Agenda item

Lincolnshire Partnership NHS Foundation Trust - Update

(To receive a report from John Brewin (Chief Executive of Lincolnshire Partnership NHS Foundation Trust), which provides the Committee with an overview of the current issues within the Trust, and an update on recent feedback from the CQC re-inspection, current service developments and end of year 2016/17 performance)

Minutes:

Consideration was given to a report from John Brewin, Chief Executive of Lincolnshire Partnership NHS Foundation Trust, which provided the Committee with an overview of the current issues within the Trust, and an update on recent feedback from the Care Quality Commission (CQC) re-inspection.  Ian Jerams, Director of Operations Lincolnshire Partnership NHS Foundation Trust and Jane Marshall, Director of Strategy & Performance Lincolnshire Partnership NHS Foundation Trust were also in attendance at the meeting.

 

The Committee was advised that the Trust had undergone a full CQC re-inspection in April 2017; and had been rated overall as 'good'.  Details of the particular areas of progress since the initial inspection in 2015 were that:-

 

·         Services in the 'safe' domain had improved from inadequate;

·         The 'well led' domain had improved to good;

·         The Community Children and Adolescent Services (CAMHS) had continued to be rated as outstanding; and

·         The CQC had noted the transformation across the Trust in a short period of time; resulting in a positively engaged workforce; and good staff morale.

 

Further information relating to the achievements of the Trust and the measures that contributed to the Trust's improvement were contained in Appendix A to the report.

 

It was reported that the Service Developments going forward included:-

 

·         Proposals to address the out of area bed use.  The Committee noted that approximately 300 patients were receiving treatment out of county in 2015/16;

·         That a Psychiatric Intensive Care Unit (PICU) unit had opened earlier in July.  The facility provided ten beds for men with acute and severe illness.  It was highlighted that an equivalent women's unit was proposed to be opened by the end of 2018; and

·         Other developments included a Clinical Decisions Unit, investment in more intensive crisis and home treatment services; and the creation of a community based rehabilitation service.

 

The report also provided the Committee with details of the Five Year Forward View for Mental Health and Learning Disability, which was a national document that contained key objectives that needed to be in place by 2020/21.  Particular reference was made to the expansion of psychological services, improving access to psychological therapies for both people with long term conditions and children and young people.

 

It was highlighted that for 2016/17 the Trust had met all its financial targets and the majority of the other performance and quality indicators.  It was highlighted further that as the Trust had recorded a small surplus above the Control Total set by NHS Improvement of c£700k on a budget of £100m, the Trust would receive an additional bonus from the national Sustainability and Transformation Fund, and that this could be used to support on-going capital programmes.

 

The Committee was advised the most significant target that had not been met related to Delayed Transfers of Care.  It was noted that these had reduced, but remain challenging in older adult services, due to a lack of appropriate placements.

 

The Chairman on behalf of the Committee congratulated the Trust on its   achievements. 

 

During discussion, the Committee raised the following points:-

 

·         The Committee welcomed the report and the positive comments contained within;

·         One member enquired as to why the male Psychiatric Intensive Care Unit (PICU) had been completed first.  The Committee was advised that this was due to a higher number of men out of County requiring this secure facility compared to women and to the fact that the Trust only had limited resources available.  It was hoped that the successful opening of the male unit would provide impetus for the development of the female unit;

·         The Committee received a short explanation as to how the Trust had re-designed Ash Villa to comply with the 'same-sex' accommodation requirements;

·         Staff issues at the new PICU.  The Trust advised that staff had been employed in advance of the PICU opening were now working in other wards; however, a significant number of new qualified staff would be in place in August  and that currently the unit was bridging the gap by using bank staff;

·         Staff Morale, how did the Trust  know that it was continually improving – The Committee noted that 60% of staff had responded to the staff survey; and the Trust had achieved the most improved Mental Health Trust rating;

·         Support for Volunteers – The Trust advised that this area had been recently reviewed; and the previous Volunteer Manager post had been reviewed and  bench marked against other Trusts;

·         One member enquired as to whether the Council received income from out of Lincolnshire residents using Lincolnshire services.  The Committee was advised that there were very few out of County patients in Lincolnshire.  If there was an acute emergency admission required, this would be commissioned through NHS England on a regional basis. It was confirmed that Clinical Commissioning Groups bore the financial cost for out of County beds.  It was confirmed that as Lincolnshire did not have some specialist services as there was not the volume of cases.  An example given was a mother and baby unit, the Committee noted that there was good working relationship in place with Nottingham to use their facilities in these instances;

·         Vacancy rates – The Trust confirmed that this was an issue in Lincolnshire, particularly with an ageing workforce. The Committee was advised that focus was being made on recruitment and retention;

·         Provision of Supported Housing Outreach Workers – It was reported that the Trust would like to expand the service where there was a case; and that the Trust would only be able to do this if they got extra resources; and

·         The Trust confirmed they worked very closely across the County with Neighbourhood Teams, the Community Trust; and GPs.

 

RESOLVED

 

That the Lincolnshire Partnership NHS Foundation Trust – Update be noted.

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