North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. Improvements had been made to the financial governance of the trust, but there was still much to be achieved to bring the trust back to financial balance and address the non-achievement of key operational performance targets. The young person and their carer received contact information for the C.I.T. team and the Samaritans should they enter crisis again before their follow up appointment. This includes a free over-the-phone physiotherapy assessment service, bespoke psychological support sessions, Arts on Referral and the Mental Health First Aid network. We are passionate about our values and expected behaviours. The BBC is not responsible for the content of external sites. Ensure patient information remains confidential through appropriate storage of records in the outpatient clinics and theatre departments to prevent unauthorised people from having access to them. Relationships with commissioners had improved and matured. The changes had a great impact on staff engagement and happiness, shown in the results of the staff survey and the Happy App measurement system the trust had been using for a few years. This team managed new referrals for young people up to the age of 13 who were at risk of self-harm or were in need of urgent help to stabilise their mental state. North Bristol NHS Trust owns the hospital but the adjacent health centre is owned by NHS Property Services. [19] North Bristol NHS Trust values all people as individuals. endstream endobj 405 0 obj <>>> endobj 406 0 obj <> endobj 407 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 408 0 obj <>stream North Bristol NHS Trust values all people as individuals. . The biggest obstacle faced by NBT was creating a cultural shift among staff so they felt they could use the support provided. %PDF-1.5 % The introduction of service line management had been well implemented and received positively. Leaders understood and managed the priorities and issues the service faced. The work undertaken by the dementia care team within medical services was seen as outstanding. The trust ran inpatient geriatric services at Blackberry Hill Hospital until 2005, when it closed activities at the site transferring most services to Frenchay and Southmead, and eventually selling the trust's part of the site. The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. Commitment to quality of care We strive to deliver quality care every time. The aim is to redevelop the site near Bristol. Riverside Unit ran as a therapeutic space, which meant all aspects of the service and all relationships between young people and staff and young people and each other were part of inpatient treatment. In addition, 84 per cent of staff felt able to share and comment on trust activity throughout the winter. The service did not follow procedures to ensure cleanliness as a measure of infection prevention and control. They had a clear vision, understood the challenges the organisation faced and were committed to sustainable care that extended beyond the borders of the hospital. The land sale is expected to be approved by South Gloucestershire Council's cabinet next month. Involving children and young people was routinely undertaken across the CCHP and was seen as an example of outstanding service nationally. To ensure that any new members of staff understand the cultural wellbeing imperative, the head of people strategy, Guy Dickson, does a slot to set expectations. The group listening events provided refreshments as an extra incentive to attend. Leaders and staff actively engaged with patients, staff, the public and local organisations to manage services. They are at the very heart of all that we do, and should inform every action we take and every decision we make. Records must be fully completed and provide detailed information for staff regarding the care and treatment needs of patients. Read about our approach to external linking. No rating/under appeal/rating suspended We support and care for every member of staff, every carer, every visitor, and will always put the patient first. There were concerns regarding theavailabilityof equipment in theatre which was causing delays in operations and cancellations. ensure that staff understand when a deprivation of liberty application should be made and that they are clear which patients are subject to such a restriction. There are over 8,000 reasons why North Bristol NHS Trust is a place to be #NBTProud of. Actions had been instigated to address both of these. [1] The trust was also rated outstanding for well-led. This was the same as our previous inspection in 2018. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually. As well as shortages in some areas there were also issues, particularly in theatres and critical care, with regard to the skill mix of staff as a high proportion of staff were new and inexperienced in those areas. A variety of swift programmes have been instigated and accessed by staff during the response phase, and staff have taken the initiative to put support in place for themselves and their teams, including reallocating unused rooms for wellbeing spaces and starting yoga sessions before the start of shifts. CCHP started the central intake team (CIT) to manage the risk of service users new to the service and subject to urgent referrals. We rated well-led as good because: Urgent and Emergency services: (also known as accident and emergency services or A&E) were rated good overall. There were breaches of regulations 12 and 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations. The trust's treatments and advances in care have won national and international recognition. The volunteers proved useful, so it was decided to keep them on indefinitely. Suspended ratings are being reviewed by us and will be published soon. On staff engagement there was an improvement in questions on staff feeling their feedback was acted on. Targets in the emergency department were not being met for a maximum wait of four hours to be admitted, discharged or transferred, (in October 2014 this was 80.7% against a target of 95%); triage within 15 minutes of arrival and for patients remaining on a trolley in the department or more than 12 hours. We carried out this focused inspection of the North Bristol NHS Trust