TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY
                      2017/2021

Striving for excellence
TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY 2017/2021

TRUST STRATEGY 2017/2021
                                                                The Trust
                                                                The Mid Yorkshire Hospitals NHS
Introduction                                                    Trust provides hospital services,
                                                                from its three hospitals, to a
                                                                population of 530,000, and also
The aim of this refreshed strategy
                                                                delivers a range of community
is to ensure clarity of purpose,
                                                                services, primarily to the 350,000
direction and priorities for the Trust’s
                                                                population of Wakefield.
workforce and for the Board of
                                                                In addition, the Trust provides specialist burns
Directors.                                                      and spinal injuries services to a large regional
It describes the intended place and role of the                 population.
Trust in the local and regional health and social
                                                                The Trust has a workforce of 8,000 people, making
care economies as well as the strategic objectives
                                                                it one of the largest employers in the locality. It
to achieve our ambition.
                                                                generates an income of around half a billion
For the Trust to meet its vision to ‘achieve an excellent       pounds a year, primarily via contracts with two
patient experience each and every time’ it is crucial,          Clinical Commissioning Groups and with NHS
both within the Trust, and through the partnership              England.
relationships the Trust establishes and strengthens,
that our collective endeavours are aligned. We must             The ambition of the Trust is reflected in our
work together with external health and social care              vision statement:
organisations in ways which: contribute to the improved
health and wellbeing of the population; reduce                  To achieve excellent patient
                                                                experience each and every time
avoidable admissions to hospital; and secure further
efficiencies and increases in productivity.

                                                                The purpose of the Trust is reflected in
                                                                our mission statement:
                                                                To provide high quality
                                                                healthcare services at home,
                                                                in the community and in
                                                                our hospitals, to improve the
                                                                quality of people’s lives
                                                                Whilst the central purpose of the Trust is the
                                                                provision of healthcare, the Trust also has duties
                                                                to: help educate and train future healthcare
                                                                professionals; increase knowledge and discover
                                                                better ways of doing things through good quality
                                                                research and development; and be an excellent
                                                                employer, investing in the skills and development of
                                                                its workforce.

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY 2017/2021

The place
of the Trust
The Trust delivers secondary care to
a large catchment population; it is the
delivery on this scale which supports our
service viability and sustainability.
As the Trust makes progress in reducing waiting times for
outpatient consultation, treatment and surgery, it will aim to be
the provider of choice for patients, thus getting back work from
other providers.
The Trust plans to make a significant and effective contribution
to ‘out of hospital’ services through: strengthened partnership
arrangements with the six local GP Federations; its two partner
Local Authorities; and voluntary/ third sector providers.
In Wakefield, the main vehicle for providing strengthened
integrated services, in ways which support primary care, is the
establishment of a Multi-specialty Community Provider (MCP).
In North Kirklees, the principle organisations will be: Curo Ltd -
the local GP Federation; and Locala Community Partnerships
- the provider of community services.
The Trust aims to maintain its position as place of choice
for medical students from Leeds Medical School. The Trust
also aims to significantly improve the training experience of
many junior doctors. Another key ambition is to significantly
increase the number of student nurses who have their
practical placements at the Trust – students from both
Huddersfield and Bradford Universities.
Working in partnership with local universities, commercial
companies and the NHS regional research network, the Trust
aims to be an active contributor to research; increasing its
activity and strengthening its Research and Development
arrangements.
Being an excellent employer is an essential prerequisite for
the Trust to be successful in meeting the needs of its patients.
The Trust aims to be a popular, local, major employer;
investing in the skills and development of its workforce.

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY 2017/2021

Background
Refreshing the Trust’s strategy has
been necessary as a consequence of
a significant number of national policy
changes over the past couple of years,
the main ones being:
   NHS Five Year Forward View 2014.

   Primary Care Five Year Forward View 2016.

   Encouraging Trusts to work together to reduce costs,
   resolve issues of sustainability of some services.

