Our 2020 vision Outstanding care and treatment you can be confident in - Sussex Partnership NHS
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Our 2020 vision
Outstanding care and treatment
you can be confident in
Contents
3 Introduction
6 Our statistics
WHAT WE DO
Introduction
10 About us and our purpose
I
11 Our strategy in summary ’m so pleased to introduce the second edition of Our
12 How we want to improve 2020 Vision. Our 2020 Vision is to provide outstanding
care and treatment you can be confident in.
WHERE WE WANT TO BE
It’s our Trust strategy that describes what we will do to
14 What’s Our 2020 Vision about? improve the services we provide by year 2020.
In this booklet you’ll find details not only about our
WHAT WE ARE GOING TO DO: OUR GOALS
2020 vision but also about our purpose, our goals, our
16 Goal 1: Safe, effective, quality care values and behaviours and some key facts and figures
18 Goal 2: Local, joined up patient care about our services. These are the foundations to our
20 Goal 3: Put research, innovation and learning into practice organisation and how we will set out to achieve Our
22 Goal 4: Be the provider, employer and partner of choice 2020 Vision – Outstanding care and treatment you can
24 Goal 5: Live within our means be confident in.
We’ve spoken to people about what they think of our
HOW WE WILL GET THERE
services, the care we provide and what we need to do
26 How we will put our vision into practice in the future. I’d like to personally thank everyone who
28 How we will know we’re on track shared their views, without them we wouldn’t be able
to make changes for the better, to achieve our goals and
promote positive staff, service user and carer experience.
HOW WE WORK
30 Our values and behaviours Sam Allen, Chief Executive
2 3
Our vision
w
Outstanding care and treatment
OUR
you can be confident in. 2020
VISION
Our purpose
Our values
We work with you, support your recovery and provide you with
the care and treatment you need, when you need it.
People first
Future focused
Our goals
1. Safe, effective, quality patient care Embracing change
2. Local, joined up patient care
3. Put research, innovation and learning into practice Working Together
4. Be the provider, employer and partner of choice
5. Live within our means Everyone counts
4 5
www
Our statistics
Some key facts and figures about
our services.
MORE THAN 20,000
ADULTS ATTEND OUTPATIENT
APPOINTMENTS EACH YEAR
WE HAVE ABOUT
14,500
MEMBERS
INCLUDING In 2017 we had
AROUND
320
✘
PEOPLE WHO USE
OUR SERVICES, OUR LEARNING
2,800
CARERS AND STAFF DISABILITY
SERVICE PROVIDES
SPECIALIST HEALTH
INTERVENTIONS
entries for our Positive
Practice Awards
PEOPLE ARE TO AROUND
ADMITTED TO MORE THAN 2,000
ONE OF OUR 72,000 people UP
13
ADULTS AND CHILDREN
INPATIENT RECEIVE SUPPORT EACH YEAR FROM
SERVICES
AND TREATMENT IN
THEIR OWN HOMES 160
IN 2016
OR ANOTHER
EVERY YEAR COMMUNITY SETTING
6 7
Around 16,000 MENTAL HEALTH
SERVICE USERS
ARE AROUND
PEOPLE RECEIVE CARE FROM
OUR DEMENTIA AND MEMORY
ASSESSMENT TEAMS EVERY YEAR
2-4
TIMES People aged 65 who use
mental health services
Around 4,000 children and young people MORE LIKELY TO
DIE OF CANCER, have a lower life
start treatment with us every year in CIRCULATORY expectancy than the rest
Hampshire and nearly 6,000 in Sussex OR RESPIRATORY of the population
DISEASE
OUR EVALUATION SHOWS THAT
RECOVERY COLLEGE STUDENTS
20%
community mental
LESS support from
dmissions under
PEOPLE WITH MENTAL
LESS to hospital
days in hospital
Were admitted
OF ALL A&E ATTENDANCES AND
Spent FEWER
health services
HEALTH PROBLEMS
Had FEWER
the Mental
Health Act
IN SUSSEX AND EAST
EMERGENCY ADMISSIONS CAN
Needed
SURREY LIVE UP TO
20
BE ATTRIBUTED TO MENTAL HEALTH
SERVICE USERS WHO MAKE UP ONLY
7%
YEARS
LESS
THAN THE GENERAL OF THE POPULATION
POPULATION
8 9
Our purpose
We work with you, support your
recovery and provide you with
the care and treatment you
need, when you need it.
