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Avon and Wiltshire Mental Health Partnership NHS Trust ...

Page 1 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Avon and Wiltshire Mental Health Partnership NHS Trust Annual Report 2016/17 Page 2 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Contents Performance Report A Statement from our Chair and Chief Executive 06 Introduction About the Trust 08 Our Staff 17 Our Sustainability 21 Accountability Report Corporate Governance Report 27 Directors Report 27 Annual Governance Statement 31 Remuneration Report 52 Financial Statements AWP Accounts 2016-17 65 Page 3 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust glossary of abbreviations for 2016-17 Annual Report The following glossary is provided to help those who are unfamiliar with the abbreviations and terminology used within AWP. A list of abbreviations in use throughout the wider NHS can be found here: Abbreviation Definition A A&R Audit and Risk Committee [AWP] AGS Annual Governance Statement AOP Annual Operating Plan AWP Avon and Wiltshire Mental Health Partnership NHS Trust B BNSSG Bristol, North Somerset & South Gloucestershire BSW Bath, Swindon & Wiltshire C CAMHS Child and Adolescent Mental Health Services CIP Cost Improvement Plan CCG Clinical Commissioning Group CD Clinical Director CEO Chief Executive Officer CIS Cost Im

Page 3 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Glossary of Abbreviations – for 2016-17 Annual Report The following glossary is provided to help those who are unfamiliar with the abbreviations and

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Transcription of Avon and Wiltshire Mental Health Partnership NHS Trust ...

1 Page 1 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Avon and Wiltshire Mental Health Partnership NHS Trust Annual Report 2016/17 Page 2 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Contents Performance Report A Statement from our Chair and Chief Executive 06 Introduction About the Trust 08 Our Staff 17 Our Sustainability 21 Accountability Report Corporate Governance Report 27 Directors Report 27 Annual Governance Statement 31 Remuneration Report 52 Financial Statements AWP Accounts 2016-17 65 Page 3 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust glossary of abbreviations for 2016-17 Annual Report The following glossary is provided to help those who are unfamiliar with the abbreviations and terminology used within AWP. A list of abbreviations in use throughout the wider NHS can be found here.

2 Abbreviation Definition A A&R Audit and Risk Committee [AWP] AGS Annual Governance Statement AOP Annual Operating Plan AWP Avon and Wiltshire Mental Health Partnership NHS Trust B BNSSG Bristol, North Somerset & South Gloucestershire BSW Bath, Swindon & Wiltshire C CAMHS Child and Adolescent Mental Health Services CIP Cost Improvement Plan CCG Clinical Commissioning Group CD Clinical Director CEO Chief Executive Officer CIS Cost Improvement Scheme CPA Care Programme Approach CQC Care Quality Commission D E ED Executive Director F FFT Friends and Family Test F&P Finance and Planning Committee [AWP] FIP Financial Improvement Plan G H I IQ Information for Quality ICD International Classification of Diseases IAPT Improving Access to Psychological Therapies IM&T Information Management & Technology J K Page 4 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust L LDU Local Delivery Unit LIFT Least Intervention First Time M MD Medical Director N NED Non-Executive Director NHS National Health Service NHSE National Health Service England NHSI NHS Improvement [now including Monitor and the TDA] O P PMO Project Management Office Q QD Quality Director QIP Quality Improvement Plan Q&S Quality and Standards Committee [AWP] R RAG Red/Amber/Green (rating)

3 RemCom Remuneration Committee [AWP] S SDU Service Delivery Unit SEQOL Community Services Provider in Swindon SFFT Staff Friends and Family Test SUI Serious Untoward Incident SMT Senior Management Team [AWP] SOFP Statement of Financial Position SOP Standard Operating Procedure SRO Senior Responsible Officer Stat/Man Statutory Mandatory Training STP Sustainability and Transformation Plan (now Partnership ) SUI Serious Untoward Incident T TDA Trust Development Authority [now NHSI] U/V W WTE Whole Time Equivalent Y/Z Page 5 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Welcome! Thank you for reading our annual report 2016/17 the story of our year. This year s annual report is a story about pride, determination and meeting challenges with a smile. It s also a story about listening to feedback from our service users, staff and partners and working together to find solutions.

4 Above all it s a story about people sharing a commitment to making lives better. Our purpose is to provide the highest quality Mental healthcare that promotes recovery and hope. Find out more about our Trust at You can also keep in touch with us through social media: Page 6 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust Part 1 Performance Report A joint statement from our Chair and Chief Executive Welcome to our 2016-2017 annual report. We are proud to present our achievements of last year, especially given the challenging NHS environment, both locally and nationally. Our year can be summarised as one of positive service development and quality improvement against a backdrop of significant financial challenge. Our first priority is, and always will be, to deliver the best care we can and improve the experience of those using our services.