   Development of new models of services/care, for example
   Multi-specialty Community Providers (MCPs) or Primary
   and Acute Care Services (PACS) or Accountable Care
   Organisations (ACOs).

   An extremely challenging financial settlement for the
   NHS and local authorities.

   Development of Sustainability and Transformation
   Plans (STPs).

   NHS Five Year Forward View Delivery Plan 2017.

In response to these national policies, local changes are
taking place and these are reflected in this updated strategy.
In particular, there is a focus on innovative and co-operative
working; leading to strong, effective partnerships.

This refreshed strategy also reflects a real determination to
ensure the Trust consistently provides high quality, responsive,
timely services, and resolves historical patchy performance.

This strategy is also a very important contribution to
transforming our health and social care economy, addressing
the three gaps that each STP was tasked to address: care and
quality; finance and efficiency; and health and wellbeing.

The way the Trust developed this refreshed strategy is
described in Annex 1.

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY 2017/2021

Where we are now
Patient Experience                                            developed using the Virginia Mason Production System
The Trust receives patient experience feedback from           (VMPS) principles; the healthcare version of Lean
a range of sources including Friends and Family Test          Manufacturing and the Toyota Production System.
(FFT), surveys, NHS Choices, complaints and the Patient
Advice and Liaison Service. Our feedback via FFT              Virginia Mason has successfully translated lean
(around 140,000 Friends and Family Test forms each            philosophy and embedded it into the way they
year) tells us patients would recommend the Trust as a        deliver healthcare. This people-centred management
place to receive care and treatment at a higher rate than     philosophy and approach has been credited with
the national average for our: Emergency Departments;          transforming Virginia Mason and is now being
inpatient and outpatient care; and for the community          transferred to other healthcare organisations throughout
services we provide. Yet our annual Care Quality              the world.
Commission (CQC) inpatient survey (a sample of 900
patients) demonstrates poor feedback in comparison            Patient safety
with other Trusts. Furthermore, relative to the size of the   Besides the risks caused by delays in receiving care and
Trust, we receive a high number of written complaints.        treatment, the Trust has an above average weekend
We believe the root causes of the dissatisfaction to          mortality rate and a comparatively high incidence of
be: delays in receiving care and treatment; and staff         pressure ulcers amongst community patients. The Trust
shortages. The Trust has struggled to meet a lot of the       also has a low rate of treating patients with a fractured
NHS Constitutional access standards.                          neck of femur in a timely way, in accordance with best
                                                              practice standards. Feedback from GPs also indicates
Improving quality                                             the need to increase the speed of delivery of clinical
According to the National Reporting and Learning              letters as well as reducing waiting times to comply with
System (NRLS) the Trust has succeeded in being                the 18 week referral to treatment (RTT). Most other
placed in the top quarter of organisations in the             metrics are within the expected range.
country for reporting incidents. This means we have the
mechanisms in place to investigate appropriately when         Care Quality Commission (CQC)
things do go wrong, to ensure lessons are learned and         The Trust received an overall rating of ‘requires
actions to address these are implemented.                     improvement’ from the CQC and a rating of ‘good’ within
                                                              our community services. We are striving to achieve an
In June 2016, the Trust took the decision to implement        ‘outstanding’ before the end of the period covered by this
a new quality improvement system. It has now started          strategy, ie by 2021.
its journey in implementing the Mid Yorkshire Quality
Improvement System (MYQIS) which has been

