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Item 7 BIRMINGHAM and SOLIHULL MENTAL HEALTH NHS Item 7 BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST BOARD OF DIRECTORS TO BE HELD ON WEDNESDAY 29 AUGUST 2012 CHIEF EXECUTIVE’S REPORT ACTION: This is the CEO’s briefing of current and emerging issues and our responses to those to date. The Board of Directors are required to digest this information; seek points of clarification and debate the direction of travel that this contextual briefing will have upon our future plans and decision making as a Board. 1. National Policy/Changes Sir David Nicholson (CEO, NHS Commissioning Board Authority and Chair of the National Quality Board) has issued a report outlining how ‘quality’ will operate within the new NHS architecture. The main messages in the report are as follows: • Quality is systemic. It is not the responsibility of any one part of the system; it is the collective endeavour, requiring collective effort and collaboration at every level of the system. • Clarity and understanding is required concerning the distinct roles and responsibilities for quality across the system. • Frontline professionals (both clinical and managerial) who deal directly with patients and carers are critical. • Boards and senior leaders of healthcare are ultimately responsible and accountable for ensuring the quality of care delivered is high, and for when things go wrong. • Commissioners are responsible for the quality of care they commission and regulators should perform their statutory functions with the best interests of patients at heart. • To strengthen the new system the report sets out a new network of local and regional Quality Surveillance Groups (QSG’s). QSG’s will bring together commissioners, regulators and other parts of the system to share information and intelligence about quality in order to spot the early signs of problems and to take corrective and supportive action to prevent early problems becoming more serious quality failures. These will be supported and facilitated by the NHS Commissioning Board and will be operational in each local area by April 2013. • The National Quality Board’s report can be found at www.dh.gov.uk/health/2012/08/quality-new/. I suggest this is received in depth during one of our forthcoming Board seminar sessions and then taken forward through our Quality and Safety Committee. 2. Transitional Changes and National Arrangements In preparation for the changes across commissioning arrangements as part of the Health and Social Care Bill, the following transitional arrangements will come into effect from the 1 October 2012: • Birmingham and Solihull PCT Cluster and the Black Country PCT Cluster will cease their operational duties on 30 September 2012. The Birmingham, Solihull and Black Country operating arm of the National Commissioning Board will be established in ‘shadow’ form from 1 October 2012. Page 1 of 3 • PCT Clusters will retain their statutory and governance functions until April 2013. To ensure stability and resilience over the coming six months through transition, regional Directors of the NHS Commissioning Board will assume operational delivery and responsibility for planning 2013/14. 3. No Health Without Mental Health The implementation framework for the national mental health strategy – ‘no health without mental health’ has been published. A summary is included at Attachment 1. Directors are working to ensure that the contents feed into our own service planning arrangements and indeed into discussions with current and emergent Commissioners. 4. Care Quality Commission The CQC have undertaken several visits over recent weeks; Meadowcroft (July), Eden PICU (July), Trust wide systems for safeguarding (August 2012) and Juniper Centre (August 2012). Final reports for Meadowcroft and Eden PICU have been published and confirm that the CQC have found the services to be compliant. The draft report for Trust wide safeguarding systems has been received for comments and again finds the Trust to be compliant. The final report will be published in September. The report for Juniper is part of a wider national review of services for older people which focuses upon dignity and nutrition. Feedback on the day of the visit was positive, but the report may take longer to issue since it is part of a national review. Once the report concerning Trust wide safeguarding systems is published, Monitor will review our governance ratings which are currently assessed as amber-red. With full compliance having been reported from each of the visits this should restore our Monitor rating to either amber-green, or green. The outcome should be known in time for our AGM in September. 5. Monitor Key Targets The Board will be aware that the Trust was unable to declare compliance with the newly introduced target for ‘% of CPA reviews conducted within the past 12 months’ at Quarter 1. I am pleased to report that the required 95% compliance was achieved as at 21 August 2012. Providing this performance continues to be sustained (or improved further) this will result in a positive declaration for Quarter 2. 6. Service Changes: Patient Safety Newbridge House acute inpatient units cater for both men and women. Although technically compliant with DH requirements it has remained a source of some unease for the Board that both men and women who are acutely unwell are cared for within the same unit. Following two recent incidents at Newbridge House, I have used my temporary closure/service change powers as Accounting Officer of the Trust to move swiftly towards the conversion of Newbridge House into a single gender unit. We will of course seek a presentation to the Health Overview and Scrutiny Committee at the earliest opportunity. The changes result in Newbridge House becoming an all-female unit serving Birmingham North and East, with Eden acute (Northcroft) becoming an all-male unit serving Birmingham North and East. Commissioners are aware and supportive. Solihull acute wards continue with the same constraints as Newbridge has had. Page 2 of 3 Options are being actively discussed with Commissioners in Solihull but since this may require the utilisation of Birmingham based facilities for Solihull residents, agreement may be more difficult to reach. The situation will be kept under close review balancing both ease of access with patient safety Sue Turner Chief Executive August 2012 Page 3 of 3 briefing July 2012 Issue 247 No Health Without Mental Health: implementation framework Key points In February 2011 the Government published No Health Without Mental Health, its cross-government, all-age strategy for mental health in • In February 2011 the England.1 The NHS Confederation’s Mental Health Network (MHN), on Government published No behalf of its members, was heavily involved in the development of the Health Without Mental Health, strategy. We welcomed the vision it set out to improve outcomes for its strategy for mental health in England. mental health service users and promote positive mental health and wellbeing amongst the whole population. Delivering the improvements • The strategy set out six objectives the strategy aims for will be a key test of the Government’s wider reform for improving mental health and programme. wellbeing. • The Mental Health Network The implementation framework has been developed jointly by the has been working with the Department of Health, the MHN, Mind, Rethink Mental Illness, Turning Department of Health and Point and the Centre for Mental Health. The framework has three other partners to develop an central aims. Firstly, it sets out how progress will be monitored through implementation framework for outcomes, and how the range of outcome measures currently available the strategy. will be built upon in future. Secondly, and most importantly, it makes a series of recommendations for local and regional organisations to take • The implementation framework forward. Thirdly, it details a series of national commitments to support recommends evidence-based implementation. actions for the NHS, other public services and employers. This Briefing provides an overview of the framework, focusing on those • The framework details how areas that are most relevant to providers of NHS mental health services. success will be measured and how future work on outcomes indicators will be taken forward Background be taken forward. For the nationally. Department of Health, important Changes set out in the Health levers to help drive improvement and Social Care Act marked out include the mandate to the NHS new parameters within which Commissioning Board and the new implementation of No Health NHS, public health and adult social Without Mental Health could care outcomes frameworks. briefing 190247 TheNo Health CRC Energy Without Efficiency Mental Scheme Health: andimplementation the NHS: what framework you need to know and do For the NHS, the role of the NHS ‘We expect our organisations to be judged by the contributions Commissioning Board in driving they make to realising this framework’s ambition’ forward implementation will be Joint foreword to the implementation framework by Sir David critical, particularly as the Board Nicholson (NHS Chief Executive and Chief Executive Designate, comes to consider how it will NHS Commissioning Board) and Duncan Selbie (Chief Executive construct the Commissioning Designate, Public Health England) Outcomes Framework, and in its role as a commissioner of NHS services. The Board’s endorsement of the framework is therefore Health will publish a national user engagement, pointing to particularly welcome. Similarly, mental health dashboard
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