STATEMENT OF PURPOSE 2016

Transcription

1 STATEMENT OF PURPOSE

2 Statement of purpose Name of the establishment: Address: CQC Provider ID: Legal Status: Dated: KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST Rothwell Road, Kettering, NN16 8UZ RNQ01 Organisation August THE AIMS AND OBJECTIVES OF THE ESTABLISHMENT/AGENCY 1 INTRODUCTION This document is available to all patients, family members and staff who are employed by Kettering General Hospital NHS Foundation Trust. This statement is also provided to the Care Quality Commission and may be freely distributed by them in connection with their regulatory role. 2 SUMMARY OF ORGANISATION The principal purpose of the Trust is to provide health services in an effective, efficient and economic way. The Trust will comply with all requirements imposed on it under the Act or any other conditions of the Foundation Trust authorisation and the terms of our constitution. 3 AIMS AND OBJECTIVES To meet the needs of our patients the services delivered by the Trust are designed to achieve the following objectives: People choose to come to and recommend to others Treats all people with dignity and compassion Has a reputation for safety and quality care Creates a culture where staff feel valued and demonstrate pride in the organisation Delivers excellence in education and training Embed our Core Values and Behaviours Return to operating within the Terms of our Licence Works well with commissioners and other providers to create and maximise opportunities Develop a Partnership to secure long term sustainability The Trust has a Patient Promise which states: 'we will always treat you as an individual, always working together, always there for you, always caring for you, and always improving'. Every employee will strive to achieve our patient promise at all times as it captures our values as a hospital and the care we provide to our patients. 4 WHERE WE PROVIDE OUR SERVICES Kettering General Hospital provides services over 10 sites. The main hospital site has 611 beds (including maternity) provided in a combination of purpose built and modified accommodation. The Trust has improved hospital accommodation to ensure same sex bays and additional single rooms. Our Medical Assessment Unit has been refurbished to improve same sex accommodation. The surgical wards have been reconfigured from mixed wards into separate male and female wards and the medical wards have been configured in a similar way. 2

3 5 HOSPITAL LOCATION Kettering General Hospital is located on the edge of the town of Kettering serving a population of approximately 320,000 people across North Northamptonshire and South Leicestershire. This is predominantly rural area with a number of medium sized districts namely Kettering, Corby, Wellingborough, Irthlingborough and Market Harborough from where the Trust provides a range of outpatient clinics in a variety of settings. The main hospital site in Kettering has four entrances, three for access and one for pedestrians only. Entrance 1 - Community Diabetes and main hospital Entrance 2 - Main hospital, Accident & Emergency, Maternity Entrance 3 - Pedestrians only Lamport & Twywell, Naseby, Eye Department, Audiology, Medical Daycase Entrance 4 - Treatment Centre, Children s wards, Renal Unit, AM Lee, HC Pretty, Mortuary Our car parks are barrier controlled. A ticket is issued on entry and the appropriate charge collected via ticket machines on exit. The Trust has a cash machine, opposite the WRVS shop near reception. The Trust has 31 uncontrolled disabled spaces free of charge. Use of controlled car parks discounted to 1. The Trust delivers outpatient clinics in: Nuffield Diagnostic Centre Wellingborough Irthlingborough Cottingham Road Isebrook Hospital Nene Park CORBY Irthlingborough Road Attley Way NN17 2UW Wellingborough Irthlingborough Tel: NN8 1LP NN9 5GF Tel: Tel: The Trust also delivers the following services at: Phlebotomy service Kettering Borough Council Municipal Offices Bowling Green Road Kettering NN15 7QX ECHO cardiogram service Market Harborough Medical Centre 67 Coventry Road Market Harborough LE16 9BX Corby Urgent Care Centre Cottingham Road Corby NN17 2UR Obstetrics outpatient service: Market Harborough and District Hospital 58 Coventry Road Market Harborough Leicestershire LE16 9DD Cardiac Pulmonary Rehabilitation Waendel Leisure Centre Thomas Street Wellingborough NN8 1DZ Cardiac Pulmonary Rehabilitation Lodge Park Leisure Centre Shetland Way Corby NN17 2SG External Beds From 15 th May 2015, the Trust has commissioned beds at Claremont Parkway The Trust uses nursing beds to transfer clinically stable patients who are delayed transfers of care and therefore not requiring acute interventions. The patients are case managed by the therapy and nursing team and the Trust s discharge team to facilitate onward care into the community. The patients are then discharged from the hospital at this point and care is transferred to the relevant community partner. Address: Crabwell Claremont Limited, Claremont Parkway, Holdenby, Kettering, NN15 6XE. Manager in Charge: Anne Hillary 3