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY 2017/2021

Partnerships
with other
organisations
The Trust is aligned with the West
Yorkshire and Harrogate Sustainability
and Transformation Plan (STP).
The Trust has governance structures to support its
involvement in and to ensure it is sighted on developments
and initiatives. This supports new partnerships and co-
operative ways of working with the aim of closing the ‘triple
gap’ identified within the Five Year Forward View of: the health
and wellbeing gap; the care and quality gap; and the finance
and efficiency gap.
The following key priorities for West Yorkshire and
Harrogate STP have been identified:
   Urgent and Emergency Care
   Specialised Commissioning
   Mental Health
   Prevention
   Stroke
   Cancer
   Primary and Community Care
   Acute Sustainability
   Standardisation and Variation
The Trust’s involvement in delivering key outputs from the
West Yorkshire and Harrogate STP will be through our active
involvement with the West Yorkshire Association of Acute
Trusts (WYAAT) through being a member of its Committee in
Common. Similarly the Trust is also a member of the South
Yorkshire Acute Trusts ‘Working Together’ Committee in
Common.
Of crucial importance is the ‘place based’ partnerships in
Wakefield and North Kirklees. The recently established
Wakefield New Models of Care Board is a very positive
opportunity to improve out of hospital services, and is the first
step to it becoming a Committee in Common and a Multi-
specialty Community Provider.
In North Kirklees, partnership discussions with Curo Health
Ltd, the GP Federation, and Locala Community Partnerships;
the community services provider have just started at the time
of finalising this strategy (June 2017).

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
Summary Operating Plan 2017-2019

Workforce
The Trust has a workforce of
around 8,000, all of whom work                                Summary Operating Plan 2017-2019

                                                              Financial
very hard to meet the needs of
our patients. However, it is clear
too many staff are consistently
stretched too much, and for too
long.                                                         performance
This is mainly due to the capacity problems the
Trust has and the difficulties the Trust experiences in       The NHS has been facing
recruiting to our Registered Nurse (including District        significant financial pressure in
Nurses) and medical staff vacancies. Despite these
issues staff are rightly proud of what they achieve           recent years. With an ageing
for patients and are very committed to meeting the            population and increasing
needs of patients are doing great work. However, both
the Staff Friends and Family Test results and the CQC         demand, there is need for the
Staff Survey results indicate about a quarter of staff        health service to continue to
would not recommend the Trust as a place to receive
treatment or as a place to work. The staff sickness           evolve to meet these challenges.
rate is 5.4% which is higher than average compared
to other acute Trusts. Vacancy rates for registered           These challenges are not exclusive to the Trust but,
nurses and medical staff runs at about 10%. Staff             in addition, we have faced unique challenges which
turnover rate averages 10.6%                                  have impacted on our ability to keep expenditure
                                                              within income levels. There is likely to be minimal
                                                              financial income growth over the next five years and
                                                              therefore there will be an ongoing need to deliver
                                                              high quality services in a cost effective way.
                                                              The Trust has had a persistent underlying deficit
                                                              of about £20m, which is largely due to the Private
                                                              Finance Initiative (PFI) costs for Pinderfields and
                                                              Pontefract Hospitals. In the past six years the Trust
                                                              has not been able to make inroads into this position.
                                                              However, unlike many other Trusts, the position has
                                                              not deteriorated any further.
                                                              The Trust has two new hospitals, Pinderfields
                                                              Hospital in Wakefield and Pontefract Hospital. Both
                                                              are PFI hospitals which opened in 2010. The third
                                                              hospital is Dewsbury and District Hospital, which
                                                              will be the subject of investment over the life of
                                                              this strategy to update the infrastructure, improve
                                                              the ward environments and rationalise the site. All
                                                              aspects of the estate, infrastructure and equipment
                                                              will be continually reviewed to ensure it is fit for
                                                              purpose and safe so services can be delivered in the
                                                              most effective and efficient way.
                                                              The Trust investment and replacement programmes
                                                              are risk-based and deliver clinical and safety
                                                              priorities.

