TEAM BRIEF – 13 OCTOBER 2008
1. Trust Board Report – Update The Trust Board held a meeting on 8 October 2008.
1.1 Chairman’s Report
The Chairman reported that he had visited Jeanette Fiddaman, who was
recovering well. He advised that Jeanette was hoping to be able to return
to her position as Non-executive director of the Trust in the new year.
Another Non-executive director, Les Byrom, had also recently suffered a
serious illness. Steve was pleased to report that Les too was recovering
well and was also hopeful of returning to work in the new year.
1.2 Business Continuity
The Board approved a paper by Kim Crowe which detailed the business
continuity and executive director portfolio arrangements planned to cover
Tony Oakman‟s recent departure, and Alan Yates forthcoming two month
absence. Details are shown below:
David Fearnley, Deputy Chief Executive/Medical Director
? Joint responsibility for Chief Executive‟s role with Kim Crowe,
? Medical Director
? Governance Lead
? Creativity and Innovation Lead
? Lead Executive Director for Adult Directorate
? Time Project Sponsor
? Line management responsibility for Director, Service Users and
Carers and Director of Corporate Affairs and Communications
Kim Crowe, Executive Director
? Joint responsibility for Chief Executive‟s role with David Fearnley,
Deputy Chief Executive/Medical Director
? CBU Governor role in Chief Executive‟s absence
? FTe Lead
? Service Transformation Lead, to include Service and Commercial
Development Strategy, business planning, marketing and new
? Lead Executive Director for Addictions, Older Peoples, Learning
Disabilities and Local Psychological Services
Neil Smith, Executive Director of Finance and Performance
? Financial Strategy and Financial Performance Lead
? Performance Monitoring Lead
? Joint Lead for Commissioner Liaison with Executive Director of
Nursing and Care
? Contract negotiations Lead
Karen Wilson, Executive Director of Nursing and Care
? Nursing and Care Lead
? Lead for Patient Safety, Health & Safety and Risk
? Executive Lead for Social Care and Patient Survey
? Joint Lead for Commissioner Liaison with Executive Director of
Finance and Performance
Martin Brown, Executive Director of High Secure Services
? Executive Lead for High Secure Services
? Executive Lead for Estates and Facilities
Kath Davies, Acting Director of Organisational Development
? Human Resources Management Lead
? Training and Development
? Staff Support
? Occupational Health
1.3 Integrated Finance and Performance Report The financial position for the five months to the end of August 2008 is an
overspend of ?981,000. This reflects the significant financial pressures
facing the Trust.
The Trust continues to forecast an underspend of ?0.5m for the year end. This reflects the need to deliver the action plans agreed by the Executive Team in July or to agree additional funding from commissioners. Following a meeting with local and secure commissioners at the end of September, a provisional agreement has been reached for additional non recurrent funding of ?2m. The Trust requires confirmation from Liverpool Primary Care Trust. This is anticipated by the end of October. At this time, should the funding not be provided, the Trust will need to take additional measures to reduce expenditure throughout the remainder of the year.
The longer term recurrent financial position requires strategic savings to be delivered. These plans will be reviewed by the Business and Resource Committee at the end of October.
The Trust can demonstrate some excellent improvements in performance but is failing to meet a number of key targets including:
? Delayed discharges, however it should be noted that the Trust is often
dependent upon other agencies to expedite patient discharge ? Outpatient cancellations by service users and the Trust ? Early Intervention in Psychosis (caseload)
? Non-medical waiting times
? Electronic recording of care plans
The Trust is forecasting a rating of „Good‟ for Quality of Services and will receive a score of „Good‟ for Use of Resources.
The Trust has started to internally assess its 2008/09 performance against the components of the Annual Health Check and is forecasting a rating of „Excellent‟ for Quality of Financial Management and „Good‟ for Quality of Services.
For further information please contact Neil Smith on 0151 471 2205.
All staff are reminded that Board papers are available, in full, from the website, and should any member of staff wish to attend a Board meeting, they are welcome to do so. Please contact Anne Cleminson on 0151 473 2785 for further information.
2. New Chairman appointed
Mrs Beatrice Fraenkel has been appointed chairman of Mersey Care NHS
Trust. She takes over from Stephen Hawkins and her term of office will run
from 1 December 2008 to 30 November 2012.
Mrs Fraenkel is a qualified industrial design engineer and ergonomist with
an established career in regeneration across the region. She is Chair of a
housing association, involved with a number of arts and regeneration
bodies, and is a Liverpool City Councillor. Mrs Fraenkel was previously
chairman of South Liverpool Primary Care Trust prior to its reorganisation.