ABOUT US
We provide NHS care and treatment for people living in south east England. Our
mental health services provide care and treatment for people with conditions
such as psychosis, depression, anxiety, dementia and personality disorder.
Our specialist learning disability services provide community and inpatient care
for people with complex health needs which can’t be met by other services.
Our strategy in summary
We have a number of services that provide very specialist care for people with
complex health conditions and social care needs. FOCUS ON PATIENTS AND CARERS:
We provide care in people’s homes, in specialist clinics, hospitals, GP surgeries Providing high quality local and specialist
and prisons. Our services are aimed at children, young people and adults of all care for people where and when they need it.
ages and many are provided in partnership.
MIND AND BODY:
Working in partnership to treat physical
and mental health together.
MAKING IT EASY:
Showing people where to go for help, being
clear about our services and how to access them.
10 11
How we
want to improve We believe we are at our best when we work with others to bring our specialist
expertise together for the benefit of patients. We also accept that we cannot
improve care to the highest level of quality and deliver the outcomes patients
want on our own. We’ve developed strong working relationships with other
W
e provide a range of specialist mental health, learning disability and NHS organisations, GPs, local councils, police,
prison healthcare services. We also provide care and treatment for voluntary organisations, social enterprises and
people with physical health problems such as chronic pain and diabetes private sector providers.
affecting their mental health.
“We need to treat
We want to build on our achievements as a
Our 5,000 staff provide services for nearly three million people across Brighton and specialist mental health provider and bring
every patient as
Hove, East and West Sussex and Hampshire. We work with social care and provide physical and mental health care more closely
an individual and
some integrated services together in partnership. together. As well as treating a specific condition,
we will work in partnership with others to provide care based
As well as treating illness, we are exploring new ways to help people stay well provide joined up care that looks after the
and become experts in managing their own mental health and wellbeing. Our ‘whole’ person. This includes making sure that on their needs”
involvement in recovery colleges, developed and run in partnership with other people with mental ill health get access to
organisations and people who have used services, is one way we are doing this. physical health care.
Making sure everyone is treated fairly and valued equally is very We want to help reduce the stigma and discrimination associated with mental
important to us. We believe people should be able to achieve illness. We are committed to ensuring mental health care is resourced and promoted
their full potential regardless of age, disability, race, positively to help improve the health and wellbeing of the communities we serve.
nationality, ethnic or national origin, gender, gender
identity, religion, sexual orientation or domestic Our patients, staff, carers and public have told us we need to listen more and be
circumstances. better at responding to what people tell us. We need to treat every patient as an
individual and provide care based on their needs and circumstances. To achieve Our
Over the last few years we have been 2020 Vision, we need to create and maintain an organisational culture that feels
working hard to bring research, teaching safe, supportive and trusting and which encourages staff to take risks where this is
and clinical services more closely together in the best interests of patients and their families.
to benefit patients. We are undertaking
more research than ever before and Recruiting, retaining and supporting high quality staff will help us provide the very
are helping train people who will best possible care. We need to challenge ourselves, be open to new ideas and have
become the health and social care the conviction to put good ideas into practice, evaluate the outcomes and share
professionals of tomorrow. We have the learning where this will improve things for patients. This will help us provide
been granted university hospital the kind of services where you would feel confident and reassured about your
status in recognition of our work in family and friends being treated, and where you would want to be treated yourself
this area. if you became unwell.
13
OUR
2020
Our vision VISION
Outstanding care and treatment
you can be confident in.
WHAT’S OUR 2020 VISION ABOUT?
O
ur 2020 Vision describes what we will do to improve the services we
provide to patients. To help us plan this we’ve spoken to people about
what they think of our services, the care we provide and what they would
like us to do in future.
