ADULT MENTAL HEALTH NHS MANAGEMENT ARRANGEMENTS. To approve. This paper supports the standards

Size: px
Start display at page:

Download "ADULT MENTAL HEALTH NHS MANAGEMENT ARRANGEMENTS. To approve. This paper supports the standards"

Transcription

1 BOARD MEETING 25 FEBRUARY 2015 AGENDA ITEM 2.1 ADULT MENTAL HEALTH NHS MANAGEMENT ARRANGEMENTS Report of Paper prepared by Purpose of Paper Action/Decision required Link to Doing Well, Doing Better: Standards for Health Services in Wales Link to Health Board s Annual Plan Acronyms and abbreviations Director of Nursing (Lead Director for Mental Health) Assistant Lead Director for Children/ Strategic Lead for Mental Health & Project Manager To agree the extent to which NHS adult mental health services should be directly managed within Powys and next steps. To approve This paper supports the standards Promotes Health & Wellbeing Continuously Improves Safety, Effectiveness & Patient Experience Captures the Benefit of Integration Adult - adults of all ages from 18 th birthday to end of life LPMHSS - Local Primary Mental Health Support Service CMHT - Community Mental Health Team CRHTT- Crisis Resolution Home Treatment Team AMHP - Approved Mental Health Professional CAMHS - Child and Adolescent Mental Health Services DSU - Delivery Support Unit WG - Welsh Government TUPE- Transfer of Undertaking (Protection of Employment) CCIS - Community Care Information Solution PICU Psychiatric Intensive Care Unit Page 1 of 10

2 ADULT MENTAL HEALTH NHS MANGEMENT ARRANGEMENTS INTRODUCTION A strategy to improve the mental health of the people of Powys was published by PtHB and Powys County Council in January A service model was developed with stakeholders and approved by PtHB at its meeting on the 16 th October The Board initiated work to identify the best delivery arrangements for the model, including re-consideration of arrangements involving three neighbouring health boards. An advisory option appraisal involving partners was undertaken in December 2013 and reported to the Board in February In response to this and subsequent Board discussions a Project Board was established, in September 2014, chaired by the Deputy Chief Executive, to focus on NHS management arrangements (involving the employing health boards working in Powys, PtHB directors, Powys County Council and GP representatives). This paper presents the conclusions of the Project Board which has been endorsed by the Transformation Board. Further detail is provided in the Summary Report at Annex 1. It: recommends the extent to which NHS adult mental health services should be directly managed by Powys teaching Health Board; assesses the impact of the recommendation; and provides an outline implementation plan. It is recommended that PtHB seeks to directly manage NHS adult mental health service staff working in: Local Primary Mental Health Support Services within Powys Community Mental Health Teams within Powys Crisis Resolution Home Treatment Teams within Powys Mental health wards within Powys hospitals (for adults of all ages) and associated clinical psychologists and occupational therapists. It is important to stress that the proposed changes are to NHS management arrangements. The proposed recommendation is not about changes to the location or range of existing patient services and thus is not subject to public consultation requirements. STRATEGIC CONTEXT The strategic context shows that a great deal has changed since Mental health services are no longer in-patient led there is a much greater focus on what can be delivered through primary and community services. Clinical governance has been strengthened across the NHS. PtHB and partners have developed a robust strategy and service model which is attracting medical and other staff interested in developing services outside hospital. Page 2 of 10

3 Powys already manages physical health services and other hospital based services within the county. In order to rise to challenges, such as dementia, it needs to be able to manage services to meet patients needs coherently. PtHB and partners are driving forward an ambitious programme for mental health which combines local priorities with Welsh Government s new mental health laws and 10 year strategy. Powys aims to excel in delivering services in or close to home. Its model for adult mental health services is about enhancing access within primary care; providing alternatives to admission at home; ensuring services for adults are based on needs not age; and integration. Powys is predicted to have one of the highest rates of people with dementia in the UK. Dementia is already the leading cause of death amongst women. People with dementia are often frail elderly people with other conditions. It is vital that their physical, mental, social and spiritual needs can be considered together. This is important both in the early days of the condition and at the end of life. The sustainability of services in highly rural areas lies with more integrated working between local agencies. NHS management arrangements for adult mental health need to be simplified in order to improve safety by reducing complexity within the county. Thus, Powys needs NHS management arrangements for adult mental health services which will help deliver the approved strategy and service model; will enable it to develop strong primary and community services including alternatives to hospital at home; breakdown barriers to access through new ways of working; and ensure care is closely co-ordinated with local agencies such as social services and the police. The Summary Report (Annex 1) sets out the services PtHB would seek to directly manage (and associated functions) and those it would continue to commission. PtHB would continue to commission specialised services such as psychiatric intensive care. BACKGROUND TO CURRENT ARRANGEMENTS PtHB has highly unusual and complex arrangements for NHS adult mental health services. Around 250 NHS staff delivering such services in the county are employed by three other health boards. However, there has been increasing concern about the effectiveness of the arrangement and whether it is appropriate for the future in light of the strategy already agreed for mental health. In 2008 the Clinical Governance Support and Development Unit (CGSDU) undertook a review of mental health services provided by PtHB. It was thought that larger organisations would be better able to improve medical staffing; standardise admission rates; reduce delayed transfers of care; reduce the isolation of in-patient units; improve joint working with the local authority; ensure clear lines of accountability; ensure participation in appraisal; strengthen clinical governance; improve supervision; ensure robust on-call arrangements; and drive forward modernisation. No other health board wished to provide adult mental health services across the whole of Powys. Subsequently, mental health services were transferred from PtHB to Page 3 of 10

