Relationships with commissioners had improved and matured. This was the same as our previous inspection in 2018. Caring and well-led ratings improved with a rating of outstanding. There was no access to the trusts online records system, for example. Ensure that risk assessments in care records are consistently completed for all of the young people who use the community CAMHS service. Staff were aware of these procedures and their own responsibilities for the safeguarding of children and young people. hbbd``b` @QH0 kWGA@:L %@ HVDA(fym %@vlD # As Chair of the Trust I feel passionately that we deliver on this aspiration to ensure that we have a workforce that truly represents the population we serve. NHS terms and conditions pay poster 2022/23, NHS Terms and Conditions of Service Handbook, buying equipment early and monitoring stock levels to avoid emergency rentals/purchase, no corporate staff training during winter months, finalising Christmas and New Year rotas early, recruiting additional staff in July rather than September, ensuring staff took breaks, even during busy times, a revised discharge process and associated patient information, expansion of out-of-hospital services such as Hospital@Home. 'xt^ The programme is available to staff and their families and NBT was careful to position it as being provided by an independent organisation so that staff had the confidence to use it. That report, released in January, warned that the NHS is increasingly compromised by an ideology which disregards the realities and immutability of biological sex and that is diminishing the rights of women and girls. Our financial wellbeing web page supports you to develop a robust approach to support your staff with nancial wellbeing in the workplace. We aim to be an anti-discriminatory organization and are committed to building a team that represents a variety of backgrounds,. %%EOF Our Values NBT Cares. They had a clear vision, understood the challenges the organisation faced and were committed to sustainable care that extended beyond the borders of the hospital. Governance processes were innovative, and focused on improving safety, quality, and patient experience specifically for outpatients. There are over 8,000 reasons why North Bristol NHS Trust is a place to be #NBTProud of. The safe domain was rated good because there were effective systems in place to assess and manage risks to patients. Improvements had been made to the financial governance of the trust, but there was still much to be achieved to bring the trust back to financial balance and address the non-achievement of key operational performance targets. Board members recognised that they had work to do to improve diversity and equality across the trust and at board level, as well as keeping non-executive level clinical input under review. All the hospitals were clean. Targets in the emergency department were not being met for a maximum wait of four hours to be admitted, discharged or transferred, (in October 2014 this was 80.7% against a target of 95%); triage within 15 minutes of arrival and for patients remaining on a trolley in the department or more than 12 hours. We support and care for every member of staff, every carer, every visitor, and will always put the patient first. 2023 North Bristol NHS Trust. Patients should not have to share sleeping accommodation with others of the opposite sex and should have access to segregated bathroom and toilet facilities.. The shift to staff health and wellbeing being considered as important as patients health and wellbeing put NBT in a good place to look after its staff during the response to COVID-19. Medicines were not appropriately managed with weaknesses in storage and accurate recording of administration. The group listening events provided refreshments as an extra incentive to attend. Staff also had monthly meetings to feedback on the service. This was a significant event with the majority of services moving from the 'old' Southmead and Frenchay Hospitals into this newbuilding. The Community Childrens Health Partnership (CCHP) had systems in place for incident recording, investigating and monitoring. [15], Between July and September 2014, the trust had the third worst performance in the country against the requirement to treat and discharge or admit 95 per cent of A&E patients within four hours. There was a large focus on celebrating success every day, which in turn helped staff to feel pride in their achievements. The impetus to make a tangible difference to the health and wellbeing of staff at North Bristol Trust (NBT) came after a gruelling winter in 2017/18. The operational performance at the trust was meeting some but not all national targets or standards for treating patients and more needed to be done to improve this. We recognise the person, and treat each one with dignity and respect. %PDF-1.5 % The maternity service at Cossham Hospital was meeting the needs of each individual woman who attended, services were flexible and choices offered. VideoThe secret mine that hid the Nazis' stolen treasure, LGBT troops take love for Eurovision to front line, Why an Indian comedian is challenging fake news rules. Our decisions on overall ratings take into account, for example, the relative size of services and we use our professional judgement to reach a fair and balanced rating. The young person and their carer received contact information for the C.I.T. team and the Samaritans should they enter crisis again before their follow up appointment. providing Caring, Ambitious, Respectful and Supportive Care. Staff took account of patients individual needs and preferences and coordinated care with other services and providers. 