We’ve also looked at wider issues that will affect the services we provide now
and in the future. One example is that Sussex has the highest number of older
people in the UK. This means there are more people here living with dementia “We want to do the
proportionally than anywhere else in the country.
very best we can to help
We’ve carefully considered the feedback we’ve had from organisations, like the Care
Quality Commission, which are responsible for monitoring the quality of services
the patients and local
we provide. This provides us with thorough, expert and independent analysis about
where we need to do better and how we compare with other NHS services.
communities we serve”
We’ve looked long and hard at where we know we need to improve. Carers
and people who have used our services have told us, for example, that they can More broadly, it can take up to 20 years in the UK for the learning from
find it hard to know where to get help and sometimes feel like they are being healthcare research to be used to benefit patients. We want to help reduce
passed around ‘the system’. Whilst the way mental health services are provided is that gap. The mind and body continue to be treated separately, whereas it
complex and involves a lot of organisations, this is something patients and carers would be better for patients if physical and mental health care were brought
shouldn’t need to worry about. They shouldn’t even notice. Our job is to work more closely together.
so well with our partners that people only notice the quality of care and support
they are receiving. At the same time, it should be clear about where people The NHS is treating more patients than ever before. People are living longer and
should go if they have concerns or complaints at any time about their care. have very high expectations of health and social care services. We want to do
the very best we can to help the patients and local communities we serve. Our
Many of our services have developed new ideas to improve services for patients, 2020 Vision sets out how we will do this. Rather than being set in stone, it is
but we are not as good as we should be at learning from these positive examples something we will continue to review and discuss with the people who use our
and putting them into practice elsewhere. services, who work here and work with us.
14 15
Our goals
We have an important role to play in preventing suicide, working with our partners
We have identified five strategic in local communities and people we provide care to.
goals which will steer us towards
where we want to be. We will Our electronic clinical notes system will ensure that the information we collect from
continue to review and refresh these, patients is up to date and stored safely. It will prevent patients from having to keep
working in partnership with people providing the same information to different staff, will help us manage individual
who use our services, who work patients’ care more effectively and provide us with detailed information about the
effectiveness of the treatment we provide.
here and work with us, including
our commissioners. We believe it is always possible to do things better and will support continuous
improvement and learning. We will create a culture where people feel able to
1. Safe, effective, quality
speak out about concerns and we will learn from when things go wrong.
patient care
2. Local, joined up patient care
OUR AMBITIONS FOR 2020
3. Put research, innovation and
• Provide the safest NHS mental health services in England.
learning into practice
• Use recovery as a guiding principle, inspiring hope and supporting
4. Be the provider, employer and people to achieve their goals and live meaningful lives.
partner of choice • Provide care and treatment based upon reliable evidence that it works
and where its impact on patients and their families is measured and
5. Live within our means published.
• Enable patients and carers to access the services they need easily,
encouraging them to choose to receive their care from Sussex
Partnership.
• Develop and maintain a culture of openness, transparency and
GOAL 1: DELIVER SAFE, EFFECTIVE, AND CONSISTENTLY innovation that values everyone’s contribution in delivering high
quality patient care.
HIGH QUALITY PATIENT CARE
• Have standard operating protocols across all our clinical services to help
We want to deliver safe, effective, consistently high quality care for patients. reduce and eliminate variation in outcomes and the experience of the
This involves treating everyone as an individual, focusing on their strengths and care we provide.
helping them with their recovery and wellbeing. We want to earn a reputation for • Provide services in clean, safe environments.
achieving the best outcomes for patients and for supporting carers and families.
• Always look after the physical health needs of people using our services.
To do this we need to excel at getting help to people at the earliest opportunity,
preventing crisis and providing specialist support to those who need it.
16 17
GOAL 2: LOCAL, JOINED UP PATIENT CARE OUR AMBITIONS FOR 2020
Our services are about people. Putting people at the centre • Provide consistently excellent services which are rated highly by
patients, carers, staff, our commissioners and regulators.
of our plans means we will:
• Work with our partners to transform patient outcomes and help
• understand the needs of our local communities, adapt our services to meet improve the health and wellbeing of local communities.
them and continue to develop specialist services for the south east region • Earn a reputation as an organisation which is easy to work with, which
where we are best placed to do this values collaboration and which always has the best interests of patients
in mind.
