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

North West Health North West Health Self Assessment Self Assessment Process 2011Process 2011

Sue SmithProject Manager for the

Health Equality Group and Health Self Assessment Lead

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

Overall Ratings

Target 2011 2010

1

2

3

4

Target One

2011 2010 2

elements

Green 11 11

Amber

12 12

Red 1 1

15 same

1 improved

8 rated lower

Target Two

2011 2010

9 elemen

ts

Green 3 2

Amber

18 20

Red 3 2

2 same

14 improved

8 rated lower

Target Three

2011 2010

4 elemen

ts

GreenAmbe

r24 24

Red

3 same

10 improved

11 rated lower

Target Four

2011 2010

11 elemen

ts

Green 7 12

Amber

14 9

Red 3 3

3 same13 improved8 rated lower

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)

Overall

Many areas improved Data collection improved More self advocates involved

in training More people had health checks People felt things were getting

better

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

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

Target 3

Acute network Patient satisfaction survey Individualised pathways Thumbs Up Hate Crime DVD E learning safeguarding People involved in training

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

Target 4

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

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

Accessible information

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

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

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

Self assessment summary

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

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

0%

20%

40%

60%

80%

100%

North West Acute Trusts MH Trusts

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

0%

20%

40%

60%

80%

100%

North West Acute Trusts MH Trusts

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

0%

20%

40%

60%

80%

100%

North West Acute Trusts MH Trusts

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

5.Leadership & management

0%

20%

40%

60%

80%

100%

North West Acute Trusts MH Trusts

Lots of room for improvement!

Good things going on:

Lessons learned from complaints

What can be better!

Patient and carer feedback sharedwith Managers Learning Disability champions to raise awareness

6.Organisational learning

0%

20%

40%

60%

80%

100%

North West Acute Trusts MH Trusts

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

0%

20%

40%

60%

80%

100%

North West Acute Trusts MH Trusts

Summary

Quick wins:Hospital Passport Accessible information Flagging systems Individualised care plans

Most impact: Raising awarenessInvolvement of patients and carers

Must dos: Engagement with patient group and their carersPartnership working and sharing good things happening

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

Thank you

Any questions?

Sue Smith [email protected]