2.12 Our performance against keyhealthcare targetsWe have performed well <strong>and</strong> achieved all requiredhealthcare targets. The information about howwe did against different targets for our servicesis contained in our Quality Report in Section 11.In summary we achieved:• All targets for mental health services required byFoundation Trusts, <strong>and</strong> by the Departmentof <strong>Health</strong>• All targets to improve access to psychologicaltherapies for common mental health problemswithin primary care• The st<strong>and</strong>ards for childhood immunisation, <strong>and</strong>our performance improved within our GeneralPractice services in respect of primary care <strong>and</strong>st<strong>and</strong>ards for vaccinations• National targets for the effectiveness oftreatment for substance misuse services• Required st<strong>and</strong>ards of care in respect of thequality of food, privacy <strong>and</strong> dignity <strong>and</strong> theenvironments in which we deliver our services.2.13 How we monitor improvementstowards meeting national <strong>and</strong>local targetsOur performance framework ensures we are ableto effectively monitor progress against national <strong>and</strong>local targets. The framework is based upon:• Clear accountability throughout the organisationensuring we are aware of what is expected of us• Established performance measures <strong>and</strong>indicators that will enable us to assess ourachievement in delivering high quality care <strong>and</strong>our overall strategic aims• The provision of appropriate information toenable reviews of local <strong>and</strong> organisationalperformance <strong>and</strong> on-going decision making.The Board of Directors receives a range of performancedata <strong>and</strong> information within a planned reportingframework to ensure monitoring <strong>and</strong> evaluationof progress <strong>and</strong> outcomes is undertaken <strong>and</strong>improvement interventions are directed when required.2.14 Significant changes we havemade to existing services <strong>and</strong> newservices we are providingDetailed information regarding the range <strong>and</strong> scopeof the changes we have introduced to improve <strong>and</strong>develop our services is outlined in section 2.4 ofthis report. At an organisation-wide level, the moresignificant changes that have been made to ourservices are summarised as follows:• We began building our new community centre tosupport people with learning disabilities who alsohave challenging behaviours. We have investedover £3 million in a new centre at Roewood tosupport the delivery of integrated care, support<strong>and</strong> treatment. This new service will integrateour community <strong>and</strong> inpatient teams so that care<strong>and</strong> support can be provided seamlessly acrosscommunity <strong>and</strong> residential settings. We are excited<strong>and</strong> proud of this long overdue development.The st<strong>and</strong>ard of the care we have provided at ourprevious service, the ATU, has been recognised bythe CQC as being of a very high st<strong>and</strong>ard, but in apoor quality environment. We look forward to ournew purpose-built facility supporting the service todeliver even better support in the future• We changed the way we provide our CMHTservices. Following consultation in 2011/12 wecombined our different teams into an integratedservice. We now have four teams, each coveringa different area of <strong>Sheffield</strong>. Each team providesfor new assessments, liaison <strong>and</strong> consultationwith primary care <strong>and</strong> short term interventions,crisis support <strong>and</strong> home treatment <strong>and</strong> ongoingrecovery support <strong>and</strong> treatment whereneeded. These changes were introduced overthe summer <strong>and</strong> autumn of 2012 <strong>and</strong> earlyevaluation of the impact has been positive• Towards the end of 2011/12 we combined ourpreviously separate day hospitals <strong>and</strong> dischargesupport teams for older adults into an integratedcrisis <strong>and</strong> home treatment support team. Thistype of support was available for working agedadults but not older adults within <strong>Sheffield</strong>.The new service fully started from April 2012onwards. The purpose of the service is to providecommunity based intensive support for people ina crisis as an alternative to hospital admission• As part of a national pilot our IAPT serviceshave been identified as one of seven Pathfindersites in the country. The pilot has aimed toexplore how best to support people with longterm physical health problems, <strong>and</strong> people withmedically unexplained symptoms through betteraccess to psychological therapies. The formalevaluation of the full pilot will not concludeuntil next year. Initial <strong>and</strong> emerging resultsfrom the pilot indicate that this developmenthas had a real <strong>and</strong> significant impact on thelives of people in <strong>Sheffield</strong>• Under the <strong>Sheffield</strong>-wide developmentprogramme, Right First Time, we have pilotednew services into <strong>Sheffield</strong> Teaching HospitalsNHS Foundation Trust. These services havelooked to exp<strong>and</strong> <strong>and</strong> support the provisionof advice, assessment <strong>and</strong> after care providedto older people with mental health problems,particularly dementia, who have been admittedfor general hospital care• We have developed a new service throughour SPACES service. The Recovery EducationProgramme (REP) is a short-term intensiveeducation programme designed to help peopleget back on track as part of their mental healthrecovery. The programme deals with a widerange of issues focussing on the challenges thatoften block a person’s recovery. This approach ispart of our overall recovery agenda, to promote<strong>and</strong> develop ways in which we can help peopleto better equip themselves to develop their ownplans to achieve their own goals• Following an engagement <strong>and</strong> consultationprogramme