GP & Partner Bulletin - December 2016

Pulse 2

December 2016

Welcome to the December issue of Pulse The Pennine Acute Hospitals NHS Trust's GP and partner bulletin. Each issue will round up the latest news from inside the Trust and present it in this e-newsletter. If you would like to make any comments about this issue or if you have any suggestions for future content then please email the editor

HEADLINE NEWS

Update on our Care Organisations (locality site management structures) from the Chief Executive

Following the Care Quality Commission (CQC) Report the Board decided to strengthen site leadership arrangements. I am pleased to let you know that at the beginning of the New Year we will decentralise leadership and welcome our new leadership teams for our three Care Organisations (Bury & Rochdale; Oldham and North Manchester).  

Each team will consist of a Medical Director, a Nursing Director and a Managing Director and together they will manage the services of a Care Organisation. Site based leadership will have a clearer focus and be able to offer staff better support and engagement. They will also be able to strengthen relationships and joint working with our local care partners, Local Authorities and local commissioners.

Our new leadership teams for our three Care Organisations will begin in the first week in January 2017 and consist of:-

Bury and Rochdale

Steve Taylor – Managing Director

Dr Shona McCallum – Medical Director

Tyrone Roberts – Nurse Director

Oldham

Donna McLaughlin – Managing Director¹

Dr Chris Brookes – Medical Director²

Nicola Firth – Nurse Director

North Manchester

Stephanie Gibson – Managing Director

Prof Matt Makin – Medical Director³

Simon Featherstone – Nurse Director

¹ Deborah Ashton will provide interim cover as Managing Director until Donna McLaughlin commences in post. 

² Chris Brookes will provide interim cover as Medical Director to Oldham until a permanent appointment is made.

³ Matt Makin will initially retain his responsibilities as Medical Director for Pennine Acute and in an agreed timescale there will be transitionary arrangements enabling the transfer of appropriate responsibilities to Site Medical Directors and the Chief Medical Officer for the Group.

The Care Organisations will be supported by a new Group which will act on behalf of the Trust Boards of The Pennine Acute and Salford Royal Trusts.  The two Trusts will continue to exist and it is proposed that their Boards meet 3 times a year to undertake their statutory functions. To reduce bureaucracy, most of the Board’s activities will be delegated to a Group Board. The first appointment has been Dr Chris Brookes to the role of Chief Medical Officer for the Group. 

Other appointments will be made in the New Year. Clinical Divisions and Directorates will begin to be reorganised into the new Care Organisations and we will determine how corporate business support will be provided.

I look forward to keeping everyone updated and briefed on a regular basis through our regular staff communications.

Sir David Dalton

Chief Executive

Our Improvement Plan update

Our Improvement Plan is being implemented with rigor and commitment across the organisation in response to the CQC’s findings and their rating of our sites and services published in August. The primary focus to date has been to support staff and stabilise our fragile services to ensure our key services including A&E, maternity, Paediatrics and critical care are safer, more reliable and more efficient and effective. The Improvement Plan is publicly available on our website. The plan is monitored and discussed monthly at the public Trust Board meeting.

The Trust’s Executive Team is meeting with the CQC for a table-top review on 13 December 2016 to enable a detailed review of the progress being made. A follow-up inspection is expected by the CQC across all of our sites in late Spring 2017 which will focus on those services that were rated inadequate and aspects in the Well-Led domain.

Workforce recruitment and retention is as a key component and driver to the sustainability of our fragile services. The Trust is putting a huge amount of effort in recruiting staff into key areas. To date, the Trust has:

  • Recruited over 50 midwives since April. Thirty-one new midwives started in post across our maternity units at North Manchester General Hospital and The Royal Oldham Hospital in October. Shortlisting of a further 14 midwives in process.

  • Recruited a Directorate Manager for urgent care

  • Appointment to new band 6 ward nursing posts across the Trust

  • Recruitment of 48 Trainee Nursing Associates as part of Greater Manchester collaborative pilot

  • Continued to recruit Specialty Doctors for Royal Oldham High Dependency Unit

  • Completed recruitment advertisements for 2 x trainee Advanced Critical Care Practitioners, 3 shortlisted and interview date set

  • Successfully interviewed supernumerary shift coordinators to start in post in January.

