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An Introduction to Leicestershire Partnership NHS Trust. A passion for quality and excellence. Leicestershire Partnership NHS Trust provides community health, mental health and learning disability services across Leicester, Leicestershire and Rutland .
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An Introduction toLeicestershire Partnership NHS Trust A passion for quality and excellence
Leicestershire Partnership NHS Trust provides community health, mental health and learning disability services across Leicester, Leicestershire and Rutland. As well as caring for people who are ill or injured, we also support people to stay well and prevent future problems.
About us • Serving one million people living in the city of Leicester and the neighbouring counties of Leicestershire and Rutland. • 212,000 people - one in four of the local population - accessed the Trust’s services during 2011/12. • We have a budget of approximately £276m. • We employ around 6,000 members of staff in a wide variety of roles. • We deliver services from many different locations - hospitals, longer term recovery units, outpatient clinics, day services, GP surgeries, children's centres, schools, health centres, people’s own homes, care homes and prisons.
About us • The Trust has ten community hospitals. • Most people are referred to our services by their GP. • We work with family doctors (GPs), local hospitals, social services and other local authority departments such as housing and education. • We work with voluntary organisations, local community groups and local people. • LPT is a teaching Trust conducting research and providing training and education for medical, psychology, nursing and therapy students.
The population and communities we serveWe serve apopulation of around onemillion people inLeicester,Leicestershireand Rutland andprovide anumber ofspecialist servicesto populationsoutside the area.
Our ServicesOur services are organised into four clinical divisions, supported by a number of corporate (enabling) departments. • Trust Secretariat/ Corporate Governance • Chief Operating Officer Directorate • Finance, Information and Performance Directorate • Human Resources and Organisational Development Directorate • Our corporate (enabling) departments • Chief Executive Officer Directorate • Trust Secretariat/ Corporate Governance • Medical Directorate • Quality and Innovation Directorate • Business Development Directorate • Hosted/ Shared Services
Adult Mental Health Services Our adult mental health services provide both inpatient and community-based services. We offer general psychiatric care for adults of all ages at a number of inpatient units and have a specialist unit for psychiatric intensive care. We also provide healthcare services to prisons. Our successful Psychiatric Liaison Service is based within the A&E department f University Hospital s NHS Trust. Community Health Services Our community health services division includes adult nursing and therapy services and mental health servicesfor older people. We deliver services in inpatient wards and through many community teams in clinics, day services and people's own homes.
Families, Young People andChildren’s ServicesFamilies, young people and children's services includes mental health services for children and young people, health visiting, school nursing, paediatric medicine, health promotion, sexual health, dietetics, substance misuse and eating disorder services. We deliver services in homes, community and neighbourhood centres, children's centres, health centres, hospitals, inpatient units, schools and nurseries. Learning Disability Services For adults with a learning disability we provide support from community based teams, inpatient treatment as well as short-break services. We also offer specialist advice and support to those involved in caring for someone with a learning disability.
Our Mission Advancing health and wellbeing for you and your community. Our Vision An integrated Foundation Trust with a passion forquality and excellence. Our Mission and Vision
We will continuously improve quality, with services shapedfrom user experience, audit and research. We will deliver our financial plans and transform our estate and information technology. Strategic Objectives We will maximise opportunities to deliver the best possible integrated care in Leicester, Leicestershire and Rutland. We will attract, retain and develop a diverse, capableand flexible workforce. We will build our reputation as a successful, inclusive organisation, working in partnership to improve health and wellbeing. Our Strategic Objectives
Our Strategy Delivering our strategy willachieve more integrated, effective, modern andlocal pathways of care. It will improve the overall quality, safety and experienceof our services, and thereforeimprove the health and wellbeing of the people we serve. At a glance…Consolidate our marketshare for integrated servicesin LLR. Identify growth opportunities that support further integration, and strengthen the quality and viability of our existing portfolio of services.
Improving Quality and Safety Our Quality Strategyfocuses on delivering care that is personcentred, safe andeffective.
Engaging Patients and the Public Listening to people who use our services • Review of existing surveys. • Feedback cards. • Observations ofcare. • ‘How did we makeyou feel?’ sessions for staff to listen tothe experiences ofpeople who use our services and their carers.
Engaging Patients and the Public In your shoes Listening to the people who useour services. We hear from manyservice users andcarers throughinnovative andcreativeworkshops.