4 6. REGISTRATION Kettering General Hospital NHS Foundation Trust is required to register with the Care Quality Commission and its current registration status is registered without conditions to carry out the following regulated activities: Treatment of disease, disorder or injury Surgical procedures Maternity and midwifery services Termination of pregnancy Family planning Assessment or medical treatment of people detailed under the Mental Health Act 1983 Diagnostic and screening procedures 2. The name and address of the registered provider and of any registered manager David Sissling Chief Executive Kettering General Hospital NHS Foundation Trust Rothwell Road Kettering NN16 8UZ Telephone: Fax : enquiries@kgh.nhs.uk Website: 3. The relevant qualifications and experience of the registered provider and any registered manager David Sissling, Chief Executive David Sissling was appointed as Chief Executive in April 2014, where he joined the Trust from the Welsh NHS where he was Chief Executive and Director General for Health and Social Services, Welsh Government. Mr Sissling has been the Chief Executive of the Leicestershire, Northamptonshire & Rutland Strategic Health Authority and Chief Executive of Northamptonshire Health Authority. 4. The number, relevant qualifications and experience of staff working in the establishment, or for the purpose of the agency The Trust has robust processes in place to check the qualifications and experience of all staff appointed before an unconditional offer is made. Details are held in personal files held by Managers. All professionally regulated staff under go the necessary qualification verification prior to their appointment being made. 4

5 5. Management Structure MANAGEMENT STRUCTURE EXECUTIVE DIRECTORS Andrew Chilton Kishamer Sidhu Clare Culpin Rebecca Brown Mark Smith Leanne Hackshall DIRECTORS (NON VOTING) Derek Shaw (Estates) BOARD OF DIRECTORS CHAIRMAN Graham Foster CHIEF EXECUTIVE David Sissling TRUST BOARD SECRETARY Sharan Madeley NON-EXECUTIVE DIRECTORS John Hawksfield Stephen Ramsden (SID) Phil Harris-Bridge Janet Gray Colin Dennis Lizzie Hanna CHIEF EXECUTIVE David Sissling Medical Director: Andrew Chilton Developing the medical workforce Leadership Professional lead to doctors R & D Productivity Postgraduate Education Chief Operating Officer Rebecca Brown Delivery services, quality, operational Emergency Planning Director of Finance: Kishamer Sidhu Financial governance and assurance, business advice to Board Financial management Financial strategy and planning Procurement Financial accounting Internal audit Information Director of Strategic Development/Corporate Governance: Clare Culpin Integrating strategic & business planning with contracting and Partnership work Managing our partners Strategic Developments Horizon scanning Communications/PR Marketing IT Medical CMT A&E MAU CCU Medicine Medical Specialties CCD Rheumatology Dermatology Neurology Surgery CMT T&O ENT Audiology Dental Surgery Urology Anaesthetics Critical Care Day Case Unit Director of Nursing & Quality: Leanne Hackshall Professional lead to nurses, midwives, PTs and OTs Safeguarding,Infection Control Human Resources & Organisational Development Director: Mark Smith Workforce and organisational development Volunteers HR Services Payroll Occupational Health Education & Training Clinical Services CMT Pathology Cancer Cardiac Investigation Infection Control EndoscopyRadiology Haematology Pharmacy Site Management Outpatient Services Trust wide Audiology Women & Children CMT Director of Estates: Derek Shaw Obs & Gynae Paediatrics Estates Facilities Management Capital Programme Fire Trust Board Secretary: Sharan Madeley Chaplains Company Secretary Patient Services Membership Board Support Council of Governors Compliance with FT Regime 5

