Area Collaborative Service Case study 2: Building Sustainability Barry Lane Business NHS Plus APOHS the Partnership Formed in 2001 as a partnership between UBHT, NBT, Weston Area HealthTrust, with South Gloucestershire PCT and Avon Ambulance Trusts Currently providing OH for 25,000 NHS staff External contracts include University of the West of England, University of Bristol, Wessex Water, Western Power Distribution. Hosted by y( (now) UHBFT NHS Plus ISO 2001 Investors in People 1
Partnership aims To provide a more effective organisation to enable the local NHS to better achieve the national Human Resource Strategy: Particularly to: Provide a high quality, cost effective occupational health provision to staff. Achieve a more equitable core standard of service across the local NHS. Improve the access of occupational health services to staff. Improve attendance and retention rates in relation to work induced mental and physical ill health. Improve performance in the management of disability of staff. To create a centre of excellence derived from high quality clinical leadership and governance, education, research into and development of local occupational health services. Though membership of NHS Plus, contribute to the national occupational health strategy thereby: Providing Occupational health services and advice to local SMEs. Contribute to the improvement of local public health. Generating income to improve occupational health services for NHS staff. APOHS Management Organisational chart APOHS Organisational Chart Partnership Board Dr Brian Williams Lead Clinician Barry Lane Business Specialist Registrar & Clinical Assistants Dr Robin Philipp Consultant Vacancy Consultant Specialist Registrar & Clinical Assistants Jess Metherill MSK Lead team x 4 Direct (TBC) Lead Counsellor team x 6 Maggie Brettell Lead Nurse Nurse Specialists x 9 Trainee Nurse Specialists x 3 Jenny Hares Office Team NBT sites Audrey Du'Mont Operations Sue Bell Office Team UHB & Weston sites Screening Nurses x 6 2
APOS Historical Structure Whitefriars Helpdesk Southmead Helpdesk OPAS Consultants Registrars Consultants Registrars OPAS Helpdesk Weston Frenchay Situation Analysis - Internal Strategy: Extend service and reduce costs to partners by generating external income Skills: Expert OH Skills Excellent Management skills Structures: Based on Health Trusts, Not Partnership Shared Values: Excellence Care Dedication Service Staff: Knowledgeable Motivated Dedicated Systems: Duplicated Not supportive of multi site working Style: Inclusive Supportive Reactive 3
Planned structure NBT OH Clinic APOHS UHBFT OH Clinic OH Nurse Clinic Customer sites HUB Advice Line Doctors OPAS / VPN / Web OH Clinic Weston Achievements Comprehensive OH service Provider. Core services delivered to Partners at below the national average. Service provided to 22% more Partner staff than 2001 at 14.4% less per capita cost (Adjusted for NHS inflation) than 2001. -Direct Early intervention for Minor MSK problems achieved 9% reduction in MSK sickness absence in first year. 4
Where do we want to be? Providing all NHS Occupational Health in the area. Hub of NHS Plus in the region Market leading Occupational Health Provider in area. Recognised as exemplary Occupational Health Service. An employer of choice. Current Business Priorities Achieve SEQOHS & NHS Plus Standards IiP Re-accreditation Rationalise facilities to centralise / Advice line Consolidate duplicated IT systems to provide location independent working capabilities / improve management information. 5
Benefits Improve service to Partners Increased efficiency Greater consistency Greater customer contact Free resources to broaden client base Ensuring Sustainability What is the vision? Agree SLAs and funding frameworks at the outset. Install effective management systems Autonomy with accountability Inclusive management 6
NHS Plus Barry Lane Business 7