4 Abertawe Bro Morgannwg University Health Board (ABMUHB), Aneurin Bevan Health Board (ABHB) and Betsi Cadwaladr University Health Board (BCUHB). This is known as the 3 health board arrangement (although the situation in Powys actually involves more health and NHS Trusts than this). The scale of the challenge for provider health boards was not equal, for example AMBUHB was asked to take on 8% of the population in the Swansea Valley; whilst BCUHB, already spanning a huge geographical area, was asked to cover half the population of Powys as well. The initial transfer of service was based upon co-operation between integrated health boards in Wales which was consolidated in a Governance Framework for Transferred Mental Health Services in Later a provider/commissioner relationship was developed. However, the basis of this was challenging at times, particularly as health boards had not sought to provide the service. Difficulties had rapidly emerged at the interface between PCC and four health boards working within one county (including PtHB). This was the case for joint work with the police also. There were multiple planning fora; multiple information systems; different working methods and care management approaches. As set out in Annex 1 improvements have been uneven. The unit which was experiencing difficulties with medical staffing has continued to be reliant on agency locums for lengthy periods. Mental health beds for people with dementia managed by neighbouring health boards within Powys hospitals have the highest rates of delayed transfer of care in Wales. PCC is having to work with more than half the health boards in Wales including trying to navigate 4 different delayed transfer of care policies. Recent spot checks of dementia wards have shown variations across the county and indicate some staff remain isolated although there is also good practice. Clinical governance has been strengthened across the NHS since 2008 (including in Powys). There have been improvements, for example, in the specialist supervision of some staff groups. However, there have also been areas of deterioration since transfer, such as access to psychology. On-call has not been consistent across the county. Furthermore, ensuring pan-powys modernisation within the current arrangements has been a challenge. PCC, PtHB and Dyfed Powys Police (DPP) have a close working relationship. However, four health boards working in one county has adversely affected clarity of accountability; coterminosity; safety (due to the sheer complexity of the arrangements); effective use of resources; integration; consistency; effective multiagency working; robust information at the individual and strategic level; pan Powys clinical leadership; and equity. PROCESS UNDERTAKEN IN REACHING RECOMMENDATION The process for reaching this recommendation is summarised below. Strategy: Hearts and Minds - Together for Mental Health in Powys was published by Powys County Council and Powys teaching Health Board following engagement of stakeholders. The priorities it contains were subject to formal public consultation within One Powys Yn Un. Page 4 of 10

5 Adult Mental Health Services Model: The service model was developed through a multiagency Project Board and engagement of a wide range of stakeholders. Advisory Option Appraisal for : This was independently facilitated by Public Health Wales (PHW) and involved a wide range of stakeholders including people using services and those close to them; Community Health Council representation (CHC); Powys GPs; three neighbouring health boards providing adult mental health services within Powys; Powys County Council (PCC); Dyfed Powys Police (DPP); Powys Domestic Abuse Forum (PDAF); Powys Association of Voluntary Organisations (PAVO); and Powys teaching Health Board (PtHB). The mix of experience included: people using services and those close to them; clinicians (included GPs, psychiatrists, nurses, therapists); social workers; police; operational managers; third sector; planners and commissioners; and the Community Health Council. The results of the Advisory Optional Appraisal were reported to the Powys Mental Health Partnership Board. Additional views of people using services were gathered by PAVO supported by PHW and submitted to PtHB. The results of the Advisory Option Appraisal were reported to the of PtHB in February Adult Mental Health Services NHS Management Project Board: The Project Board included employing health boards and directors of PtHB (together with PCC and GPs). It was supported by a Project Team including the operational managers in neighbouring health boards providing clinical services within Powys. The Project Board agreed to tackle the work in two Phases: Phase 1 - to make a recommendation to the Board of PtHB about the extent to which NHS adult mental health services could return to direct management within Powys; Phase 2 to develop a detailed implementation plan, subject to the Board s approval of the recommendation. The work of the Project Board has included: a self-assessment against essential national published standards for adult mental health services and a specification drawn from LTAs, externally assured by Public Health Wales (PHW), considering the risk of deterioration and the opportunity for improvement an impact assessment - including possible actions to mitigate risk an outline implementation plan Annex 2 and Annex 3 contain technical papers and are embedded into the electronic version of these papers with some copies being made available at the Board meeting. Page 5 of 10

6 ASSESSMENT AGAINST ESSENTIAL NATIONAL STANDARDS An assessment against essential national standards was considered for risk of deterioration or improvement if the NHS management arrangements changed. PHW provided independent assurance for this process. The assessment and impact assessment included managers from PtHB and the three neighbouring health boards; social services; and clinical in-put. It drew from an integrated performance report regularly submitted to the Board s Risk Assurance Committee for Mental Health Services. Annex 2 includes the information considered (excluding that which has the potential to be identifiable even though anonymised). IMPACT ASSESSMENT Following the self-assessment against essential national standards the mitigating actions for risks were identified. These are summarised in Annex 1, with further information provided in Annex 2. DEVELOPMENTS REQUIRED TO SUPPORT IMPLEMENTATION OF THE RECOMMENDATION PtHB needs to ensure that an appropriately resourced long term robust leadership, management, professional and governance infrastructure is place to ensure the delivery of a safe and high quality service. Strengthen Clinical Leadership and Management: PtHB would appoint a Clinical Director for Mental Health to ensure strong clinical leadership. The post holder would ensure that there was effective job planning, appraisal, development, support and supervision arrangements in place for staff. The post-holder would help negotiate local agreements, such as for on-call. The post holder would collaborate with other clinical leaders and provide a Powys voice in all-wales meetings. PtHB will also ensure robust operational management on a pan Powys basis. At present there is no clinical director or operational manager covering the whole of Powys. In line with the successful model for maternity services there would be leadership on clinical governance within the service structure. These would be early interim appointments to help PtHB make the preparations for the direct management of services. Furthermore, a robust management infrastructure is required that supports the effective operational management of the service. Strengthen Governance: It is being proposed that the Mental Health Committee is strengthened to ensure Board level focus, assurance and leadership. The Committee would have access to independent advice. Furthermore, specific managerial arrangements focused on governance (audit, policy and practice development, legislation compliance) will be established. Staff development and support: Appropriate arrangements for specialist supervision would be maintained for staff groups including psychologists, nurses and occupational therapists. This would be commissioned externally if necessary. Staff would be supported to continue participation in research and development. Staff would be Page 6 of 10