Full details are available on the Latest News section of Mersey Care
3. TIME (To Improve Mental health Environments)
Following discussion with primary care trusts (PCTs) and the project board,
a revised Outline Business Case has been approved by the Trust Board
and includes 285 beds covering adult mental health, older people‟s mental
health, psychiatric intensive care unit, learning disabilities and addiction
services in-patient facilities across five sites. The project still aims to
deliver almost 200 beds by 2013 with the remainder due 2015 which
overall will cost ?127m at today‟s prices.
The case is being reviewed by local PCTs and the Strategic Health
Authority and it is hoped that approval will be given early in the new year.
In relation to the sites previously announced namely Walton, Southport
General Infirmary, Mossley Hill and Arundel House, the Trust has also
entered discussions on the use of the former Ian Skelly site on Edge Lane
and with Liverpool City Council about the potential to be involved in
regeneration areas across the city. Further information will be available in
the coming months but this is a positive move forward particularly as the
availability of five sites is key to the delivery of the project.
If you would like any further detail on the scheme, please contact John
Doyle on 0151 471 2331.
4. Auditors Local Evaluation Results 2007/2008
The 2007/2008 Auditors Local Evaluation (ALE) assessment results were
published on 2 October 2008. This shows that the Trust has moved from
Fair (2) to Good (3).
This is excellent news and reflects the hard work undertaken across the
Trust and within the Finance and Performance Department. There are
notable areas of excellent practice in financial reporting and financial
The working papers for the accounts were a key part of the Financial TRUSTReporting standard and the Financial Management standard was a 'strong' HEALTH NHS
MENTAL good reflecting the really great work done by the team in developing LONDON financial management and reporting in the Trust. The Trust is committed to WEST providing all stakeholders with good quality information to support TRUST
CARE NHS improved decision making and is seeking further improvements in this area
HIRE HEALTH and is working to attain the highest score of 4 (Excellent) in 2008/2009. NOTTINGHAMS
TRUSTNeil Smith would like to thank all staff across the Trust who have helped to SOCIAL CARE deliver this improvement. HEALTH AND
MANCHESTER The table below summarises Trust performance in the 5 areas covered by
TRUSTthe assessment and compares this with the results for other mental health CARE NHS NHS trusts in our peer group. PENNINE NHS TRUST
Value for MoneyGoodGoodGoodFairGoodGood
Overall ALE EvaluationGoodFairGoodFairGoodGood
The Healthcare Commission uses the ALE results to generate the Annual
Health Check - Use of Resources score for NHS trusts. The results of the
2007/2008 Annual Health Check are due to be published on 16 October
A copy of the national ALE report can be obtained at:
For further information in relation to this please contact Sam Brown,
Deputy Director of Finance on 0151 471 2410 or email
th5. World Mental Health Day – 10 October 2008
The 2008 World Mental Health Day Campaign focused on the future of
„Making Mental Health a Global Priority‟ for all people in all countries.
Supported by the World Health Organisation and the World Federation for
Mental Health, the annual campaign was an opportunity for health and
social care organisations in the public and voluntary sectors to raise
awareness of mental health issues.
Mersey Care supported World Mental Health Day with a number of local
events across its services and partner organisations, including the
? On 8 October a Partner‟s Cup football competition for partners and
service user teams, connected with the Imagine Your Goals and
Everton In the Community/Mersey Care football programme, took
place at the Greenbank Academy.
? On 10 October a health fair was held at St Francis Xavier‟s Church
for homeless people and was organised by the Homeless Outreach
Team and the Communications Department. The Trust and health
partners offered advice on how to access services, issues such as
benefits, healthy eating and more.
? Children from Ursuline Primary School joined the older people‟s
Reader Group at Waterloo Day Hospital, followed by a celebration of
the positive side of old age and a buffet lunch.
? Liverpool Primary Care Trust held a stakeholder event on student
mental health and well-being at the LACE Conference Centre which
featured the For Children‟s Sake campaign.
? High secure patients were invited to meet members of the advocacy
team and staff from Mary Seacole House provided a presentation
and information on the history and future roles of advocacy. Service
User and Carer Liaison Manager, Neil Tunstall talked about the role
of families and carers and the sports department held a five-a-side
For further information in relation to any of the above events, please
contact a member of the Communications Team on 0151 471 2336.
6. Human Rights
The Human Rights Project
The Department of Health and the British Institute of Human Rights
launched the second phase of the Human Rights Project on 7 October
2008. Two publications have been produced from the work undertaken by
the five trusts called, 'Human Rights in Healthcare, A Framework for Local
Action', as well as a smaller more accessible version.
Lindsey Dyer spoke about the positive outcomes of the work we were
doing to create a human rights based approach across all services
developed from the work at the Learning Disabilities Directorate. Meryl
Cuzak is working across the Trust to action the Human Rights Strategy.
