Welcome to this edition of my newsletter for Governors, and I want to begin by congratulating our staff and leadership team on the results of our Care Quality Commission (CQC) inspection. The Trust's overall rating was 'Good', which included our Child & Adolescent Mental Health Services (CAMHS) achieving the top rating of 'Outstanding.'
For a Trust as large as ours, serving such a wide population through specialist hospitals and community services, this is an excellent outcome and puts CMFT in the top 10% of all acute Trusts. The inspection process has reinforced the fact that colleagues across CMFT continue to provide excellent care to our patients and their families every day.
The recent results of the national 2015 NHS Staff Survey reflected the strong levels of staff engagement and motivation which contributed to our 'Good' rating. CMFT is now in the top 20% of all acute Trusts for 16 of the 32 indicators, an increase of 32% on 2014's results.
More staff are recommending CMFT as a place to work and receive treatment, reporting good communication between senior managers and staff and experiencing satisfaction with their level of responsibility and involvement. It was also good to see that 75% of staff reported that "care of patients/service users is my organisation's top priority" (up from 65% in 2014). CMFT has moved up from 6th to 3rd position among Trusts in our region for staff engagement.
As we start the new financial year, the Council of Governors meeting in March was a good opportunity to take stock of 2015/16. Adrian Roberts, Executive Director of Finance, provided a detailed outline of the challenging financial position, while a presentation on strategy looked at how locality plans for Trafford and Manchester will help to tailor health and care services to the needs of local people while also making the best use of resources. The opportunities that Greater Manchester devolution plans will bring were also discussed with Governors, and updates on the Trust's annual Operational Plan and Quality Report were provided. I would like to thank Governors for all your valuable contributions.
The approval of two new Non-Executive Directors appointments, Professor Colin Bailey and Nicholas Gower, was also given by the Council of Governors, as the terms of office of Professor Rod Coombs came to an end on 14th March and Anthony Leon's later this year. Colin and Nic took up their roles with effect from 14th March 2016, and you can read more about them below. I'm also very pleased to confirm that approval was given to Kathy Cowell's term of office as a Non-Executive Director being extended for a further three years.
Turning to our recent membership recruitment campaign, I'm glad to report that it has been very successful. The campaign has increased representation across all target groups with our resulting membership community being truly representative of the communities that we serve. I would like to encourage Governors to continue to support us in recruiting new members and also seize any member engagement opportunities that may arise. I hope that this Bulletin will prove to be a useful platform for discussion and engagement when talking to people within your own networks and communities.
Detailed information about operational and financial performance across the Trust is presented at Board of Directors and Performance Review meetings, and will help you to respond to any related members' questions (see the diary section for dates). Do please pass any member views and suggestions on to Donna in the Membership Office so these can be captured and responded to as appropriate.
Member engagement was just one of the topics highlighted in the recent Governor Questionnaire. Many thanks to all Governors who completed this, the return rate was the best achieved to date (90%). As before, key findings and suggestions from the questionnaire will be fed into future Governor development activities.
Moving to the wider regional picture, 2016/17 will see major changes to the way health and care services are delivered across our city. The Manchester Single Hospital Service Review has really gathered pace over the last few weeks. In March there were three major clinical engagement events, each with more than 80 participants. These sessions focused on a number of 'exemplar' clinical services, and tried to think about the benefits that could be achieved if each was run as a single service across the whole of the city.
To do this planning work, clinicians were asked not to think about what Trust they worked for, or what hospital site they are based at, and instead to focus on the most effective way to organise services for patients. Many of the clinical teams have now described really exciting new service models that could provide better quality, more consistent care, with more effective use of staff and facilities, and improved productivity - all by looking at more collaborative ways of working.
The project is being led by Sir Jonathan Michael, and the clinical service models will form the basis of a report on the first stage of his review. This will be produced in April 2016, when it will be considered by the Manchester Health and Wellbeing Board (on which the Trust is represented). Sir Jonathan will then undertake the second stage of his review, which will look at the most effective organisational and governance arrangements to deliver the benefits. This will report in June 2016.
A special briefing session on the Manchester Single Hospital Service Review has been arranged for Governors on Wednesday, 20th April 2016 (10:00am-11:00am, MRI Main Boardroom).
The last 12 months have been a 'shadow' year for the GM Devolution arrangements. Much of this time has been spent making sure that the governance arrangements are right, so that the devolved powers can be used safely and effectively. These arrangements went live on Friday 1st April, with Greater Manchester taking responsibility for much of its own decision-making, including in respect of health and social care services. The arrangements introduce new ways for the statutory organisations within Greater Manchester to work together, and changed relationships with the many aspects of central government, including NHS England and NHS Improvement (formerly Monitor). The Trust has been an active participant in the processes to set up GM Devolution, and will continue to be represented in all of the key forums for healthcare providers.
Turning to national news, I was very pleased to see our Trust awarded a 'good' rating in the 2015/16 Learning from mistakes league table compiled by Monitor and the NHS Trust Development Authority. The table identified levels of openness and transparency within 200 NHS trusts and foundation trusts.
NHS Improvement has set up two advisory panels, comprising 47 chairs and chief executives from across the NHS, to provide feedback on things working well in their own organisations. They will also offer advice on new policies and proposals designed to lead to real improvements for patients. Mike Deegan has been appointed to the chief executives' panel, an excellent opportunity to share the improvement work being pioneered at CMFT with the wider NHS.
Finally, I want to share with Governors how much I enjoyed presenting awards to colleagues at the 'We're Proud of You' celebration on 17th March. It was a wonderful opportunity to acknowledge the hard work, inspiration and dedication of our staff. I also felt very humble to see what colleagues across the organisation have been able to achieve in the face of significant financial and operational pressures. Well done to all the finalists and winners, and particularly to Jo Fee from the Community Services Safeguarding Children Team. In addition to being a Divisional Star and Unsung Hero, Jo received the Chief Executive's Outstanding Achievement Award.