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
TRUST STRATEGY 2017/2021

Trust Strategic
Objectives                                                           The values are:
The refresh of the Striving for Excellence
Strategy 2017/21 was driven by national                                   Respect
                                                                     		Showing value and respect for
and local challenges as well as the                                        everyone and treating others as
emerging opportunities within the                                          we would wish to be treated.
healthcare landscape; all of which impact
upon the Trust.                                                           High Standards
                                                                        		Taking responsibility for
The Trust has listened to staff, patients and partners and, as a
                                                                          providing the best services and
result, has revised its Vision, Mission, and Strategic Objectives.
                                                                          patient experience.
The strategy and objectives ensure that the Trust’s workforce
has a clear understanding of the goals of the organisation.               Improving
Actions and choices made by each member of the Trust’s
                                                                       We always look for ways to

team will be aligned with the Trust’s vision and its six strategic
objectives.                                                                improve what we do. We encourage
                                                                           involvement, value contributions
                                                                           and listen to and positively act on
Vision                                                                     feedback.
To achieve excellent patient experience each and every time.

                                                                          Caring
Mission                                                                 		Ensuring quality of care is at the
To provide high quality healthcare services at home, in the
community and in our hospitals, to improve the quality of
                                                                          heart of everything we do.
people’s lives.
                                                                     To ensure the delivery of services reflect
Strategic Objectives                                                 the Trust values, each value is supported
   Keep our patients safe at all times.                              by standards of behaviour which all staff
                                                                     of the Trust are expected to maintain.
   Provide excellent patient experience that delivers expected
   outcomes.                                                         These have been developed through
                                                                     consultation with staff mainly via the ‘Big
   Be an excellent employer.
                                                                     Conversation’ process.
   Be a well-led and governed Trust with sound finances.
   Have effective partnerships that support better patient care.     A list of the behaviours can be found in
                                                                     Annex 2.
   Provide excellent research, development and innovation.
   opportunities.

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
Strategic Plan 2017/18 to 2020/21

Overview of ‘Striving
for Excellence’

                                                             Vision

                                                        Achieve
                                                    excellent patient
                                                    experience each
                                                     and every time

                                                         Mission

                                           To provide high quality healthcare
                                          services at home, in the community
                                          and in our hospitals to improve the
                                                 quality of peoples lives

                                                 S T R ATValues
                                                          EGIC AIMS

                          CARING             IMPROVING                RESPECT          HIGH STANDARDS
                                                    Strategic Aims
         1                   2                    3                     4                  5                    6
                                                                                                        Provide
           Keep our   Provide excellent    Be an excellent       Be a well-led      Have effective
                                                                                                        excellent
         patients     patient              employer              and governed       partnerships        Research,
       safe at        experience and                             Trust with sound   that support        Development
     all times        deliver expected                           finances           better patient      and Innovation
                      outcomes                                                      care                Opportunities

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TRUST STRATEGY 2017/2021 - Striving for excellence - The Mid Yorkshire Hospitals NHS ...
The Trust has developed six strategic objectives for
                                            delivery over the next five years. This section of the
                                       strategy describes what each strategic objective means
                                              and how the Trust will know when it is achieving.

Strategic Plan 2017/18 to 2020/21
TRUST STRATEGY 2017/2021

Strategic Objectives
Objective 1- Keep Our Patients Safe at All Times
Patient safety is of paramount                                     The annual PLACE audit demonstrates the Trust
                                                                   provides services in a clean and safe environment
importance to the Trust. The Trust is                              that facilitates patients being cared for with
committed to keeping patients safe                                 compassion and dignity.

at all times.                                                      The Trust is continuously improving our practices to
                                                                   deliver harm free care.
This means the Trust will:                                         The Trust is achieving reducing rates for Sepsis,
                                                                   infections, falls, pressure ulcers.
    Eliminate avoidable harm to patients.
                                                                   There are zero never events as defined by NHS
    Ensure patients are safe in our care.                          England.
    Ensure all staff understand their roles in keeping
    patients safe and are competent in doing so.
    Ensure staff feel able to raise concerns and that they
    are swiftly responded to.
    Ensure our environment and equipment is safe,
    functional, suitable, secure and clean.
    Ensure we have effective quality governance
    arrangements.
    Have a below average Hospital Standardised
    Mortality Rate (HSMR).
    Ensure we learn from experience to help us
    continuously improve.

