North West Health Self Assessment Process 2011

1. North West Health Self Assessment Process 2011 Sue Smith Project Manager for the Health Equality Group and Health Self Assessment Lead

2. Health Self Assessment 4 Top targets Ensuring everyone has a person centred plan Equal access to all health services Ensuring people using health services are safe Valuing People targets are met

3. Overall Ratings

4. Target One 15 same 1 improved 8 rated lower

5. Target Two 2 same 14 improved 8 rated lower

6. Target Three 3 same 10 improved 11 rated lower

7. Target Four 3 same 13 improved 8 rated lower

8. Issues • Targets changed slightly from last year • Target 1 re % PCP/health action plan • % for some targets mean ratings changed • Issues about Joint Strategic Needs Assessments- many areas did not have detailed JSNA in place-(red)

9. Overall • Many areas improved • Data collection improved • More self advocates involved in training • More people had health checks • People felt things were getting better

10. Target 2 • Reminder texts for appointments • Information shared in referral letters • Wheels for all- cycling project • Care pathway for parents with learning disability • Cancer screening improved

11. Target 2 • A protocol is in place to follow up non attendance at health check appointments • Healthy lifestyles course • Appointed a postural care physio specialist to deliver postural care • Health action plan audited completed across all services

12. Target 3 • Acute network • Patient satisfaction survey • Individualised pathways • Thumbs Up • Hate Crime DVD • E learning safeguarding • People involved in training

13. Target 4 • Health action plans in prison • Accessible custody information • Prison staff training • Prison health staff shadowing CTLD and doing training • Specialist Forensic Practitioner and specialist provider to support people with forensic needs

14. Target 4 Dementia cafes Complex care teams Autism e learning tool Short break services Transition plans Patient stories Advocacy Hub developed

15. CQUINS commissioning for quality improvement Mental health services - flagging, HAPs & communication needs Re use of patient passports Re reasonable adjustment 12 staff trained for autism assessment Acute hospitals to improve quality of care

16. Accessible information • Accessible information- pathwaysassociates.co.uk • Reader panels • Pictorial pathways • DVD patient journeys • Websites • NWAS communication book

17. Acute self assessment • 1. Self-assessment • Questionnaires based • around 7 themes • 2. Hospital visits • Hospital visits based around • exploring the themes • 3. Sharing and learning event

18. Areas looked at • Information • Reasonable adjustments to services • Involvement of people with a learning disability and their carers • Capacity, consent, safeguarding and the law • Leadership • Organisational learning • Fundamental care

19. Self assessment summary

20. 1. Information for patients and carers • Theme with most scope for improvement across Acute and MH Trusts Good things going on: • Range of easy read information • Pre-admission visits for elective patients • Flagging system • Hospital passport system. What can be better! • Easy read medication information • Picture food menus • Accessible information in A&E

21. 2.Reasonable adjustments &service delivery • Theme with significant scope for improvement, especially for Acute Trusts Good things going on • Liaison Nurse – 3 Trusts have these • Individualised care plans • Staff training and awareness What can be better! • Basic training/awareness • Counting number of readmissions

22. 3.Involvement in development of services • Theme with significant learning opportunities from MH Trusts Good practice • Carers involved in decision making • Individual care planning • Monitoring of complaints and incidents What can be better • Pre-admission information • Easy read admissions booklet • Patient feedback mechanisms • Carer surgeries

23. 4.Capacity, consent & safeguarding • Theme with lowest number of red ratings from self-assessment Good practice • Compliance with Mental Capacity Act and Deprivation of Liberty • Equality and Diversity awareness What can be better! • Advocacy for patients • Staff training

24. 5.Leadership & management • Theme with significant scope for improvement Good practice • Managers are Learning Disability champions • Nurses are Learning Disability champions What can be better! • Learning disability awareness across the whole Hospital • Working with services in the community

25. 6.Organisational learning Lots of room for improvement! Good things going on: • Lessons learned from complaints What can be better! • Patient and carer feedback shared with Managers • Learning Disability champions to raise awareness

26. 7.Fundamental care Good things • Hospital passport system • Individualised care plans • Learning Disability champions • Mental capacity assessments What we can learn from Mental Health Trusts! • Reasonable adjustments to • all aspects of care

27. Summary Quick wins: Hospital Passport Accessible information Flagging systems Individualised care plans Most impact: Raising awareness Involvement of patients and carers Must dos: Engagement with patient group and their carers Partnership working and sharing good things happening

28. Next Steps • All areas developing action plans • Regional report • Review of Health Self Assessment for 2012 • Repeat process later this year • HEG work plan • Get more acute hospitals to do assessment

29. Thank you • Any questions? Sue Smith susan.smith@northwest.nhs.uk