Congratulations also to Marie Zsigmond, Siobhan O'Neill & Amanda Lewis from Saint Mary's, who won the Royal College of Midwives (RCM) Team of the Year award for their outstanding work on identifying and supporting potential victims of human trafficking and to Kirsti Redfern, who was named the RCM JOHNSON'S® Mentor of the Year. Making it a treble for the hospital, Saint Mary's Sexual Assault Referral Centre also scooped a top award in the Patient Experience National Network (PENN) Awards, which took place in Birmingham in March.
I look forward to seeing Governors at the Board of Directors' meeting on 9th May. In the meantime, if you have any questions about any of the topics I've mentioned in this bulletin please get in touch on 0161 276 8661 or email me at firstname.lastname@example.org.
Welcome to our new Non-Executive Directors
Professor Colin Bailey has been the Deputy President and Deputy Vice-Chancellor at The University of Manchester since January 2015. He is also Chair and Trustee of The Northern Consortium Board, Co-Chair and Trustee of 'Find a Better Way', Chair of the Governing Board of the Knowledge Centre for Materials Chemistry, Chair Panel 1 of the Membership Committee at The Royal Academy of Engineering and a Member of the Manchester Museum of Science and Industry Advisory Board. He joined the University in 2002, where his roles have included Vice-President and Dean of the Faculty of Engineering & Physical Sciences (2009-2015) and Head of School of Mechanical, Aerospace and Civil Engineering (2007-2009).
Before joining the university Colin was a Principal Engineer at The Building Research Establishment, following an earlier career in engineering and draughtsmanship. Throughout his career, he has also undertaken various non-executive and external leadership roles. His regional involvement includes contributing to the City's strategy and vision for the Northern Powerhouse and he was on the Steering Group for the NW Business Leadership Team.
Nicholas Gower is currently an Independent Member of the Audit Committee at Progress Housing Association (since 2016), a Non-Executive Director of both the Furness Building Society (since 2014) and the Seashell Trust (since 2007) - he also chairs the Audit Committee of both organisations - and he is a Board nominated Governor of the Royal School Manchester for Seashell.
The majority of Nic's executive career, twenty-three years, was spent as a partner in PricewaterhouseCooper LLP, during which time, alongside providing professional services to clients, he undertook leadership roles within the business. These included Partner Lead on Assurance Quality and Risk Management for the Northern business (2012) and Leader of the Regions Valuation Team (2010). He joined Coopers & Lybrand in 1985 as a manager having begun his career at Spicer & Pegler (now merged with Deloitte).
Manchester Heart Centre shortlisted for BMJ award
Dr Fozia Ahmed and the Heart Failure Team at the Manchester Heart Centre - including Sister Christina Muldoon, Dr Colin Cunnington, Dr Muhammad Khan and Sister Salimah Hassan - have been nominated as a finalist in the Cardiology Team of the Year in the British Medical Journal (BMJ) awards for their initiative HeartFailure@Home. This is a project which aims to reduce admission to hospital and improve quality of life for patients with heart failure and represents a significant improvement in care. The winners will be unveiled on Thursday 5th May.
Our Charity News
Helipad Appeal Receives Million Pound Boost from Chancellor
During his March Budget, Chancellor George Osborne announced that CMFT will receive £1.1million towards the Helipad Appeal.
This significant donation, made from banking fines, means that the Time Saves Lives Appeal is a big step closer to target, needing a final £700K to enable the creation of a brand-new 24-hour access primary helicopter landing site, the first of its kind in central Manchester.
Currently, the Trust relies upon a secondary landing site in a nearby park, an arrangement which means that critically ill or injured patients initially transported by air ambulance, must then be transferred the final mile of their journey by land ambulance.
Patient storybook helps children give feedback
Royal Manchester Children's Hospital (RMCH) has launched its new Storybook Patient Survey, designed to help young patients give feedback on their stay at the hospital.
To mark the occasion, Channel 5's Milkshake! Presenter, Olivia Birchenough, visited RMCH to meet patients and officially launch the storybook survey, which is the first of its kind at an NHS children's hospital.
The storybook survey is charitably funded by the RMCH Charity and has been developed to improve patient experience and quality of care within the hospital. Using patient feedback to drive change is a well embedded culture at RMCH, yet the hospital found that most feedback came from parents, with a significantly low number of responses from children aged under six years old.
To improve these results, the hospital worked in partnership with CRT Health to develop an electronic survey using a storybook concept 'Humphrey Bear Goes to Hospital' to allow children to engage with the story in relation to their hospital experience.
The interactive storybook is aimed at children aged three to six, incorporates play for participant motivation and has an overriding educational element. Interactive features are included as a 'reward' once the child answers each question and audio was recorded using a child's voice as Humphrey Bear to improve accessibility for non-readers.
The Storybook survey was soft-launched for testing with children, parents and staff across RMCH in February. Results after one month showed that 92 children aged three to six completed the new interactive survey, a vast improvement on the previous surveys used.
Useful News Links
Key membership messages:
Governors are here to listen to members' views and suggestions and to share information from the Trust. Governors also feedback key information about the performance of the Trust and developments across the wider NHS to members and the wider community.
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Governor Diary Dates 2016
Here is a provisional list of diary dates for 2016, which will be extended over the coming year.
Governors are reminded that The Boulevard is closed from Monday 11th January for 8 weeks in order to repair a large collapsed drain under the road. Pedestrian access to the hospitals from the Grafton Street car park will remain open. Access from Hathersage Road remains unaffected for visitors being dropped off and for access to disabled parking outside the hospital entrances.