A YEAR in the life of
GMW our plans for
2015 - 2016
Welcome…. Welcome to this summary of Greater Manchester West (GMW) Mental Health NHS Foundation Trust’s plans and ambitions for 2015/16 and beyond. Our plans build on our achievements in 2014/15 - a number of which are highlighted in this document - and are made possible by our position as a high performing, resilient organisation that has continually delivered all of our financial, operational and quality targets and standards. We are proud to be recognised, by the Health Service Journal, as one of the top 120 NHS providers to work for in the country. Via the Friends and Family Test, we know that 92% of people who have used our services would recommend GMW as a place to receive treatment. We also know that we are rated highly by our staff as a place to receive care and a place to work. Our results compare well to other mental health trusts in the area and are supported by positive feedback received from staff via our NHS staff survey in terms of communication, equal opportunities, management support and job satisfaction. Looking ahead, we recognise that 2015/16 will continue to present a challenging economic backdrop. The potential impacts of Devolution Manchester, in which we are an active partner, will also become clearer during this year. GMW’s future as an innovative and forward-thinking mental health trust remains bright in this context. With the continued support of our excellent staff
and our valued service users, carers, members and Governors we will be well-placed and wellprepared to build on our successes to date and sustain our performance. We remain committed to achieving our vision of ‘Improved Lives and Optimistic Futures for People Affected by Mental Health and Substance Misuse Problems’. We are planning to achieve this vision through a combination of innovation, investment, increased emphasis on wellbeing and prevention, and sheer hard work. We will check back, and look ahead, with our service users, carers and interested others throughout the year to ensure that we remain on track. I hope you enjoy reading about our plans for the future. Thank you
Bev Humphrey Chief Executive
About GMW Firstly, a bit about our Trust. We employ approximately 3000 staff, have a total income in the region of £160 million per annum and work in over 60 locations. We provide a wide range of NHS services across a large geographical footprint covering Greater Manchester, the wider North West and beyond. Our services include community and inpatient mental health services, adult and adolescent forensic mental health services, adolescent psychiatry services, mental health and deafness services, community and inpatient alcohol and drugs services, and health and justice services. As a result of our diverse service portfolio, we operate within a complex commissioning framework. Effective partnership working with commissioners and other providers is critical to managing this and to ensuring that we remain at the forefront of local planning and development. As an NHS Foundation Trust we have over 8000 members and 28 active governors. Our governors oversee our activities, operating as a ‘critical friend’ and ensuring that we continue to deliver the best care to our service users and carers. We have a strong set of values, which act as our cornerstones of care. Our values are more than just words – they encompass a set of behaviours which influence every staff member’s interaction with our service users, carers and each other and enable us to achieve the best for the people who use our services.
Our values are: • We work together • We value and respect • We go the extra mile • We are welcoming and friendly • We are caring and kind
Our values (the ‘how’) sit alongside ’what’ we do, namely delivering the following Trust objectives: • Promote recovery by providing high quality care and delivering excellent outcomes • Work with service users and carers to achieve their goals • Engage in effective partnership working • Invest in our environments • Enable staff to reach their potential and innovate • Achieve sustainable financial strength and be well-governed
What we achieved in 2014 / 2015 We made significant progress in delivering the priorities set out in our long-term Strategic Plan in 2014/15. Here are just a few of our achievements...’ Over £1million investment in community mental health services in Bolton, Salford and Trafford – to enable more patients to be cared for in their home environment, especially when in crisis, we now deliver 24/7 care and more effective home-based treatment. These services offer real alternatives to hospital admission and early feedback suggests that our service Supported integration of users and carers have benefited from the change care - we signed up to an alliance (‘Salford Together’) to deliver integrated care to older people in Salford. ‘Salford Together’ aims to support older people who are well to stay well and to help those who have health or social care need to improve their quality of life and independence
Continued development of our RAID-informed (Rapid
Access Interface Discharge) psychiatric liaison services in Bolton, Salford and Trafford - these services ensure that patients presenting at A&E with mental health
problems are seen quickly by a mental health professional at a time when they may be acutely unwell
Re-design and extension of our drug and alcohol services in Salford – ‘Achieve’ now offers help and support to young people with problematic substance misuse with a view to preventing addiction becoming their focus for the future Investment in our medium secure environment at the Edenfield Centre
The best risk ratings from Monitor, indicating no cause for concern at GMW and continued registration without conditions with the Care Quality Commission (CQC)
Delivery of our improved care offer for people who are detained by police under Section 136 of the Mental Health Act – these individuals are admitted to a designated place of safety rather than being detained in a police cell
Increased our expertise in the delivery of health and justice services – we commenced delivery of a specialist personality disorder service for women at HMP New Hall. Delivery of a surplus for reinvestment in our services and achievement of our Cost Improvement Programmes, without compromising quality Continued to grow our award-winning RADAR (Rapid Access (Alcohol) Detoxification Acute Referral) service – RADAR provides an innovative pathway for the rapid transfer of individuals requiring alcohol detoxification from any one of 11 A&E departments across Greater Manchester to our specialist detoxification facility at the Chapman Barker Unit (CBU). By reducing the burden on acute trusts and delivering improved outcomes for services users, independent evaluation by John Moores University indicates that this service saves the NHS in the region of £1.3million per year
Worked well in partnership with
a variety of organisations for the
benefit of our mutual service users
and their wider communities – our valued partners include Priory
Healthcare (at ‘Recovery First’),
Spectrum Community Interest
Community (in HMP Styal and
Pennine House Immigration Referral Centre), Bridgewater Community Healthcare NHS Trust (at
HMPYOI Hindley, Barton Moss and St. Catherine’s), Early Break (at
Achieve) and Greater Manchester
Police (through delivery of our Crisis Care Concordat action plan)
