Presented to Parliament pursuant to Schedule 7, paragraph 25(4) of the National Health Service Act 2006. Birmingham and Solihull Mental Health NHS Foundation Trust Annual Report and Accounts 2011/12 ANNUAL REPORT AND ACCOUNTS 2011/12 1 Welcome Part three: Review of quality 44 Welcome to our trust 2 Appendix one: Supporting statements 50 About our trust 4 Annex: Statement of directors’ Our mission 4 responsibilities 52 Our services 4 Appendix two: Indicator definitions 53 s An award-winning trust 4 Appendix three: How we established In the spotlight 5 priorities for improvement 2012/13 53 Independent auditor’s report on t Patient care the annual quality report 57 New services for patients 6 Changes to our services 6 Our staff, our greatest asset Improvements in patient Workforce profile 60 care information 7 Equality and diversity 60 n Real time patient feedback 8 Staff wellbeing 62 Comments and complaints: A commitment to learning and How we handle them 8 development 62 Improvements following staff National Staff Survey 2011 64 or patient input 8 Communicating with our staff 65 e Progress on commissioners’ targets 9 Working in a healthy, safe and secure Infection prevention and control 9 environment 65 Strategy for professional nursing 2014 11 Managing violence and aggression 65 t Learning lessons 11 Looking to the future 11 Meet the board 66 Audit committee 69 Innovations in mental health Rapid Assessment, Interface and Meet the governors 70 n Discharge (RAID) Service 12 What do governors do? 71 Research and innovation 14 Our governors 71 Outcomes 14 Attendance at Assembly of Governors meetings 72 Stakeholder relations A busy year for our governors 73 o Communicating with our stakeholders 18 Our membership 18 Directors’ report Engaging with the community 19 Principal activities 74 Partnerships: Working together 20 Summary financial accounts 75 Statement of chief executive’s c Non-financial reporting responsibilities 78 Sustainability and climate change 22 Annual governance statement 78 Regulatory ratings 25 Remuneration report 82 Ill health retirements 84 Quality report Auditors’ opinion 85 Part one: Statement on quality 28 Annual accounts 2011/12 87 Part two: Priorities for improvement 2012/13 30 2 ANNUAL REPORT AND ACCOUNTS 2011/12 welcome to our trust Welcome We are pleased to introduce you to and Facilities Management Association’s the annual report for Birmingham and Good Practice Awards in April, and the Solihull Mental Health NHS Building Better Healthcare Awards in Foundation Trust for the 12 month November, showed what could be period from April 1, 2011 to achieved, in light of a spate of stories March 31, 2012. highlighting poor nutrition at some of the The past year presented a mix of country’s NHS hospitals. challenges and changes that affected Good nutrition and choice of meals the NHS, but we have worked hard to was just one of the many factors to improve our trust so that it provides the consider in a patients physical and most appropriate treatment for people mental wellbeing, which are at the heart with mental health problems in the best of our newest facility – the Juniper possible environment. Centre in Moseley – which was officially During 2011/12, our commitment to opened in June. improving our services continued with Without hesitation, deviation or the implementation of the Rapid repetition Nicholas Parsons, presenter of Assessment, Interface and Discharge Radio 4’s Just A Minute officially opened (RAID) service at City Hospital in the Juniper Centre in Moseley on June Winson Green, Birmingham, as its ability 1. He was joined by the Lord Mayor of to reduce waiting times, improve patient Birmingham, Councillor Anita Ward, as outcomes and save money received they met some of our service users at national recognition. the event. Dr Hugh Griffiths, the Government’s The £17.7m, 54-bed facility is a unique mental health tsar, met the service’s development which sits next to existing pioneering team of clinicians at City physical health services for older adults, Hospital in April, and in January his provided by Birmingham Community colleague Professor Alistair Burns, the Healthcare NHS Trust. Our new hospital national clinical director for dementia, is a specialist centre where stroke delivered a key note speech at our first services, rehabilitation and diagnostic RAID conference, which was held at the facilities for managing physical and International Convention Centre in mental health services for older people Birmingham. are brought together on the same site. Following its successful pilot phase, Our trust also saw a change on its the service received further funding to board when Professor Peter Marquis continue its work at City Hospital. By the retired from his role as the trust’s end of the financial year, the service chairman in September. Sue Davis, CBE model for RAID was being implemented – former Chair of Sandwell and West at four other NHS hospitals in the