led by the Council, we implementedour plan to provide better quality <strong>and</strong> intensiverespite support for people who experienceemergencies with their support arrangements.Our plans aim to support people to stay athome rather than being admitted to hospital ora care home. We aim to deliver this through asmaller but higher quality respite service, <strong>and</strong>by supporting more people than at present withindividual care packages that are focussed onsocial <strong>and</strong> community engagement, deliveringrespite support in a non-residential way. Partof this plan has brought together servicespreviously provided by the Norbury <strong>and</strong> HurlfieldView resource centres, <strong>and</strong> as a result Norburywas closed in March 2013.2.15 How we work with our partnersWe work in partnership with the organisations thatcommission our services, namely NHS <strong>Sheffield</strong>,the emerging Clinical Commissioning Group<strong>and</strong> <strong>Sheffield</strong> City Council. This allows us tounderst<strong>and</strong> the health <strong>and</strong> social care needs in thewider population, to influence the commissioningapproach taken <strong>and</strong> to develop new services for thebenefit of the people of <strong>Sheffield</strong>.We work in partnership with a diverse groupof interested parties across the public <strong>and</strong> thirdsector, voluntary <strong>and</strong> local community groups. Thisallows us to develop better relationships with otherorganisations who support people in <strong>Sheffield</strong> <strong>and</strong>fosters better collaborative working between us.We use these opportunities to promote the needs<strong>and</strong> interests of the people that we serve <strong>and</strong>to reduce some of the barriers people can oftenexperience in accessing the services that they need.We also provide a number of services in partnershipwith other organisations.2.15.1 Delivering integrated health<strong>and</strong> social careWe have a formal partnership agreement with<strong>Sheffield</strong> City Council to deliver integrated mentalhealth services across health <strong>and</strong> social care forworking aged adults (people aged between 18 – 65years of age). Under this partnership, <strong>Sheffield</strong> CityCouncil has formally delegated to us its statutoryresponsibilities for the provision of services coveredby the partnership agreement. This partnershiphas been in place for over 10 years <strong>and</strong> has beeninstrumental in allowing us to develop <strong>and</strong> providethe services that we deliver. The people who use ourservices have benefited from our ability to develop<strong>and</strong> deliver genuine integrated models of servicesthat provide seamless care pathways across health<strong>and</strong> social care.Through our partnership arrangements with <strong>Sheffield</strong>City Council, we also deliver integrated services forpeople with learning disabilities. Together we haveestablished a single joint service model across health<strong>and</strong> social care.During this year we entered into a new partnershipwith Rethink, for the delivery of a Crisis Houseservice in <strong>Sheffield</strong>. We have commissioned Rethinkto provide a Crisis House, run <strong>and</strong> staffed by them<strong>and</strong> it is scheduled to open in April 2013.2526
This development is an important step in the waywe are improving how we support people whoexperience a crisis with their mental health. Itprovides more choice for people about how wecan support them. Rethink have a lot of experiencein providing crisis house services elsewhere in thecountry, <strong>and</strong> we are pleased to be developing thisimportant service in partnership with them.2.15.2 Intermediate careWe work in partnership with <strong>Sheffield</strong> TeachingHospitals NHS Foundation Trust to provideoccupational therapy <strong>and</strong> mental health servicesinto the intermediate care services they provide.2.15.3 Improving service user experienceIn partnership with MAAT Probe <strong>and</strong> other serviceusers we have continued the implementation ofRESPECT training following extensive review of ourservices in 2011/12 focussing on the prevention <strong>and</strong>management of violence <strong>and</strong> aggression. By workingin partnership in this way we have been able to effectsignificant <strong>and</strong> positive change to our practice inthis challenging area. Information regarding this isprovided in more detail in Section 11.<strong>Sheffield</strong> Wednesday’s Rob Jones helpinglaunch the 12 for 12 campaign2.15.4 Partnerships with the people whouse our servicesMost importantly, we work in partnership withthe people who use our services, our members<strong>and</strong> Governors who represent them. We worktogether in monitoring <strong>and</strong> evaluating the currentperformance of our services <strong>and</strong> in planning theirdevelopment in the future. Numerous examplesthat illustrate how we have benefited from thisare outlined in the Quality Report in Section 11.2.16 Valuing our staffSupporting Staff through ChangeThe drive to improve <strong>and</strong> respond positively tochanges in our social <strong>and</strong> economic environmenthas continued over the past year. Inevitably this hasinvolved both challenge <strong>and</strong> change. The Trust‘spolicies <strong>and</strong> procedures to help <strong>and</strong> support staffcontinue to be applied, <strong>and</strong> adapted as necessary, tomeet these requirements. The Trust’s redeploymentprocess in particular has been successful in helpingto ensure that the retention of staff is maximizedconsistent with skills <strong>and</strong> service requirements.The Trust also regularly provides the opportunity forstaff wishing to apply to leave employment underthe Mutually Agreed Resignation Scheme (MARS).This is based on a national model <strong>and</strong> so far therehave been 5 rounds of this scheme since it wasintroduced in April 2011. This has helped to reducethe headcount across the Trust