work towards achieving our vision to provide an outstanding experience for our patients, their families and the people who work for and with us. Learning and development at the trust is based in the Learning and Research Centre at Southmead Hospital. The young person and their carer received contact information for the C.I.T. team and the Samaritans should they enter crisis again before their follow up appointment. University Hospitals Bristol NHS Foundation Trust, the major teaching Mental capacity of patients was not clearly recorded in their notes when it was assessed. The winter of 2017/18 was so bad it hit the national headlines. Care records were not always managed safely. At a hearing on November 30, 2021, North Bristol NHS Trust's lawyers asked the tribunal to strike out his case on the grounds that his beliefs are "not worthy of respect in a democratic. endstream endobj 410 0 obj <>stream Children and young people were involved in developing information leaflets and media applications, and the recruitment and training of staff, and have created artwork to make the service environments feel more welcoming. We don't rate every type of service. By respecting our differences inside our common humanity, regardless of race, colour, religion or sexual orientation, we will build a fairer organisation, where everyone can thrive. The leadership of the trust was knowledgeable about quality issues and priorities, understood the challenges are and took action to address them. Who we are - Avon and Wiltshire Mental Health Partnership NHS Trust It was their idea in response to what they were seeing on the wards. 8>@ Therapy rooms at Monks Park House had no alarm system and staff did not follow lone working procedures.