5 Year Strategic Plan 2021-2026 - Isabel Hospice

 
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5 Year Strategic Plan 2021-2026 - Isabel Hospice
5 Year
Strategic
Plan
2021-2026
5 Year Strategic Plan 2021-2026 - Isabel Hospice
You really have
                                      no idea how
                                      amazing
                                      everyone
                                      is at Isabel
                                      Hospice.

  “Outstanding palliative
  care for all”
                                          With death,
                                      we only get one
                                      chance to get it
                                      right. We work
                                      hard as a team
                                      of nurses to make
                                      that as good an
                                      experience as
                                      we can.

Being able to
care for someone
right through to
the end is a
privilege.
    5 Year Strategic Plan 2021-2026
5 Year Strategic Plan 2021-2026 - Isabel Hospice
You are there
when others
are not. I don’t
know what I
would have
done without
you.

Thank you for all
                     Contents
the wonderful
care you gave to     1-2    Who we are
my husband in
his last few days.   3-4    Our journey

                     5-6    What we do

                     7-8    Our strategy - an overview

                     9-10   Empower

                     11-12 Enable

                     13-14 Engage

                     15-16 Our vision

                                                5 Year Strategic Plan 2021-2026
5 Year Strategic Plan 2021-2026 - Isabel Hospice
Who we are
     Isabel Hospice has been providing free
     palliative care to its patients and their families
     since 1982.

     Through our Hospice at Home, In-Patient Unit,
     Community Team, Living Well with Isabel
     programme and our Family and Bereavement
     support service, we provide care to people in
     eastern Hertfordshire who are affected by life-
     limiting illnesses.
     Our clinical teams work closely with other healthcare
     providers in the area, including care homes, hospitals
     and GP surgeries, improving access to our services and
     sharing their knowledge and expertise.

     We have expanded our services to support more people
     with a non-cancer diagnosis, now on average 41% of our
     patients. Our Living Well programme has also allowed
     us to reach people much earlier in their diagnosis,
     supporting them to manage the challenges of living with
     serious illness and long term conditions through a range
     of interventions and holistic therapies.

     Covid-19 has presented a number of critical challenges
     and we have had to adapt quickly, making substantial
     changes to the way we deliver our care. It is now more
     important than ever that we plan for the future to ensure
     Isabel stays resilient and relevant.

     This five-year strategy will help us to remain flexible and
     to harness our new ways of working to deliver better
     results, reduce our costs, diversify our income
     streams and collaborate more successfully.

     Helen Glenister
     Chief Executive Officer

      5 Year Strategic Plan 2021-2026

1.
5 Year Strategic Plan 2021-2026 - Isabel Hospice
Looking back, I just don’t
know how we would have
coped without Isabel Hospice.

                     5 Year Strategic Plan 2021-2026

                                                       2.
5 Year Strategic Plan 2021-2026 - Isabel Hospice
Our journey                                                                          1989
                                                                                          Launch of

                                                                  1986                    £800,000 appeal
                                                                                          to build an

                                       1984                       Isabel Wing, Hall
                                                                  Grove opens.
                                                                                          In-Patient Unit in
                                                                                          grounds of QEII,

     1967                              Two specialist
                                       nurses appointed
                                       to cover Welwyn
                                                                  Building provided
                                                                  by Welwyn
                                                                  Hatfield Council.
                                                                                          Welwyn Garden
                                                                                          City. Building work
                                                                                          begins. First sod
     Dame Cicely
     Saunders OM                       and Hatfield.                                      cut by Patron
     DBE FRCP FRCS                                                Becomes the hub         Kim Wilde.
                                       Public meetings
     (1918-2005) opens                                            of the service.
                                       begin to be held all
     St Christopher’s                                                                     First Hospice shop
                                       over the catchment
     Hospice in                                                                           opens in Cheshunt
                                       area to recruit local
     Sydenham, the                                                                        by Patron Marty
                                       volunteers and
     beginning of the                                                                     Wilde.
                                       fundraisers.
     modern hospice
     movement, providing
     a holistic approach to
     palliative care.

