Standards for Better Health 20078

1
Item 4.4
Standards for Better Health 2007/8 Presentation
for OSC Topic Group April 2008
Sally Wilson Lead, Standards for Better
Health Shari Payne Head of Business Development
Strategic Planning
2
Introduction to the Trust

• Provide mental health and specialist learning
  disability and forensic services across the
  county
• Achieved Foundation Trust status in Aug. 07
• Over 5,000 public members in Hertfordshire
• Approx 3000 staff
• Revenue 180 m
• Rated as Excellent for quality of care and
  Good for use of resources in 06/07 Annual
  Health Check

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Assurance Process

• Executive director and management leads for each
  standard
• Standards assigned to sub-groups of the
  Integrated Governance Committee
• Action plan to maintain and improve compliance
• Bi-monthly reports on compliance to Integrated
  Governance Committee
• Substantial assurance on process from Trusts
  internal auditors

4
C6 Healthcare organisations cooperate with each
other and social care organisations to ensure
that patients individual needs are properly
managed and met

• As a Partnership Trust HPFT is a health and
  social care provider
• Representative membership on Adult Care Services
  Board and HPFT Board
• Partnership Team meetings to ensure joint agenda
  is delivered
• Single Assessment Process for Older People
• Many joint policies
• Joint responsibility to deliver social care
  performance indicators eg. direct payments

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C13a) Healthcare organisations have systems in
place to ensure that staff treat patients, their
relatives and carers with dignity and respect.

• Privacy and dignity policy in place
• Single equality scheme in place
• Established Essence of Care benchmarking
  programme
• User-led audit of outpatient experience underway
• Complaints and incidents monitored for privacy
  and dignity issues
• Recruitment for permanent chaplaincy post
• Training on customer relations for all inpatient
  staff
• Post created to support the Service User Survey
  action plan

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C13b) Appropriate consent is obtained when
required, for all contacts with patients and for
the use of any confidential patient information

• 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
• 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

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C13c) Staff treat patient information
confidentially, except where authorised by
legislation to the contrary

• 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 eg
  Safeguarding Children and Safeguarding Adults and
  mandatory training for all staff
• Ongoing work with carers re confidentiality

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C17 The views of patients, their carers and
others are sought and taken into account in
designing, planning, delivering and improving
healthcare services

• Service user and carer involvement strategy in
  place
• Service user led audit projects
• Service users involved in all new build projects
  eg PICU and CAMHs
• Service user and carer councils
• Recovery conference
• Having Your Say questionnaire
• Patient tracker now introduced
• Involvement in interviews

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C18 Healthcare organisations enable all members
of the population to access services equally and
offer choice in access to services and treatment
equitably

• Health Inequalities group in place with
  representation from PCT
• Single equalities scheme in place
• Programme of disability access audits
• 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

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C22 Healthcare 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

• Partnership agreements in MH and LD
• Public health strategy and action plan 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