Agenda item
East London Foundation Trust - Service Priorities for 2015/2016
Presentation by Dr Somen Banarjee, Director of Public Health
Presentation to be tabled at the meeting
Minutes:
Representatives from East London NHS Foundation Trust gave a
presentation on the Service.
It was noted that the Trust gained Foundation status in 2007. At that time, they were a mental health provider and delivered Mental Health Services which included the following:
§ Adult Mental Health Services at The Tower Hamlets Centre for Mental Health and from Community Teams (in which LBTH Social Workers were integrated);
§ Services for Older People with mental health problems, also at Tower Hamlets Committee for Mental Health and in the Community;
§ Child and Adolescent Mental Health Services – Community Services The Inpatient Unit, Coburn, is in Newham;
§ Substance Misuse Services.
In recent years, longer life expectancy had led to the inclusion of additional services. These were:
§ Forensic Services in other North East London Boroughs;
- APT Service in Richmond;
- Community Health Services in Newham;
- Speech and Language Services in Barnet;
- From 1/4/15 Mental Health Services in Bedfordshire and Luton.
The Trust’s achievements included the following:
· Following two serious incidents in 2010 inpatient Service had been improved;
§ All ELFT wards in East London are CQC compliant and had excellent AIMs Accreditation;
- Very successful Nurse Recruitment and development strategies. 8% vacancy rates;
- 80% bed occupancy;
- In the top 5 Trusts in the Country from the National Patient Community Survey;
- Excellent Staff Survey results – joint top for Staff Engagement, third for the FFT;
- Successfully delivered a £50m CRES Programme since 2010;
- Crisis Care Concordant response well received
- Good RAID Service at RLH.
Priorities/ for the future included the following:
- delivering high quality services, supporting and developing staff and maintaining financial stability.
- A more collaborative approach with Commissioners to maintain 4% CRES annual savings;
- Full CQC compliance Inspection due before June 2016.
- Re-engineer Community Teams and work with Primary Care to support fewer patients with chronic problems.
- Maintain quick response times with acute referrals.
- Work in partnership with other providers, especially LBTH, Bart’s Health [e.g. via RAID], the Police [Crisis Care Concordant], the Voluntary Sector and User Groups [via the Partnership Board].
- Delivery of the Vanguard new model of care as part of Tower Hamlets Integrated ProviderPartnership (THIPP)
In response to Members’ questions, the following information was provided:
- The proposal to reduce in-patient provision was due to a downward trend in service usage. Due to active planning, streamlining processes and provision of integrated care, further decrease was also expected. However this would be reviewed if demand were to change.
- The average in-patient stay was 60 days and was in the mid-range for this type of care.
- While some people leaving in-patient care went into sheltered care and a very small number into 24-hour care, most were expected to be discharged home.
- Wards at the in-patient unit were mixed but there was gender separation.
- The service was not aimed at those with dementia as old age psychiatry segregated mental health services from those with dementia.
- The service was not aimed at those in end of life situations.
- The new provision was for Tower Hamlets and City and Hackney.
- There had been fewer issues around transport and it was found that the most affected group were spouses.
RESOLVED
That the report be noted.