GP & Partner Bulletin - January 2017

Pulse 2

January 2017

Welcome to the January 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

Parliamentary Debate – The Future of The Pennine Acute Trust (17 January)

On 17 January in the House of Commons, a number of our local Members of Parliament took part in a Parliamentary debate at Westminster Hall on historical and current issues related to The Pennine Acute Trust. The formal debate was sponsored by local MP for North Manchester (Blackley and Broughton), Mr Graham Stringer. Local MPs for Rochdale, Oldham, Heywood & Middleton, and Bury also attended and raised questions, as well as Labour’s shadow health minister. The Government’s health minister Philip Dunne responded to the questions raised by the MPs.

All of the MPs agreed that the debate was not being held to undermine the morale of Trust staff who they said are working hard for patients, but as an opportunity to consider the future of the Trust and to support the new leadership team led by Chief Executive, Sir David Dalton. All MPs agreed to support the Trust staff in our improvement journey.

The full transcript of the debate can be found on the Parliament website at:

https://hansard.parliament.uk/commons/2017-01-17/debates/9FE395DA-6325-44F6-8A8A-40B0A94FEBFD/PennineAcuteHospitalsNHSTrust

In his response to MPs during the debate, the Health Minister said:

“Sir David believes that all the evidence shows that staff are best placed to know what needs to be improved in their ward or department. He has introduced a system—tried and tested in Salford—that involves staff and supports them to test their ideas for improvement. Ideas that are shown to work will be replicated across the whole hospital. That approach turns on its head the idea that people in senior management positions always know what is best for patients on a ward, and instead recognises that frontline staff have expertise in spades and supports them. It will help to develop the culture change that has been a fundamental problem in the Pennine Acute Trust.

“Sir David Dalton at the beginning of this month introduced new site-based leadership teams in each of the four hospitals. For the first time since the creation of the trust 15 years ago, each hospital site and place-based team will consist of a medical director, a nursing director and a managing director, each dedicated to the daily oversight of that hospital. Together, they will manage the services of a care organisation. That site-based arrangement will give leadership teams a clearer focus and enable them to offer staff better support and engagement and take operational decisions for each site. Those leaders will ​also have the benefit of being in post on site to strengthen local relationships and promote joint working with other partners in the health economy, including local authorities and commissioners.

“Hon. Members talked about the future and expressed concern, particularly from a staff perspective, about yet another change happening. As all Members are aware, NHS England is in the midst of implementing sustainability and transformation proposals and turning those into plans for 44 areas across the country. Greater Manchester’s five-year plan, “Taking charge of our Health and Social Care,” predates the request for STPs, but NHS England has agreed that that plan meets the STP requirements and they are now effectively one and the same thing. There is, therefore, a real opportunity for healthcare in Manchester, with devolution of control to the council and opportunities for the local authority to work with the NHS to improve services for all the people of Manchester, to become a model for the rest of the country.

“The NHS in Manchester has been looking at how acute services can best be organised to deliver benefits, including operational financial efficiency, for quality of care, patient experience and the workforce. As has been said, the proposal is to create a single acute provider for Manchester, with the Wythenshawe Hospital and the North Manchester General Hospital joining the Central Manchester NHS Foundation Trust. That is an ambitious proposal, and the organisational change it requires is complex, but we believe that the potential benefits are considerable and offer a real chance for care to be standardised across the city. I know that hon. Members will be concerned about what that means for the Pennine trust. If that proposal proceeds, services at North Manchester General Hospital will be combined with those at the other hospitals in Manchester, but the intention is for the remaining hospitals in the Pennine Acute Trust to continue to work with Salford Royal in a new relationship.

“Like any trust, the Pennine Acute Trust needs better-quality, flexible and fit-for-purpose buildings. I have little time in which to outline what is happening but, as some hon. Members will be aware, construction has begun of a brand new, purpose-built 24-bed community intermediate care unit on the grounds of North Manchester Hospital. That unit will cost £5 million and will take 12 months to build. The Royal Oldham hospital, which includes the old workhouse, is being developed into a high acuity centre to serve the population of north-east Manchester.”

