Standards for Better Health 20089

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Item No. 3.4
Standards for Better Health 2008/9 Presentation
for OSC Topic Group February 2009
Sally Wilson Performance Improvement
Manager Emma Bisset Standards for Better Health
Manager Keith Moullin Joint Deputy Director of
Operations Barbara Suggitt Company Secretary
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C6 Healthcare organisations co-operate with each
other and social care organisations to ensure
that patients individual needs are properly
managed and met

• As a Partnership Trust HPFT is a health and
  social care provider
• Representative membership on Adult Care Services
  Board and HPFT Board
• Joint Commissioning Partnership Board meetings to
  ensure joint agenda is delivered
• Single Assessment Process for Older People
• Many joint policies between social care and
  health
• Joint responsibility to deliver social care
  performance indicators eg. direct payments
• Provide liaison services for people presenting at
  AE with mental health problems

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C13a) Healthcare organisations have systems in
place to ensure that staff treat patients, their
relatives and carers with dignity and respect.

• Privacy and dignity policy in place
• Single equality scheme in place
• Established Essence of Care benchmarking
  programme
• User and Carer led audits
• Complaints and incidents monitored for privacy
  and dignity issues
• Spiritual Care Co-ordinator in post
• Training on customer relations for all inpatient
  staff
• Cultural competency training available to all
  staff
• Patient Experience Trackers introduced focus on
  dignity and respect in inpatient areas

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C13a) Outcome of Investigation in Tertiary
Assessment and Treatment Unit

• Bungalow in question is now closed and staff team
  successfully redeployed.
• Moves for service users have been successful no
  readmissions.
• Unannounced visits now in place across all
  inpatient services.
• Increased monitoring of supervision, training and
  appraisal Board level reporting.
• Generic job descriptions now developed to
  increase the ability for staff to move around all
  units.
• Dedicated post funded for Safeguarding Adults
  commended in recent CSCI inspection.

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C13b) Appropriate consent is obtained when
required, for all contacts with patients and for
the use of any confidential patient information

• Robust policies in place
• Consent to treatment audit undertaken as part of
  annual audit programme
• Audit on consent to ECT undertaken annually
• Programme of training being delivered on Mental
  Capacity Act, jointly funded post and audit
  undertaken
• Leaflets given to all service users on the use of
  their information
• Policy on communicating with diverse service
  users and interpreting service available
• Hearing loops available on all sites

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C13c) Staff treat patient information
confidentially, except where authorised by
legislation to the contrary

• Robust policies in place
• Adherence to Caldicott guidelines regularly
  monitored
• Ongoing records audit monitors confidentiality
  issues
• Records training for all staff, includes storage
  and confidentiality issues
• Shared protocols on use of information e.g.
  Safeguarding Children and Safeguarding Adults and
  mandatory training for all staff
• Ongoing work with carers re confidentiality

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C17 The views of patients, their carers and
others are sought and taken into account in
designing, planning, delivering and improving
healthcare services

• Working with Viewpoint, Carers in Herts Mind on
  Qaire results due in March
• Service user and carer involvement strategy in
  place
• Involvement in strategy, quality accounts,
  strap-line
• Service user led audit projects outpatient
  experience
• Service users involved in all new build projects
  eg PICU
• Service users involved in design and review of
  new and existing services eg Personality Disorder
  service and Early Intervention in Psychosis
  service.
• Service user and carer councils
• Recovery conference CD, DVD and booklet jointly
  produced
• Having Your Say questionnaire and Patient
  Experience Tracker and Patient Surveys
• Involvement in interviews
• Setting up workshops for the wider community for
  education on mental health issues

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C18 Healthcare organisations enable all members
of the population to access services equally and
offer choice in access to services and treatment
equitably

• Health Inequalities group in place with
  representation from PCT
• Single equalities scheme in place
• Programme of disability access audits and
  contingency plans in place
• HPFT hosting community development race equality
  workers
• IAPT project includes enhanced primary care
  projects
• Ongoing work to improve access to acute care for
  people with a learning disability

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C18 Response to queries over recommendations in
Mental Health Topic Group Review

• Similar services for older people need to be
  provided across the county, defined by local
  needs.
• Enhanced Primary Care continues to be a
  peripatetic service providing local services
• To ensure equity of provision a model should be
  developed to ensure quality of mental health
  services are provided equitably but flexibly

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C22 Healthcare organisations promote, protect and
demonstrably improve the health of the community
served, and narrow health inequalities by a)
cooperating with each other and with local
authorities and other organisationsc) making an
appropriate and effective contribution to local
partnership arrangements including local
strategic partnerships and crime and disorder
reduction partnerships

• Partnership agreements in MH and LD
• Public health strategy and action plan to improve
  health and reduce inequalities in place with PCT
  input
• Joint working with acute trusts re service users
  with ld
• Single assessment process for older people
• Joint working in CAMHs re crime reduction