7 encouraged to participate in clinical networks on a regional and sub-regional basis. Staff would participate in appraisal and development arrangements. Appropriate training would be provided. There would be a positive induction process. Shared information and consistent approaches: PCC and PtHB will be early adopters of the new Community Care Information Solution, which would enable staff to use the same information system. There would be consistent policies and procedures, referral processes and integrated working with PCC across Powys. FINANCE The recommendation to directly manage adult mental health services delivered within Powys would affect approximately 10.3million of the 10.7million spent with neighbouring health boards to provide such services. (This is about half of the PtHB adult mental health budget.) The exact cost of services which would remain commissioned would be subject to the usual LTA negotiation process.) (Annex 1 includes financial schedules. These do not include provision which is already, and would remain, in separate LTAs, for example, in-patient services in Wrexham and Redwoods. Whilst there would be transitional costs associated with transferring the employment of approximately 250 staff to PtHB, the medium term aim would be greater direct control to tackle the effectiveness and equity of expenditure across Powys. Cost pressures (which would be experienced regardless of whether the service is commissioned or directly managed) have been taken into account in the budget setting for 2015/16 and beyond. Annex 1 sets out transitional costs for Phase 2 of just under 78k - excluding existing resources. (Full year costs have been given but would be reduced by implementation before December 2015). Sums for corporate support of mental health services within existing LTAs would be re-invested within PtHB. However these would only be released following transfer back to Powys. Resources secured for CCIS implementation should include a mental health work stream. There would be the continuation of existing Project Management arrangements (which are funded from existing resources within the Programme Management Office and the Mental Health Department Budget). Interim arrangements within the PtHB Mental Health Department would continue. THE IMPACT OF NOT SUPPORTING THE RECOMMENDATION Strengthened commissioning and governance of services secured from neighbouring provider health boards and other providers would continue within either scenario. However, the interim arrangements would need to be made sustainable. It is thought that all the current neighbouring provider health boards would continue to provide services if the recommendation is not supported. However, the scope for integrated working with the local authority and the implementation of the new model Page 7 of 10

8 of care would be severely limited. Most of the identified risks would still need to be tackled such as improving the mental health estate and ensuring robust medical cover. This would need to be achieved within extremely complex arrangements which have not worked well, on a pan Powys basis, to date. OUTLINE IMPLEMENTATION PLAN (PHASE 2) Annex 1 provides an outline implementation plan. The aim would be to ensure appropriate engagement of staff; compliance with statutory TUPE requirements; to keep other stakeholders informed of progress; with an estimated date for returning to PtHB management of services of no later than 1 st December A mid year transfer is not without problems. LTAs and financial agreements would be for part of a year only. Whilst an April 2016 start date would be the most straightforward this would; leave staff in a prolonged period of uncertainty affecting recruitment and retention; extend the period of risk; delay re-investment within PtHB; and further delay the development of integrated working with PCC and defer service improvements which need to be the focus of activity in 2016/17. STATUTORY CONSULTATION Public consultation is not required as no changes to the location or range of patient services are recommended. The CHC would be one of the key stakeholders to keep informed about progress. Staff engagement and consultation in line with statutory TUPE requirements as part of changing management arrangements will be necessary. An Equality Impact Assessment has been undertaken. SUPPORT The advisory option appraisal, involving a wide range of stakeholders, showed little support for the NHS Management arrangements remaining as they are. No partners in the Project Board dissented from the proposed recommendation. The Chair of the North Powys GP cluster has written to the Chair of PtHB in support of the proposal. PHW after a thorough review of the papers suggested some helpful amendments on points of detail. They found the documentation to be extensive and comprehensive with a strong rationale for the recommendation. They found the judgements in the selfassessment to be fair, but noted difficulties due to international deficits in the evidence base for mental health services. The impact assessment was found to be extensive with no obvious omissions. CONCLUSION PtHB must ensure appropriate NHS management arrangements are in place in order to deliver the agreed strategy and service model for adult mental health services in Powys. The current arrangements, with four different health boards working within one county, are too complex and are holding back integration (with PCC and between physical and mental health services). The complexity of the arrangements adversely affect safety, equity, strategic development and accountability. The arrangements are rooted in what was needed in A great deal has changed since then with mental health services now delivered in or close to home wherever possible including as an Page 8 of 10

9 alternative to hospital admission. Clinical Governance is central to the work of PtHB. Powys must have in place the arrangements needed for excellence in primary and community care as it rises to meet challenges, such as the growing number of people living locally with dementia. PtHB holds the risks within the current arrangement regardless of whether it commissions or directly manages services. A careful self-assessment of essential standards involving senior managers in Powys and provider bodies has concluded that current risks are unlikely to deteriorate if there was a change to the current NHS management arrangements and that it would provide a platform for further improvement. RECOMMENDATION The Board is asked to: A) Approve the recommendation that it seeks to directly manage staff in: i) Local Primary Mental Health Support Services within Powys ii) Community Mental Health Teams within Powys (including for older people) iii) Crisis Resolution Home Treatment Teams within Powys iv) Mental health wards within Powys hospitals (for adults of all ages) v) including associated clinical psychologists and occupational therapists; B) Work with employing health boards to initiate engagement and consultation with the staff affected; C) Receive up-dates against a detailed Phase 2 implementation plan at following Board meetings. Report prepared by: Clare Lines Assistant Lead Director for Children and Strategic Lead for Mental Health Presented by: Carol Shillabeer Lead Director for Mental Health & Director of Nursing Background Papers Adult Mental Health Services Model, Powys teaching Health Board October 2013; Hearts and Minds: Together for Mental Health in Powys, Powys Teaching Health Board December 2012 Hearts and Minds: Together for Mental Health Annual Report, Powys Teaching Health Board December Mental Health (Wales) Measure 2010 Page 9 of 10