The Trust will know it is achieving this objective because:
    The Trust is compliant with national published or
    national Best Practice Standards. For example
    Fracture Neck of Femur and Stroke, amongst others
    The Trust has systematic analysis of adverse events
    which lead to evidence lessons learned that are acted
    upon.

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TRUST STRATEGY 2017/2021

Strategic Objectives
Objective 2 -Achieve excellent patient
experience and deliver expected outcomes
Achieving the Trust vision and mission means providing excellent
patient experience to the people we serve, every time they encounter
care we deliver.
This means the Trust will:                                           The Trust will know it is achieving this objective
   Provide clinically effective treatment and care, which is         because:
   delivered safely.
                                                                        The Trust’s Friends and Family Test and patient
   Provide services that are accessed with ease and in a                experience survey results has improved.
   timely manner.
                                                                        The Trust has a consistent record of improvement in
   Ensure patients have a positive experience of care at the            performance trends.
   Trust.
                                                                        There is a significant reduction in the number of formal
   Ensure patients are actively engaged and understand                  complaints.
   their care, and our communication with them is excellent.
                                                                        Staff attitude has been eliminated as a reason of an
   Listen and act upon feedback and evidence learning                   upheld complaint.
   when things have gone wrong.
                                                                        The Trust workforce recommends us as a place to
   Use national data to support our ambition for striving for           receive care.
   excellence.
                                                                        More patients choose the Trust ahead of other providers .
   Work in accordance with national guidelines and best
                                                                        The Trust is delivering care within national access
   practice where available.
                                                                        standards especially within Emergency Care Standard
   Meet national clinical standards and best practices.                 and Referral to Treatment times.
                                                                        The Trust exceeds NHS Constitution rights and pledges.

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Strategic Plan 2017/18 to 2020/21
TRUST STRATEGY 2017/2021

Strategic Objectives
Objective 3 - Be an excellent employer
The Trust values its staff and                                     The Trust vacancy rate is reduced, having a
                                                                   positive effect on reducing spending on agency
aspires to be an excellent                                         staff.
employer; one which people                                         The Trust has improved the result it receives from
choose to join, want to stay and                                   all trainee feedback surveys and that it receives
                                                                   from its education partners.
where they can develop their                                       People feel proud to work here and are eager to
careers                                                            celebrate success.
This means the Trust will:                                         The Trust’s workforce is representative of the
                                                                   community we serve.
   Value staff and their contribution.
                                                                   The Trust has achieved the Investors in People
   Have effective clinical leadership.                             Gold Standard.
   Create the right conditions so people want to work
   here and, when they do, they choose to stay.
   Support all staff to live by our values and
   behaviours.
   Provide healthy and safe workplaces.
   Invest and promote appropriate education, training,
   development and leadership opportunities for all
   staff.
   Support staff to achieve their career ambitions.
   Provide high quality clinical education and
   professional development that is valued by our
   student placements.
   Be an equal opportunities employer.

The Trust will know it is achieving this objective because:
    Rates of staff recommending the Trust as a place
    to work is greatly improved.
    Staff turnover and sickness is greatly reduced.
    The Trust has an external reputation for being a
    good place to work.
   There is a choice of appointable candidates for
   posts within the Trust.
    The number of appointments made from within
    the Trust increases (above entry level posts).

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Strategic Plan 2017/18 to 2020/21
TRUST STRATEGY 2017/2021