  • Developed a package and recruitment campaign for Acute Physicians posts Trust wide.

  • Progressed the recruitment of six new consultant paediatricians; four paediatricians have commenced in post.

  • A new matron for paediatrics has started in post and three paediatric nurses have been recruited from Salford Royal Foundation Trust.

  • Between April and September successfully recruited 109 new registered nurses and 36 doctors. 60 newly qualified registered nurses started on 2 October

  • Recruited 149 health care support workers and progressed recruitment of 70 more health care support workers

  • Developed a targeted recruitment campaign for band 5 and 6 nurses

In the last six months we have:

  • Increased focus on recruiting more permanent staff in maternity services, critical care and paediatrics
  • Started to increase and strengthen skills and leadership of nursing across all of our wards
  • Secured 44 new Nursing Associate posts who will join the Trust in January 2017
  • Strengthened medical cover and increased presence of senior doctors at our A&E department at North Manchester General Hospital with support from neighbouring Trusts 
  • Enhanced GP and primary care input directly into the A&E department at North Manchester General Hospital and enhanced our community care services provision
  • Strengthened leadership across our maternity services and have employed 58 new midwives
  • Agreed collaborative working with St Mary’s Hospital (Manchester) to support our maternity staff at North Manchester General Hospital
  • Strengthened nursing standards by introducing a standardised performance Nursing Assessment and Accreditation System (NASS) to support nurses on our busy wards
  • Introduced an improvement learning collaborative with staff looking at quality of care and management of deteriorating frail and elderly patients
 

Update on national media attention - Trust maternity services

The Trust was recently the focus of critical story in the Manchester Evening News (MEN), which was followed up by local and national media, including TV and radio, relating to our maternity services. The piece followed the release and disclosure of an internal report written over five months ago in June 2016 by the Trust’s newly appointed divisional director of women & children’s as part of Salford Royal’s wider diagnostic review. This was undertaken in advance of the Care Quality Commission’s inspection report published in August. This internal report was shared with the MEN following a formal Freedom of Information (FOI) request.

The story included reference to a number of issues around patient safety, governance and maternity staffing which the Trust is already fully aware of and has been addressing following our CQC inspection and as part of our Improvement Plan. The story also made reference to a small number of incidents that have been fully investigated and shared internally and outside of the organisation to support service improvements.  

The publication of this story is disappointing given the increased effort the Trust has made over the past six months to build on the relationship with the MEN and other media to be open and transparent, particularly around the Trust’s Improvement Plan. Below is the Trust’s media statement for your information.

Statement response to the Manchester Evening News story in relation to maternity services

Professor Matthew Makin, Medical Director of The Pennine Acute Hospitals NHS Trust, said:

“Following the initial feedback from the Care Quality Commission (CQC) inspection in late February, the new Salford Royal executive leadership team requested that the newly appointed divisional director for women and children’s services carry out an internal in-depth service review of our maternity services.  This review was part of a wider diagnostic review and more detailed look into the organisation, the culture, our staffing pressures and operational service delivery.

“Our new Trust Chief Executive and the senior team wanted to understand fully the issues and problems affecting services, and what urgent action needed to be taken to improve patient care and to make our more pressured services safer and more reliable. In addition to this internal management report written by the newly appointed director for women and children’s services in June, a further extensive review was carried out by midwifery colleagues from Central Manchester University Hospitals NHS Trust as part of their support and involvement in our improvement plan.  Both of these reports identified the same issues that were already raised by the CQC in its formal inspection report published in August.

“The findings and recommendations from these reviews have been integrated into the Trust’s comprehensive improvement plan which is discussed monthly at every public Board meeting.  Our Improvement Plan sets out specific areas across our maternity services that the Trust is now addressing through increased investment, improved staffing, focused training and the appointment of a new leadership team to drive up quality, safety and performance.