10 Commission on Public Service Governance and Delivery January 2014 Annex 2 & Annex 3 technical documents Annex 2 Adult Annex 3 Adult Mental Health NHS Mental Health NHS M Financial Impact Other Resource Implications The complexity of the current arrangements for adult mental health services has resulted in structural weaknesses in terms of governance and financial control. The current financial position is set out in Annex 1 and the paper includes the likely financial impact. These are set out in the Impact Assessment in Annex 1 Engagement An independently facilitated advisory option appraisal was held with stakeholders in December Participants included people using services and those close to them; the Community Health Council; GPs; staff from PtHB, BCUHB, ABMUHB and ABHB (including psychiatrists, therapists and nurses); third sector organisations; Powys County Council and Dyfed Powys Police. The results were reported to the Powys Mental Health Planning and Development Partnership. PAVO co-ordinated additional views from people using services which were submitted to PtHB. The underlying strategy involved extensive engage was established in September 2014 involving the employing organisations. The Project Board has been supported by a project team involving operational managers responsible for clinical services with clinical in-put to assessment and risk mitigation work. PHW has provided independent assurance of the self-assessment and impact assessment. Page 10 of 10

AGENDA ITEM: JANUARY 2018 MENTAL HEALTH SERVICE REPATRIATION: PROJECT CLOSURE. Subject :

AGENDA ITEM: JANUARY 2018 MENTAL HEALTH SERVICE REPATRIATION: PROJECT CLOSURE. Subject : AGENDA ITEM: 2.5 BOARD MEETING Subject : Approved and Presented by: Prepared by: Other Committees and meetings considered at: Considered by Executive Committee on: DATE OF MEETING: 31 JANUARY 2018 MENTAL

More information

THE PAPER IS ALIGNED TO THE DELIVERY OF THE FOLLOWING STRATEGIC OBJECTIVE(S) AND HEALTH AND CARE STANDARD(S):

THE PAPER IS ALIGNED TO THE DELIVERY OF THE FOLLOWING STRATEGIC OBJECTIVE(S) AND HEALTH AND CARE STANDARD(S): AGENDA ITEM: 4.1 MENTAL HEALTH AND LEARNING DISABILITIES COMMITTEE DATE OF MEETING: 29 JANUARY 2018 Subject : REPATRIATION PROJECT Approved and Alan Lawrie, Director of Primary and Community Presented

More information

Not considered by the Executive Team

Not considered by the Executive Team Agenda Item: 2.1 MENTAL HEALTH & LEARNING DISABILITIES COMMITTEE Date of Meeting: Oct 2016 Subject : Approved and Presented by: Prepared by: Other s and meetings considered at: Considered by Executive

More information

(Committee Chair) Chair) Interim Board Secretary (MHSA/16/25 onwards) Head of CAMHS and Childrens Learning Disability (MHSA/16/24 only)

(Committee Chair) Chair) Interim Board Secretary (MHSA/16/25 onwards) Head of CAMHS and Childrens Learning Disability (MHSA/16/24 only) POWYS TEACHING HEALTH BOARD MENTAL HEALTH SERVICES ASSURANCE COMMITTEE CONFIRMED MINUTES OF THE MEETING HELD ON THURSDAY 03 MARCH 2016, AT 10.00AM, GROUND CONFERENCE ROOM, NEUADD BRYCHEINIOG, BRECON Present:

More information

Implementation of Quality Framework Update

Implementation of Quality Framework Update Joint Committee Meeting 26 January 2016 Title of the Committee Paper Framework Update Executive Lead: Director of Nursing & Quality Assurance Author: Director of Nursing & Quality Assurance Contact Details

More information

Quality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013

Quality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013 Quality Assurance Framework Powys thb provided and commissioned services Quality and Safety Committee November 2013 1 Background Together for Health vision for NHS Wales 6 domains of quality Effectiveness

More information

Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report

Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report We welcome the findings of the report and offer the following

More information

GOVERNANCE REVIEW. Contact Details for further information: Pam Wenger, Committee Secretary.

GOVERNANCE REVIEW. Contact Details for further information: Pam Wenger, Committee Secretary. Joint Committee Meeting 26 January 2016 Title of the Committee Paper GOVERNANCE REVIEW Executive Lead: Chair Author: Committee Secretary Contact Details for further information: Pam Wenger, Committee Secretary.

More information

The Welsh NHS Confederation s response to the inquiry into cross-border health arrangements between England and Wales.

The Welsh NHS Confederation s response to the inquiry into cross-border health arrangements between England and Wales. Welsh Affairs Committee. Purpose: The Welsh NHS Confederation s response to the inquiry into cross-border health arrangements between England and Wales. Contact: Nesta Lloyd Jones, Policy and Public Affairs

More information

Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN

Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Agenda Item 3.3 27 JANUARY 2016 Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Executive Lead: Director of Planning & Performance Author: Assistant

More information

Review of Management Arrangements within the Microbiology Division Public Health Wales NHS Trust. Issued: December 2013 Document reference: 653A2013

Review of Management Arrangements within the Microbiology Division Public Health Wales NHS Trust. Issued: December 2013 Document reference: 653A2013 Review of Management Arrangements within the Microbiology Division Public Health Issued: December 2013 Document reference: 653A2013 Status of report This document has been prepared for the internal use

More information

(Committee Chair) Chair) Asst. Lead Director for Children & Strategic Lead for Mental Health. Head of Estates and Property (MHSA/16/01-08 only)