consistent with thefinancial plans <strong>and</strong> situation.The CMHT reconfiguration has progressed successfullythough not without its’ challenges, <strong>and</strong> across theTrust there are a number of similar but smaller scaleprojects taking place. Currently the Trust is workingwith other Trusts in the city to re-orientate thearrangements relating to the provision of a numberof facilities management <strong>and</strong> other contracts.Throughout these processes the Trust has workedclosely in conjunction with Staff Side.The restructuring of Clinical Directorates last yearled to the development of closer integration of oursenior/middle managers (both between themselves<strong>and</strong> with the HR team) to enable greater sharingof knowledge <strong>and</strong> experience as well as helpingto ensure common issues are highlighted <strong>and</strong>addressed. The Executive Team has also reconfiguredsome of its roles <strong>and</strong> responsibilities to better matchinternal <strong>and</strong> external requirements.The coming year will see further considerationbeing given as to how to help facilitate changemanagement, including the provision of additionaltraining, tools <strong>and</strong> techniques. This is in anticipation<strong>and</strong> recognition of further changes includingthose relating to acute care <strong>and</strong> our social careestablishments. More broadly, the Trust has takenforward the development of its Training Prospectuswhich has assisted staff in ensuring that they havethe right skills <strong>and</strong> competencies for their role.The recognition of the importance of work-lifebalance has been demonstrated by our 12 for 12Campaign to improve staff health <strong>and</strong> well-being,which concluded in Autumn 2012. This involved12 sets of activities over 12 months picking up thetheme of the Olympic Games. It actively encouragedstaff to participate in activities such as cycling,walking, stress reduction, eating well <strong>and</strong> dancingamong other events. The Trust already has a numberof existing health <strong>and</strong> wellbeing initiatives e.g.Workplace Wellbeing, Mindful Employer <strong>and</strong> staffhealth <strong>and</strong> wellbeing web pages on the ‘Working forthe Trust’ section of the SHSC internet site. Howeverwe decided that we needed to consider further waysto engage staff around their health <strong>and</strong> wellbeing. A15 month ‘task <strong>and</strong> finish’ group was established <strong>and</strong>chaired by Sue Rogers, Non Executive Director. Thegroup had representatives from all the key sites acrossthe Trust including communications, estates, inpatientareas <strong>and</strong> community teams. The remit of this groupwas to develop staff engagement around health <strong>and</strong>wellbeing, review progress of the Boorman reportwithin the Trust <strong>and</strong> take forward some practicalideas. By offering a variety of experiences aimed atappropriate times of the year over a focused period,we hoped there would be something for most staff<strong>and</strong> that some would continue with activities afterthe events. With no NHS funding allocated to theproject we successfully applied for £3,000 from the<strong>Sheffield</strong> Charitable Trust to support ‘12 for 12’.About 935 people took part in the activities (basedon attendances at events, bookings <strong>and</strong> participationin activities). Whilst we are aware that some of thisnumber were repeat participants, we also knowthat there were others who accessed the website<strong>and</strong> used the information but did not attend events.Indeed, the web pages acquired 3560 hits duringthe campaign period. The Trust was awarded a silvercertificate from the NHS Sport & Physical ActivityChallenge, a scheme inspired by the 2012 Gamesto promote a healthy lifestyle <strong>and</strong> encourage <strong>and</strong>support staff to get more physically active.Work-life balance was also addressed through theintroduction of our Additional Leave Scheme during2012/13. This has provided staff with the scope toapply for up to 30 days additional leave as part of asalary exchange agreement. The scheme has provedvery successful in terms of take-up with 95 stafftaking on average around two additional weeksholiday. This has also contributed significantly tocost savings within the Trust. It has been agreed torun a similar scheme for the 2013/2014 financialyear. In addition to this new scheme, the Trust alsoupdated its Flexible Working Policy <strong>and</strong> renewed theVoluntary Reduction in Hours Scheme.As part of the 12 for 12 Campaign the Trustintroduced a salary exchange scheme for thepurchase of cycles. This scheme has been renewed<strong>and</strong> the Trust is currently in the process of extendingsalary-exchange schemes to other areas such asmobile phones <strong>and</strong> computers.2.16.1 Equal opportunity statementWe believe in fairness <strong>and</strong> equality <strong>and</strong> aim to valuediversity <strong>and</strong> promote inclusion in all that we do.This is demonstrated in our strategic vision, which isthat people who use our services will achieve theirfull potential, living fulfilled lives in their community.Valuing the diversity of people who work in ourservices <strong>and</strong> prioritising equal opportunity isessential to meeting this aim.We are committed to eliminating discrimination,promoting equal opportunity <strong>and</strong> doing all thatwe can to foster good relations in the communitiesin which we provide services <strong>and</strong> within our staffteams, taking account of gender, race, colour,ethnicity, ethnic or national origin, citizenship,religion, disability, mental health needs, age,domestic circumstances, social class, sexualorientation, marriage or civil partnership, beliefs<strong>and</strong> trade union membership. Everyone who comesinto contact with our organisation can expect tobe treated with respect <strong>and</strong> dignity <strong>and</strong> to haveproper account taken of their personal, cultural<strong>and</strong> spiritual needs.2728