6 6. The kinds of treatment and any other services provided for the purposes of the establishment/agency, the range of needs which those services are intended to meet, and the facilities which are available for the benefit of patients Accident & Emergency The service is streamed into Minors, Majors and Resuscitation and has a Clinical Assessment Unit. Obstetric & Gynaecology Services The Trust s Gynaecology services provide a full range of routine and emergency care. Specialist interests include paediatric gynaecology and urodynamics. Medical Specialties The Trust provides a comprehensive range of sub-specialties within the medical specialty. Nephrology is delivered by visiting Consultants from University Hospitals of Leicester and Northampton General Hospital. Cardiology services have received considerable investment with the opening of a Cardiac Catheterisation and Procedures Unit (CCPU). Surgical Specialties The Trust offers comprehensive pre-assessment supported by extended nurse practice through Clinical Nurse Specialists. Some emergency services such as Vascular and Head and Neck services are delivered in conjunction with Northampton General Hospital. Diagnostic Services The Trust provides a full range of Diagnostic Services. IVF Treatments The Trust does not provide IVF. Terminations The Trust undertakes termination of pregnancy procedures. Palliative Care The specialist palliative care team supports all clinical teams caring for adult patients with life limiting illness such as cancer. There are no in-patient beds in the hospital and patients remain under the care of their own referring consultant. Carers Assessment & Support Facility The hospital has a carers assessment and support worker who can provide advice, support, and information on caring for a spouse/partner, relative, neighbour or friend who is a patient in Kettering General Hospital. Critical Care The hospital provides Level 3 Critical Care. requiring advanced respiratory support. This means that the hospital care for patients Sterile Services The hospital has an in-house, newly refurbished, sterile supplies and decontamination department. 6

7 Treatment Centre Kettering General Hospital's Treatment Centre provides the best healthcare available for patients undergoing planned short stay surgery. It has been purpose-built to enable the hospital to perform 85% of its operations on a day case or short stay basis. This Centre is a modern, clean, efficient and extremely high quality environment. Three years of meticulous planning, and consultation with patients has resulted in an 18 million facility tailored to the needs of healthcare staff in the 21 st century. The Treatment Centre has: Quiet and comfortable pre-operative assessment rooms where patients are carefully screened to confirm they are well enough to undergo their procedure safely Four operating theatres equipped to the highest standards 20 trolley beds for patients who will have their treatment and return home within 10 hours of arrival Eight single rooms and two spacious three-bed bays for patients who need to stay in the unit for a maximum of two nights The Centre also has a Breast Unit which has two separate areas - one for routine breast screening and another for patient further investigation or treatment. Most of the operations at the Treatment Centre are performed using keyhole techniques. This means only small incisions are needed allowing patients to go home on the same day. An additional benefit is that this type of surgery heals quickly enabling a more speedy recovery. Following surgery patients are discharged within 48 hours (depending on the type of surgery), and will have experienced some of the best standards of care in the NHS. Fire Safety The hospital and grounds are checked regularly in relation to fire precautions and arrangements for evacuation, should the need arise. Staff attend regular training in fire prevention, fire action procedures, rescue and evacuation. The fire alarm system is checked every week. Security It is important that the hospital maintains a calm, pleasant and secure environment where everyone is confident of their personal safety and that their property is secure. The Trust seeks to ensure: The delivery of the highest standard of healthcare through the provision of a secure environment The personal safety at all times of patients, clients, residents, staff and visitors The protection of property against fraud, theft and damage Therapies The Trust provides a range of therapy services, including Physiotherapy, Occupational Therapy. Speech and Language Therapy and Dietetics are sub contracted from local community providers. These therapy services support inpatients in their recovery and help facilitate discharge. Phlebotomy The Trust provides a Monday Friday phlebotomy service at Kettering Borough Council, this has been effective as of January This is an additional service to enhance the phlebotomy service provided within the pathology department. Private Patients The Trust provides a private patients facility, this commenced in April This is currently on a limited amount of patients on a limited amount of procedures which the Trust is registered to carry out. 7

