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CNWL Becoming a Foundation Trust. Introducing Our Services. Range of mental health services and substance misuse services across 90 sites Span 8 boroughs in central and north west London Last year we provided: community care for 41,000 local people In-patient care for 3,200 local people
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Introducing Our Services • Range of mental health services and substance misuse services across 90 sites • Span 8 boroughs in central and north west London • Last year we provided: • community care for 41,000 local people • In-patient care for 3,200 local people • Annual turnover £180 million • 22 in-patient units with over 850 beds • 3,000 staff - 50% nursing
Local Population • 1.7 million people across 8 boroughs served • Some of most affluent and most deprived areas in London • 35% of population belongs to minority ethnic groups • Over 150 languages are spoken • Highly mobile with 30% of London’s asylum seekers • High levels of rough sleepers, up to 50% have mental health as well as SMS problems • Young population
What is a Foundation Trust? • Independent Public Benefit Corporation • More responsive to needs of communities served • More accountable to local people and staff who can become members and governors • Part of the NHS and subject to NHS standards • Provides essential services to communities served • Provides free care at the point of delivery • Works closely with local partners • Overseen by an independent regulator, Monitor
MEMBERSlocal community, service users and carers, staff GOVERNORSvoted by members, local stakeholders COUNCIL OF MEMBERS users and carers, staff, local people, primary care trusts, local authorities, universities, partner agencies CHAIRjoint chair of both boards BOARD OF DIRECTORSexecutive directors, non-executive directors How Does a Foundation Trust Operate?
Why Become a Foundation Trust? • Involvement from local communities in development of services • Greater freedom to shape services to meet needs of communities served • Improved financial stability with legally binding contracts • Greater freedom to use our capital to improve services • All trusts able apply for NHS Foundation Trust by 2008
How Does it Benefit Service Users and Local Communities? • Services more accountable to service users and local residents • Greater influence on how the Trust develops its services • Receive more information and feedback • Stand for election to the Council of Members
How Will We Go About It? • Phase One: DH Development Phase Mar - Nov 06 • Produce Integrated Business Plan • Public Consultation • Application to Secretary of State • Phase Two: Historical Due Diligence Nov 06 - Jan 07 • Phase Three: Monitor Assessment Phase Jan - Apr 07 • Assessment of Application • Board to Board Meeting • Monitor Board Decision
Key Consultation Areas • Our Vision • Guiding Principles • Our Future Plans • Our Membership • Our Council of Members
Our Vision We will work in partnership to provide responsive and dependable mental health and substance misuse services for the communities we serve, encouraging recovery, well-being and social inclusion, individual choice and independent living through high quality care.
Our Guiding Principles • To provide integrated, high quality, timely services based on the needs of the individual • To engage meaningfully with service users, carers and the local community to improve and align our services to their needs • To provide and maintain to a high standard the physical environments in which we provide services • To recruit, retain and develop a skilled and motivated workforce that is proud to work for the Trust • To provide a financial base that is robust for the future development of the Trust and to provide economic and efficient services • To further develop Trust information systems to support ongoing improvement in patient care and performance management • To seek and develop new business consistent with our vision Have your say…
The Role of Members • Elect Governors to represent members on the Council of Members • Stand as a Governor • Be consulted on service developments and future plans • Receive regular information on the work of our Trust • Help us become more accountable to the local communities we serve Have your say…
The Role of Governors • Appoint the Chair and Non Executive Directors • Approve appointment of Chief Executive • Be consulted on proposals for substantial service developments and changes • Represent the views of members • Develop the membership of the Foundation Trust • Receive the Annual Report & Accounts • Appoint the Trust’s financial auditors Have your say…
Council of Members Proposed Structure Elected Governors Service Users and/or Carers Adult mental health services Older adult mental health services Child and adolescent mental health services Substance misuse services Specialist services Cont…
Council of Members Proposed Structure Elected Governors cont Public Borough of Brent Royal Borough of Kensington & Chelsea Borough of Harrow Borough of Hillingdon Borough of Westminster Rest of NW London Elected Public & User/Carer Governors form majority of Council of Members Cont…
Council of Members Proposed Structure Elected Governors cont Staff Nursing staff inc HCAs Medical staff Allied health professionals Social care Other staff Total number of elected Governors = 25 Have your say…
Council of Members Proposed Structure Appointed Governors Primary Care Trusts Brent Local Authority Royal Borough of Kensington & Chelsea Local Authority Harrow Local Authority Hillingdon Local Authority City of Westminster Council Cont…
Council of Members Proposed Structure Appointed Governors cont Imperial College Prison Service Metropolitan Police GP representative Voluntary sector organisation Total number of appointed Governors = 12 Grand total of Governors = 37 Have your say…
Our Future Plans • Improved support for people experiencing a first episode of psychosis through easier access to early intervention services • Further development of our adult community mental health teams in line with Department of Health guidelines • Development of modern facilities for our adult and older adult services at Park Royal in Brent and Northwick Park in Harrow • Continued enhancement of our older adult community mental health teams in partnership with social services • Development of older adult continuing care services with PCTs Cont…
Our Future Plans • Improved premises for our drug and alcohol detoxification in-patient service • Development of adolescent in-patient services in discussion with stakeholders • Expansion of our out-patient eating disorder service • Development of learning disabilities services • Proposals to develop a low-secure service at our Horton Haven site for people with challenging behaviour Have your say…
Have your say… Your views matter • What do you think about our vision and guiding principles? • What do you think about our future plans? • Do you have any views on how we have created the member constituencies and sub-divisions? • Do you have views on how the Council of Members is made up? • Do you agree with the number of places for service users and carers on the Members’ Council? • Do you have any views on the number of places for Primary Care Trusts? • What criteria do you think we should use for appointing voluntary sector Governors?
Finding Out More • www.dh.gov.uk • www.monitor.nhstf.gov.uk • www.foundationtrustnetwork.org • www.healthcarecommission.org.uk Questions? • membership.cnwl@nhs.net • www.cnwl.nhs.uk • 0800 0234047