• listen to, involve and be accountable to patients, carers, governors and
• Improve physical health outcomes for people with mental illness and
members mental health outcomes for people with physical health needs.
• work alongside people with lived experience of mental illness to promote
recovery, positive mental health and wellbeing in our local communities
“We will make it easy
• deliver pathways of care that join up physical and mental health care, working
in partnership with other health and social care providers for people to understand
• provide clear information about what we do and make it as easy as possible for what they can expect
people to access our services, seven days a week. If someone needs help and
we are not best placed to provide it, we will help direct them from our services”
to the right place
• be clear, open and explicit about what we do and the support we provide.
We will make it easy for people to understand what they can expect from our
services and when. We will describe this in language which is clear, without
being patronising, and which does not include jargon
• only do what we are best placed to do. This may mean we stop doing some
things where others can do it better
• work in partnership to support our local communities
• behave and make decisions which are guided at all times by our values
and behaviours.
18 19GOAL 3: PUT RESEARCH, INNOVATION
AND LEARNING INTO PRACTICE
• We will consistently put the learning from research into practice for the benefit
of patients by developing, evaluating and delivering new ways of providing care
and treatment.
• We will involve patients in research and keep them informed about how this
research is being used.
• We believe it is always possible to do things better and will support continuous
improvement and learning.
• We will be bold and creative in finding ways to improve patient care. We
will encourage and learn from the creativity of staff, patients and carers to
achieve this, and will lead the way in developing and measuring new ways of
providing care.
OUR AMBITIONS FOR 2020
• W
e capture all ideas and use the best of these to improve care. Where
possible and appropriate, we will standardise our services.
• W
e use the latest techniques and learning from elsewhere to “We believe it is
continuously improve care and outcomes for patients.
• W
e identify, celebrate, share and learn from positive practice, both always possible to do
from within our own services and from elsewhere.
things better and will
• L earning from research is used consistently and systematically
to improve quality. support continuous
• W
e are seen as an expert provider of evidence-based mental health and
wellbeing services. improvement and
• F ive years after being granted university status in 2015, we can
demonstrate how we have continued to bring research, teaching and
learning”
clinical care more closely together for patient benefit.
20 21GOAL 4: BE THE PROVIDER, EMPLOYER
AND PARTNER OF CHOICE
If we build a reputation for providing the best care, outcomes and patient
experience then people will choose to use our services if they need specialist
mental health support. We will also be the provider that commissioners want to
work with, having earned a reputation for understanding and meeting the needs
of local communities. One of the things that will help us achieve this is recruiting,
supporting and keeping hold of high quality staff.
We value working with others because it helps us deliver better care and improve
outcomes for patients, carers and families. It encourages us to learn from what OUR AMBITIONS FOR 2020
others do, reflect on how we work, challenge the way we do things and help us
provide better care. Because of the way we approach partnership, we will be an • We have created the conditions where people feel able at any time to
organisation that others want to work with. speak out about concerns.
• Our staff consistently say they feel supported and satisfied in their role.
There are many examples where our staff provide compassionate, high quality They describe Sussex Partnership as a place that’s good to work and
care. We want to do this consistently and make a positive difference to every somewhere where they would feel confident about their family and
person we see and speak to. We will support staff and help them learn new skills friends being treated.
so they have opportunities to develop their career. We will also provide a working
• We have a healthy and engaged workforce and are recognised as a
environment where people feel it is OK to ask for help and able to raise concerns.
valued local employer.
By feeling positive about working here, staff will always be professional, provide
consistently high quality care and act as ambassadors • We have strong, valued partnerships and the organisations we work
for Sussex Partnership. with speak positively about us.
• We excel at providing individuals and teams with training, development
“We will support staff and ongoing learning opportunities.
• W
here people have a choice about where to receive health care and
and help them learn treatment, they choose us.
new skills so they • W
e work with people who have lived experience of mental illness
on designing, developing and improving services.
have opportunities to • W
e will use digital technology across our services to support access and
self-management.
develop their career” • O
ur care delivery units will provide services where staff are empowered
to decide how best services can meet the needs of local populations.