8 7. The arrangements made for consultation with patients about the operation of the establishment/agency The views of patients are very important to the staff at Kettering General Hospital. Major proposed changes are communicated via local media and the local population to contribute as described in the Trust Communication Strategy. Our Council of Governors plays a key note in the Trust by: Shaping services to meet the needs of the members and the wider community Representing the interests of members and partner organisations in the governance of the Trust Feedback information about the Trust, its vision and its performance to the constituencies or the stakeholder organisations that either elected or appointed them The Council has an established Sub Group Structure in place to assist them in undertaking their role. The Governance Sub Group has a key role in engaging the Foundation Trust membership figures ensuring members are engaged so they are informed and have the ability to become involved with the Trust. Kettering General Hospital believes in equality of healthcare to the community it serves. When providing information for patients whose first language is not English, issues around privacy, dignity and confidentiality are as important as the information being translated. Patients who speak little or no English can have access to interpreters at no cost to them. The Trust offers telephone interpreting, face to face interpreting and signing. Staff also have access to multilingual phrase books and basic communication and are available to a number of wards and the Accident and Emergency Department. 8. The arrangements made for contact between any inpatients and their relatives, friends and representatives Visits from family members and other visitors are welcomed. Visiting times on the wards change periodically therefore patients are asked to check current arrangements with a member of the ward staff when they are admitted. Patients may have 2 visitors at any time. In certain circumstances patients may have visitors outside these hours by arrangement with the ward sister. Children under 14 years may visit on adult wards with the permission of the ward sister. The Trust provides an e-greeting card service free of charge which can be accessed through the website. This is a facility where friends and relatives can send a card via the Trust s internet site which is delivered to the patient the next working day. Trolley or cordless phones are available on some wards for patients. There are payphones in the main reception area, A&E Department and a freephone Taxi telephone inside the Outpatients Department. Mobile phones may be used in the public areas but patients may be asked not to use mobile phones if you are in close proximity to sensitive medical equipment. 8

9 9. The arrangements for dealing with complaints Introduction Kettering General Hospital NHS Foundation Trust views the experience of our patients as the heart of everything we do. We are committed to making sure you get the right, high quality treatment at the right time. We want to know what patients think of our services. This is important to us, as it enables us to develop and improve our services and the care that we provide. All comments, concerns, compliments and complaints we receive are treated confidentially and sensitively. You can be assured that by raising a concern or making a complaint, the care or treatment you receive will not be affected. How do you give a compliment? You can share your positive feedback with us by contacting the Patient Advice and Liaison Service (PALS) (contact detailed below) or speaking to a member of staff directly. You can also send us a compliment via the NHS Choices website: All positive feedback is shared with the individuals and areas highlighted. How do you pass on a comment or raise a concern? If you are not happy with the care you, your spouse/civil partner/relative are receiving then please let us know. If there is something that can be done to help you straight away, we will do it. We want to resolve any issues you might have by talking to the right person at the earliest possible time. Information All staff are here to help and are happy to listen to your comments and concerns. First of all we would suggest that you speak with the nurse or manager in charge of the area. They are in the best position to help you and can take immediate action. Patient Advice and Liaison Service (PALS) If you would prefer to speak to somebody other than the ward manager or nurse in charge, you can contact our Patient Advice and Liaison Service. PALS staff are available to assist with problems and will speak with other staff on your behalf. The role of PALS is to provide advice to patients, spouses, civil partners, carers, and relatives. There are several ways you can contact PALS: Phone (9.00am-5.00pm Mon-Fri, excluding weekends and public holidays) pals@kgh.nhs.uk Visit the PALS office next to main reception of the Hospital You can ask a member of staff to contact PALS on your behalf You can write a letter: PALS Office Kettering General Hospital NHS Foundation Trust Rothwell Road Kettering Northants NN16 8UZ Home visits can also be arranged. 9