“To ensure the Trust can make real improvements, a small number of serious incidents which occurred over the last 12 months have also been referenced in internal reviews and used as part of our improvement plan for staff training and have been shared outside of the organisation. These cases were, like all reported incidents, investigated thoroughly at the time and the families have been contacted and met by the Trust’s Head of Midwifery to apologise for any failings in care and to discuss the changes that have been made.      

“The priority is for all of the Trust’s services to meet the high standards that patients expect and deserve. We are steadily making the necessary improvements so that patients can receive reliable, high quality care across all of our services. Recruitment of additional midwives and a focus on clinical leadership continues to be the Trust’s priority for maternity services.  In addition to the appointment of a new Head of Midwifery, 31 new midwives started in post across our two maternity units at North Manchester and Oldham last month. In addition to 58 new midwives joining us since April, the new management team is being supported by Central Manchester NHS FT who are providing supplementary clinical leadership support in order to stabilise and strengthen services on the North Manchester site.

“We have fully reviewed our risk and governance arrangements including learning from incidents and complaints, and are making progress in improving the way we listen and involve our staff to address the long standing problems and challenges facing our teams.”

£1.5m investment means 31 new midwives ready to join maternity services at Royal Oldham and North Manchester General

A significant investment of over £1.5m made by the Trust is helping to support staff and strengthen maternity services at The Royal Oldham Hospital and North Manchester General Hospital. 

The investment is part of the Trust’s Improvement Plan and has enabled the Trust to recently recruit 31 new fully qualified midwives.

Read more

Green light given for new £5m Intermediate Care Unit at NMGH

Planning permission has been granted by the City Council for a brand new purpose-built 24 bed community Intermediate Care Unit situated in the grounds at North Manchester General Hospital (NMGH), which will help ease bed blocking and support elderly patients being discharged from hospital. Construction of the brand new unit has now commenced. This is a joint partnership between the Trust, North Manchester CCG and Manchester City Council. The cost of the new unit is expected to be around five million pounds and the build will take 12 months.

The new unit will become part of the Trust’s Community Assessment and Support Service (CASS), a new integrated service delivery model that aims to avoid admissions, reduce length of stay and improve patient and carer experiences by providing better access to the right intervention, at the right time, delivered by the right health or social care worker.

Help us come up with a name for the new Intermediate Care Unit

Can you help us come up with a suitable name for the building? Do you know a bit about the history of the site? All staff/public are welcome to have a go. Anyone who wants to take part should go to the Trust website and fill out the competition entry form

Doctors and nurses prepare for surge in cases of winter vomiting bug

A national surge in reported cases of the winter vomiting bug, known as Norovirus, has prompted hospitals run by the Trust to support the advice by Public Health England and prepare its own doctors and nurses for a potential local surge in the run up to Christmas.

To prevent the spread of Norovirus, the general public are also being asked not to come and visit friends and relatives in hospital if they have had diarrhoea or vomiting in the past 48 hours, or are suffering from a flu-like illness.

Read more

New Simulation & Clinical Skills Centre for The Royal Oldham Hospital

Construction has officially commenced on a new £600,000 state of the art Simulation and Clinical Skills Centre built in the grounds of The Royal Oldham Hospital that will open for use in February 2017.

This exciting project to enhance clinical training will help equip doctors, nurses, midwives and other clinical staff with the skills to provide quality driven, responsible and compassionate care to every patient both in hospital and out in the community.

Read more

Project Lead for Unified Do Not Attempt Cardio Pulmonary Resuscitation (UDNACPR)

A new post has been created to support clinicians to engage in Advance Care Planning and Unified Do Not Attempt Cardio Pulmonary Resuscitation (UDNACPR) discussions with our patients.

Advance care planning is a voluntary process of discussions between individuals and their care providers to identify individual wishes and needs in the event of deteriorating health. By engaging in these sensitive discussions at an early stage, the patient’s wishes are more likely to be met and anticipated needs can be planned for.

The post holder, Jackie Halstead, will cover all four hospital sites at the Trust and all primary care services in the North East Localities. Jackie is a qualified district nurse with much varied clinical and teaching experience in end of life care.