3.1 Trust Values During 2012, in consultation with staff, the Trust developed a description of our underlying values that [21], In December 2017, the trust reported 122 breaches of the 12-hour target in A&E the worst performance in England and only 70.3 per cent of patients were seen within the four-hour target. We are honest and open about our point of view and what we can and cannot do. Hospitals are set to be told they must guarantee single-sex care amid a row over hospitals allowing transgender NHS staff to treat patients based on their gender identity. One patient had their operation cancelled on the day of operation for the second time. The service had enough medical, nursing and midwifery staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment. The service planned and provided care in a way that met the needs of local people and worked with others in the wider system to plan care. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. ensure that equipment in theatre is sterile and available for use when required. The trust had governance structures to monitor the effectiveness of changes in the service design. Although the trust was meeting its target for the number of staff receiving safeguarding training there were large variations in compliance with this. Responsive improved to requires improvement. There were clear links to improvement in care within most areas. We rated it as good because: Caring and Well led at core service level were rated outstanding. Create the conditions for them to make suggestions and ensure they can be confident they will be acted on, to lead to effective change. As much emphasis was placed in the caring for and about those close to patients as patients themselves. Lord Markham added: Patients can request same-sex intimate care, and it will be up to the care provider or clinician to respond based on the patients needs and staff availability. [20], It ended 20152016 in deficit of 51.6M. The trust ran inpatient geriatric services at Blackberry Hill Hospital until 2005, when it closed activities at the site transferring most services to Frenchay and Southmead, and eventually selling the trust's part of the site. [2] Neurosciences [ edit] Studies have proved a direct link between better staff engagement and improved clinical outcomes for patients. Identifying a consultant champion can help encourage consultants and junior doctors to engage with wellbeing campaigns, rather than feeling that they should have all the answers. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. All staff we met were clearly inspired and motivated by the clinical lead for end of life care, and this translated into the delivery of high-quality end of life care. Responsive at core service level was rated requires improvement. People received effective care that met their needs and staff understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards had improved since our last inspection. Safe improved to good. We use our system of intelligent monitoring of indicators to direct our resources to where they are most needed. [5] The trial was funded by Parkinson's UK with support from The Cure Parkinson's Trust and in association with the trust. Luke Hall, Conservative MP for Thornbury & Yate, said he had secured the support of Health and Social Care Secretary Matt Hancock for the project. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. The trust employs over 8,000 staff delivering healthcare across Southmead Hospital, Cossham Hospital, and the Bristol Centre for Enablement, as well as the local communities. There was strong clinical leadership and direction within the service. However, improvements had been made in urgent and emergency care services, which we rated as good. Existing staff may not always be able to respond to urgent referrals or maintain the safety of children and young people receiving services. All services provided were caring. NHS Employers (2020), Improving performance by improving staff wellbeing: North Bristol NHS Trust. We saw evidence of challenge in the board minutes. Significant work was being undertaken on the trust strategy which was being led by the medical director. There was a high level of delayed transfers of care which was frequently above 100 patients per day and at the time of the inspection was 114.However, there had been significant work undertaken since the inspection in November 2014 to facilitate patient discharges. The industrial action is a national dispute between the Government and Trades Unions about terms . This rating stayed the same. We recognise the person, and treat each one with dignity and respect. More needed to be done to strengthen the voice of allied health professionals at board level. In August 2015, the trust announced that they were not bidding for the contract to continue providing their current Children's Community Health Partnership services which they won in 2009, because of the "non-core nature of the service", a "lack of management capacity" and "financial pressure". In 2017-18, only 77.1% of A&E patients were seen within four hours. By respecting our differences inside our common humanity, regardless of race, colour, religion or sexual orientation, we will build a fairer organisation, where everyone can thrive. It comes as the Government is poised to rewrite equality law to protect women by making it easier to bar trans people from single-sex spaces such as wards. This includes ensuring that patients are cared for in the most appropriate place and are supported to leave hospital when they are ready to do so. Standards of infection control varied across the trust and results of the mandatory reporting were variable. "It will mean our community can access the care they need closer to home," Mr Hall said. These combined to create an overall trust rating of good. The leadership, governance and culture of the trust promoted the delivery of high quality patient centred care. North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead.
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