                                                                          1988
                                                                           Isabel Last,
                                                                           our founder,

           1982                             1985
                                             Change of name
                                                                           dies.
                                                                                              1990
                                             to Hospice Care                                  On 1 October,
            On 21 April,
                                             Service for East                                 HRH The
            Isabel Last, resident
                                             Hertfordshire.                                   Duchess of Kent
            of Welwyn Garden
                                                                                              opens 10-bed
            City, former nurse               Dr David Knight
                                                                    1987
                                                                                              IPU.
            and living with                  and wife Patricia
            cancer, convenes the             offer respite care                               Development of
            first meeting of the             at their converted      On 14 May, HRH The       the Bereavement
            Welwyn and Hatfield              home “Pinewood”,        Duchess of Kent          Service.
            Hospice Service.                 in Hoddesdon.           opens Isabel Wing.
                                             Prayer groups           Seven specialist
                                             established.            nurses in post to
                                                                     cover the Hospice
                                                                     catchment area, i.e.
                                                                     the East Herts Health
                                                                     Authority.

     5 Year Strategic Plan 2021-2026

3.
5 Year Strategic Plan 2021-2026 - Isabel Hospice
2001                                       2016
                             Extended and
                           refurbished IPU
                               opens, with
                                               2007                    Launch of Living Well
                                                                       with Isabel
                                                                       Day service sessions in
                                               25th Anniversary
                                   16 beds.                            Welwyn Garden City,
                                               13 Hospice shops        Bishop’s Stortford and
                        New courtyard          run by the Trading      Stanstead Abbotts aim

1993
                      garden designed          Company.                to increase mobility,
                        and opened by
                                               Physiotherapy and       strength and life
                     Patron Kim Wilde.
First palliative                               lymphoedema care        expectation of patients.
care contract                                  increases.

                        1996
                                                                       Old QEII Hospital
with East and                                                          Welwyn Garden City is
North Herts                                                            demolished. In-Patient
Health Authority.       Children’s                                     Services moved to care
                        support group                                  home in Hatfield until
Garden at Isabel        launched
Wing, Hall Grove                                                       work is completed.
                        (CATS) and
designed and            family support
established by          extended.
volunteers and
sponsors.               Lights of Love
                        ceremonies
21st volunteer

                                                                         2020
                        commence.
course held.

                                                                          Isabel Hospice

                                      2009                                responds to
                                                                          the Covid-19 crisis.
                                                                          Offers six beds in IPU
                                     Isabel Hospice
                                       receives The                       for use by the NHS.
                                  Queen’s Award for                       Specialist nurses work
        1995                      Voluntary Service.                      remotely.

        Change of name
        and logo of charity
                                                       2012               All fundraising events
                                                                          postponed or cancelled.
                                                                          Virtual fundraising
        to Isabel Hospice.                      30th Anniversary
                                                                          events organised.
                                                      Day hospice
        Appointment                              services become          Lights of Love and
        of first General                         more targeted to         Garden of Memories
        Manager.                                  patients’ needs         “Forget-Me-Not”
                                                    at the various        services are held
        Hospice launches                                                  virtually to support
                                                         satellites.
        lottery.                                                          families.
                                                 1,000 volunteers
                                              supporting all parts        Hospice launches

                                  1998              of the service.       Fighting Fund, raising
                                                                          £160,000.

  1994                            Hospice
                                  at Home
                                  launched.
  Appointment of
  part-time chaplain.
  First Sunflower
  Appeal and
  Sunflower Ball.
                                                                                     2022
                                                                               40th Anniversary of
                                                                                   Isabel Hospice.
                                                                                                     4.
5 Year Strategic Plan 2021-2026 - Isabel Hospice
What we do
     Our vision is of a world where
     communities talk openly about death and dying, everyone
     lives life to the full and dies with dignity in the place of their
     choice, knowing their loved ones are supported.

     We support patients and their families who are living with life-limiting
     illnesses and conditions including cancer, heart failure or respiratory illness,
     and neurological conditions such as motor neurone disease. We help people
     to live pain- and symptom-free so they can make the most of the time they
     have left.

     Isabel Hospice are there
     when others aren’t. I don’t
     know what I would have
     done without you.

     5 Year Strategic Plan 2021-2026

5.
5 Year Strategic Plan 2021-2026 - Isabel Hospice
Living Well with Isabel
supports patients to deal with the physical
and psychological effects of their condition
and to improve their daily quality of life. Our
Compassionate Neighbours scheme provides
assistance to those struggling with isolation.

Our community team
manage our helpline and provide consultations
and specialist palliative care knowledge and
support to patients at home living with a life-
limiting diagnosis.

The In-Patient Unit
provides 24-hour medical and nursing care to
patients when they have distressing or complex
symptoms which cannot be managed at home.

Our Hospice at Home team
work alongside local GPs and District Nursing
teams to offer specialist palliative nursing care
in a patient’s own place of residence, often
avoiding the need for admission to hospital.

The Family Support service
offers practical counselling, emotional, and
social support to patients, carers, family and
friends, which continues throughout the illness
into bereavement.