The MEN has published its news story giving its perspective of the debate.

Important update on Organisational Changes

The new site-based leadership teams for our 3 Care Organisations became operational on 3 January 2017 as follows:

Bury and Rochdale

Steve Taylor – Managing Director

Shona McCallum – Medical Director

Tyrone Roberts – Director of Nursing

Oldham

Donna McLaughlin – Managing Director¹

Chris Brookes – Medical Director²

Nicola Firth – Director of Nursing

North Manchester

Stephanie Gibson – Managing Director

Matt Makin – Medical Director³

Simon Featherstone – Director of Nursing

 

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

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 new leadership teams are currently working with the Executive Directors to develop plans to reorganise clinical divisions and directorates into the new Care Organisation as quickly as possible. Some corporate services will also need to be realigned to support this change.

Interim Arrangements

Whilst the new structures are being devised it has been acknowledged that immediate changes need to be made to reporting relationships in the Medicine Division because of vacancies in senior positions.  Therefore, on an interim basis and with immediate effect, line management arrangements for managers who reported to the Medicine Divisional Management Team is as follows:

  • Medicine Directorate Managers will report to the Care Organisation Managing Director on their base site.
  • Medicine Lead Nurses will report to the Care Organisation Director of Nursing on their base site.

Furthermore, as Deborah Ashton will be acting as the Managing Director for the Oldham Care Organisation until Donna McLaughlin commences in post in May, Ahti Khan, currently Divisional Finance Manager will act as Divisional Director for Surgery.  All staff who reported to Deborah as Divisional Director will report to Ahti until May 2017.

Reporting arrangements in the other Divisions across the Trust remain as they are at present, pending consultation regarding the introduction of new management structures based around our 3 Care Organisations, which is planned to commence in early February.

Next Steps

The new Care Organisation leadership teams have been working with the Executive Directors to consider how best to align our existing divisional and directorate structure to Care Organisation, and we anticipate that proposed new structures will be developed by the end of January with a view to consultation taking place with affected staff commencing in early February. We hope therefore to be able to implement the structures from 1 April 2017. 

Operational pressures

Pennine Acute, in common with most Trusts across the country, is continuing to experience significant operational pressures in our emergency departments and across our hospital and community services. The relentless demand, combined with the high number of patients awaiting discharge from hospital is placing additional pressures on our staff. We have thanked staff for their professionalism and commitment to duty and patient care during this demanding period. The Trust has reviewed and has put in place an Extended Waits Policy to ensure that the overall length of time that all patients spend in A&E is reduced and that the policy fully reflects national guidance and is consistent with the approach taken by Salford Royal and neighbouring trusts in terms of access standards. This revised escalation policy will help improve support and timescales for assessment and treatment of patients as they present in our A&E depts.

Improvement Plan

The Improvement Plan update for January presented to the Board on 26 January highlights the start of the implementation of the Care Organisation leadership teams (Bury & Rochdale; Oldham and North Manchester). The additional leadership of Medical, Nursing, Finance and Managing Directors at Care Organisation level will drive quality improvement on a site basis at a more impactful pace, engaging clinical and managerial teams in identifying local solutions to challenges, managing risks to deliver and communicating plans more effectively. The overarching Project Plan is now being dis-aggregated into site-based project plans to enable a more focused, site-specific transformation strategy, in addition to providing clearer ownership and accountability for project tasks.  The assurance framework will be adapted to reflect the new arrangements. Our Improvement Plan is monitored by the Improvement Board and discussed monthly at the Trust’s public Board meeting. It is publicly available on our website and our intranet, here. A follow-up unannounced re-inspection of the Trust is expected by the CQC during the first quarter of the new financial year any time between April and June 2017.

Trust Consultant named Head of Lancaster Medical School

Dr Rachel Isba, Consultant in Paediatric Public Health Medicine at the Trust, has been appointed as Head of Lancaster Medical School, where she will have responsibility for a wide range of leadership activities.

Dr Isba will start in post on 1 February 2017 and will split her week between the University and the NHS, where she will continue working in the Emergency Department at North Manchester General Hospital.

