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

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Monitor Targets 2011-12 Threshold Year End Position Monitor Mental Health and Learning Disability Targets Reported throughout the year Patients seen, treated and discharged within 4 hours of arrival at A&E Quality Rationale To reduce the time that patients wait to be seen, 95% 99.89% 96 treated and discharged in A&E departments. Patients receiving contact within 7 days of discharge Quality Rationale Evidence shows safer outcomes for patients who receive early follow-up by staff following discharge Patients having a formal review with their care co-ordinator within 12 months Quality Rationale Effective care co-ordination facilitates access for individual service users to the full range of community support they need in order to promote their recovery and integration Minimising delayed discharge/ transfer of care Quality Rationale The patient experience is adversely affected by delayed discharges once they are fit to be discharged Access to Crisis Resolution/ Home Treatment Quality Rationale To ensure patients receive a speedy and effective ‘step up’ in the support and treatment they receive, yet avoiding hospital admission Meeting commitment to serve new psychosis cases by early intervention teams Quality Rationale Patients that are detected and diagnosed with a first episode of psychosis by Early Intervention teams gain prompt and appropriate treatment and it reduces their duration of untreated psychosis Data completeness: Identifiers Quality Rationale Data completeness enables the monitoring of outcomes for individuals in terms of morbidity, quality of life and user satisfaction with services Annual Report and Annual Accounts 2011-12 95% 98.1% 95% 95.3% No more than 7.5% 3.3% 90% 99.6% 95% 107.6% 99% 99.4%
Monitor Targets 2011-12 Threshold Year End Position Monitor Mental Health and Learning Disability Targets Reported throughout the year Data completeness: outcomes Quality Rationale Mental health minimum data set (MHMDS) data completeness enables the monitoring of outcomes for individuals in terms of morbidity, quality of life and user satisfaction with services Valid employment status 98.0% Valid accommodation status 50% 97.7% HONOS assessment in the past 12 months 77.6% Monitor Community Care Indicators – Reported from Quarter 3, October 2011 Community Treatment Activity - Referrals No threshold Community treatment activity – Care contact activity Identifier Information No threshold No threshold 69.6% 99.7% 78.6% From October 2011 Monitor established new reporting requirements for foundation trusts that had acquired community services. There are seven areas to the data completeness reporting - the three above which have been reported since quarter three, and a further four that do not require reporting against as Trust systems do not routinely capture the information. These are: Referral to Treatment Times - AHP Lead in the Community Patients dying at home User experience Venous leg ulcer treatments. Monitor Compliance Framework for Walk-In Centres A&E 4 Hour Wait Time Reported Walk-in Centre Target and Threshold Quarter 1 Quarter 2 Quarter 3 Quarter 4 Halewood A&E 4 Hour 99.92% 100.00% 100.00% 99.98% Huyton Waiting Time 99.93% 100.00% 100.00% 99.80% Kirby Target: ≥ 95% 99.99% 100.00% 100.00% 99.93% Trust Overall 99.95% 100.00% 100.00% 99.89% Annual Report and Annual Accounts 2011-12 97
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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
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Our Strategic Themes and Objectives
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Joint Service User and Carer Forum
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For the period 1 April 2011 to 31 M
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Effective and Efficient Organisatio
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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 and 86: Quality & Safety priorities 2012-13
Page 87 and 88: 2.4.3 Participation in Clinical Aud
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: Knowsley Integrated Provider Servic
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
Page 137 and 138: Appendix 5 Monitor External Assuran
Page 139 and 140: Assurance work performed I conducte
Page 141 and 142: Appendix 6 Performance against CQUI
Page 143 and 144: Indicator Name Goal Year-end positi
Page 145 and 146: 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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