Welcome. Lincolnshire Partnership NHS Foundation Trust Annual Public Meeting 2010

Transcription

1 Welcome Lincolnshire Partnership NHS Foundation Trust Annual Public Meeting 2010

2 Eileen Ziemer Chairman Lincolnshire Partnership NHS Foundation Trust

3 Annual Public Meeting 2010

4 Chris Slavin Chief Executive Lincolnshire Partnership NHS Foundation Trust

5 Directors report

6 Performance Rated Excellent by Care Quality Commission in 2009 for Use of Resources and Good for Quality of Services Green Monitor risk rating for Governance and 4 for financial risk Met all national and local performance targets Net financial loss of 0.5m reported in 2009/10 (equates to a 1.4m surplus after excluding an unplanned impairment of 1.9m resulting from asset revaluations)

7 Service developments New 45 bedded rehabilitation facility under development on Long Leys Road, Lincoln. Planned to be operational in 2012 New self-help group to support people with an eating disorder and their families has been set up in Lincoln Targeted Mental Health in Schools a three-year pathfinder programme provides therapeutic and holistic mental health support in schools for children and their families Releasing Time to Care: the productive ward programme introduced across most inpatient units

8 Quality of services Over the past year we have transformed our approach to safeguarding children, vulnerable adults and those experiencing domestic abuse Inpatient environments have been improved to meet current standards for single sex accommodation Green Light team helps people with learning disabilities to access mainstream mental health services Continued the rolling programme of Practice Development Unit accreditation 12 clinicians are undertaking training for diagnostic interview for social and communication disorders (DISCO) run by the National Autistic Society Trust achieved national accreditation for Electro Convulsive Therapy (ECT) treatments

9 Trust awards & recognition National Patient Safety Authority (NPSA) awarded our Trust a total of 19 ratings of excellent, 10 of good, and two of acceptable for our premises. Considerable improvement on the 2008 ratings Care Programme Approach Association (CPAA) for: - Excellence in providing CPA information - Excellence in CPA policy & practice standards Trust was ranked in the Top 100 of Healthcare Employers Royal College of Psychiatrists awarded fellowships to 3 consultants as mark of distinction and recognition of contributions to psychiatry and exceptional service to patients.

10 Service awards & recognition Learning disability team won the care, courtesy and kindness category at NHS Lincolnshire s Celebrating Success 2009/10 awards ceremony Achieved national Community Care awards for Eating Disorders Service and personalisation of care in Adult Services Grantham, Sleaford & Stamford recovery teams practice development unit received highly commended in the category of excellence in innovation/innovative practice for practice development project Military & Civilian Health Partnership awards 2009: mental health award highly commended

11 Business growth 0.1m pa for provision of Sexual Assault Referral Centre in partnership with Lincolnshire Police and NHS Lincolnshire 0.9m pa to provide mental healthcare to people in Lincolnshire s prisons 2.1m to provide Improving Access to Psychological Therapies Service (IAPT) to Chesterfield and N.E. Derbyshire 2.3m to provide Child & Family Services in N.E. Lincolnshire for Care Trust Plus

12 Looking forward Three Priorities: 1. Continuing to improve quality Patient safety Clinical effectiveness Patient experience 2. Using resources more efficiently To reduce service cost delivery To prepare for introduction of mental health payment by results tariff 3. Retain and develop the business Developing relationships with new commissioners Expand service within Lincolnshire Adapt to changing market conditions

13 Chris Sands Director of Finance and Compliance Lincolnshire Partnership NHS Foundation Trust

14 Annual Accounts 1 st April st March 2010

15 Key financials 2009/10 Reported income & expenditure deficit Add back asset impairments I&E surplus after technical adjustments -560,000 1,906,000 1,346,000 Non-current assets at 31 st March ,773,000 Capital expenditure 2009/10 2,419,000 Cash balance as at 31 st March ,242,000

16 Performance against financial plan (1) EBITDA margin underlying financial performance EBITDA % achieved achievement of financial plan Return on assets financial efficiency on use of assets I&E surplus margin financial efficiency in operating activity Liquidity ratio cash available to fund commitments

17 Performance against financial plan (2) Trust is required to comply and remain within a prudential borrowing code Maximum cumulative borrowing ( 18 million with FRR of 4) Approved working capital facility: not to exceed 7 million

18 Auditors opinion on the accounts Unqualified opinion on the financial statements Unqualified value for money opinion

19 Carrie Forrester Lead Governor Lincolnshire Partnership NHS Foundation Trust

20 New Style of Meeting Governor s agreed that our 2009 Annual Public Meeting was to be held in a conference style 2009 attendee feedback was that members liked the style, external speakers and displays, but felt the day could be shorter with some parts less formal Hence today s event; let us know at the end of the day how you feel it went, using the feedback forms provided

21 New Name! Council of Governors Board of Governors changed its name to Council of Governors - makes clearer differentiation between the role of governors and directors Responsibilities and powers remain unchanged Council of Governors has worked with the Board of Directors to continually strengthen our relationship