Jackie is available to support general practices for support and guidance as well as delivery of education around any aspects of Advance Care Planning and UDNACPR. The benefits to our patients will be improved consistency of care across primary and secondary care settings. In addition, clinicians can improve their knowledge, skills and confidence when engaging in these important discussions and decisions with patients. 

Jackie can be contacted on 0161 778 5061 or by email at Jacqueline.halstead@pat.nhs.uk.

Haemoglobin A1c and Fructosamine Requesting

After a software update to our HbA1c analysers we will now be able to report HbA1c, for monitoring purposes, for the vast majority of patients with suspected Hb variants. Because of this, the requirement to request serum Fructosamine instead of blood HbA1c has been removed.

Should you require any more help please do not hesitate to contact us.

Dr Afaf Hassan, tel: 0161 656 1428, email: afaf.hassan@pat.nhs.uk

Mr Neil McAuley, tel: 0161 656 1630, email: neil.mcauley@pat.nhs.uk

Staff at Fairfield General Hospital shine at Trust’s Annual Staff Awards

Staff who work in the High Dependency Unit (HDU) at Fairfield General Hospital in Bury were among a number of outstanding individuals and teams to receive an award and recognition at The Pennine Acute Hospitals NHS Trust’s seventh annual staff awards event.

At a special final awards ceremony at the Sheridan Suite in Manchester, Trust Chief Executive Sir David Dalton and Chairman Jim Potter, announced that HDU team had won the prestigious Patients’ Choice Award, voted by the public and patients.

Read more 

Royal Oldham staff scoop top awards at Pennine Acute Annual Staff Awards

Heart failure specialist nurse Anne Sharrocks was one of a group of outstanding staff who work at The Royal Oldham Hospital across different services to have successfully scooped a number of top awards at The Pennine Acute Hospitals NHS Trust’s 7th annual staff awards.

The Staff Awards 2016 consisted of 14 award categories which recognised the very best of patient care, skill, dedication and innovation across the Trust’s 9,000 staff who work at its four hospitals and across community services.

Read more

Staff at North Manchester General Hospital shine as annual hospital Trust staff awards 

A consultant in critical care, a midwife, a district nurse, a volunteer and the Home Intravenous Therapy Team from North Manchester General Hospital and community services, have received top awards at The Pennine Acute Hospitals NHS Trust’s 7th annual Staff Awards.

The Staff Awards 2016 consisted of 14 categories which recognised the very best of patient care, dedication and innovation across the Trust’s four hospital sites, community services and its 9,000 staff.

Read more 

Rochdale Eye consultant named Doctor of the Year at Pennine Acute Trust Staff Awards

A consultant ophthalmologist and clinical director based at Rochdale Infirmary, who has been described as being “a consultant like no other”, has been named Doctor of the Year Award at The Pennine Acute Hospital NHS Trust’s 7th annual staff awards event.

The Staff Awards 2016 consisted of 14 award categories which recognised the very best of patient care, skill, dedication and innovation across the Trust’s 9,000 staff who work at its four hospitals and across community services.

Read more

EVENTS FOR YOUR DIARY

Mortuary ‘virtual’ tour & talk, with Amanda Eckersley and Michelle Hoyle

20 December 2016

14.00 to 15.00

Seminar Room, Pathology Dept, The Royal Oldham Hospital

Reserve your place by emailing us or calling the membership office on 01706-517302

Wolstenholme talk & tour

18 January 2017

14:00 to 15:00

Rochdale Infirmary (Wolstenholme Unit)

Reserve your place by emailing us or calling the membership office on 01706-517302

Macmillan Living with & beyond cancer

07 February 2017

14:00 to 15:00

Education Centre, The Royal Oldham Hospital

Reserve your place by emailing us or calling the membership office on 01706-517302

'Snoring is never boring'

15 February 2017

14:00 to 15:00

The Post Graduate Centre, North Manchester General Hospital

Reserve your place by emailing us or calling the membership office on 01706-517302

Neuro-Rehabilitation talk

27 April 2017

14:00 to 15:00

Floyd Unit

Reserve your place by emailing us or calling the membership office on 01706-517302


Have you read the latest issue of Pennine News, the Trust's monthly magazine for staff and stakeholders?