                           5 Year Strategic Plan 2021-2026

                                                             6.
5 Year Strategic Plan 2021-2026 - Isabel Hospice
Our strategy -
   an overview
   What Isabel will look like in the next stage of our strategy...

           mpower                                        nable

                                          Numbers
                                          of active
                                          volunteers
                                          increased to
                                          75%

Patient
satisfaction
remaining
above 95%
ngage

Deliver
outstanding
services

                                     A blend of
                                     face-to-face
                                     and virtual
                                     consultations

              Increase
              our income

              Reduce our
              costs
                           5 Year Strategic Plan 2021-2026
mpower
                    a dynamic, agile organisation
                    that is financially sustainable
                              and resilient

     5 Year Strategic Plan 2021-2026

9.
mpower

The challenge
We cannot generate sufficient income to cover the costs of the ever-
increasing need for our services, by doing what has worked in the past. Isabel
Hospice ‘as is’ cannot sustain the anticipated growth. Our workforce needs to
be empowered and driven to enact change.

What we will do
• Develop a skilled, focused, high-performing and committed workforce of
  staff and volunteers
• Leverage high-quality data to drive informed decisions
• Consider charging for non-core services
• Be efficient with costs and expenditure
• Improve legacy income predictions, e.g. investigate ‘Legacy Insights’
• Increase our income
• Reduce operating costs
• Review governance structure to ensure it supports an agile business
• Develop succession plans for employees

Measures of success
By 2026 we will have:
• Diversified into other income streams
• Increased active volunteers to 75% in a month
• Better understood our volunteer requirements and diversified our base to
  support those needs
• Met our targets for employee satisfaction (sickness, retention,
  empowerment)
• Ensured that expenditure is no more than 80% of income
• Free reserves equivalent to at least six months of expenditure
• Increased fundraising income (excl. legacies) to £3M a year.
• Trading company contribution in excess of £1M a year.
• Increased the amount of donor pence in the pound that goes towards
  patient care

                                                        5 Year Strategic Plan 2021-2026

                                                                                          10.
nable
                an outstanding organisation that
                delivers care in any setting and is
                   seen as a leader in our field

      5 Year Strategic Plan 2021-2026

11.
nable

The challenge
Our organisation needs to be outstanding in everything we do. Specialist
palliative care will remain core. We also need to leverage new technology to
reach people in new ways and improve our business at every level.

What we will do
• Build on new ways of engaging with our partners and primary care borne
  out of Covid, e.g. webinars/virtual sessions
• Efficiently continue virtual community care where applicable
• Find new, innovative ways to deliver income
• Become an employer of choice
• Find new ways to understand and measure patient satisfaction
• Assess accreditation options, e.g. CHKS

Measures of success
By 2026 we will have:
• Delivered outstanding services
• Identified four key success areas from the staff survey and improved those
  vs 2021 results
• Patient satisfaction remaining above 95%
• A blend of face-to-face and virtual consultations
• Delivered outstanding donor and retail experiences

                                                        5 Year Strategic Plan 2021-2026

                                                                                          12.
ngage
                                with our stakeholders
                                  and one another

      5 Year Strategic Plan 2021-2026

13.
ngage

The challenge
We need to find ways to collaborate successfully externally (e.g. other
hospices, the NHS, universities) and to ensure better internal collaboration to
support this.

What we will do
• Work with the NHS to deliver valued services that they are willing to fund
• Collaborate with external partners as widely as possible, e.g. the University
  of Hertfordshire
• Benefit from economies of scale through greater collaboration and
  partnership with other hospices
• Investigate outsourcing
• Engage in new ways of working
• Build partnerships with local organisations to enable a strong community
  presence and drive awareness
• Improve our internal communications

Measures of success
By 2026 we will have:
• Increased perceived level of NHS funding due to offering valued services
• Built a partnership with the University of Hertfordshire and other
  businesses
• Partnered with another organisation to reduce operating costs and improve
  patient services
• Increased employee survey results

                                                          5 Year Strategic Plan 2021-2026

                                                                                            14.
Our vision

                            Outstandin
                                 care f

      5 Year Strategic Plan 2021-2026

15.
ng palliative
 for all

            5 Year Strategic Plan 2021-2026

                                              16.
@IsabelHospice            @IsabelHospice

website: www.isabelhospice.org.uk
tel: 01707 382500
email: enquiries@isabelhospice.org.uk

61 Bridge Road East, Welwyn Garden City, Hertfordshire, AL7 1JR
Registered Charity Number: 1046826
                                                             DEC 2020 - v1
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