22 New Governors During the year the Public Governors elections were held By-elections were held for vacant seats in the other constituencies Details of the changes are in your conference packs Induction training has been held for new Governors

23 Membership Trust membership continued to increase On 1 April 2009 there were 8,028 Trust members, an increase of 199 on previous year Recruitment of new members continues under the leadership of the Governors membership committee

24 Governor engagement with members Council of Governors meetings held in public Local surgeries Better Together magazine Visits to services Representing members views and opinions

25 Work of the governors Council of Governors meetings Issues group meetings Joint Board and Council meetings Other planning and committee meetings Appointment of three non-executive directors (1/7/09) Appraisal of the Chairman Review of non-executive director remuneration

26 Since last year Governors have addressed 70 issues raised by constituents with the Trust; some have: resulted in immediate improvements for individuals led to broader planning and consultation work with other organisations contributed to the planning of future services within the Trust resulted in improvements to patient information and facilities

27 Further work undertaken by governors includes Supporting the Time to Change programme to end discrimination Addressing anti-stigma, and developing a working group focusing on employment Raising the public profile of mental health issues using events such as today, and by recruiting in public areas Overall, this has led to the development of an experienced and mature Council of Governors

28 Roni Swift Business Manager, Specialist Services Lincolnshire Partnership NHS Foundation Trust

29 2004 Countywide consultation on rehabilitation services identified Need for robust service for men with complex needs to: Prevent escalation to secure hospitals Step down from secure hospitals Improve the care pathway into the community Prevent placements out of area National Service Framework priorities took precedent

30 In 2007 a further review confirmed 2004 findings Plus additional demand for step down/ high dependency service for women Interim 8 bed high dependency male unit, opened January 2009

31 Numbers of mental health patients placed out of area

32 Service will provide Male high dependency - 15 beds Female high dependency - 15 beds Mixed gender medium dependency - 15 beds Hub with reception, gym, café, therapy rooms, administration offices plus meeting rooms

33 The building Clinical functional building, but delivered in subtle, domestic, non institutional manner, promoting independence and recovery Maximum flexibility for future use Achieving a BREEAM excellent rating

34 Project to date Outline business case approved in February 2009 Full business case approved September 2010 by Trust board Planning permission approved September 2010 Awaiting Monitor approval

35 Project management Trust board Rehabilitation project board Project team Public reference group Design team

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41 LANDSCAPING

42 Landscaping

43 Timescales Site preparation underway Build start October 2010 Build completion December 2011 Transfer of patients January 2012

44 Implementation To provide: Proactive enabling care Least restrictive environment First class accommodation Beacon service Recovery focused model of care Progression on to independence

45 Alastair Campbell

46 Eileen Ziemer Chairman Lincolnshire Partnership NHS Foundation Trust

47 Annual Members Meeting 2010 Would non-members please complete a form to become a member if you wish to remain For those leaving us now, we hope you have enjoyed the day Please take the time to complete your feedback forms & hand in on departure

48 Welcome Back Lincolnshire Partnership NHS Foundation Trust Member s Meeting 2010

49 Peter Howie Trust Secretary Lincolnshire Partnership NHS Foundation Trust

50 Member constituencies Service User & Carer Constituency Service User & Carer: Adult Mental Health & Social Care Services Service User & Carer: Primary Care Mental Health Services Service User: Older Adult Mental Health Services Service User: Child & Adolescent Mental Health Services Carer Staff Constituency Staff: Adult Mental Health & Social Care Staff: Child & Family Mental Health Services Staff: Primary Care Mental Health Services Staff: Older Adult Mental Health Services Staff: Corporate & Shared Services Public Constituency Public: South Public: East Lindsey Public: West Lindsey Public: Boston Borough Public: Lincoln City Public: South Holland Public: Surrounding Areas

51 Membership at March 2010 Public members 4,601 (4,393 in March 09) Service User & Carer members 1,546 (1,474 in March 09) Staff members 1,881 (1,962 in March 09) Total membership 8,028 increase of 199 members

52 Representative membership Membership profiling is carried out by: gender ethnic group socio-economic group age group Trust is broadly representative of local population, except for gender Women are about 60% of the membership

53 Proposed changes No changes currently proposed This will be kept under review given the range of new services that the Trust is planning to deliver

54 Recruitment campaigns Community and service user events Public open days and fun days, launches and conferences Community roadshows in shopping centres County-wide careers and education events Staff recruiting family, friends and service users (where appropriate) Local media coverage of events

55 Council of Governors

56 Changes to Council of Governors Details of changes in the Annual Report 2009 elections for Public Governor Vacancies occurred as a result of governors relocating or passing away 2010 elections for Service User and Carer Governors concluded this week Announcement of election results By-elections for vacancies

57 Eileen Ziemer Chairman Lincolnshire Partnership NHS Foundation Trust