(Committee Chair) Chair) Asst. Lead Director for Children & Strategic Lead for Mental Health. Head of Estates and Property (MHSA/16/01-08 only) POWYS TEACHING HEALTH BOARD MENTAL HEALTH SERVICES ASSURANCE COMMITTEE CONFIRMED MINUTES OF THE MEETING HELD ON THURSDAY 07 JANUARY 2016, AT 09.30AM, HAFREN TRAINING ROOM, HAFREN WARD, BRONLLYS HOSPITAL

More information

Adult Mental Health Services Follow up Report. 7 July

Adult Mental Health Services Follow up Report. 7 July Adult Mental Health Services Follow up Report 7 July 2011 www.wao.gov.uk In relation to the Welsh Assembly Government and NHS bodies, I have prepared this report for presentation to the National Assembly

More information

FREQUENTLY ASKED QUESTIONS / KEY ISSUES RAISED DURING THE CONSULTATION PERIOD (updated 7 September 2017)

FREQUENTLY ASKED QUESTIONS / KEY ISSUES RAISED DURING THE CONSULTATION PERIOD (updated 7 September 2017) TRANSFORMING MENTAL HEALTH SERVICES Consultation 22 June 15 September 2017 FREQUENTLY ASKED QUESTIONS / KEY ISSUES RAISED DURING THE CONSULTATION PERIOD (updated 7 September 2017) Q1. Why has some documentation

More information

Title of the Health Board Report

Title of the Health Board Report AGENDA ITEM 3.2 Title of the Health Board Report IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead:

More information

Continuing NHS Health Care Quarterly Update April 2015

Continuing NHS Health Care Quarterly Update April 2015 SUMMARY REPORT ABM University Health Board Subject Prepared by Approved by Continuing NHS Health Care Quarterly Update April 2015 Date of Meeting: 30 th July 2015 Agenda item: 7 (ii) Christine Williams

More information

Performance Evaluation Report Gwynedd Council Social Services

Performance Evaluation Report Gwynedd Council Social Services Performance Evaluation Report 2013 14 Gwynedd Council Social Services October 2014 This report sets out the key areas of progress and areas for improvement in Gwynedd Council Social Services for the year

More information

North Wales Clinical Strategy for Adult Mental Health

North Wales Clinical Strategy for Adult Mental Health North Wales Clinical Strategy for Adult Mental Health How can we improve the quality of our current care for people with mental health needs in North Wales? 90 Day Cycle First Stage Interim Report March

More information

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0 Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and

More information

Performance Evaluation Report Pembrokeshire County Council Social Services

Performance Evaluation Report Pembrokeshire County Council Social Services Performance Evaluation Report 2013 14 Pembrokeshire County Council Social Services October 2014 This report sets out the key areas of progress and areas for improvement in Pembrokeshire County Council

More information

Independent Mental Health Advocacy. Guidance for Commissioners

Independent Mental Health Advocacy. Guidance for Commissioners Independent Mental Health Advocacy Guidance for Commissioners DH INFORMATION READER BOX Policy HR / Workforce Management Planning / Performance Clinical Estates Commissioning IM&T Finance Social Care /

More information

Discharge Planning Powys Teaching Health Board

Discharge Planning Powys Teaching Health Board Discharge Planning Powys Teaching Health Board Date issued: November 2017 Document reference: 147A2017-18 This document has been prepared as part of work performed in accordance with statutory functions.

More information

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 Title: Bedfordshire and Milton Keynes Healthcare Review: The way forward Agenda Item: 4 From: Jane Meggitt, Director of Communications and Engagement

More information

Protocol for Cross-Border Healthcare Services. April 2013

Protocol for Cross-Border Healthcare Services. April 2013 Protocol for Cross-Border Healthcare Services April 2013 1 Department for Health and Social Services of the Welsh Government and the NHS Commissioning Board Protocol for Cross-Border Healthcare Services

More information

NORTH WALES CLINICAL STRATEGY. PRIMARY CARE & COMMUNITY SERVICES SBAR REPORT February 2010

NORTH WALES CLINICAL STRATEGY. PRIMARY CARE & COMMUNITY SERVICES SBAR REPORT February 2010 NORTH WALES CLINICAL STRATEGY PRIMARY CARE & COMMUNITY SERVICES SBAR REPORT February 2010 Situation The Primary Care & Community Services workstream had been tasked with answering the following question:

More information

Consultant psychiatrist job description and person specification

Consultant psychiatrist job description and person specification Consultant psychiatrist job description and person specification The following job description is provided as a resource to the recruiting trust and may be used as a template. It is not designed to be

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

Stakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change

Stakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change Influence Stakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change 50+ Forums Advisory Groups (Stakeholder Reference Group, Health Professionals Forum, Partnership Forum) Affected staff(wider

More information

Three Year GP Network Action Plan North Powys GP Network

Three Year GP Network Action Plan North Powys GP Network Three Year GP Network Action Plan 2017-2020 North Powys GP Network Introduction In the context of local management arrangements within Powys Teaching Health Board, the GP Cluster Network Development Domain

More information

End of Life Care Strategy

End of Life Care Strategy End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to

More information

NHS Grampian. Intensive Psychiatric Care Units

NHS Grampian. Intensive Psychiatric Care Units NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

VELINDRE NHS TRUST PUBLIC TRUST BOARD REPORT. Procurement Services. Andy Butler, Director of Finance, NWSSP

VELINDRE NHS TRUST PUBLIC TRUST BOARD REPORT. Procurement Services. Andy Butler, Director of Finance, NWSSP VELINDRE NHS TRUST PUBLIC TRUST BOARD REPORT Meeting Date: 24 th September 2015 Agenda Item: 2.5 Report Author: Executive Sponsor: Presented by: Matthew Perrott, Senior Category Manager, NWSSP Procurement

More information

PRIORITISATION AND DECISION MAKING FRAMEWORK

PRIORITISATION AND DECISION MAKING FRAMEWORK 1 PRIORITISATION AND DECISION MAKING FRAMEWORK Classification of Document: Executive Sponsors: Planning Framework Mr Mark Scriven, Executive Medical Director & Director of Clinical Services Mr Andrew Jones,