Read more

Mayor of Bury opens new £2m MRI unit at Fairfield General Hospital

A new magnetic resonance imaging (MRI) unit at Fairfield General Hospital in Bury has been officially opened by His Worshipful the Mayor and Consort of the Metropolitan Borough of Bury, Councillor Mike Connolly and Mr Ian Hargreaves. The Trust has invested over £2.2m on the new scanner and subsequent building work to house it.

Read more

Inspiring role leads to Anthony's dream job in community nursing

A former admin officer employed within the Trust’s community and integrated services at Rochdale has landed his dream job, got engaged and had a baby boy all thanks to an inspiring job within district nurse liaison!

Anthony Turner worked within the district nurse liaison team within the Heywood, Middleton and Rochdale area for three years and within this time he discovered his desire to become a qualified nurse.

Read more

Grateful thanks from patient helps others on Royal Oldham Hospital ward

 

An afternoon and evening of fundraising by a grateful patient has seen a fantastic donation of £4269 delivered to the haematology day case unit at The Royal Oldham Hospital.

Mike Kershaw from Bury was diagnosed with myeloma in December 2014 and received chemotherapy on the unit housed on ward F11 at Oldham. After completing treatment at Manchester Royal Infirmary he returned back under the care of Pennine Acute Trust and so wanted to support his local cancer unit.

Read more

National Safety Standards for Invasive Procedures (NatSSIPs)

One of the key priorities for the Trust in 2016/2017 is to pursue quality improvements to assure safe, reliable and compassionate care which will save lives, reduce harm, improve patient experience and meet Care Quality Commission requirements.

One of the ways in which we can strive to achieve all four of these is through local implementation of the National Safety Standards for Invasive Procedures (NatSSIPs). These have been created to bring together national and local learning from the analysis of never events, serious incidents and near misses in a set of recommendations that will help NHS organisations provide safer care to patients.

For more information on what the Trust has developed through its local implementation of safety standards for invasive procedures (LocSSIPs) download the PDF.

Read more

Pennine News February edition

The February issue of Pennine News, the Trust’s monthly staff magazine, has been published. Click here

The magazine includes a variety of information on activities and developments, policy news, staff on the move, and stories relating to the services and achievements of teams and staff.

Articles in this edition include:

  • New £2.2m MRI unit officially opens at Fairfield
  • Green light given for new £5m intermediate care unit at North Manchester
  • Improvements to breast cancer aftercare introduced
  • Inspiring role leads to Anthony’s dream job
  • New simulation and clinical skills centre for Oldham
  • R&D staff shine at Greater Manchester Clinical Research Awards
  • Staff engagement update
  • Learning about malnutrition
  • Bespoke teaching package for Rochdale staff
  • Safe use of insulin – essential job related training from January
  • A taste of research at bite sized seminar
  • Team focus on union learning representatives
  • Review your IT skills with e-learning pathway
  • Local safety standards for invasive procedures
  • Vascular research grows in strength
  • IG training compliance
  • Christmas donations
  • Corrie stars back Trust’s signalong campaign
  • High levels of satisfaction for POCT team
  • Grateful thanks from patient helps others on Oldham ward
  • Putting pathology under the microscope
  • League of Friends make a difference to the care of patients with generous donation
  • Flying high on worldwide Stop the Pressure Day
  • Pharmacy commended in national award
  • Journey of a lifetime for Misba
  • Apprenticeships are changing

Read more

New Community Intermediate Care Unit - North Manchester - Name the unit competition

In partnership with North Manchester CCG the Trust is building a new Community Intermediate Care Unit on the Delaunays Road side of the North Manchester General Hospital site.

We are currently asking our staff and the public to suggest names for the new unit.

Read more 

EVENTS FOR YOUR DIARY

Healthwatch Oldham Forum

31 January 2017

09:30 to 13:00

Oldham Leisure Centre

To enquire please call 0161 622 5700

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

“Inflammatory Bowel Disease 2017: Where we are and where we are going”– a patient and public event

01 March 2017

14:00 to 15:00

Education Centre, Fairfield 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?