Have a look at two PDSA cycles run by one team around the possibility of working remotely in response to the COVID-19 pandemic. Three top tips for measuring for improvement (Dr. Amar Shah, Chief Quality Officer at ELFT)​. They valued the open culture and felt that when concerns were raised they were taken seriously and where possible addressed. There are occasions when disciplinary action is both appropriate and necessary within the NHS. Care plans were developed with the patient and reflected their views. We rated the three services we inspected as good for effective. Audits and overview reports / East London NHS Foundation Trust (1) East London NHS Foundation Trust. Staff provided medical and psychosocial interventions based on the evidence of effectiveness. Find out about events where we will be speaking or exhibiting, and see presentations we've given at recent events. They also felt supported by the trust’s ‘no blame culture’ and willingness to learn when things went wrong. Services were clean and systems were in place to ensure good standards of infection control. The chair enabled board members to use their skills and experience to provide appropriate levels of challenge when making difficult decisions. It has been built on East London NHS Foundation Trust’s (ELFT) learning from supporting over 40 teams through Enjoying Work projects over the last 4 years. Services met the needs of patients from diverse backgrounds. In forensic services, staff were very sensitive and carefully built relationships with patients. Also see this example around how we have used PDSA to develop the Personal Protective Equipment (PPE) ordering process at ELFT>>. The UK’s independent authority set up to uphold information rights in the public interest, promoting openness by public bodies and data privacy for individuals.

This hospital is managed by North East London NHS Foundation Trust Friends and Family Test score: Staff - Work 65% staff recommend this hospital as a place to work. Where work was still in progress, the trust had clear action plans and was monitoring progress closely. The trust was very proud of the diversity of the communities it served and the staff working in the trust. This website uses cookies to improve your experience.

A story can be an account of, part of an improvement effort, a summary of someone’s experience, something that, informs a debate or raises awareness of a subject, a simple picture, video, soundbite. In all areas further progress had taken place and in forensic services the rating had improved from good to outstanding.

Disciplinary process. Nominal Group technique is a quick and easy way of generating ideas in a group in a way that allows everyone’s ideas to be heard doing this. An exciting opportunity has arisen for an HR Officer to provide support to the GP Federation in Newham (Newham Health Collaborative). Needs lower down the hierarchy must be satisfied before individuals can attend to the needs higher up. One way in which you could do this virtually is to use the Microsoft Teams app whiteboard feature.

Learn  what, This is useful for sharing just this resource rather than the whole collection, In this step, the team seeks to drill-down into the opportunity there is to improve their experience and wellbeing, valuing and hearing from as many voices as possible in the team. The trust was established as the East London and The City Mental Health NHS Trust on 3 March 2000, and became operational on 1 April 2000. Measuring and sharing the data can help keep people engaged in the effort and help tell the story of the improvement. Overview. Run a small test e.g. At this stage you will be taking steps to embed into business as usual ideas that have been tested and seen to work. Following this inspection, five of the trust’s fourteen core services were rated as outstanding and nine as good. PDSA cycles allow you to test your ideas and learn what works or doesn’t work then adjust your approach.

The trust had kept the capacity and capability of senior leaders under review. There were still a few cases where systems were not ensuring that medicines were always stored at an appropriate temperature. Start from the left and work towards the right as your improvement effort progresses. Patients on inpatient wards had food and drink which met their needs. Leadership had been strengthened to support the services in Luton and Bedfordshire through ongoing engagement with external stakeholders. We rated it as outstanding because: Our rating of well-led stayed the same.

In community services for people with learning disabilities and/or autism, staff often made home visits so that they could meet the needs of patients and carers. Some teething problems in the use of new technology still needed to be ironed out. On the mental health ward for people with learning disabilities, the multi-disciplinary team included staff who also worked with patients in the community. A good improvement story engages people’s curiosity, emotions and imagination. We rated safe and effective as good; caring, responsive and well-led as outstanding. The QI Department ran through the exercise above and below is the hierarchy of needs we created. Our rating of the trust stayed the same. implementation is and how you might go about it. We rated it as outstanding because: Our rating of responsive stayed the same. Find out how to use Maslow’s Hierarchy of Needs to draw out what matters to people in your team and help focus what you want to achieve together.

