The provider s name, legal status, address and other contact details

Statement of purpose Health and Social Care Act 2008 Part 1 The provider s name, legal status, address and other contact details Including address for service of notices and other documents PoC1C 100457 2.00 Statement of purpose: Template for service providers 1

Please first read the guidance document Statement of purpose: Guidance for providers Statement of purpose, Part 1 Health and Social Care Act 2008, Regulation 12, schedule 3 The provider s business contact details, including address for service of notices and other documents, in accordance with Sections 93 and 94 of the Health and Social Care Act 2008 1. Provider s name and legal status Full name 1 CQC provider ID Northern Lincolnshire and Goole NHS Foundation Trust RJL Legal status 1 Individual Partnership Organisation 2. Provider s address, including for service of notices and other documents Business address 2 Town/city County Post code Diana, Princess of Wales Hospital Scartho Road Grimsby North East Lincolnshire DN33 2BA Business telephone (01472) 874111 Electronic mail (email) 3 enquiries@nlg.nhs.uk or w.booth.nhs.uk By submitting this statement of purpose you are confirming your willingness for CQC to use the email address supplied at Section 2 above for service of documents and for sending all other correspondence to you. Email ensures fast and efficient delivery of important information. If you do not want to receive documents by email please check or tick the box below. We will not share this email address with anyone else. I/we do NOT wish to receive notices and other documents from CQC by email 1 Where the provider is a partnership please fill in the partnership s name at Full name in Section 1 above. Where the partnership does not have a name, please fill in the names of all the partners at Section 3 below 2 Where you do not agree to service of notices and other documents by email they will be sent by post to the business address shown in Section 2. This includes draft and final inspection reports. This postal business address will be included on the CQC website. 3 Where you agree to service of notices and other documents by email your copies will be sent to the email address shown in Section 2. This includes draft and final inspection reports. PoC1C 100457 2.00 Statement of purpose: Template for service providers 2

Please note: CQC can deem notices sent to the email or postal address for service you supply in your statement of purpose as having been served as described in Sections 93 and 94 of the Health and Social Care Act 2008. The address supplied must therefore be accurate, up to date, and able to ensure prompt delivery of these important documents. 3. The full names of all the partners in a partnership Names: Not Applicable PoC1C 100457 2.00 Statement of purpose: Template for service providers 3

Statement of purpose Health and Social Care Act 2008 Part 2 Aims and objectives PoC1C 100457 2.00 Statement of purpose: Template for service providers 4

Please read the guidance document Statement of purpose: Guidance for providers. Aims and objectives What are your aims and objectives in providing the regulated activities and locations shown in part 3 of this statement of purpose Northern Lincolnshire & Goole NHS Foundation Trust aims to provide the very best accessible healthcare to our local population. We aspire to do this through delivery of our vision, crafted by staff at all levels from within the organisation so that 'Together we care, we respect, we deliver'. This vision forms the central part of our organisation's commitment to be the best and deliver services in line with this vision. Our vision and values are: Together we Care We care about quality and patient safety We care about positive experiences for patients, carers and staff and we care about doing the right thing, each time, every time Together we respect We respect the dignity and individuality of each person in our care We respect the professionalism, diversity and skills of each person in our team and we respect the dedication and commitment of those delivering healthcare Together we deliver We strive to deliver first class services through listening, learning and empowering We aim to deliver forward thinking healthcare services that set us apart from the rest and we will deliver safe, compassionate services to exceed our patients expectations. Our visions and values therefore directly relate to and are the basis for our aims and objectives: Aim: To provide the very best accessible healthcare to our local population. Objectives, these can be grouped into 5 specific areas: Quality, patient experience & safety * To continuously focus on improving the quality of care provided to our patients, from the perspective of clinical effectiveness, patient safety and the patient experience. * The Board will continue to ensure that quality forms an integral part of its philosophy, practices and business plans and will drive the quality agenda across all levels and all areas of the business with all staff. Clinical service transformation PoC1C 100457 2.00 Statement of purpose: Template for service providers 5

* To continuously examine the services we offer to determine where best they can be provided whether they be in traditional hospital settings or in the community setting. * To effectively work with commissioners and, where appropriate, other providers, to secure appropriate facilities and support services for delivery of the very best healthcare in an accessible way to our local population. Effective and efficient use of resources * To provide a range of sustainable, high quality clinical services which enable us to deliver planned, emergency and community services to our local population. Investment in staff, leadership, management, teaching & training * To invest in our staff ensuring they are fully equipped to deliver now and in the future effective local healthcare. * To invest in innovative ways of working with local teaching and training centres to identify the doctors, nurses and other professional leaders of the future locally. Accountability and regulation * To continuously strive to demonstrate assurance that the Trust is compliant with key regulation frameworks from the CQC, Monitor and other regulators through its internal governance arrangements. * To continue to work with other organisations in being accountable for provision of quality services and a quality learning environment for trainees/students. Box will expand if completed using a computer PoC1C 100457 2.00 Statement of purpose: Template for service providers 6

