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/WarringtonAndHaltonHospitalsNHSFoundationTrust/ @WHHNHS O u r S t r a t e g y 2018 - 2023 Our mission is to be OUTSTANDING for our patients, our communities and each other. Our Mis Page 04 Our Mis, Vis, Val, Aim an Obet Page 05 Abo W Page 06-07 Cont - The Chan Hel Lanc Page 08-09 Delin or Qul Obet Page 10-11 Delin or Pep Obet Page 12-13 Delin or Susaby Obet Page 14-15 Clil Stag an Sers Page 16 How or Mis is be aced Page 17 Enan Stage Page 18-22 How we go he - Enam to da Page 23 Our sat in ac Page 24 2 Cont 3 Our Mis We will be OUTSTANDING for our patients, our communities and each other. Ste Mcu Mel Pic Chairman CBE DL Chief Executive In order to realise this goal, we recognise that we need the engagement and collaboration of our staff, our patients and local population and our partners across the health and care system. We commit to: Always put our patients first through high quality, safe care and an excellent patient experience Be the best place to work with a diverse, engaged workforce that is fit for the future Work in partnership to design and provide high quality, financially sustainable services in innovative and modern buildings We believe WHH has a strong future as part of a progressive local integrated health and care system with new hospital estate at the heart and a focus on supporting our populations to live long and healthy lives independently. Internally, our focus firmly remains on continually improving the quality of our care, embracing new ways of working and developing and empowering our staff to lead change and improvement. Abo ti don This document sets out our vision for the next five years for your hospitals. It sets out the plans that we have to continue to deliver high quality, safe and sustainable health and care services for the local population of Warrington and Halton and beyond. It highlights any changes that you might see to our services as we adapt to the demands from an ageing population and the rapidly changing local and national picture across the wider NHS. The document starts by outlining our overall Trust strategy including our objectives of Quality, People and Sustainability. It then describes our clinical strategy and enabling strategies, demonstrating how these support the delivery of our overall strategy. A summary of the extensive engagement undertaken to develop and deliver our strategies is also provided. 4 5 Our Trust comprises three acute (secondary) care Abo hospitals across two sites in the Boroughs Warrington Hospital of Warrington and Warrington Hospital focuses on emergency and Halton, making us part specialist care and has all the backup services of the mid-Mersey required to treat patients with a range of complex health economy. medical and surgical conditions and provides a full range of expert inpatient and outpatient services. Warrington Hospital is Warrington Hospital is home to our accident and the home of all of our emergency department and maternity services as emergency and well as specialist critical care, cardiac and surgical complex surgical care, units. our ‘hot’ site, while Halton General Hospital in Runcorn is Cheshire & Merseyside Treatment Centre a centre of excellence for planned routine The Cheshire and Merseyside Treatment Centre is surgery. The Cheshire the home of orthopaedic surgery and treatment and Merseyside services located on the Halton Hospital campus. Treatment Centre Here we perform a wide range of surgeries including (CMTC) is home to our hand, foot operations and joint replacements. We orthopaedic surgery treat complex sports injuries (sports medicine) and services based on the provide other bone and joint care services. The Halton General site. centre was purpose-built for orthopaedic surgery Although each hospital and it is an extremely popular choice in the region for focuses on particular surgery with excellent patient feedback. aspects of care, we provide outpatient clinics for all our specialties and Halton Hospital diagnostic (scanning) A range of planned care for medical and surgical services at both conditions is provided at Halton Hospital delivering Warrington and Halton both inpatient and outpatient services. Without the sites so patients can pressured environment of its emergency care sister; access their Halton is a warm, friendly and welcoming appointments closer to environment for expert surgical care. The hospital is home wherever also home to the extremely successful Runcorn possible. We also Urgent Care Centre that provides a range of minor provide some emergency care services for local people until 8pm outpatient services in daily. We also provide some chemotherapy services the local community. on site at the CanTreat Chemotherapy Centre and the site is home to the Delamere Macmillan Unit. 6 IN 2017/18 WE SAW APPROXIMATELY A&E 112K VISITS + 30K URGENT CARE VISITS We ha ci We der beds across 2 sites 540 500K individual patient appointments, procedures and stays Around 3,000 ba ar bo at Warg Hosl Eac ye We ar po to ha be na as on of te 100 best place to work in te N - Hel Ser Jor WE EMPLOY AROUND STRONG 4,200 WORKFORCE COMPRISING 52 NATIONALITIES 7 Cont The Changing Health Landscape Warg Hal The population has The population has increased by over 9% over increased by almost 8% the last 15 years. over the last 15 years. The population is The population is projected to increase by a projected to increase by a further 8% with the further 2% with the number of people aged number of people aged 65+ set to increase by 65+ set to increase by over over 50%. 