Financial performance We have a proven track record of achieving financial balance. Historically, we have met all our primary financial targets without the need for any external financial support. • Performance Record • LPT is required to meet a widerange of national and local targetsand demonstrate our achievementsagainst a number of performanceindicators. • Our governance arrangementsensure performance is monitoredand reported throughout the yearin order for us to continue to deliverhigh quality services. Organisational performance During 2011/12 we successfully met the majority of our targets with no major issues relating to performance.
Achievements • Providing quality services • Unconditional registration with the Care Quality Commission. • Ensuring patient safety • Zero ‘never events’ during 2011/12 - serious, largely preventable patient safety incidents. • Effectively tackled infection control. • Effectively managing risk • Maintained level one risk management standards, as determined by the NHS Litigation Authority. • Protecting information • Compliance with the Information Governance Toolkit – a system for NHS organisations to assess themselves against policies and standards.
Achievements • A positive patient experience • An overall satisfaction rate of 100% amongst patients surveyed as part of our real time monitoring, with an carers overall satisfaction rate of 91%. • 100% of patients surveyed agreed that staff treated them with privacy and dignity. • 100% of carers satisfied with the care and treatment received by the person they cared for.
Delivering our Cost Improvement Programme • The NHS makes efficiencies by reducing the national tariff each year. • Our income is based this tariff and we have to make necessary financial savings. • The Trust has a £12.6m Cost Improvement Programme (CIP) in place with planned savings over a five year period. • CIP plans have been developed by each of our clinical divisions, enabling and hosted services. • Our service development initiatives are a key part of our efficiency plans. Delivering our Cost Improvement Programme (CIP) safelyThe NHS makes efficiencies by reducing the national tariff each year.
Service Development Initiatives • Within our five year Integrated Business Plan we have identified five strategic services development initiatives (SDIs). • A foundation for maintaining our quality standards whilst delivering savings through service redesign. • These initiatives focus on providing high quality and efficient services which are responsive to service user needs and help to protect and expand our share of the overall market.
Community Health Services • Improving outcomes for frail older people • This initiative aims to: • Redesign community health services to enable a ‘shift’ from hospital based services to more community based provision. The initiative will free up capacity within community hospitals to help the whole health economy redesign services and make efficiencies. • Ensure access to a range of services which maximise independence and enable frail older people to live in the setting of their choice whenever possible. Patients will be admitted to the appropriate hospital environment, whether community or acute, only when absolutely necessary.
Community Health Services • Transforming community dementia services • This initiative aims to: • Introduce a memory service pathway to enable specialist services to concentrate on more complex patients. • Resign the Intensive Community Assessment and Treatment Service to ensure it focuses on preventing admissions to hospital so that patients are discharged from acute dementia assessment and treatment beds as early as possible (where this is in the best interests of the patient). • Support the reduction of anti-psychotic medication for people with dementia living in care homes. • Improve the quality of care for people with dementia by building staff capabilities.
Learning Disability ServicesDevelopment of locality based community teams and improved integration with primary care, social care and mainstream secondary care services • This initiative aims to: • Develop effective locality team working to enable a care pathway based approach, linking the locality teams to wider networks and an increase in health promotion support. • Redesign learning disability community services and enhance home treatment and crisis management. This involves strengthening the outreach and refocusing the autism service, and continuing to develop locality team working to enable a care pathway and clinical network approach. • Move from a bed based short breaks service to a peripatetic, flexible 24/7 community team. • Further develop partnerships across health and social care and with our service users and their families and work with them to improve intervention and enablement.
Adult Mental Health Services • Delivering excellence in acute mental health services • This initiative aims to: • Redesign of the adult mental health acute care pathway to provide timely care to prevent admission where possible and facilitated by the Centre of Excellence at the Bradgate Unit. This involves strengthening the Crisis Resolution and Home Treatment Service and introducing a Single Point of Access telephone service. • The redesign of the adult mental health recovery service based around community mental health teams, outpatients and specialist services. This will optimise service user recovery on discharge and better align the service to primary care. This initiative will also result in reduced waiting times for psychological therapy treatments.
Supporting Strategies • The organisation’s focus is the delivery of high quality integrated services that advance the health and wellbeing of the people we serve. • Each of our corporate (enabling) departments have strategies in place to support delivery of the organisation’s objectives. Workforce Quality Estates Research and Development Business Development Information Management and Technology (IM&T)
