Nurses Day! - Birmingham Children's Hospital

Regulatory Ratings
Staff Survey Report
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Table 20: Regulatory Ratings 2011/12
2011/12
Rating Annual Plan Quarter 1 Quarter 2 Quarter 3 Quarter 4
2011/12
Finance risk rating 4 4 4 4 4
Governance risk rating Green Green Green Green Green
Mandatory Services risk rating Green Green Green Green Green
Safety Assurance System in place n/a Green Green Green Green
risk rating (new for 2011/12)
Approach to Staff Engagement
Our staff are the most important part of our
hospital. We cannot deliver excellence for
children and young people unless we have
excellent staff.
Part of our commitment to our staff is to have
excellent communication, excellent engagement
and always be open to listening to new and
innovative ideas.
Table 22: Staff Survey Improvement Plan & Outcome 2011
Our People Strategy - launched in June 2012 - sets
out how we intend to focus on genuine engagement
with our staff to develop their support for radical
service redesign and continued improvements in
organisational performance.
An important element of this is the national staff
survey which our staff take part in every year.
We identified a number of themes for improvement
in the 2011 Staff Survey and made a commitment to
take the following action.
Theme What we said What we did
w Embed the Leading Change framework for
genuine consultation
w Embedded the revised Performance Appraisal
process and provided re-training for managers
Table 21: Regulatory Ratings 2012/13
2012/13
Staff
Involvement
w Embed the revised appraisal process and
provide re-training for managers
w Involve staff in influencing decisions through
the values work
w Enhanced consultation and communication
around organisational change
w Successfully launched and embedded the
Trust values
w Developed new ways to listen to our staff
Rating Annual Plan Quarter 1 Quarter 2 Quarter 3 Quarter 4
2012/13 (predicted)
Finance risk rating 4 4 4 4 4
Governance risk rating Green Green Green Green Green
Mandatory Services risk rating Green Green Green Green Green
Safety Assurance System in place Green Green Green Green Green
risk rating (new for 2011/12)
Health and
Wellbeing
at Work
w Design and implement a health and wellbeing
at work strategy which integrates with the
public health agenda
w Review areas where we know work pressures
are significant and support the implementation
of actions to address this
w Develop a coordinated staff support strategy
enhancing internal and external partnerships
w Identify initiatives to support health and
wellbeing at work
w Reviewed those areas where we know work
pressures are significant, and supported the
implementation of required actions to address
this.
w Identified from staff local interventions /
initiatives which could be offered by the Trust
to support health and wellbeing at work.
w Introduced work-based stress risk
assessments
Explanation of the risk ratings
Monitor uses the risk rating as a guide to the
intensity of scrutiny under which we operate. At
the end of each annual assessment and quarterly
review, each foundation trust receives risk ratings
and a summary of key issues to be followed up by
the Board or Monitor.
The Financial and Governance risk ratings are
primarily based on a defined set of indicators.
Monitor also uses other sources of information to
confirm or challenge this assessment.
The Safety Assurance System in place risk rating
was introduced by Monitor in 2011/12 and is a self
assessment by the Trust. Monitor uses a range of
information sources to assess this response.
Mandatory Services relates to a range of services
that the Trust is required to provide, which were set
as part of its authorisation process. Any significant
reduction or ceasing of these services could impact
on this rating.
Summary of Birmingham Children’s Hospital NHS
Foundation Trust’s performance in 2012/13
The Trust planned to be green across all the
ratings for the year. It has self assessed as being
green rated across all the risk ratings for each
quarter, and this has been confirmed by Monitor for
Quarter 1, Quarter 2 and Quarter 3. Monitor is due
to report in June our Quarter 4 assessment and we
expect this to confirm our self assessment.
All of the Governance performance metrics were
met for each quarter.
Recognising
and
Rewarding
Staff
Culture
and
Working
Environment
w Introduce work based stress risk assessments
w Develop a culture where managers deliver
effective praise and recognition to staff
supported with the launch of Trust values and
the appraisal system
w Increase opportunities for local and Trust wide
recognition
w Review loyalty and long service reward
scheme
w Encourage managers and clinical leaders to
understand the local position
w Work with staff through the values workshops
to create the environment that enhances their
experience at work
w Develop robust methods of reviewing exit data
and put in place mitigating actions
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w Promoted a culture where managers recognise
staff supported by the launch of Trust values
and the appraisal system.
w Increased opportunities for local and Trustwide
recognition via Star of the Month.
w Reviewed loyalty and long service award
scheme.
w Encouraged managers and clinical leaders to
understand the local position
w Worked with staff through the Trust values
workshops to create an environment to
enhance their experience at work
w Developed the staff poll to more regularly test
how staff feel.