Statement of purpose Health and Social Care Act 2008 Part 3 Location(s), and the people who use the service there their service type(s) their regulated activity(ies) PoC1C 100457 2.00 Statement of purpose: Template for service providers 7

Fill in a separate part 3 for each location The information below is for location no.: 1 of a total of: 3 locations Name of location Diana Princess of Wales Hospital Address Scartho Road Grimsby North East Lincolnshire Postcode DN33 2BA Telephone (01472) 874111 Email enquiries@nlg.nhs.uk or w.booth@nhs.net PoC1C 100457 2.00 Statement of purpose: Template for service providers 8

Description of the location (The premises and the area around them, access, adaptations, equipment, facilities, suitability for relevant special needs, staffing & qualifications etc) Based in Grimsby, the Hospital is situated on a single site. Built in 1983, it has undergone considerable expansion since then. Projects completed in 2015 have provided a Cardiology Day Case Unit including a dedicated Cardiac Catheter Laboratory, an Assisted Living Centre and a Home from Home ward as an integrated service with the local Mental Health Provider to care for patients with confusion any cause once medically fit. DPoW provides the full range of district general hospital services, including ECC, medicine, surgery and critical care, paediatrics, obstetrics and gynaecology, outpatients, diagnostics and therapy services. The hospital has 428 overnight beds of which 134 are for surgery and critical care patients, 195 are for medical patients, 84 are for women & children s patients and 15 beds on the Home from Home unit. Medical specialties onsite include diabetes and endocrinology, cardiology (including angiography, cardiac devices and permanent pacing facilities), respiratory medicine, elderly care, dermatology, haematology and gastroenterology, stroke services and rheumatology. Neurology, oncology, cardiothoracic surgery, plastic surgery and renal medicine are provided by visiting consultants from Hull. Surgical specialties on site include trauma and orthopaedics, anaesthetics, critical care, general surgery, breast services, urology, ophthalmology, ENT and maxillo-facial and orthodontics. The surgical floor of the hospital has a 28 bedded Surgical Assessment Unit and Short Stay Ward dedicated to the assessment and care of acute surgical emergency patients. The theatre suite provides 8 fully equipped theatres each with its own anaesthetic room, with two theatres dedicated to orthopaedic use (both with ultra clean air facility). One theatre is dedicated to emergency work, staffed at all times. A separate session for acute trauma cases is reserved each day, including weekends. Women s & Chilidren s services provide maternity services and paediatric services in a custom built building comprising of maternity wards, gynaecology wards, dedicated obstetric theatres, children s wards and the Child Development Centre. Care throughout the maternity pathway is provided through a pregnancy assessment centre for antenatal and postnatal care. Complementary to this is the community midwifery service we provide. Emergency/acute paediatric services are provided through the dedicated Paediatric Assessment and Observation Unit co-located in A&E. This is supported by a neonatal intensive care unit and the children s ward, caring for medical and surgical patients. Four designated beds are provided for babies requiring transitional care within the maternity unit. We have a range of outpatient clinics, providing general paediatric clinics to specialist paediatric clinics. The pathway is continued through the delivery of community paediatrics, ensuring children are provided appropriate care at an appropriate setting. All the diagnostic and service departments are based on site including Endoscopy, Radiology with Plain Film, Ultrasound, CT and MRI. The hospital also hosts the Path Links laboratory for pathology and Immunology. Community and Therapy services provide a wide range of support for inpatients, outpatients and throughout the community covering physiotherapy, occupational therapy, speech & language therapy, nutrition and dietetics, wheelchair services, orthotics, podiatry, psychology and community dental. A satellite outpatient service in Rehabilitation Medicine is provided from premises in the nearby town of Brigg. No of approved places / overnight beds (not NHS) PoC1C 100457 2.00 Statement of purpose: Template for service providers 9

CQC service user bands The people that will use this location ( The whole population means everyone). Adults aged 18-65 Adults aged 65+ Mental health Physical disability Dementia People with an eating disorder Sensory impairment People detained under the Mental Health Act People who misuse drugs or alcohol Learning difficulties or autistic disorder Children aged 0 3 years Children aged 4-12 Children aged 13-18 The whole population Other (please specify below) PoC1C 100457 2.00 Statement of purpose: Template for service providers 10

