5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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2.4 Statements of Assurance Provided by the Trust Board As part of our Quality Report, we are required to present a series of statements which have been agreed by the Trust Board that relate to the quality of our services. These statements serve to offer assurance to our members and the general public that we are: Performing to national essential standards of quality and safety (CQC Registration standards) Measuring and improving our clinical performance in audit and research activity Engaging in innovative projects (CQUIN framework) Maintaining compliance with our Monitor targets (see section 3.2 of this document). 2.4.1 Review of Contracted Services During 2011-12 5 Boroughs Partnership NHS Foundation Trust provided and/or sub-contracted 266 NHS services. The 5 Boroughs Partnership NHS Foundation Trust has reviewed all the data available to them on the quality of care in all of these NHS services. This is undertaken through regular service reviews against the strategies set out in the Trust’s Integrated Business Plan. The income generated by the NHS services reviewed in 2011-12 represents 100 per cent of the total income generated from the provision of NHS services by the 5 Boroughs Partnership NHS Foundation Trust for 2011-12. 2.4.2 Commissioning for Quality & Innovation Payment Framework (CQUIN) A proportion of 5 Boroughs Partnership NHS Foundation Trust income in 2011-12 was conditional upon achieving quality improvement and innovation goals agreed with NHS Knowsley - acting as Co-ordinating Commissioner for Halton, St Helens, Knowsley, Warrington, and Ashton, Leigh and Wigan separately through the Commissioning for Quality and Innovation payment framework. The Trust attracts 1.5% of our contract value as CQUIN payments. The total available within the CQUIN framework is £1.945m. Further details of the agreed goals for 2011-12 and for the following 12-month period are available online. Go to www.5boroughspartnership.nhs.uk/quality-accounts to view the Trust’s CQUIN targets for 2012-13. 86 Annual Report and Annual Accounts 2011-12
2.4.3 Participation in Clinical Audits & National Confidential Enquiries The Trust considers involvement in clinical audits to be a key indicator of quality. The importance of clinical audits is realised when it leads to the implementation of initiatives to improve services. A key example of this in 2011-12 can be demonstrated by the Prescribing Observatory for Mental Health (POMH) re-audit, assessing the monitoring of side-effects to depot antipsychotic medication. Three audits have been undertaken - the first being the baseline in 2008, the second in October 2009, and the latest audit was completed in May 2011. These audits are undertaken by participating Trusts, therefore the results can be analysed as year-on-year Trust results, comparisons to other mental health trusts, and national standards. Full implementation of the action plan by the Medicine Management Team has demonstrated a dramatic improvement, and as a result we are now one of the best performing Trusts in the UK. Actions implemented included: development of monitoring templates; improving service user knowledge and expectations; launch of the Choice and Medication website; communication and discussion of the results with the medical and nursing teams, with a simple message to ask and document issues related to side-effects. The results of the latest audit showed the following improvements: The proportion of patients with no evidence of documentation around sideeffects has reduced from 40% to 13% The proportion of patients with documentation of a general statement regarding presence or absence of side-effects has improved from 49% to 83% Significant improvements were noted for the documentation of specific side effects relating to movement disorders, weight, and side-effects of a sexual nature. The specific side-effects above are known to be particularly distressing for patients and are often the cause of non-compliance with medication, resulting in an increased risk of relapse and possible admission to hospital. Evidence suggests that side-effects of this nature may only be identified if patients are specifically questioned about them. The results of this audit demonstrate that we have improved our monitoring of side effects and thus improved the quality of care provided. An action following the latest audit has been the launch the ‘Patient Empowerment Letter’ which is expected to bring further improvements. During 2011-12, six national clinical audits and one national confidential enquiry covered NHS services that 5 Boroughs Partnership NHS Trust Foundation Trust provides. Annual Report and Annual Accounts 2011-12 87
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5 Boroughs Partnership NHS Foundati
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Contents Chairman and Chief Executi
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Our Profile Formed in 2002, 5 Borou
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We are actively involved in Learnin
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Trust Board Member Ray Walker - Dir
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including Adults, Learning Disabili
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Executive Director John Kelly Direc
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Committee Member Brian Marshall - N
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key safety recommendations in respe
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Our Risk Management Our Risk Manage
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Statements of Assurance Provided by
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During the reporting year the Trust
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Christopher Ashman Diane French -
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Public Member Councillor 18/05/ 11
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Members 27/07/11 28/09/11 11/01/12
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The remit of the Committee is to be
Page 35 and 36: Our Strategic Themes and Objectives
Page 37 and 38: Joint Service User and Carer Forum
Page 39 and 40: For the period 1 April 2011 to 31 M
Page 41 and 42: Effective and Efficient Organisatio
Page 43 and 44: What else have we achieved against