Please contact Meryl if you want to discuss how this can be integrated into
your service area or about training for staff.
Human Rights “Organisational Raid”
On 10 October, 20 members of the Welsh Assembly visited Mersey Care
to look at how we are developing a human rights based approach into
health care. They were interested in the practical application of the Act and
the tools developed within the Learning Disabilities Directorate. A service
user spoke of her involvement in the development of the human rights
based risk screen.
The visit coincided with the opening of the new in-patient facility for the
Learning Disabilities Directorate so they were able to visit the STAR Unit.
They discussed with Kevin Tarpey, Unit Manager, how they have
integrated into the design, practices and procedures of the Unit, issues
which came from both phases of the project with the Department of Health
and the British Institute of Human Rights.
For further information in relation to either of these items please contact Meryl Cuzak, Equality and Human Rights Lead on 0151 473 2749.
7. International Visitors to the Trust
Last week saw a visit to the Trust of a delegation of German clinicians from Klinikum Weissenhof in Stuttgart. This was organised following the successful visit of senior executives from the same hospital last year. A full programme of events was organised for them including visits to the: Early Intervention Team, Arundel House, the Low Secure Unit and Rehabilitation Service on the Rathbone site, the Homeless Outreach Team and the Trust Headquarters at Princes Dock to speak to Lindsey Dyer and Catherine Mills about service user/carer involvement.
Senior nurse, Michael Theune who led the delegation from Stuttgart has asked that we pass on our thanks to all concerned with the visit. All four delegates had been very impressed with the services they saw and had a lot of new experiences to take back to Germany.
8. Equality Impact Assessment
The Equalities Team is coming to the end of the training events within all directorates. This will ensure that equality impact assessments are able to be completed for all strategies, policies, functions and procedures and that each area has a system in place to record and store the documents. The directorates have a pool of staff trained to complete assessments. Several service users and community representatives have also been trained to assist the process for large policies or strategies which have a greater impact on services.
We have a final “sweeping up” training session in the morning of 28
October at Windsor Clinic which is open to any staff that were unable to attend their directorate training and have responsibility for policy and or strategy/service development.
For further information in relation to this please contact Meryl Cuzak on 0151 473 2749.
9. National Patients Safety Agency Alert – Clean Hands Save Lives
Please ensure that you are familiar with the requirements of the alert
notice that is attached to this Brief, particularly in terms of the requirement
to ensure that appropriate hand decontamination can take place at the
point of care in your area.
Infection Control Link Nurses will be given further training on “The 5
Moments of Hand Hygiene” in the January 2009 Link Nurse Training
Session. Auditing of hand decontamination provision in all clinical areas
will take place at that time.
For further information in relation to this please contact Charlie Charlton,
Infection Control Nurse on 0151 471 2649 or visit the Trust Infection
Control web pages
10. Supporting Information for Smoke Free Agenda
To support staff and service users with the implementation of the Smoke
Free agenda a range of resources is now available on the Trust website.
These include information leaflets outlining the benefits of giving up and
details of products available to support with smoking cessation. There is a
selection of information aimed at staff that provides brief interventions, and
a guide to pharmacological support. The information is supported by TCCC
(Tobacco Collaborating Centre) and is available at
For further advice regarding this please contact Joanne Morgan, Modern
Matron – Physical Health at firstname.lastname@example.org
Team Brief Plus…
11. Expansion of Spiritual Care Service
We are pleased to announce an increase in our spiritual care resources.
Using existing staff and within the existing budget we now have Church of
England and Roman Catholic chaplains working at the Rathbone site (Low
Secure Unit, Rehabilitation Centre and Psychiatric Intensive Care Unit)
and Broadoak Unit on a part time basis. We are also providing a Church of
England chaplain one afternoon per week at Windsor House. The Muslim
Imam is also available on request across the Trust.
The response of staff and service users to these developments has been
Further information about the work of the department and developments
can be found on the Trust website, or if you prefer, please contact David
Glasson on 0151 471 2608 or email David.email@example.com
12. Illicit Drug Awareness
As part of security awareness month, on 10 November 2008, there are
plans involving Health Promotion, Merseyside Police and the Sniffer Dogs
Service to look at the effects of illicit substances on the ward/unit
environment. Support will be made available for service users and carers.
The aim is to provide a safer environment for patients, carers and visitors
to the Unit. This work demonstrates the excellent relationships between
the police and other agencies and also emphasises the message that staff
are determined to provide the best care in a safe, caring environment.
For further information in relation to this please contact Maria Tyson,
Modern Matron on 0151 250 5031.
13. Windsor House Improvement Group
In line with the Trust Outline Business Case and the TIME project it has
been agreed to reduce the overall in-patient bed numbers. After
consultation with the local community, service users and carers, the Trust