5 We monitor service performance closely, using a range of quality and operational performance measures. Throughout the year we succeeded in meeting our performance targets with the exception of delayed transfers of care where challenges in social care have impacted on our ability to support individuals into more appropriate settings. Our service improvement in the past year focused on reducing variation in care, improving the physical environment in which care is provided, improving access to inpatient services and encouraging participation in clinical trials through our innovative Everyone Included approach. Following a comprehensive Care Quality Commission (CQC) inspection in June 2016, we were rated good in the effective, responsive and caring domains and rated as requires improvement in safe and well-led domains. We were given an overall rating of requires improvement.

6 The CQC noted the significant improvements we had achieved since our previous inspection and endorsed our improvement plans. We were required to take specific and rapid action in two areas and have responded swiftly. We look forward to welcoming inspectors back in June 2017 to see the progress we have made. Our Quality Account describes in greater detail the improvements made in year and the outcome of our 2016 CQC inspection. We are delighted to have welcomed new services to our portfolio during the year, allowing us to provide care at every stage of life, starting with our community perinatal service and Mother and Baby Unit through to expert care provided in our older adults specialist environments. Success in winning these contracts provides evidence of commissioner confidence in our capability as an organisation to provide excellent care. In Partnership with Wiltshire Clinical Commissioning Group, we are proud to have opened the Wiltshire Daisy , an innovative, first-of-its-kind, highly specialised residential service for individuals with learning disabilities and complex needs.

7 In another example of multiagency working across our region, the care of individuals requiring emergency detention and support through our places of safety will be transformed. We would like to express our thanks to all of our hard working and dedicated staff who support and deliver excellent care to people who need our services. We are proud of their achievements and were delighted that CQC inspectors observed the compassionate and responsive care which they provide. It is vital to continually maintain our focus on improving staff engagement and experience through a range of methods with an active focus on Health , wellbeing and diversity. We achieved modest improvements in our annual staff survey and remain committed to transforming our culture to ensure a supportive environment which promotes compassionate care. Charlotte Hitchings, Chair Page 7 of 65 Avon and Wiltshire Mental Health Partnership NHS Trust In terms of financial performance, it was a year of significant challenge and we ended the year with a deficit of million, a significant departure from our planned surplus position.

8 However, we have comprehensive improvement plans to address the financial shortfall from 2016/17 and restore financial balance. We are supported to make these changes through participation in the Financial Improvement Programme enabled by NHS Improvement. Further detailed information on our financial position can be found in our annual accounts. To deliver the ambitions set out in the Five Year Forward View the past year has seen the establishment of 44 Sustainability and Transformation Partnerships (STP), collaborations of local Health and social care partners working together to transform local services to manage increasing demand through collective action. AWP is an active partner in two STPs (Bath and North East Somerset; Swindon and Wiltshire (BSW) and Bristol, North Somerset, South Gloucestershire (BNSSG) and we welcome the emphasis on integration of physical and Mental Health and commitment to parity of esteem.)

9 We welcome the heightened focus on Mental Health and ambitions set out in the Five Year Forward View for Mental Health and will work with partners across the Health and social care system to achieve the ambitions set out in this document. There are a number of risks to the achievement of our plans and priorities. Key risks include engaging our staff in the journey of improvement, transforming our culture and retaining our workforce and achieving financial balance. These risks are more fully described on page 11. Guiding the organisation through these challenging times is a committed Board of Directors. During the course of the year we said goodbye to a number of directors and welcomed new colleagues. We would like to acknowledge the contribution of Tony Gallagher, former Chair, and other Board members who left during the previous year and thank them for the role they played in our improvement journey.

10 Whilst significant change in Board leadership can be disruptive, we are confident that the skills, experience and commitment new Board members bring will enable AWP to go from strength to strength. Full details of change in Board membership is provided in the Directors Report. As the new Chair, I have appreciated the warm welcome I received on joining the organisation and enjoyed learning about the excellent care provided by our staff. This report captures the significant improvements achieved in year and notes the challenge we face in securing a sustainable future in which AWP continues to meet the needs of those using our services. We have identified priorities for 2017/18 and set objectives to address our key risks. We are confident that the improvement plans we have in place will build our resilience. Thank you for reading our annual report; if you would like to get involved please do get in touch.


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