East London NHS Foundation Trust: Job type: Permanent: Job reference: 2609835/363-CP7107: Apply for this job. A good improvement story engages people’s curiosity, emotions and imagination. These wards had also introduced self-catering for the evening meal to ensure patients prepared for independence. We rated it as outstanding because: We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: We don't rate every type of service. We rated mental health wards for people with learning disabilities and community mental health services for people with learning disabilities and/or autism as good for caring. In forensic services, patients and staff had co-produced hand books and welcome packs for new patients. The role of leaders in the wellbeing of people at work They are intended to help you reflect on your role in the wellbeing of the people you lead, and to help you to develop your effectiveness as a leader in promoting wellbeing. This is where you will find information about Leadership, Measurement and What Matters To You conversation. The involvement of patients and carers in the wider work of the trust had developed further since the last inspection. The trust ensured that ward staff were committed to only using restrictive interventions, such as restraint and seclusion, as a last resort. History. The trust did not use agency staff.

Staff reported incidents when appropriate. The trust had used the learning from quality improvement projects on the risks of violence and aggression. All rights reserved. The physical healthcare needs of patients were assessed and managed.

How to involve everyone in generating ideas. In the forensic service, the use of restrictive practices, including electronic monitoring for patients leaving the hospital was based on individual needs and not a blanket approach. London SW1W 9SZ. Reports of serious incidents were thorough. Key concepts on how to test ideas. Staff could easily access interpreters and information for patients and carers was available in community languages. Managers could easily arrange for bank staff to cover any vacancies and to provide additional input when this was required to keep patients and staff safe. Staff always took steps to make sure that patients were supported to communicate their individual needs and preferences effectively and that their views were reflected in care plans. How to navigate: The graphic at the top of each page has clickable text that helps you navigate the sections of the guide in sequence. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. This report clearly identified the main issues and the actions being taken by the trust. However, the quality of supervision was good. Maslow’s hierarchy of needs is a motivational theory in psychology, it is often shown visually as a five-tier hierarchical pyramid. Although the overall completion of mandatory training was 85%, there were a few topics where the completion rates were below the trust target. Patients and carers using all services told us they were aware of the trust’s formal complaints procedure. This was reflected in the results of the staff survey where the trust overall staff engagement score was 3.90. All board members were very passionate about their responsibility to ensure the delivery of high quality care. The trust respected the contribution patients made to the service and paid patients for the work they undertook.

Documenting, sharing and publishing your QI project, Introduction to QI for Service Users & Carers, develop the Personal Protective Equipment (PPE) ordering process at ELFT>>, Invite those from your team to collaborate on it – Either by inviting or via the share to Microsoft Teams button, Each person then adds a post-it note and then typing whatever idea they have, Each person repeats this for each idea they have until you are all out of ideas, Agree that a couple of people start to theme the ideas by dragging the post-it notes so they sit together, Colour the different groups you have and give each a heading, You can vote on individual change ideas by clicking on them and pressing the like button. We attend a range of events throughout the year. Care plans were holistic and focused on the patient’s recovery. Staff met their legal responsibilities in relation to the Mental Health Act 1983 and the Mental Capacity Act 2005. P Sommerville's research while affiliated with East London NHS Foundation Trust and other places.

Staff engagement was supported by access to an easy to use intranet and creative use of social media. More about using the information we provide, As a member of staff at a service or provider we regulate, Complaints about a service or provider we regulate, Find out about events where we will be speaking or exhibiting, Getting started: tips about care services, What you can expect from a good care service, Mental health and the Mental Capacity Act, Keeping people safe and supported through the pandemic. ​, Be sure to see all the resources for a section by pressing, Further ELFT resources to support staff wellbeing can be found, This is about paying attention to the sentiment of the team to identify emerging themes or recurring issues that are negatively affecting staff or the functioning of the team. The trust worked collaboratively in innovative partnerships with other providers to deliver services in Tower Hamlets and Bedfordshire. Patients and carers consistently told us that they were treated with respect, kindness and dignity. As changes are tested, measurement will also help identify whether the changes that are being made are leading to improvement. Largely it boils down to thinking about how you can make the changes part of just the way you do things. The trust had continued to further improve the systems and processes in place to support the governance of the trust including financial governance. Find out how to use one of the most popular group engagement techniques in quality improvement, Nominal Group techniques. This included regular telephone contact and attending meetings.

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