APPENDIX 3 - BOARD WORKSHOP 27 NOVEMBER 2013 – Progress More to do A culture focused on doing the system’s Listening events and team meetings have More focus is required on “compassionate” business not that of the patients focused on quality of care for patients and have aspects of nursing – given staff an opportunity to share their issues. The NHS is set up in such a way that much Improvements in quality governance have been still happends at convenience of staff not implemented at all levels patients. We are nowhere near doing what other service sectors do to turn this around Increasingly more patient and quality focused Board agenda A failure of communication between the many Trust is part of a Quality Review Group and Local Area Teams are setting up systems to agencies to share their knowledge of concerns Contract Review Group with Commissioners. address this, although more to do. Trust is part of the two local health and well We need to keep our stakeholder being boards, and regularly attends local OSCs relationships under review, especially as financial pressures build: CCG, Area Teams, Local Authority, Neighbouring Trusts An institutional culture which ascribed more The balanced score card is being developed weight to positive information about the which has a strong quality focus service than to information capable of implying cause for concern Assumptions that monitoring, performance Progress is being made on improved management or intervention was the accountability, including performance review responsibility of someone else sessions, but more needs to be done Standards and methods of measuring Regular Board reports on patient experience Patient experience reference group is being compliance which did not focus on the effect of including compliments, complaints and friends established to take action, especially around a service on patients and family test. FFT scores A failure to tackle challenges to the building up Revising Nursing Quality Metrics will feature as Emerging issues around: behaviours, of a positive culture, in nursing in particular but regular reporting outcome to Trust Board leadership, governance also within the medical profession Great line management programme is still at an early stage, but has a strong focus on culture and behaviour
APPENDIX 3 - BOARD WORKSHOP – 27 NOVEMBER 2013 Progress More to do A culture focused on doing the system’s business – not that of the patients Listening events and team meetings have focused on quality of care for patients and have given staff an opportunity to share their issues. Improvements in quality governance have been implemented at all levels Increasingly more patient and quality focused Board agenda More focus is required on “compassionate” aspects of nursing The NHS is set up in such a way that much still happends at convenience of staff not patients. We are nowhere near doing what other service sectors do to turn this around A failure of communication between the many agencies to share their knowledge of concerns Trust is part of a Quality Review Group and Contract Review Group with Commissioners. Trust is part of the two local health and well being boards, and regularly attends local OSCs Local Area Teams are setting up systems to address this, although more to do. We need to keep our stakeholder relationships under review, especially as financial pressures build: CCG, Area Teams, Local Authority, Neighbouring Trusts An institutional culture which ascribed more weight to positive information about the service than to information capable of implying cause for concern The balanced score card is being developed which has a strong quality focus Assumptions that monitoring, performance management or intervention was the responsibility of someone else Progress is being made on improved accountability, including performance review sessions, but more needs to be done Standards and methods of measuring compliance which did not focus on the effect of a service on patients Regular Board reports on patient experience including compliments, complaints and friends and family test. Patient experience reference group is being established to take action, especially around FFT scores A failure to tackle challenges to the building up of a positive culture, in nursing in particular but also within the medical profession Revising Nursing Quality Metrics will feature as regular reporting outcome to Trust Board Great line management programme is still at an early stage, but has a strong focus on culture and behaviour Emerging issues around: behaviours, leadership, governance
tb%20seminar%2027%2011%2013%20-%20appendix%203.docx