22 23GOAL 5: LIVING WITHIN OUR MEANS OUR AMBITIONS FOR 2020
Living within our means involves being responsible with public money and using • Clinically and financially sustainable services.
our resources wisely. Maintaining clinically and financially sustainable services • Deliver financial plans whilst improving care and outcomes.
means we will:
• An investment plan that has supported transformation.
• make best use of the resources we have by being efficient and innovative in • We will reduce our carbon emissions by 20,000 tonnes. As well as
everything we do helping the environment, this will save money so we can spend
more on healthcare.
• find ways to manage the demands that clinical teams face so that our services
are both clinically and financially sustainable, which may involve more working
in partnership with other organisations
• constantly identify opportunities to develop and improve services, particularly in
“we have to
areas where patients’ needs are not being met as well as they should be
challenge ourselves
• plan the use of our finances to help us develop local and regional services
about what we can
• talk with our commisioners, patients, staff and other partners about what we
do well, need to do differently (and how) or stop doing. do differently with
We will achieve all our contractual, statutory and regulatory requirements. reduced services”
In simple terms, this means we will deliver on the service and financial plans
we have said we will achieve each year, and the care we provide will be safe,
effective and efficient. Like all public services, we have to deliver significant
savings. This means we have to challenge ourselves about what we can do
differently with reduced resources, at the same time as being bold and ambitious
with our plans for change. Our plans on finance and quality will help us ensure
we are doing the right things at the right time.
24 25How we will put our
vision into practice
CURRENT WHAT WE ARE WHERE WE
PRIORITIES GOING TO DO WANT TO BE
Achieved through the What we are Where we want
following: going to do: to be:
• Continuing to put our values into practice to create the kind of Goal 1: • Patient/carer satisfaction:
culture where people want to come and work (and stay) Safe, effective, quality evidenced through
patient care direct feedback and
• Delivering our clinical strategy survey results
Goal 2:
• Making it easier to access our services (including 24/7 crisis care) Local, joined up patient care • Effective care and
• Focusing on suicide prevention treatment: evidenced
Goal 3: through outcomes for
• Getting acute and community services working effectively together Put research, innovation individual patients and
for patients and families and learning into practice clinical services
• Improving physical healthcare for people who use our services Goal 4: • Staff satisfaction:
Be the provider, employer evidenced through direct
• Using Quality Improvement methodology to improve what we do feedback, survey results,
and partner of choice
• Improving older people’s mental health high retention rates, low
Goal 5: sickness absence rates
• Improving recruitment and retention Live within our means
• Our reputation:
Enablers: evidenced by the
• orkforce
W strength of our
collaborative working
• Information and digital
relationships with a
• Accountable care delivery models wide range of partner
• Strategic commissioning organisations
26 27How we will know
we’re on track
• People will spend less time in hospital and receive care at home
wherever possible
• People will feel involved in planning their care
• People will have more advice and support with
their own recovery
• Carers will receive the support they need
• More people with long term physical health problems such as
diabetes will receive the care and treatment they need for their
mental health and wellbeing
• People with severe and enduring mental health problems receive
better physical healthcare
• People we support and our staff will feel listened to and
contribute to improvement
• Learning from incidents will be shared and used as a matter of
routine to improve care
• Innovation, positive practice and learning will be evident in
everything we do. “People will have
more advice and
support with their
own recovery”
28 29Our values
O
ur values describe how we want people who come into
contact with Sussex Partnership to experience us.They
have been developed with staff and are linked to the NHS
constitution. They will help us achieve Our 2020 Vision, our plan
to improve patient care.
PEOPLE FIRST
People are at the heart of
everything we do
FUTURE FOCUSED
We are optimistic, we learn and
we always try and improve
EMBRACING CHANGE
We are bold, innovative and
disciplined about making use of our
resources to continuously improve
WORKING TOGETHER
We provide services in partnership
with patients, families and others
EVERYONE COUNTS
We value, appreciate and respect
each other
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