The CQC service type(s) provided at this location Acute services (ACS) Prison healthcare services (PHS) Hospital services for people with mental health needs, learning disabilities, and problems with substance misuse (MLS) Hospice services (HPS) Rehabilitation services (RHS) Long-term conditions services (LTC) Residential substance misuse treatment and/or rehabilitation service (RSM) Hyperbaric chamber (HBC) Community healthcare service (CHC) Community-based services for people with mental health needs (MHC) Community-based services for people with a learning disability (LDC) Community-based services for people who misuse substances (SMC) Urgent care services (UCS) Doctors consultation service (DCS) Doctors treatment service (DTS) Mobile doctor service (MBS) Dental service (DEN) Diagnostic and or screening service (DSS) Care home service without nursing (CHS) Care home service with nursing (CHN) Specialist college service (SPC) Domiciliary care service (DCC) Supported living service (SLS) Shared Lives (SHL) Extra Care housing services (EXC) Ambulance service (AMB) Remote clinical advice service (RCA) Blood and Transplant service (BTS) PoC1C 100457 2.00 Statement of purpose: Template for service providers 11

Regulated activity(ies) carried on at this location Personal care Accommodation for persons who require nursing or personal care Accommodation for persons who require treatment for substance abuse Accommodation and nursing or personal care in the further education sector Treatment of disease, disorder or injury Assessment or medical treatment for persons detained under the Mental Health Act Surgical procedures Diagnostic and screening procedures Management of supply of blood and blood derived products etc Transport services, triage and medical advice provided remotely Maternity and midwifery services Termination of pregnancies Services in slimming clinics Nursing care Family planning service PoC1C 100457 2.00 Statement of purpose: Template for service providers 12

Fill in a separate part 3 for each location The information below is for location no.: 2 of a total of: 3 locations Name of location Scunthorpe General Hospital Address Cliff Gardens Scunthorpe North Lincolnshire Postcode DN15 7BH Telephone (01724) 282282 Email enquiries@nlg.nhs.uk or w.booth@nhs.net PoC1C 100457 2.00 Statement of purpose: Template for service providers 14

Description of the location (The premises and the area around them, access, adaptations, equipment, facilities, suitability for relevant special needs, staffing & qualifications etc) Scunthorpe General Hospital (SGH) was first built in the 1920 s and occupies a "land-locked" site surrounded by residential properties. The site has expanded over time with expanded builds attached to original structures. Recent developments completed, include an Ambulatory Emergency Care Unit, a Frail Elderly Unit, modifications to the Emergency Care Centre and a newly replaced Cardiac Catheterisation laboratory. Schemes currently under construction or in development include a new Endoscopy Unit and Lower Gastro-intestinal Unit, further modifications to the Emergency Care Centre, a nursing Care Camp facility and Clinical Simulation Unit for doctor training. SGH provides the full range of district general hospital services, including Emergency Care Centre, medicine, surgery and critical care, paediatrics, obstetrics and gynaecology, outpatients, diagnostics and therapy services. The hospital has 406 overnight beds of which 95 are for surgery and critical care patients, 231 are for medical patients and 80 are for women & children s patients. Medical specialties on site include diabetes and endocrinology, cardiology (with facilities for cardiac catheterisation and pacing), respiratory medicine, elderly care, dermatology, haematology and gastroenterology, stroke services, palliative medicine and rheumatology. Neurology, Oncology, Cardiothoracic Surgery, Plastic Surgery and Renal Medicine are provided by visiting consultants from Hull. Surgical specialities on site include trauma and orthopaedics, anaesthetics, critical care, general surgery, breast services, urology, ophthalmology, ENT and maxillo-facial and orthodontics. The hospital is equipped with 8 main theatres, including two theatres dedicated to trauma and orthopaedic use (both with ultra clean air facility). One theatre is dedicated to emergency work, staffed at all times. A separate session for acute trauma cases is reserved each day, including weekends. Women s & Chilidren s services in Scunthorpe General Hospital provide the entire maternity pathway using a more traditional service model comprising antenatal/postnatal clinics, a dedicated Central Delivery Suite and a dedicated obstetric ward. In addition gynaecology is provided through a range of outpatient clinics and an in-patient ward facility. Acute/emergency paediatrics is provided by specialist nurses in A&E in conjunction with doctors. The childrens ward works closely with A&E assessing and receiving medical and surgical patients ensuring the pathway is seamless. An inpatient paediatrics service is provided caring for children aged 0-16 years, supported by a community service. In addition a neonatal intensive care unit is based close to Central Delivery Suite allowing easy access for mum to baby. There are also four transitional care beds managed by the neonatal team. All the diagnostic and service departments are based on site including Endoscopy, Radiology with Plain Film, Ultrasound, CT and MRI. The hospital also hosts the Path Links laboratory for pathology and Immunology. Community and Therapy services provide a wide range of support for inpatients, outpatients and throughout the community for adults, children and young people covering nursing, physiotherapy, occupational therapy, speech & language therapy, nutrition and dietetics, wheelchair services, orthotics, podiatry, psychology and community dental. A satellite outpatient service in Rehabilitation Medicine is provided from premises in the nearby town of Brigg. The development of 3 Care Networks, which is being led by North Lincolnshire CCG, will result in further integration of primary, community and social care provision. No of approved places / overnight beds (not NHS) PoC1C 100457 2.00 Statement of purpose: Template for service providers 15