Strategic Objectives
Objective 4 - Be a well-led and
governed Trust with sound finances
The Trust is an NHS organisation                             The Trust will know it is achieving this objective because:
with responsibility for providing                                 Patients achieve better outcomes as a result of
                                                                  innovation and transformation.
best value for the use of the
                                                                  The Trust’s ranking on the Single Oversight
public’s money. The Trust will                                    Framework improves.
ensure its leaders support the                                    The Trust recurrently meets its financial control
vision, share the values and                                      totals and obligations.
behaviours and pledge to spend                                    The Trust has a robust approach to business and
                                                                  financial planning which is considerate of the
resources to meet the objectives.                                 changing system environment.
                                                                  The Trust is rated good or outstanding for being
This means the Trust will:
                                                                  well-led.
    Know its business and be flexible to change.                  The Trust has a reputation as a place where
    Invest in innovation and transformation which                 patients want to receive their care.
    enables the provision of high quality care to                 The Trust’s reference costs and weighted Average
    patients.                                                     Unit Cost of Activity are less than 102%.
    Consistently comply with regulators’ standards.               The Trust’s quality and governance arrangements
    Ensure there is a clear line of sight from ‘ward to           support year on year improvement in patient
    Board’ and manage and monitor issues effectively.             experience and outcomes.
    Consistently meet financial obligations.
    Support all staff to understand their role in relation
    to the use of public resources and act responsibly
    to deliver best value.
    Provide best value whilst improving patient care.
    Ensure our Performance Management Framework
    is patient-centric and provides foresight and
    actively supports us towards our Vision.

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Strategic Plan 2017/18 to 2020/21
TRUST STRATEGY 2017/2021

Strategic Objectives
Objective 5 - Have effective partnerships
that support better patient care
The direction of the NHS is to work                        The Trust will know it is achieving this objective because:
more collaboratively with other                                 Transformation, service improvements and
                                                                efficiencies are realised through partnerships.
providers and commissioners
                                                                Patient outcomes and feedback improves within
for the benefit of patients and                                 pathways where we are working in partnership.
to safeguard the sustainability of                              The Trust workforce is aware of partnership
services.                                                       arrangements and collaboration and how they
                                                                benefit patients.
This means the Trust will:                                      Trust Board and Executive Directors regularly
    Work with other organisations to provide seamless           consider partnerships and collaboration
    patient care.                                               opportunities.

    Have partnerships that will deliver efficiencies and        The Trust receives positive feedback from
    sustainability.                                             Commissioners and Local Authorities about the
                                                                way we work.
    Explore and adopt new models of care.
    Be an active member of Sustainability and
    Transformation Plan workstreams to support the
    change and collaboration required.
    Support and work with primary care to improve
    patient outcomes and experience.
    Work with the third sector where and when it will
    enhance patient experience or support better
    patient outcomes.
    Make a full contribution to West Yorkshire
    Association of Acute Trusts (WYAAT).
    Make a full contribution to the Health and
    Wellbeing Boards to improve the health of the
    people of Mid Yorkshire.

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Strategic Plan 2017/18 to 2020/21
TRUST STRATEGY 2017/2021

Strategic Objectives
Objective 6 - Provide excellent Research,
Development and Innovation Opportunities
As a learning organisation, with                                   Staff feel supported to develop their ideas
                                                                   and encouraged to be part of funded research
three acute hospitals and vibrant                                  opportunities.
community services, the Trust is                                   The Trust communicates its successes widely and
perfectly positioned to be actively                                celebrate those involved.

involved in research, development                                  Income relating to Research and Development
                                                                   increases including NIHR.
and innovation opportunities.                                      The Trust is recognised for being a key provider
Enhancing the Trust’s involvement                                  of Research and Development in the Yorkshire
in these will strengthen our offering                              and Humber region.

to patients and staff.
This means the Trust will:
   Make it easy for staff to present ideas and
   innovations.
   Support staff to realise ideas quickly and
   effectively.
   Work with academic and healthcare organisations
   to explore and support appropriate research
   partnerships to improve care
   Actively engage patients and the public in
   delivering effective research and development
   projects.
   Encourage a culture that promotes the
   development and engagement in research.
   Develop funded research activity and grow
   research income.
The Trust will know it is achieving this objective because:
   More staff are involved in funded research,
   development and innovation opportunities.
   There is an increase in the number of staff
   suggestions for innovation that are received and
   evaluated.