10 How do you make a complaint? If we are unable to resolve your concerns immediately, or you remain unhappy about the situation, you can complain to the Trust. You can contact: Complaints Department 2nd Floor Thorpe House Kettering General Hospital NHS Foundation Trust Rothwell Road Kettering NN168UZ Phone: (8.30am-5.00pm Mon-Fri) complaints@kgh.nhs.uk The Chief Executive Glebe House Kettering General Hospital NHS Foundation Trust Rothwell Road Kettering NN168UZ What will happen then? In the event that local resolution has been exhausted and you wish to complain or raise a concern to the Trust, on receipt of your compliant/concern, the Trust will acknowledge receipt within 3 working days. The complaint/concern will then be passed onto the appropriate Clinical Management Team involved to investigate. Within 5 working days you will be contacted as to how you would like your compliant to be resolved, either by telephone, letter or in person by meeting the staff involved. Investigation and timescales will be agreed for your response. Once an investigation into your complaint/concern, has been completed we will respond to you, explaining what actions have taken to address your concerns. The outcome of these and any action we are taking to improve or prevent the problem from happening again will be outlined to you. We are committed to learning from the complaints and concerns raised. This information will be passed to the Trust Board and the appropriate ward or area for their action. Independent Support If you need help in making a complaint, the Independent Complaints Advocacy Services (ICAS) can help. ICAS provides free independent advice and support for people making complaints. Carers Federation (ICAS) Victory House 400 Pavilion Drive Northampton Business Park Northampton NN4 7PA Phone: (9.00am-5.00pm, Mon-Fri) Care Quality Commission Finsbury Tower Bunhill Row London EC1Y 8TG Telephone: enquiries@cqc.org.uk Website: What if you are not happy with the outcome? 10

11 The Trust will do its best to resolve your complaint. However, if you are unhappy with our response please let us know. We will take further action as necessary. If you remain unhappy with the outcome you can contact the Parliamentary and Health Service Ombudsman. They are completely independent from the NHS and the Government. Ways to contact the Parliamentary and Health Service Ombudsman: The Parliamentary and Health Service Ombudsman Millbank Tower Millbank London SW1 P 4QP Helpline: (8.30am-5.30pm Mon-Fri) phso.enquiries@ombudsman.ora.uk Website: Further Information Further information about the Trust is available on the following websites: (Hospital website) (NHS Choices website) Please remember that if you are making a complaint on behalf of somebody else, we will need that person's consent to proceed with a formal complaint. If you need this information in another format or language, please telephone

12 10. The arrangements for respecting the privacy and dignity of patients The NHS Constitution states clearly that all patients should feel that their dignity and privacy are respected in hospital. The Trust will make every effort to maintain patient s privacy and dignity at all times. Patients will be treated with respect and dignity during communication, delivery of care and treatment. Every step will be taken to ensure patients privacy is maintained as much as their condition/treatment allows taking full account of spiritual, cultural and emotional needs. The hospital is committed to providing patients with same sex sleeping areas, bathroom and toilet facilities because protecting patients privacy and dignity is an essential part of delivering high quality care. It is important that people understand that if they are in an area which is just for men or women and has private toilet and washing facilities that this is the same sex accommodation. Providing same sex accommodation is a demonstrative way of showing that we treat all patients with respect, making their time in hospital as comfortable as possible. The Trust has made a public declaration regarding eliminating mixed sex accommodation: Kettering General Hospital NHS Foundation Trust is pleased to confirm that we are compliant with the Government s requirement to eliminate mixed-sex accommodation, except when it is in the patient s overall best interest, or reflects their personal choice. We have the necessary facilities, resources and culture to ensure that patients who are admitted to our hospitals will only share the room where they sleep with members of the same sex, and same-sex toilets and bathrooms will be close to their bed area. Sharing with members of the opposite sex will only happen when clinically necessary (for example where patients need specialist equipment such as in ICU, CCU and SECU) or when patients actively choose to share. If our care should fall short of the required standard, we will report it. We will also set up an audit mechanism to make sure that we do not misclassify any of our reports. We will publish the results of that audit on the KGH website. Please be assured that every effort will be made by staff to maintain your privacy and dignity at all times. Coming into hospital, even for a short stay, can be a difficult time. We have a team of chaplains/spiritual caregivers in the hospital, who are trained professionals bound by the NHS rules of confidentiality. They are available 24 hours a day, visiting wards regularly and are available to listen to your hopes, fears, worries and joys whatever is important to you. The Chapel of Peace, situated to the right of the entrance to the main ward block, is open at all times and available to people of all faith traditions (or indeed no faith at all) who wish to use it for private prayer or quiet contemplation. 12