Item 8 - Sheffield Health and Social Care

• Maintaining appropriate structures• Co-operating with other bodies• Risk management• Service performance and improvementin service quality.The tables below feature our ratings for the fourquarters of the last two years compared with theTrust’s expectation at the beginning of the yearas stated in our Annual Plans.2011/12The Trust was rated as Amber/ Red risk undergovernance following a review of its InpatientServices by the Care Quality Commission in theprevious year 2010/11. The CQC identified somemoderate/ minor areas of concern that the Trustneeded to address.The Trust implemented a development plan that wasagreed with the CQC, and the Amber/ Red assessmentremained until the action plan was completed.2011/12 Risk ratings compared to annual planAt the beginning of the year the Trust planned tohave completed the required actions by September2011, which it did so successfully.The progress made by the Trust was reviewed andacknowledged by the CQC and the Trust continuedwith a Green risk rating for Governance for the restof the year.During the 2011/12 year the Trust achieved ineach quarter all the quality standards requiredof a Mental Health NHS Foundation Trust.2012/13The Trust achieved all healthcare targets for eachQuarter with the exception of Quarter 2.During Quarter 2 the Trust failed to achieve therequirement to provide follow up care within 7days of discharge from inpatient care for peopleunder the Care Programme Approach. A rangeof improvement actions were implemented andthe Trust continued to achieve the target for therest of the year.2.3 Goals agreed with our NHS CommissionersA proportion of our income in 2012/13 was conditional on achieving quality improvementand innovation goals agreed between the Trust and any person or body they entered intoa contract, agreement or arrangement with for the provision of relevant health services,through the Commissioning for Quality and Innovation payment framework.For 2012/13 £1,639,911 of the Trust’s contracted income was conditional on the achievement of theseindicators. For the previous year, 2011/12, the associated monetary payment received by the Trust was£661,000. A summary of the indicators agreed with our main local health commissioner SheffieldClinical Commissioning Group for 2012/13 and 2013/14 is shown below.Incentivising improvements in the areas of Safety, Access,Effectiveness and User experiencesNHS Safety Thermometer Improve collection of dataWe wanted to improve collection of data in relation to pressure ulcers, falls, urinarytract infection in those with a catheter, and VTE. This was to ensure we were effectivelymonitoring safety. We were successful in implementing this programme during the year.Reducing variation in waiting times for patients referred to the IAPT servicesSome GP practices in Sheffield were experiencing longer waiting times than others.We wanted to reduce the waiting times in these practices by 10%. We were successfulwith this. Waiting times reduced from 7 weeks to 5.4 weeks.Goal during2012/13AchievedAchievedIs it acontinuedGoal for2013/14Annual plan2011/12Quarter 12011/12Quarter 22011/12Quarter 32011/12Quarter 42011/12Financial risk rating 4 4 4 4 4Governance risk rating Amber/ Red Amber/ Red Amber/ Red Green GreenReduced admissions to Acute Older Adult Wards through improvedcommunity are for people in a crisisWe had established new community services to provide alternatives to hospitaladmission. As a result of this we wanted to incrementally reduce the numbers ofpeople who needed hospital care over the year. We were partially successful inachieving this goal, with less people needing hospital care in 3 of the 4 quarterlyperiods during the year.Partiallyachieved2012/13 Risk ratings compared to annual planAnnual plan2012/13Quarter 12012/13Quarter 22012/13Quarter 32012/13Quarter 42012/13Financial risk rating 4 4 4 5 4Governance risk rating Green Green Amber/ Green Green GreenImproved recording of employment & vocational circumstances of peopleusing mental health servicesTo support our broader rehabilitation and recovery strategies we wanted to improvethe information we had about individuals circumstances to help us better understandtheir needs and the progress made in supporting their recovery. We were successfulin this, with 95.7% of service users in the target client group having the informationupdated in their care records.AchievedNoReduction in the number of falls causing harmThis goal supported our Quality Objective No 1. We successfully achieved our targetof reducing harm caused from falls by 5% this year (See Quality Objective 1 for details).Achieved103104