Fill in a separate part 3 for each location The information below is for location no.: 3 of a total of: 3 locations Name of location Goole and District Hospital Address Woodland Avenue Goole East Riding of Yorkshire Postcode DN14 6RX Telephone (01405) 720720 Email enquiries@nlg.nhs.uk or w.booth@nhs.net Description of the location (The premises and the area around them, access, adaptations, equipment, facilities, suitability for relevant special needs, staffing & qualifications etc) This is a purpose built community-plus hospital which opened in 1988 and brought together services from a number of scattered sites in and around the town of Goole. Medical Services include general medicine, elderly, cardiology, rheumatology, gastroenterology, dermatology including a new light treatment service, diabetes and endocrinology, haematology and immunology, oncology and a Minor Injuries Unit. Surgical services provided include general surgery, orthopaedics, ophthalmology, ENT and audiology, urology and pain services. There is also a surgical day case unit complete with a theatre. Two further main theatres are equipped for major orthopaedic work and other types of surgery. In addition, the site has a well-equipped ophthalmic suite and theatre, endoscopy unit and an outpatient department. Internationally renowned specialist laser treatment is provided at Goole in collaboration with the Yorkshire Laser Centre. Women s and Children s services provide outpatient consultant led gynaecology clinics, colposcopy services, hysteroscopy services and a purely midwife led Home from Home unit for low risk deliveries. Recently the service has introduced a Termination of Pregnancy service. A reduced level of consultant led paediatric outpatient activity happens in Goole, to try and provide care closer to home. Therapy services are provided for both inpatients and outpatients with physiotherapy, occupational therapy, nutrition and dietetics and psychology services. There are two x-ray rooms together with mobile units, and an ultrasound room. The diagnostics department also provides a regular mobile MRI/CT service. The hospital also accommodates a neurological rehabilitation centre which is run by the Brain Injury Rehabilitation Trust (BIRT) under a formal partnership with the Trust. The Trust continue to develop the hospital based services through the Goole Healthy Lives Healthy Futures Programme in collaboration with the Goole community stakeholders and commissioners. No of approved places / overnight beds (not NHS) PoC1C 100457 2.00 Statement of purpose: Template for service providers 20

Statement of purpose Health and Social Care Act 2008 Part 4 Registered manager details Including address for service of notices and other documents PoC1C 100457 2.00 Statement of purpose: Template for service providers 24

Please first read the guidance document Statement of purpose: Guidance for providers The information below is for manager number: 1 of a total of: 1 Managers working for the provider shown in part 1 1. Manager s full name Wendy Booth 2. Manager s contact details Business address Town/city County Post code Northern Lincolnshire and Goole NHS Foundation Trust Scartho Top Grimsby North East Lincolnshire DN33 2BA Business telephone (01472) 874111 Manager s email address 1 w.booth@nhs.net 1 Where the manager has agreed to service of notices and other documents by email they will be sent to this email address. This includes draft and final inspection reports on all locations where they manage regulated activities. Where the manager does not agree to service of notices and other documents by email they will be sent by post to the provider postal business address shown in Part 1 of the statement of purpose. This includes draft and final inspection reports on all locations. Please note: CQC can deem notices sent to manager(s) at the relevant email or postal address for service in this statement of purpose as having been served, as described in Sections 93 and 94 of the Health and Social Care Act 2008. The address supplied must therefore be accurate, up to date, and able to ensure prompt delivery of these important documents to registered managers. 3. Locations managed by the registered manager at 1 above (Please see part 3 of this statement of purpose for full details of the location(s)) Name(s) of location(s) (list) Percentage of time spent at this location All locations listed in the document. 100 PoC1C 100457 2.00 Statement of purpose: Template for service providers 25

4. Regulated activity(ies) managed by this manager Personal care Accommodation for persons who require nursing or personal care Accommodation for persons who require treatment for substance abuse Accommodation and nursing or personal care in the further education sector Treatment of disease, disorder or injury Assessment or medical treatment for persons detained under the Mental Health Act Surgical procedures Diagnostic and screening procedures Management of supply of blood and blood derived products etc Transport services, triage and medical advice provided remotely Maternity and midwifery services Termination of pregnancies Services in slimming clinics Nursing care Family planning service 5. Locations, regulated activities and job shares Where this manager does not manage all of the regulated activities ticked / checked at 4 above at all of the locations listed at 3 above, please describe which regulated activities they manage at which locations below. Please also describe below any job share arrangements that include or affect this manager. PoC1C 100457 2.00 Statement of purpose: Template for service providers 26