Our Strategy and Ambitions
Our strategy has been developed in partnership with service users and carers and our staff. We have taken into account the national and local strategies that are relevant to the people using our services, carers, our staff and our organisation as a whole.
The title of our strategy, ‘Caring, Discovering, Growing: Together’ sums up the themes and comments which everyone made.
This sets out our vision, values and strategic ambitions for the next five years. We have also developed a range of other underpinning strategies that set out further detail on how we will achieve our plans. These focus on our clinical workforce, pharmacy and information technology for example.
The feedback from all those involved has helped us identify what is important and determine our strategic ambitions.
Our strategic ambitions:
- Working together with service users and carers we will provide excellent care, supporting people on their personal journey to wellbeing
- With people, communities and partners, together we will promote prevention, early intervention and resilience
- Working with partners there will be “no health without mental health” and services will be “joined up”
- The Trust’s mental health and disability services will be sustainable and deliver real value to the people who use them
- The Trust will be a centre of excellence for mental health and disability
- The Trust will be regarded as a great place to work
Our strategic ambitions help us adhere to our values, and to the NHS Constitution, which is based around seven key principles.
The NHS Constitution
- The NHS provides free health care to all
- Access to NHS services is based on clinical need, not an individual’s ability to pay
- The NHS aspires to the highest standards of excellence and professionalism
- NHS services must reflect the needs and preferences of patients, their families, and their carers
- The NHS works across organisational boundaries and in partnership with other organisations in the interests of patients, local communities, and the wider population
- The NHS is committed to providing best value for taxpayers’ money and the most effective, fair and sustainable use of finite resources
- The NHS is accountable to the public, communities and the patients that it serves
Quality Goals and Priorities
Goals and priorities are developed each year to continually improve on quality in safety, service user and carer experience, and clinical effectiveness.
Proposed quality priorities for 2017/18
Three proposed new quality priorities for the coming year have been identified and are detailed below. They are based upon themes that emerged from:
- Engaging with service users and carers, staff and other stakeholders, via a workshop and online survey in December 2016.
- Reviewing themes arising from complaints and incidents, and
- Reviewing the areas for improvement identified by the CQC both from their 2016 comprehensive inspection of the Trust and also from their ongoing programme of Mental Health Act Review visits to inpatient wards.
Safety: Embedding the Positive & Safe Strategy
NTW’s Positive & Safe Strategy aims to:
- Reduce violence across the organisation
- Minimise the use of all restrictive interventions
- Promote collaborative working
This important work continues to be embedded across the organisation, to ensure our service users are cared for in environments that are safe, where service users and staff work together to develop solutions in order to promote positive change, underpinned by best evidence, incident reporting, meaningful debrief and clinical risk review.
Instances of violence and aggression was a significant area of focus for the CQC.
Service User & Carer Experience: Co-production and personalisation of care plans
All service users should receive appropriate person-centred care and treatment that is based on an assessment of their needs and preferences.
NTW recognises the importance of service users being actively involved in their treatment including the development of their care plans. While there is some excellent practice within some areas regarding care plans written in collaboration with service users and their carers/family; we recognise this is not consistently evidenced across all our inpatient wards, falling short of our high values, standards and expectations.
This was an area of focus for the CQC.
Clinical Effectiveness: Use of the Mental Health Act – Reading of Rights
The Mental Health Act 1983 seeks to ensure that patients who are detained in hospital under the Act, or who are subject to a Community Treatment Order, understand important information about how the Act applies to them.
Staff must remind service users of their rights and of the effects of the Act from time to time. NTW wishes to improve compliance in this area and ensure a more robust approach is developed to ensure that the necessary information in relation to rights is given to service users and recorded at appropriate times and intervals.
The reading of rights is a continuing area of focus for the CQC.