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TRUST STRATEGY 2017/2021

Enabling
Strategies
The Trust has five crucial enabling
strategies which are in place to
underpin and support the delivery
of this strategy.
Enabling Strategies
    Quality Improvement Strategy
    Workforce Strategy
    Information Management and Technology Strategy
    Estates and Sustainability Strategy
    Research and Innovation Strategy

Trust Operating Plan 2017-2019
The Trust has a two year Operating Plan which describes
the key objectives and work plan for the next two years. In
effect, this is the tactical plan to take the Trust ever closer to
realising its vision and its strategic objectives. The Operating
Plan is updated every 12 months.

Conclusion
The Trust Striving for Excellence Strategy 2017/2021 will
be formally reviewed in September 2018 but continually
assessed against its progress as measured through the
delivery of the Operating Plan and the Strategic Scorecard
as shown in Annex 3.

The Trust believesthe Striving for Excellence Strategy for
2017/2021 is built upon a clear understanding of the needs,
challenges and priorities of the people it serves and is
based upon sound organisational knowledge. The Trust has
developed specific strategic objectives and has a clear line of
sight on how it intends to achieve its vision.

To achieve excellent
patient experience each
and every time
                                                                     16
Annex 1. How We Developed
the Strategy
The strategy ‘Striving for Excellence’                        ‘Striving for Excellence’; resulting in a strategy that better
                                                              reflects the needs of the staff, patients and big changes
was developed in close consultation                           within the wider economic environment which occurred
with external stakeholders, patients                          since the strategy was first developed.
and carers, clinical commissioning                            Following this a series of development sessions were held
groups and local authorities and                              with Trust Board members, the Leadership Community
                                                              Forum, Clinical Executive Group and the Executive Team
reflected the changes required to the                         to focus upon The Trusts strategic objectives.
Trust as part of the reconfiguration
                                                              Key stages of our strategy development included:
of services.
                                                              The collection and analysis of staff opinion.
In 2016 our Trust Board Members recognised a need to
refresh, rather than recreate, the Striving for Excellence    Trust Board strategy development sessions.
Strategy to reflect changes in the national NHS direction.
                                                              A strategy development support pack was formulated
The strategy development process mirrors the seven
                                                              based on guidance from NHS Improvement to enable
stage framework for strategy development published by
                                                              senior leaders to ensure the development of a strategy
NHS Improvement; frame, diagnose, forecast, generate
                                                              which responds to the needs, challenges and priorities of
options, prioritise, deliver and evolve.
                                                              the local people, that they had sound knowledge of of
During the past 12 months, the Trust has successfully         the Trust’s clinical and financial performance, both current
delivered a programme of work incorporating a series of       and how this has changed over time.
events across the Trust to engage staff in refreshing the
                                                              Development sessions were held with the Clinical
organisations five year strategy and priorities.
                                                              Executive Group and the Leaderships Community Forum
As a direct result of these discussions, the Trust has        to further develop the strategic objectives, to understand
developed new Vision, Mission, Values and Behaviours.         the necessary objectives to achieve these and how the
These engagement events, known as the Big                     Trust will monitor progress.
Conversations, included six largescale events attended
                                                              The draft strategy was sent to external stakeholders as
by more than 400 staff from all disciplines and locations.
                                                              well as staff and staff side representatives to seek further
The big conversations resulted in staff describing:
                                                              comment and suggestions.
   440 priorities/challenges comments
                                                              The Trust believes the resulting Striving for Excellence
   63 vision statements                                       Strategy 2017-21 demonstrates a true understanding
                                                              of its current position, the key priorities and objectives
   1,000+ behaviours                                          for improvement and describes how the Trust will know
   259 behaviour statements                                   when it has achieved.

The findings have provided the corner stone for the
refresh of the organisation’s five year strategy:

                                                             17
mY bEHaviOurS
                   Our miSSiOn (purpOSE): To provide high quality healthcare services
Annex 2. at home, in the community and in our hospitals, to improve the quality of people’s lives.
MY BEHAVIOURS      Our viSiOn (ambiTiOn): We strive to achieve excellent patient experience each and every time.