Page 45 and 46: Increased roof and wall insulation
Page 47 and 48: Clinical Leadership and Service Imp
Page 49 and 50: in research approved by a Research
Page 51 and 52: In addition we have representation
Page 53 and 54: One of the ways we will do this in
Page 55 and 56: Well-Governed In order for any orga
Page 57 and 58: Financial Viability This theme rela
Page 59 and 60: continues to perform well and impro
Page 61 and 62: in April 2012. By April 2013 more t
Page 63 and 64: Workforce Management and Experience
Page 65 and 66: Top Four Rankings Progress 2010 to
Page 67 and 68: New Bottom Four Rankings 2011 Botto
Page 69 and 70: Jobcentre Plus has awarded the symb
Page 71 and 72: Financial Review of the Year We hav
Page 73 and 74: Details of salaries and allowances
Page 75 and 76: Speaking Your Language This Annual
Page 77 and 78: 5 Boroughs Partnership NHS Foundati
Page 79 and 80: Involving Service Users in Patient
Page 81 and 82: In particular, we took part in 100
Page 83 and 84: These statements are included as Ap
Page 85: Quality & Safety priorities 2012-13
Page 89 and 90: Name of Audit Number of cases submi
Page 91 and 92: The percentage of records which inc
Page 93 and 94: Part 3 - Other Information 3.1 Trus
Page 95 and 96: Knowsley Integrated Provider Servic
Page 97 and 98: Monitor Targets 2011-12 Threshold Y
Page 99 and 100: Domain Patient Safety 99 Trust Qual
Page 101 and 102: 3.4 Trust-wide Achievements 3.4.1 W
Page 103 and 104: 3.5.3 Advancing Quality Programme A
Page 105 and 106: Productive Mental Health Wards Prod
Page 107 and 108: The table below shows the Trust’s
Page 109 and 110: 3.7 Engaging with and Listening to
Page 111 and 112: 3.7.4 Further examples of Engagemen
Page 113 and 114: 3.8.2 Messages from Warrington LINk
Page 115 and 116: Quality Accounts - 5 Boroughs 2011/
Page 117 and 118: Warrington LINk Statement 5 Borough
Page 119 and 120: Knowsley LINk 5 Boroughs Partnershi
Page 121 and 122: Wigan Borough Local Involvement Net
Page 123 and 124: Re: 5 Boroughs Partnership NHS Foun
Page 125 and 126: Knowsley Overview and Scrutiny Boar
Page 127 and 128: 11 May 2012 Many thanks for sharing
Page 129 and 130: Appendix 2 - National Patient Surve
Page 131 and 132: Fig 2. The results from the Trust
Page 133 and 134: Service users are asked to complete
Page 135 and 136: Appendix 4 Director’s Statement o
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Appendix 5 Monitor External Assuran
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Assurance work performed I conducte
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Appendix 6 Performance against CQUI
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Indicator Name Goal Year-end positi
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EFFECTIVENESS TCS Mental Health Pat
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Total June July August September Oc
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Independent Auditor’s Report to t
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Certificate I certify that I have c
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I have delegated responsibility for
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Policy and Guidance A range of clin
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Directors attending the Trust Opera
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Continue to publish monthly High-le
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These include Business Continuity a
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Internal and External Stakeholders
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Board throughout the year. The Qual
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The Audit Committee provides an app
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Group Chaired by Functions Business
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The Trust maintains a status of reg
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Foreword to the Accounts 5 Boroughs
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Prior period adjustments TOTAL COMP
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Financed by taxpayers' equity: Mino
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Public Dividend Capital repaid Publ
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Statement of Cash Flows For the Per
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Notes to the accounts 1. Accounting
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Notes to the Accounts - 1. Accounti
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4. Other operating income 2011/12 2
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6. Operating leases As lessee Payme
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7. Employee costs and numbers conti
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203 7. Employee costs and numbers c
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205 7. Employee costs and numbers c
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8. Retirement benefits continued. T
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209 9. Better Payment Practice Code
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13. Intangible assets Software lice
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14. Property, plant and equipment 2
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14. Property, plant and equipment c
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14. Property, plant and equipment c
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16. Non-current assets for sale and
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17. Capital commitments There are n
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19.3 Ageing of impaired receivables
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23. Other liabilities Current Non-c
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25. Contingences 25.1 Contingent li
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26.2 Financial liabilities NHS Trad
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Further information on the NHS Foun
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30. Third Party Assets The Trust he
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Annual Report and Annual Accounts 2
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5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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