45%. But on.. Alo on.. increase in emergency hospital increase in the increase in the admissions number of Doctors number of Nurses 25% nationally over last 15% employed 3% and Health 10 years. nationally. Visitors nationally. Loc Chan The current challenges facing the NHS are multi-layered, sizeable and real. Growing demand for services from an ageing population, national/local workforce availability and recruitment challenges and political volatility mean that we currently operate in an unprecedented and ever-changing environment. Both Warrington and Halton have health and wellbeing outcomes below the national average, including high rates of alcohol specific condition admissions to hospital and high rates of elderly people suffering injuries due to falls. Respiratory patients and those living with dementia in Warrington spend more unplanned time in hospital during their last year of life. Halton has a higher than average rate of premature death. Fro a sunat pepve, te Tru ha an unlg fica det of ab £20m an te este co of bal mana acs or ag es is ar £14m an rig. 8 WHH forms part of the Cheshire & Merseyside Health & Care Partnership and is working alongside other local partner organisations to explore solutions to common national and regional challenges. Loc we pob, cer we nes Elective Care Urgent Care Women's & Children's Pathology National Radiology Cancer Services Level Cheshire and Merseyside Health and Care Partnership Local Configuration of Services Placed-based configuration of Out of Hospitals Primary Care Services services e.g. Warrington Self-management/Prevention Social Care WHH is also playing a key role as part of the development of integrated health and care services across both Warrington and Halton as part of the Warrington Together and One Halton programmes. WHH continues to focus investment in places where the biggest impacts will be seen. 9 Delin Our Qul Obet Our 3 strategic objectives under the quality domain are: Patient Safety - We are committed Patient Experience - By focusing on Clinical Effectiveness - Ensuring to developing and enhancing our patient experience we want to place practice is based on evidence so patients’ safety through a learning the quality of patient experience at that we do the right things the culture where quality and safety is the heart of all we do where ‘’seeing right way to achieve the right everyones top priority. the person in the patient’’is the norm. outcomes for our patients. Our quality strategy has been developed to ensure patients are safe in our care, to provide patients with the best possible clinical outcomes for their individual circumstances and to deliver an experience of hospital care which is as good as it possibly can be. Mese of sus We will ensure that we We will communicate in line minimise harm for patients with our values We will have safe systems of We will ensure that we are providing work in place care that is evidence based Every patient should have the opportunity to give feedback about We will ensure that we are focused on their experience and we promise to outcomes for patients and that we are use this to improve care and services benchmarking/peer reviewing ourselves against the ‘best in class’ We will ensure partnership working and needs based care. We will simplify We will ensure that we foster a patient focused processes culture of Quality Improvement 10 Exal of por Ward Accreditation Programme In May 2018 the Trust launched the Ward Accreditation Programme, which is designed to ensure consistent high quality, safe and compassionate care services across the whole organisation. The programme sets clear expectations in relation to ACE the achievement of specific safety and quality standards, setting ambitious but realistic goals and taking wards on a quality Accreditation for Care improvement journey. and Excellence The framework provides a process of assurance from ward to Board and includes an ‘award status’ based on level of success achieved. The Ward Accreditation Programme strengthens leadership at ward level, supports improvement in the quality of care our patients receive, reduces avoidable harm and improves patient experience.

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