to follow up on the areas that were rated as inadequate and requires improvement in our inspection in November 2014. Children, young people and their families said staff had a good understanding of their needs and involved them in decisions about their care. On health and wellbeing, it moved from well below average to average, and on staff engagement it is now above average for similar trusts. We welcome applicants from all underrepresented groups. Within maternity services, flow midwives had been introduced to provide an overarching approach to flow within the service. The purpose for this was to reduce the amount of operations cancelled due to medication issues. It was clear that many of the pressures could be resolved by minimising delays in patient care. Medical teaching facilities are provided in association with the University of the West of England, Bristol University, and the University of Bath. ensure that medicines are stored appropriately and administration is recorded accurately. [5] The trial was funded by Parkinson's UK with support from The Cure Parkinson's Trust and in association with the trust. The winter of 2017/18 was so bad it hit the national headlines. These combined to create an overall trust rating of good. [3], The service receives patient referrals from across the South West, throughout the UK, and worldwide. The systems in place to monitor the completion of mandatory training were not effective. Safe, effective and well-led ratings all improved to good. This work was to be completed in early 2016. A safety checklist provided a structured series of prompts for staff to ensure that all necessary steps were taken to ensure the safe care of patients, from arrival to discharge. In reaching this judgement we have taken account of the fact that the vast majority of services are provided at the Southmead site. BA1 3NG, In Having a robust occupational health service and working in partnership with them can lead to increased productivity, reduced absence and money saved. we have taken enforcement action. The rating for trust level management was rated good and for use of resources it was rated requires improvement. It takes a progressive approach to staff wellbeing. All staff were committed to continually learning and improving services. the service is performing exceptionally well. The institute is the regional centre for neurological services serving the South West of England. Responsive at core service level was rated requires improvement. Identifying a consultant champion can help encourage consultants and junior doctors to engage with wellbeing campaigns, rather than feeling that they should have all the answers. [18] It spent 20.8M, 7.1% of its total turnover, on agency staff in 20142015. Staff felt respected, supported and valued and were focused on the needs of patients receiving care. [22] The trust had been identified as a medium-risk trust according to our Intelligent Monitoring system and had moved from the low to the medium-risk category between October 2013 and July 2014. We have over 12,000 staff delivering healthcare across Southmead Hospital Bristol, Cossham Hospital, Bristol Centre for Enablement and within the local community of Bristol and South Gloucestershire. However, improvements were required in end of life care . providing Caring, Ambitious, Respectful and Supportive Care. ensure that actions planned to reduce the backlog ofimages to be reported and appointments requested are effective and that systems are in pace to prevent such a backlog occurring in the future. The trust was working hard to sure that it included and communicated effectively with patients, staff, the public, and local organisations. We rated urgent and emergency services as good overall. End of life care was rated requires improvement overall. Useful information was provided to patients and visitors and communication aids including interpreters were readily available. ObYpx ~Hl GKVC$R+q_qyx"g?,se |E?m;{Lts qX7rC6x'v#f9lo3qY v6aD&,Y3~b7C\Ysyv[mj2ovZPvb@wnL+gfLUS ,}1w0r7w@ Pn The operational performance at the trust was meeting some but not all national targets or standards for treating patients and more needed to be done to improve this. Details of free physical and mental wellbeing sessions for NHS staff. Overall we saw improvements had been made at this hospital, although the rating remained requires improvement. A theme emerged: caring for you means better care for patients. The service was able to respond to urgent referrals. The feedback we had from children, young people and their parents or carers was extremely positive in all the locations and programmes we visited. Your staff have the answers. The service had enough medical, nursing and midwifery staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment. Improvements were need in safety, effectiveness, responsiveness and leadership. NBT engaged professional services firm PWC to help develop an approach to improving patient flow, using a staff coaching and empowerment methodology called Perform. North Bristol NHS Trust values all people as individuals. Staff were aware of these procedures and their own responsibilities for the safeguarding of children and young people. Were currently piloting how we work together to confirm the findings of these assessments and present the reports and ratings alongside our other inspection information. It follows a 13.3m bid in December for government redevelopment funds. Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is the lead provider of healthcare for people with serious mental illness, learning disabilities and autism across Bath and North East Somerset (BaNES), Swindon and Wiltshire, and Bristol, North Somerset and South Gloucestershire. Staff assessed risks to patients, acted on them and kept good care records. take action, with others as needed, to improve the flow of patients into, through and from the hospital. Surgery: was rated good overall. In addition, 84 per cent of staff felt able to share and comment on trust activity throughout the winter. Corporate Records Retention Policy. We carry out joint inspections with Ofsted. It comes as the Government is poised to rewrite equality law to protect women by making it easier to bar trans people from single-sex spaces such as wards. for current vacancies in Bristol and Weston, then why not join us? %%EOF H\@w+%dJ>Gq R>]ZKZ0_0k''wjf6,wM[OK5jHR|_xw>)Kims~8=]z xVnqM:#L7:Ture+?Ibw_=OjLlgVv6V_Qy_xjukL+ONL,|:sjZP J bM bK5-++++++++++F! Effective, responsive and caring ratings remained good. We use our system of intelligent monitoring of indicators to direct our resources to where they are most needed. Staff understanding of Deprivation of Liberty Safeguards varied across the trust. Due to the demands on the emergency department patients were not being cared for in the most appropriate place to manage their needs with a corridor often being used inappropriately. The servicewas working towards Young People Friendly accreditation. Improve patient flow within the hospital and ensure that there is a robust hospital-wide system of bed management so as to: significantly reduce delays in patient flow through the emergency department; reduce occupancy to recommended levels within medical services; and, ensure that there is capacity within the hospital so that patients can be admitted to and discharged from critical care at the optimal time for their health and well-being. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. Et There were 3,923 WTE working days saved due to a reduction in sickness levels. Our rating of well-led at the trust improved. In response, Lord Markham wrote: It is imperative that NHS trusts respect the privacy and dignity of patients. Records within the service were in paper format, sometimes disorganised, and it was difficult to find information within them. There was alignment between service and trust plans. Involvement of woman and their partners in their maternity care at Cossham Hospital. Bedrooms have large areas of unobstructed glazing and are naturally ventilated, providing the patient with control of their own environment. In the pre-admission clinic they had a pharmacist working full time who reviewed elective patients. Our full Inspection report summarising what we found and the supporting Evidence appendix containing detailed evidence and data about the trust is available on our website www.cqc.org.uk/provider/RVJ/reports. These reports look at how NHS hospital trusts use resources, and give recommendations for improvement where needed. However this had deteriorated from September 2015 and in November 2015 only 82% of patients met this standard. Staff were clear about the processes they should follow to risk assess patients and respond to those who may deteriorate. Research has shown that bed occupancy of both 85% (and above 70% within critical care services) could start to affect the quality of care provided to patients. Medical care (including older peoples care): was rated good overall. Create the conditions for them to make suggestions and ensure they can be confident they will be acted on, to lead to effective change. endstream endobj 409 0 obj <>stream The industrial action is a national dispute between the Government and Trades Unions about terms . Further support was required in the theatre department for newer staff. The board had developed significantly since our last inspection. This is the South West version of the Department of Health Your Welcome standards. Maternity: was rated good overall. 466 0 obj <>stream Please note that all salary figures are approximations based upon third party submissions to Indeed. In 2019 were awarded the Queen's Award for Voluntary Service. This programme was recognised by the NHS Parliamentary Awards in 2019.[28]. The board and other levels of governance within the organisation functioned effectively and interacted with each other appropriately. Following the implementation of Perform, NBTs performance improved massively. Responsive remained the same with a rating of requires improvement. Annual Statement 2009 for - PDF - (opens in new window), In Staff also have access to a 24/7 free, confidential helpline offering counselling about financial, legal, relationships and more, provided by partner organisation Health Assured. They are based on assessments carried out by NHS Improvement, alongside scheduled inspections led by CQC. Staff appraisals were undertaken across the hospital, but improvements were required within medical and community CAMHS services. North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. There were sufficient staff to ensure outpatient clinics ran safely. Hundreds of staff from all parts of the trust participated, and more than 750 comments were collected, analysed, and fed back to staff. They drive our behaviour and shape our identity and culture as a Trust to provide the best possible environment for patients and staff. The cost of the hospital land sale has not been disclosed because of commercial sensitivity. ensuring that the organisation's values are brought to life in everyday behaviour. There have been several unsuccessful attempts to upgrade the facilities over the past 30 . Most staff felt a connection to the CCHP and saw the benefits for effective service delivery. Lord Markham added: Patients can request same-sex intimate care, and it will be up to the care provider or clinician to respond based on the patients needs and staff availability. There were significant issues with the flow of patients into, through and out of the hospital. End of life care: was rated outstanding overall. Plans were in place to review staffing and caseloads to manage this increase. Click below to view the An values listed below are abstractions. The secret mine that hid the Nazis' stolen treasure. The minister said that the NHS is reviewing its current guidance on delivering same-sex accommodation. To do this we must together build and develop the capability of our people, and share common values and behaviours which are transparent and visible in whichever role we play. Separately, 100,000 has been secured from NHS England for a feasibility study to assess the need for rebuilding the GP-led health centre. There were however some concerns that hand washing audits were not meeting the compliance target of 95% and some staff were seen not to be bare below the elbow. However, some staff felt unsupported by operational management arrangements and undervalued, and that both service management and the trust did not listen to them.
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north bristol nhs trust values 2023