More information

ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL ACTION PLAN

ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL ACTION PLAN ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL RESPONSE TO THE REPORT BY HEALTH INSPECTORATE WALES REVIEW IN RESPECT OF: MR H AND THE PROVISION OF MENTAL HEALTH SERVICES, FOLLOWING THE

More information

The Status Quo of Mental Health and Learning Disabilities Services in Hywel Dda

The Status Quo of Mental Health and Learning Disabilities Services in Hywel Dda Hywel Dda University Health Board The Status Quo of Mental Health and Learning Disabilities Services in Hywel Dda Technical Document to inform the Transforming Mental Health agenda. The Status Quo of MHLD

More information

Discharge Planning Cardiff and Vale University Health Board

Discharge Planning Cardiff and Vale University Health Board Discharge Planning Cardiff and Vale University Health Board Date issued: December 2017 Document reference: 166A2017-18 This document has been prepared as part of work performed in accordance with statutory

More information

Integration of health and social care. Royal College of Nursing Scotland

Integration of health and social care. Royal College of Nursing Scotland Integration of health and social care Royal College of Nursing Scotland As you know, over the last year the Royal College of Nursing (RCN) Scotland has been building its understanding of what will help

More information

Laboratory Information Management System (LIMS) Replacement

Laboratory Information Management System (LIMS) Replacement Laboratory Information Management System (LIMS) Replacement 1. Introduction The Health Board is to transition from its current LIMS to the new national LIMS in late March 2014. This is a significant change

More information

Performance Evaluation Report Gwynedd Council Social Services

Performance Evaluation Report Gwynedd Council Social Services Performance Evaluation Report 2014 15 Gwynedd Council Social Services October 2015 This report sets out the key areas of progress and areas for improvement in Gwynedd Council Social Services for the year

More information

Developing Mental Health Services for Older People in Wales

Developing Mental Health Services for Older People in Wales Health Wales November 2004 Developing Mental Health Services for Older People in Wales A follow-up to Losing Time The Audit Commission in Wales is an independent body responsible for ensuring that public

More information

QUALITY & SAFETY COMMITTEE WORKPLAN 2013/14

QUALITY & SAFETY COMMITTEE WORKPLAN 2013/14 QUALITY & SAFETY COMMITTEE WORKPLAN 2013/14 Introduction The role of the Quality and Safety (Q&S) Committee is to provide: evidence-based and timely advice to the Board to assist it in discharging its

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We

More information

Improving Mental Health Services in Bath & North East Somerset

Improving Mental Health Services in Bath & North East Somerset Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers

More information

Agenda Item 5.1 Appendix 11 CWM TAF UNIVERSITY LOCAL HEALTH BOARD

Agenda Item 5.1 Appendix 11 CWM TAF UNIVERSITY LOCAL HEALTH BOARD CWM TAF UNIVERSITY LOCAL HEALTH BOARD MINUTES OF THE MEETING OF THE PRIMARY CARE COMMITTEE HELD ON 26 AUGUST 2015 AT YNYSMEURIG HOUSE, ABERCYNON PRESENT: Professor D Mead Mr J Palmer Mr G Bell Cllr C Jones

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL HOME TREATMENT SERVICE OPERATIONAL PROTOCOL Document Type Unique Identifier To be set by Web and Systems Development Team Document Purpose This protocol sets out how Home Treatment is provided by Worcestershire

More information

14 May Armed Forces Covenant Framework for Wales

14 May Armed Forces Covenant Framework for Wales 14 May 2015 Armed Forces Covenant Framework for Wales Armed Forces Covenant Framework Background The first duty of the UK Government is the defence of the realm. The Armed Forces fulfill that responsibility

More information

Non-emergency patient transport: the picture across Wales

Non-emergency patient transport: the picture across Wales Non-emergency patient transport: the picture across Wales January 2018 0 P a g e Accessible formats If you would like this publication in an alternative format and/or language, please contact us. You can

More information

Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper

Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper 1. Purpose of this paper Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper This paper sets out the rationale for investment in new more effective urgent care pathways for people

More information

The Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for

The Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for The Mental Health (Wales) Measure 2010 Part 1 Scheme Local Primary Mental Health Support Services for BETSI CADWALADR UNIVERSITY HEALTH BOARD ANGLESEY COUNTY COUNCIL GWYNEDD COUNCIL CONWY COUNTY BOROUGH

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

More information

The Duty to Review Final Report Post-Legislative Assessment of the Mental Health (Wales) Measure 2010

The Duty to Review Final Report Post-Legislative Assessment of the Mental Health (Wales) Measure 2010 The Duty to Review Final Report Post-Legislative Assessment of the Mental Health (Wales) Measure 2010 Crown copyright 2015 WG27249 Digital ISBN 978 1 4734 5289 3 Acknowledgements We would like to thank

More information

LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010

LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010 SITUATION LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010 The Cycle One SBAR report detailed the solutions which had

More information

The path to Brexit: Key priorities for the NHS

The path to Brexit: Key priorities for the NHS The path to Brexit: Key priorities for the NHS This briefing highlights the impact that exiting the EU could have on health and social care in Wales. The issues raised in our briefing should be a top priority

More information

1. Introduction Partners Purpose/scope of the scheme Vision for the Local Primary Mental Health Support Services 4

1. Introduction Partners Purpose/scope of the scheme Vision for the Local Primary Mental Health Support Services 4 Mental Health (Wales) Measure 2010 Part 1 Scheme Local Primary Mental Health Support Services for Abertawe Bro Morgannwg University Health Board and Partner Local Authority areas of Bridgend, Neath Port

More information

21 September To provide the Board with the Annual Report in relation to Safeguarding Adults and Children, to include an overview of:

21 September To provide the Board with the Annual Report in relation to Safeguarding Adults and Children, to include an overview of: Agenda Item: 2.6 BOARD MEETING Subject : Date of Meeting: SAFEGUARDING ADULTS AND CHILDREN ANNUAL REPORT Approved and Presented by: Prepared by: Other Committees and meetings considered at: Considered

More information

THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES

THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES Interim Policy Implementation Guidance and Standards [July 2010] - 1 - CONTENTS 1. Introduction... 3 2. The guiding

More information

North Gwent Crisis Resolution & Home Treatment Team Operational Policy

North Gwent Crisis Resolution & Home Treatment Team Operational Policy North Gwent Crisis Resolution & Home Treatment Team Operational Policy Mission Statement The purpose of the Crisis Resolution & Home Treatment Team (CRHTT) is to provide emergency assessment and intervention

More information

WESTERN BAY RESPONSE TO THE OLDER PERSON S COMMISSIONER S REPORT A PLACE TO CALL HOME

WESTERN BAY RESPONSE TO THE OLDER PERSON S COMMISSIONER S REPORT A PLACE TO CALL HOME WESTERN BAY RESPONSE TO THE OLDER PERSON S COMMISSIONER S REPORT A PLACE TO CALL HOME A Collaborative response between City & County Of Swansea, Neath Port Talbot County Borough Council, Bridgend County

More information

WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2014/15

WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2014/15 Agenda Item 19b Annex (ii) To: Mrs Allison Williams, Chief Executive, Cwm Taf University Health Board cc: Joint Committee Members WELSH HEALTH SPECIALISED SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT

More information

INVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT Betsi Cadwaladr University Local Health Board

INVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT Betsi Cadwaladr University Local Health Board INVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT 1993 Betsi Cadwaladr University Local Health Board Background The main aim of the Welsh Language Commissioner, an independent role created in accordance

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and

More information

ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:

ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN RECOMMENDATION

More information

Adult Social Care Assessment & care management In-house care services

Adult Social Care Assessment & care management In-house care services Adult Social Care Assessment & care management In-house care services Service Plan 2015/16 Date 19/03/15 Final Directorate: Education Health and Social Care 1. Introduction Policy Context The Adult Social

More information

Policies, Procedures, Guidelines and Protocols

Policies, Procedures, Guidelines and Protocols Title Policies, Procedures, Guidelines and Protocols Document Details Trust Ref No 2078-28878 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approved by (Committee/Director)

More information

Annual Review and Evaluation of Performance 2012/2013. Torfaen County Borough Council

Annual Review and Evaluation of Performance 2012/2013. Torfaen County Borough Council Annual Review and Evaluation of Performance 2012/2013 Local Authority Name: Torfaen County Borough Council This report sets out the key areas of progress in Torfaen Social Services Department for the year

More information

Powys teaching Health Board Action Plan

Powys teaching Health Board Action Plan Powys teaching Health Board Action Plan Safeguarding & Protecting Children in Wales: a review of the arrangements in place across the Welsh National Health Service This action plan takes forward the recommendations

More information

Mental Health Act Approval of Approved Clinicians in Wales

Mental Health Act Approval of Approved Clinicians in Wales Mental Health Act 1983 Approval of Approved Clinicians in Wales March 2011 Crown copyright 2011 ISBN 978 0 7504 6058 3 WAG 10-11545 F7311011 Approval of Approved Clinicians in Wales Introduction...2 Who

More information

Transforming Mental Health Services Formal Consultation Process

Transforming Mental Health Services Formal Consultation Process Project Plan for the Transforming Mental Health Services Formal Consultation Process June 2017 TMHS Project Plan v6 21.06.17 NOS This document can be made available in different languages and formats on

More information

cc: Emergency Ambulance Services Committee Members EMERGENCY AMBULANCE SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2015/16

cc: Emergency Ambulance Services Committee Members EMERGENCY AMBULANCE SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2015/16 EASC Agenda Item 4.5 Appendix 1 To: Mrs Allison Williams, Chief Executive, Cwm Taf University Health Board cc: Emergency Ambulance Services Committee Members EMERGENCY AMBULANCE SERVICES COMMITTEE ANNUAL

More information

A Maternity Network for Wales

A Maternity Network for Wales A Maternity Network for Wales Scoping Paper July 2013 Introduction This scoping exercise arises from a recommendation made in the Health and Social Care Committee s report One-day Inquiry into Stillbirth

More information

INFORMATION STANDARDS GOVERNANCE PROCESS. INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD

INFORMATION STANDARDS GOVERNANCE PROCESS. INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD Draft FINAL PROPOSAL FOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARD Project to develop dataset to inform KPIs / AOF targets for

More information

NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET

NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET Version: 1.0 Date: 17 th August 2017 Data Set Title Admitted Patient Care data set (APC ds) Sponsor Welsh Government

More information

ANEURIN BEVAN HEALTH BOARD DELIVERING END OF LIFE CARE

ANEURIN BEVAN HEALTH BOARD DELIVERING END OF LIFE CARE ANEURIN BEVAN HEALTH BOARD DELIVERING END OF LIFE CARE 2013-2016 1. INTRODUCTION The 5 Year NHS Plan, Together for Health, sets out the programme for health & healthcare in Wales and Together for Health

More information

Newsletter Spring 2017

Newsletter Spring 2017 Newsletter Spring 2017 Primary Care's important role in cancer services I m a GP, with a practice in Ebbw Vale and for the last few years I ve been involved with initiatives that look at the role of primary

More information

Safeguarding of Vulnerable Adults. Annual Report

Safeguarding of Vulnerable Adults. Annual Report of Vulnerable Adults Annual Report 2011-2012 April 2012 DOCUMENT CONTROL Version Author Date Change V0.1 Veronica Flood 20 April 2012 First draft V0.2 Mary Sexton 24 April 2012 Second Draft V0.3 Mary Sexton

