Standards for Better Health 2008/9 Presentation for OSC Topic Group February 2009

1. Item No. 3.4 Standards for Better Health 2008/9 Presentation for OSC Topic Group February 2009 Sally Wilson: Performance Improvement Manager Emma Bisset: Standards for Better Health Manager Keith Moullin: Joint Deputy Director of Operations Barbara Suggitt: Company Secretary

2. As a Partnership Trust HPFT is a health and social care provider Representative membership on Adult Care Service’s Board and HPFT Board Joint Commissioning Partnership Board meetings to ensure joint agenda is delivered Single Assessment Process for Older People Many joint policies between social care and health Joint responsibility to deliver social care performance indicators eg. direct payments Provide liaison services for people presenting at A&E with mental health problems C6: Healthcare organisations co-operate with each other and social care organisations to ensure that patients’ individual needs are properly managed and met

3. Privacy and dignity policy in place Single equality scheme in place Established Essence of Care benchmarking programme User and Carer led audits Complaints and incidents monitored for privacy and dignity issues Spiritual Care Co-ordinator in post Training on customer relations for all inpatient staff Cultural competency training available to all staff Patient Experience Trackers introduced – focus on dignity and respect in inpatient areas C13a) Healthcare organisations have systems in place to ensure that staff treat patients, their relatives and carers with dignity and respect.

4. Bungalow in question is now closed and staff team successfully redeployed. Moves for service users have been successful – no readmissions. Unannounced visits now in place across all inpatient services. Increased monitoring of supervision, training and appraisal – Board level reporting. Generic job descriptions now developed to increase the ability for staff to move around all units. Dedicated post funded for Safeguarding Adults – commended in recent CSCI inspection. C13a) Outcome of Investigation in Tertiary Assessment and Treatment Unit

5. Robust policies in place Consent to treatment audit undertaken as part of annual audit programme Audit on consent to ECT undertaken annually Programme of training being delivered on Mental Capacity Act, jointly funded post and audit undertaken Leaflets given to all service users on the use of their information Policy on communicating with diverse service users and interpreting service available Hearing loops available on all sites C13b)Appropriate consent is obtained when required, for all contacts with patients and for the use of any confidential patient information

6. Robust policies in place Adherence to Caldicott guidelines regularly monitored Ongoing records audit monitors confidentiality issues Records training for all staff, includes storage and confidentiality issues Shared protocols on use of information e.g. Safeguarding Children and Safeguarding Adults and mandatory training for all staff Ongoing work with carers re: confidentiality C13c) Staff treat patient information confidentially, except where authorised by legislation to the contrary

7. Working with Viewpoint, Carers in Herts & Mind on Q’aire – results due in March Service user and carer involvement strategy in place Involvement in strategy, quality accounts, strap-line Service user led audit projects – outpatient experience Service users involved in all new build projects eg PICU Service users involved in design and review of new and existing services eg Personality Disorder service and Early Intervention in Psychosis service. Service user and carer councils Recovery conference – CD, DVD and booklet jointly produced Having Your Say questionnaire and Patient Experience Tracker and Patient Surveys Involvement in interviews Setting up workshops for the wider community for education on mental health issues C17 The views of patients, their carers and others are sought and taken into account in designing, planning, delivering and improving healthcare services

8. Health Inequalities group in place with representation from PCT Single equalities scheme in place Programme of disability access audits and contingency plans in place HPFT hosting community development race equality workers IAPT project – includes enhanced primary care projects Ongoing work to improve access to acute care for people with a learning disability C18Healthcare organisations enable all members of the population to access services equally and offer choice in access to services and treatment equitably

9. Similar services for older people need to be provided across the county, defined by local needs. Enhanced Primary Care continues to be a peripatetic service providing local services To ensure equity of provision a model should be developed to ensure quality of mental health services are provided equitably but flexibly C18: Response to queries over recommendations in Mental Health Topic Group Review

10. Partnership agreements in MH and LD Public health strategy and action plan to improve health and reduce inequalities in place with PCT input Joint working with acute trusts re: service users with ld Single assessment process for older people Joint working in CAMHs re: crime reduction C22Healthcare organisations promote, protect and demonstrably improve the health of the community served, and narrow health inequalities by: a) cooperating with each other and with local authorities and other organisationsc) making an appropriate and effective contribution to local partnership arrangements including local strategic partnerships and crime and disorder reduction partnerships