       HIGH STANDARDS                                                      CARING
 Taking responsibility for providing the best                       Ensuring quality of care is at the heart of
 services and patient experience.                                   everything we do.
    I will strive to do things right first time, every time.            I will avoid making assumptions and always treat

                      HIGH
    I will speak up about and report any concerns                       people as individuals.
    I have.

                   STANDARDS
    I will support and encourage others in the team.
                                                                                   CARING
                                                                        I will make eye contact, smile and introduce myself
                                                                        with, “Hello, my name is…”
                                                                                     Ensuring quality of
    I will make first impressions count by being                        I will listen and welcome different opinions.
                        Taking responsibility                                       care is at the heart of
    professional in my appearance, communication,                       I will put myself   in thewe
                                                                                      everything   other
                                                                                                      do. person’s shoes and take
                       for providing the best
    body language and attitude.                                         time to understand their needs.
                        services and patient
    I will recognise, praiseexperience.
                              and celebrate a job                       When I make a commitment, I do what I say I am
    well done.                                                          going to do.

                                                     Our
    I will commit to continuing my development,                         I will aim to give the standard of care or service
    learning new skills and sharing knowledge.                          I would expect for myself or my relative and ask

                                                    Values
    I will take responsibility for my actions.                          myself, “would I be happy with this?”

    I welcome feedback.                                                 I will give time to people in distress or who need me.
                                                                       I will show genuine compassion to others by being
                                                                         kind and thoughtful.

          RESPECT  RESPECT                                                 IMPROVING
                                                                             IMPROVING
 Showing value and respect for everyone and
                    Showing value and respect                                    We always look for ways to
                                                                    We always look for ways to improve what we do.
 treating others asforthey   wouldand
                        everyone     wishtreating
                                           to be treated.           We encourage    improve   what wevalue
                                                                                       involvement,    do. contributionsand
                     others  as they would wish                     listen to andWe positively
                                                                                     encourage act
                                                                                                 involvement,
                                                                                                     on feedback.
    I will protect the privacy  and dignity  of patients,
                            to be treated.                                      value contributions and listen
    service users and colleagues.                                       I will be responsive and adaptable to changing
                                                                                   to and positively act on
    I value the opinions of others and show                             circumstances and new expectations.
                                                                                          feedback.
    consideration for their feelings.                                   I appreciate learning can come from mistakes
                                                                        and I will take positive steps to change.
    I will take the time to listen to others and consider
                                                                        I will continually reflect on my actions and take every
    their perspective, even if it is different to my own.
                                                                        opportunity to make improvements.
    I will treat people as individuals, taking into account             I will work as part of a cohesive team, praise
    their personal circumstances.                                       co-operation and value the views and contributions of
    I will listen, check my understanding and act with                  others.
    fairness, honesty and consistency.                                  I will learn from others, be receptive to new ideas and
                                                                        look elsewhere to see what works.
    I will show appreciation by saying thank you for
    work well done.                                                     I will speak up when I see or hear behaviour which
                                                                        does not reflect the Trust values.
    I will respect the confidential nature of information.              I will help seek opportunities to improve and take part
    I will strive to develop insights into how I impact on              in the way it is done.
    others, accepting and acting on feedback.                           I will encourage creativity and support new ideas by
                                                                        suspending judgement until all the benefits and risks
                                                                        have been fully explored.
                                                               18
Annex 3
Strategic
Scorecard

(currently being drafted)

               19
TRUST STRATEGY
         2017/2021

Dewsbury and District Hospital       0844 811 8110 / 01924 541000
Halifax Road, Dewsbury WF13 4HS
                                     @MidYorkshireNHS
Pinderfields Hospital
Aberford Road, Wakefield WF1 4DG
                                     TheMidYorkshireHospitalsNHSTrust
Pontefract Hospital                  www.midyorks.nhs.uk
Friarwood Lane, Pontefract WF8 1PL
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