More information

Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework

Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework Policy Briefing May 2013 88 Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework Practice Areas Affected: Safeguarding children, young people and vulnerable adults

More information

A guide for compiling a Statement of Purpose. under the Regulation and Inspection of Social Care (Wales) Act 2016

A guide for compiling a Statement of Purpose. under the Regulation and Inspection of Social Care (Wales) Act 2016 A guide for compiling a Statement of Purpose under the Regulation and Inspection of Social Care (Wales) Act 2016 January 2018 Mae r ddogfen yma hefyd ar gael yn Gymraeg. This document is also available

More information

English devolution deals

English devolution deals Report by the Comptroller and Auditor General Department for Communities and Local Government and HM Treasury English devolution deals HC 948 SESSION 2015-16 20 APRIL 2016 4 Key facts English devolution

More information

Written Response by the Welsh Government to the report of the Health, Social Care and Sport Committee entitled Primary Care: Clusters

Written Response by the Welsh Government to the report of the Health, Social Care and Sport Committee entitled Primary Care: Clusters Written Response by the Welsh Government to the report of the Health, Social Care and Sport Committee entitled Primary Care: Clusters I am grateful to the Committee for its inquiry into primary care. Clusters

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Tayside Carseview Centre, Dundee Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have

More information

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016 Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge

More information

NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET

NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET Version: 1.0 Date: 1 st September 2016 Data Set Title Admitted Patient Care data set (APC ds) Sponsor Welsh Government

More information

Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol

Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol SAR Process July 2014 (revised August 2017) Page 1 Contents 1. Introduction 2. Criteria 3.

More information

EMERGENCY PRESSURES ESCALATION PROCEDURES

EMERGENCY PRESSURES ESCALATION PROCEDURES OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL

More information

Delivering Local Health Care

Delivering Local Health Care Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by

More information

BIRMINGHAM CITY COUNCIL

BIRMINGHAM CITY COUNCIL BIRMINGHAM CITY COUNCIL PUBLIC REPORT Report to: CABINET Report of: Strategic Director for People Date of Decision: 28 th June 2016 SUBJECT: STRATEGY AND PROCUREMENT PROCESS FOR THE PROVISION OF EARLY

More information

Targeted Regeneration Investment. Guidance for local authorities and delivery partners

Targeted Regeneration Investment. Guidance for local authorities and delivery partners Targeted Regeneration Investment Guidance for local authorities and delivery partners 20 October 2017 0 Contents Page Executive Summary 2 Introduction 3 Prosperity for All 5 Programme aims and objectives

More information

1000 Lives Improvement

1000 Lives Improvement 1000 Lives Improvement 1000 Lives Improvement is the national quality improvement service for NHS Wales delivered by Public Health Wales. Our aim is to support the NHS to improve outcomes for people using

More information

A thematic review of six independent investigations. A report for NHS England, North Region

A thematic review of six independent investigations. A report for NHS England, North Region A thematic review of six independent investigations A report for NHS England, North Region November 2014 Authors: Chris Brougham Liz Howes Verita 2014 Verita is a management consultancy that works with

More information

APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF

APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF Version: 1 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible committee/group: Date issued: August 2015 Review date:

More information

Clinical Strategy

Clinical Strategy Clinical Strategy 2014-2018 Contents About the clinical strategy Page 2 About our Trust Page 3 What we stand for Page 6 Our clinical services Page 9 Supporting our staff Page 12 The five year plan Page

More information

Executive Summary / Recommendations

Executive Summary / Recommendations Learning Disability Change Programme A Strategy for the Future Proposed Service Specification for Adult Learning Disability Services in Greater Glasgow & Clyde Executive Summary / Recommendations 1 1.

More information

Mental Health Act Committee - Deprivation of Liberty Safeguards, Recruitment of Best Interest Assessors in Health Boards in Wales

Mental Health Act Committee - Deprivation of Liberty Safeguards, Recruitment of Best Interest Assessors in Health Boards in Wales Betsi Cadwaladr University Health Board Mental Health Act Committee Meeting 15 July 2014 Item 14/029.2 Subject: Situation Mental Health Act Committee - Deprivation of Liberty Safeguards, Recruitment of

More information

SBAR Report phase 1 Maternity, Gynaecology & Neonatal services

SBAR Report phase 1 Maternity, Gynaecology & Neonatal services North Wales Maternity, Gynaecology, Neonatal and Paediatric service review SBAR Report phase 1 Maternity, Gynaecology & Neonatal services Situation The Minister for Health and Social Services has established

More information

Future of Respite (Short Breaks) Services for Children with Disabilities

Future of Respite (Short Breaks) Services for Children with Disabilities Future of Respite (Short Breaks) Services for Children with Disabilities Consultation Feedback Report 2014 Foreword from the Director of Children s Services Within the Northern Trust area we know that

More information

Commissioning and statutory funding arrangements for hospice and palliative care providers in England 2017

Commissioning and statutory funding arrangements for hospice and palliative care providers in England 2017 Commissioning and statutory funding arrangements for hospice and palliative care providers in England 2017 Introduction Summary The statutory funding arrangements for adult hospices continue to raise serious

More information

DRAFT. Rehabilitation and Enablement Services Redesign

DRAFT. Rehabilitation and Enablement Services Redesign DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to

More information

Mental Health Crisis Pathway Analysis

Mental Health Crisis Pathway Analysis Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking

More information

The extent to which changes have addressed the over-referral of children and young people to CAMHS.

The extent to which changes have addressed the over-referral of children and young people to CAMHS. Cynulliad Cenedlaethol Cymru National Assembly for Wales Y Pwyllgor Plant, Pobl Ifanc ac Addysg Children, Young People and Education Committee Ymchwiliad i Gwella Iechyd Emosiynol ac Iechyd Meddwl Plant

More information