Barry Lane - Area collaborative service - NHS Health at Work

Area Collaborative ServiceCase study 2:Building SustainabilityBarry LaneBusiness ManagerAvon Partnership NHS PlusOccupational Health ServiceAvon PartnershipOccupational Health ServiceInvesting in good health at workAPOHS – the PartnershipAvon PartnershipOccupational Health Service• Formed in 2001 as a partnership between UBHT, NBT, WestonArea HealthTrust, with South Gloucestershire PCT and AvonAmbulance Trusts• Currently providing OH for 25,000 NHS staff• External contracts include University of the West of England,University of Bristol, Wessex Water, Western PowerDistribution.• Hosted by y( (now) UHBFT• NHS Plus• ISO 2001• Investors in PeopleInvesting in good health at work1

Partnership aimsAvon PartnershipOccupational Health Service• To provide a more effective organisation to enable the local NHS to betterachieve the national Human Resource Strategy: Particularly to:– Provide a high quality, cost effective occupational health provision to staff.– Achieve a more equitable core standard of service across the local NHS.– Improve the access of occupational health services to staff.– Improve attendance and retention rates in relation to work induced mental andphysical ill health.– Improve performance in the management of disability of staff.• To create a centre of excellence derived from high quality clinical leadershipand governance, education, research into and development of localoccupational health services.Though membership of NHS Plus, contribute to the national occupationalhealth strategy thereby:Providing Occupational health services and advice to local SMEs.– Contribute to the improvement of local public health.– Generating income to improve occupational health services for NHS staff.Investing in good health at workAPOHS ManagementOrganisational chartAPOHS Organisational ChartPartnershipBoardAvon PartnershipOccupational Health ServiceDr Brian WilliamsLead ClinicianBarry LaneBusinessManagerSpecialistRegistrar &ClinicalAssistantsDr RobinPhilippConsultantVacancyConsultantSpecialistRegistrar &ClinicalAssistantsJessMetherillMSK LeadPhysio’Physio’teamx 4PhysioDirect(TBC)LeadCounsellorCounsellingteamx 6MaggieBrettellLead NurseNurseSpecialistsx 9TraineeNurseSpecialistsx 3JennyHaresOfficeManagerAdminTeam NBTsitesAudreyDu'MontOperationsManagerSue BellOfficeManagerAdminTeam UHB& WestonsitesScreeningNursesx 6Investing in good health at work2

APOS – Historical StructureAvon PartnershipOccupational Health ServiceWhitefriarsHelpdeskSouthmeadNursingCounsellingPhysioAdminHelpdeskNursingCounsellingPhysioAdminOPASConsultantsRegistrarsConsultantsRegistrarsNursingCounsellingPhysioOPASAdminAdminHelpdeskNursingCounsellingPhysioWestonFrenchayInvesting in good health at workSituation Analysis -InternalAvon PartnershipOccupational Health ServiceStrategy:Extend service andreduce coststo partnersby generatingexternal incomeSkills:Expert OH SkillsExcellent ManagementskillsStructures:Based on Health Trusts,Not PartnershipShared Values:ExcellenceCareDedicationServiceStaff:KnowledgeableMotivatedDedicatedSystems:DuplicatedNot supportive ofmulti site workingStyle:InclusiveSupportiveReactiveInvesting in good health at work3

Planned structureAvon PartnershipOccupational Health ServiceNBTOH ClinicAPOHSUHBFTOH ClinicOH NurseClinicCustomer sitesHUBAdvice LineDoctorsPhysioCounsellingAdminOPAS / VPN / WebOH ClinicWestonInvesting in good health at workAchievementsAvon PartnershipOccupational Health Service• Comprehensive OH service Provider.• Core services delivered to Partners at below thenational average.• Service provided to 22% more Partner staff than2001 at 14.4% less per capita cost (Adjusted for NHSinflation) than 2001.• Physio-Direct– Early intervention for Minor MSK problems – achieved 9%reduction in MSK sickness absence in first year.Investing in good health at work4

Where do we want to be?Avon PartnershipOccupational Health Service• Providing all NHS Occupational Health in thearea.• Hub of NHS Plus in the region• Market leading Occupational Health Providerin area.• Recognised as exemplary OccupationalHealth Service.• An employer of choice.Investing in good health at workCurrent Business PrioritiesAvon PartnershipOccupational Health Service• Achieve SEQOHS & NHS Plus Standards• IiP Re-accreditation• Rationalise facilities to centralise Admin /Advice line• Consolidate duplicated IT systems to providelocation independent working capabilities /improve management information.Investing in good health at work5

Avon PartnershipOccupational Health ServiceAvon Partnership NHS PlusOccupational Health ServiceBarry LaneBusiness ManagerInvesting in good health at work7