region. Birmingham Hospitals NHS Trust Innovative services like this are often (SWBH) – was formally appointed as born from a need to address a problem, Chair of BSMHFT in November, and our staff continued to come up with following an extraordinary meeting of the creative – and in some cases, award- Assembly of Governors. winning – solutions. Partnerships, in particular forging new Staff from our estates and facilities, relationships with NHS and third sector dietetics, and occupational therapy organisations, were a strong feature of teams won two national awards for their the year. innovative approach to improving the In May, the trust signed an agreement choice and quality of patients’ food. with the Birmingham Repertory Theatre Their success at the Health, Estates and The Hearth Centre to use drama to ANNUAL REPORT AND ACCOUNTS 2011/12 3 promote mental wellbeing. The three partners will work together to share their skills, expertise and resources to encourage service users to engage in arts-based activities and to help reduce the public stigma around mental health. Another artistic collaboration was sealed in December, when the trust signed a memorandum of understanding with social development agency Sound It Out, to formally recognise our shared commitment to provide people with opportunities in music, whether that involves blowing their own trumpets or Solihull High Street (Photo courtesy of Stephen Hogan) singing a new song. Sound It Out has a long track record been working closely with GPs, who will with our 13,080 members, involving for delivering high quality development become responsible for purchasing them in our work. programmes that often give people with healthcare services for the communities Furthermore, we will do our best to no or limited access to musical education they serve. improve our service users' lives through or instruments the opportunity to work Now there is a greater emphasis on our work with other organisations. This with musicians across the West Midlands. GP care, we need to continue our work means working with people's carers, A third agreement was signed in with the community to raise awareness their families and the wider community January, as we joined forces with of mental health issues, and work to help them lead purposeful lives Birmingham Children’s Hospital NHS closely with GPs to maximise the among people who accept them – Foundation Trust to improve mental amount of mental health information breaking down the barriers of stigma, health services for young people across available to the public. which often accompany mental health the city. As the NHS landscape is set change, problems and lead to social isolation. Both trusts signed a partnership trusts are facing difficult choices over As our trust, like much of the NHS, agreement as a commitment to how they use their shrinking budgets. In faces some major changes and big strengthen services to improve the care recognition of this our most senior decisions over the coming years, we received by children, young people and employees have taken a 4.2 per cent publish our board papers on the trust’s their families. We have been working pay cut in their salaries this year. website and now invite governors to part closely to provide an intensive home We have worked closely with our of our monthly board meetings, to support service to young people with the commissioners to manage a reduction in involve them in discussions on key most enduring and serious mental health funding for our Birmingham Healthy Minds issues. From 2012/13 our board problems. This work has already resulted services and, as a result, we have had to meetings will be open to the public and in more children across the city getting change how these services are delivered. members of the media, in a move to the care they need closer to home, rather We recognise that working with our improve the organisation’s transparency. than being admitted to hospital. commissioners and others in the health On behalf of the trust board, we would Further recognition of our work with economy to deliver real savings for all like to acknowledge and thank our staff young people, was given to staff at is the only way to address the for the hard work, professionalism and Ardenleigh who worked incredibly hard challenges ahead. dedication they show each and every to achieve autism accreditation from the We believe that we have a significant day in delivering modern, high quality National Autistic Society, which was role to play in supporting the health and safe services to our service users, awarded to our forensic children and economy to improve services and make carers and their families. adolescent mental health service in savings outside of traditional mental We would also like to thank our service January. Our service was the first health services, as demonstrated by users, carers, volunteers, community service of its kind in Britain to achieve RAID.