Disabled car parking spaces on the Ashworth site

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Disabled car parking spaces on the Ashworth site


    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,

    Executive Director

    ? 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





    Financial ReportingExcellentExcellentGoodGoodGoodGood

    Financial ManagementGoodFairGoodFairGoodGood

    Financial StandingExcellentGoodExcellentGoodExcellentExcellent

    Internal ControlGoodGoodGoodFairGoodExcellent

    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

    football competition.

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


    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

    very encouraging.

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

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


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