Where we are going in 2015/16 The next 12 months promise to be as busy, challenging and successful as 2014/15. We will be focussed on these key areas: Developing new partnerships and contracting models that enable integration – following a successful ‘vanguard’ bid to NHS England, we will work in partnership with Salford Clinical Commissioning Group, Salford City Council, Salford Royal NHS Foundation Trust and Salix to develop an integrated care organisation that meets all health and social care needs in the city Building our relationship with Greater Manchester Police - we will continue to work with police officers as a first line response to incidents which involve a mental health crisis but no crime Supporting the redesign of mental health services in Manchester and enabling selfsufficiency in relation to all mental health services for all ages
Devolution Manchester - we will ensure that mental health is fully and fairly represented in all activity to devolve health and social care responsibilities to commissioners and local councils across Greater Manchester in the build-up year (2015/16) and from April 2016 onwards
Implementing our new service model for ‘Unity’, our substance misuse service in Cumbria - Our new model introduces increased innovation around prevention, access, rehabilitation, shared recovery and employment, training and education, and enables greater engagement of individuals with lived experience. This development follows a successful tender
Providing effective mental health and substance misuse use services in Barton Moss Secure Children’s Centre, St Catherine’s Secure Children’s Centre and HMPYOI Hindley
Working in partnership with Combat Stress to provide specialised psychological care to military veterans in Cheshire and Merseyside - together, we will support veterans experiencing psychological issues, and other problems related to their military service, to recover. Such issues may include depression, anxiety, substance misuse, trauma, adjustment disorders and problems relating to personality disorder. Support and help for families and carers will also be offered as part of the service
Promoting recovery through education – during 2015/16, we will open ‘The Curve’, our new purpose-built education and training facility. ‘The Curve’ will accommodate our existing Recovery Academy, training, library services and enable the relocation of our Trust Headquarters. This development visibly demonstrates our commitment to recovery-focused care and will provide state-of-the-art training and conference facilities
Investing £6million into Woodlands
Hospital to transform it into
a ‘Centre of Excellence’ for
individuals living in Bolton and
Salford with dementia and other related conditions
Strengthening our infrastructure by implementing a new clinical information system called ‘PARIS’ – PARIS is more functional, adaptable and cost effective than our existing system
Delivering our ambitious capital investment programme – we are planning to invest over £16million to further improve our patient environment in 2015/16. Developments will include the reprovision of our existing low secure wards, redesign of our adult acute inpatient wards in Bolton and the development of our pharmacy services Continuing to share our experience and expertise by expanding our business in new markets
We also pledge to deliver our EIGHT Quality Account priorities:
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1. Psychological therapies – we will improve access to our primary care, secondary care and specialist psychological therapies and deliver agreed outcomes for our service users 2. Delivering service improvements by listening to and learning from service user feedback - we will improve the experiences of people affected by mental illness and problematic substance misuse by listening to and acting on feedback and ideas received 3. Recovery – we will improve outcomes through the delivery of recoveryfocussed services and our new Recovery Academy 4. Improving carer identification, involvement and engagement - we will deliver the strategic aims set out in our ‘Carers Strategy’ 5. Enhancing the quality of life for people with dementia and older people with functional illness – we will continue to support the ‘Dementia Friendly Communities’ agenda, deliver the aims of ‘Salford Together’ and promote the National Join Dementia Research Register 6. Supporting improvements in our service users’ physical health - we will improve the assessment and treatment of physical health conditions in order to reduce the risks associated with this for our service users. We will also promote health improvement messages and approaches and sign post service users to relevant services 7. Positive and safe: promoting individualised support plans - we will aim to reduce conflict in inpatient settings by delivering our ‘Positive and Safe Strategy’ 8. Dual diagnosis – we will improve our responsiveness to individuals with problematic substance misuse and mental illness
Progress against these eight priorities is overseen by our Quality Governance Committee. Further details can be found in our ‘Quality Account 2014/15’
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How will we know if we are successful? We will measure the success of our efforts to deliver the plans outlined in this document in a number of ways. We will look at our performance against the targets and standards set by our regulators (Monitor and the Care Quality Commission), our commissioners and ourselves. These include quality measures such as CQUIN (Commissioning for Quality and Innovation), our Quality Account priorities, the Care Quality Commission’s intelligent monitoring indicators and our contractual key performance indicators. We met all of our key targets and standards in 2014/15 and are planning to maintain and improve on this position in 2015/16. We will also look at our financial performance. We are one of a small number of trusts to have delivered a healthy surplus in 2014/15 and are forecasting a delivery of a further surplus
in 2015/16. This position demonstrates our effective use of resources and leadership arrangements. We will also rely on informal and formal routes of feedback from our service users and staff such as the Friends and Family Test and the NHS Staff and Patient Surveys. These will help us to better understand how our services are experienced by the people who matter most and whether our staff feel supported and enabled to deliver their roles. Other measures of success will include analysis of incidents and the numbers and types of complaints and compliments we receive. We have robust mechanisms for reporting and monitoring this information, which regularly gets reviewed and acted upon by our Trust Board. We will also commission independent evaluations for specific developments. Our RADAR service, for example, has been independently evaluated by Liverpool John Moores University.
For more information about Greater Manchester West Mental Health NHS Foundation Trust please visit www.gmw.nhs.uk. You can also ‘like’ us on Facebook at http://www.Facebook. com/GreaterManchesterWestNHS and follow us on Twitter @GMW_NHS You can email us at commmunications@gmw.nhs.uk or write to us at: Greater Manchester West Mental Health NHS Foundation Trust Trust Headquarters Bury New Road Prestwich Greater Manchester M25 3BL Or call us on: 0161 773 9121
A YEAR in the life of
GMW 2015 - 2016