Public Board The Trust's plans for the Mid Essex Area 2013/14

1. Public Board The Trust's plans for theMid Essex Area2013/14 Presented by Jo Paul Area Director Mid & Secure Services

2. 2012/13 Key Achievements • Linden Centre Improvement Programme • New Ways of Working /Strengthened Crisis Resolution and Home Treatment model rolled out • Mid Essex designed delirium pathway rolled out Trust wide • Estates Optimisation plan completed and implemented • Development of a Trust wide pilot -TRUSTLINE • All Trust Quality Indicators Commissioning for Quality and Innovation (CQUINS) Achieved

3. Current Position • Quality 2013/14 Quality Indicators (CQUINs) on target for delivery • Improvement across a range of metrics • Care Quality Commission compliance • Practice Development Unit status for Older Adult and Accreditation programmes for Perinatal and Secure Services • Payment by Results progress • Management Team Significantly restructured and reduced in size Reconfigured Clinical Board Adoption of Suffolk Health Outreach Service to area structure

4. Current Position • Recovery Hub & College active with high levels of sign up by service users and the public • Memory Assessment Service seeing high levels of activity • Support to regional Burns Unit rolled out • Negotiations on new and extended services at • HMP Chelmsford • Service User& Carer Involvement Plan exploring new and meaningful ways to engage • GP Engagement Plan • Presentations & training, conferences & Continuing Professional Development (CPD), provision of information • CMHTs actively pursuing links • Several Out Patient clinics held in surgeries

5. Service User Experience & Engagement • Establishment of Service User Involvement Board • Local patient engagement activities • Mid patient experience group • Friends & Family test results • Annual patient survey results

6. Workforce • Recruitment internet Microsite for Mid area developed and launched attracting quality / employer of choice • Significant organisational change this year– • Planning for Journeys Programme for remodelling service delivery • Senior Management Re-organisation • New Low Secure Unit (LSU) relocated with staff from Colchester • Demographics & Staff Profile

7. Workforce • Mid Area Communications Day - 200 staff attended • Sickness Absence – Lowest ever / Creative solutions • Mandatory Training & Individual Performance Review compliance • Linden Centre Improvement Programme • Low Secure Reprovision - Staff induction week • ‘Lets Talk’ – encouraging openness

8. Workforce Priorities 2013/14 • Staff engagement & consultation – delivering organisational, transformational and cultural change. Our duty of candour and organisational openness. • Staff Survey 2013. • Individual Performance Review & Mandatory Training compliance remain key to safe, effective services. • Recruitment programme – including retention, talent management and succession planning. • Sickness Absence Management. • Terms & Conditions Harmonisation – for Essex County Council & Health Outreach staff new to the area.

9. Financial Commentary • 2012/13 Year end 0.25% overspend Pressures from Locum / 1:1 Observations in Acute & Perinatal services • 2013/14 Expected 0.4% overspend (may reduce) • Cost Improvement Exploring efficiencies from Journeys / Programme (2014/15) Psychiatric Intensive Care Unit & Health Outreach • Cost Pressures Observations to maintain patient safety • Salary increases • Patient Travel • Pharmacy costs • Printing & Catering

10. Going Forward • Review of Perinatal service • Improved Clinical Commissioning Group (CCG) & Specialist Commissioning Group (SCG) relationships • Remedy / Care Plan Approach (CPA) & Non-CPA plans • Journeys • Where we are now • Staff engagement and the compassion agenda • Service user involvement (focus on access to support & advice in relation to employment, benefits and housing)

11. Thank you Any questions please?