E Improved alignment 1 A number of the recommendations in all sections require much closer working between Medical between the Medical /Clinical Directorate and the Operations Directorate. /Clinical and operational Specifically, the CEO should ensure that the focus of this closer working should To how this will departments be to ensure that service priorities, workforce rotas and any operational be done within one making give primacy to the quality and safety of the patient / family and the month and then workforce. The evidence showed that on too many occasions too many patients ongoing oversight by waited too long for a service response and that SELDOC could have done more to the CEO. reduce some of the long waits. 2 The CEO and Executive Team should review all policies and communications to Within two months ensure that as many as possible include all staff rather than separating clinical and operational staff communications. 3 All distribution lists should be reviewed to ensure that Within 2 months All staff on them still work for SELDOC That all emails and contacts for staff are correct That if appropriate, the number of distribution lists are reduced. No Recommendations Suggested Timescale F Workforce, Recruitment 1 The Director of Operations and Medical Director should review the recruitment and Retention and retention of clinical staff. Specifically: (including leadership, Create a recruitment campaign for medical and possibly wider Within 1 month support and skill clinical workforce that shows the wide range of services and flexible mix) and safe staffing working opportunities that SELDOC has available. Review pay rates and overall package for Doctors due to changes in Within 1 month role from October and the need to remain competitive with local pay rates, the current proposed 2019 national offer for indemnity may adversely affect SELDOCs overall package. Review use of Advanced Nurse Practitioners and consider recruiting Within 1 them as part of either employed or self-employed sessional SELDOC staff. (needs robust governance) Consideration should be given to more home working technology Within 1 especially for periods of escalation.
E Improved alignment between Medical /Clinical and operational departments 1 A number of the recommendations in all sections require much closer working between the Medical /Clinical Directorate and the Operations Directorate. Specifically, the CEO should ensure that the focus of this closer working should be to ensure that service priorities, workforce rotas and any operational give primacy to the quality and safety of the patient / family and the workforce. The evidence showed that on too many occasions too many patients waited too long for a service response and that SELDOC could have done more to reduce some of the long waits. To how this will be done within one month and then ongoing oversight by the CEO. 2 The CEO and Executive Team should review all policies and communications to ensure that as many as possible include all staff rather than separating clinical and operational staff communications. Within two months 3 All distribution lists should be reviewed to ensure that All staff on them still work for SELDOC That all emails and contacts for staff are correct That if appropriate, the number of distribution lists are reduced. Within 2 months No Recommendations Suggested Timescale F Workforce, Recruitment and Retention (including leadership, support and skill mix) and safe staffing 1 The Director of Operations and Medical Director should review the recruitment and retention of clinical staff. Specifically: Create a recruitment campaign for medical and possibly wider clinical workforce that shows the wide range of services and flexible working opportunities that SELDOC has available. Review pay rates and overall package for Doctors due to changes in role from October and the need to remain competitive with local pay rates, the current proposed 2019 national offer for indemnity may adversely affect SELDOCs overall package. Review use of Advanced Nurse Practitioners and consider recruiting them as part of either employed or self-employed sessional SELDOC staff. (needs robust governance) Consideration should be given to more home working technology especially for periods of escalation. Within 1 month Within 1 month Within 1 Within 1 making
20180806-SELDOC-WB-Final-Report-V11-16.7.18.docx