We are OneNBT. Staff provided emotional support to patients, families and carers to minimise their distress. If you share them and want to be part of delivering an excellent service, then University Hospitals Bristol and Weston NHS Foundation Trust could be the place for you. We aim to be an anti . BA1 3NG, In The impetus to make a tangible difference to the health and wellbeing of staff at North Bristol Trust (NBT) came after a gruelling winter in 2017/18. Although we rated safety as requires improvement in the trust, improvements had been made. Learning and development at the trust is based in the Learning and Research Centre at Southmead Hospital. Tier 3 CAMHS were provided by a wide range of professionals, were effective and there was evidence of mutually supportive, multidisciplinary working across all of the CAMHS teams. Although there was a trust wide focus on patient flow within the hospital and improvements had been made this still required improvement. Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is the lead provider of healthcare for people with serious mental illness, learning disabilities and autism across Bath and North East Somerset (BaNES), Swindon and Wiltshire, and Bristol, North Somerset and South Gloucestershire. Lessons were learnt when necessary to prevent similar incidents from happening again. The leadership team worked well with the clinical leads and encouraged divisions to share learning across the trust and there was a strong emphasis on improvement. NBT accelerated its planning ahead of winter 2019/19, developing a strategic plan in consultation with staff. Browser Support The board had developed significantly since our last inspection. Admissions to the unit were appropriate and there was a system in place to triage referrals. The service was able to respond to urgent referrals. NHS terms and conditions pay poster 2022/23, NHS Terms and Conditions of Service Handbook, buying equipment early and monitoring stock levels to avoid emergency rentals/purchase, no corporate staff training during winter months, finalising Christmas and New Year rotas early, recruiting additional staff in July rather than September, ensuring staff took breaks, even during busy times, a revised discharge process and associated patient information, expansion of out-of-hospital services such as Hospital@Home. While the department was frequently overcrowded staff followed systems and processes to ensure patients were safe. Care was delivered by kind, compassionate and respectful staff who were passionate about their work and were committed to delivering high-quality services to children, young people and their families. Although the trust was meeting its target for the number of staff receiving safeguarding training there were large variations in compliance with this. Suspended ratings are being reviewed by us and will be published soon. there are some services which we cant rate, while some might be under appeal from the provider. Corporate Records Retention Policy. Video, The secret mine that hid the Nazis' stolen treasure, Explosion derails train in Russian border region, Trump mistrial request denied in NY rape lawsuit, Banana artwork in Seoul museum eaten by visitor, Trump says 'great to be home' on visit to Scotland, NFL player's daughter, aged two, drowns in pool, Father tells how gunman opened fire on Texas home, JP Morgan snaps up troubled US bank First Republic. Luke Hall, Conservative MP for Thornbury & Yate, said he had secured the support of Health and Social Care Secretary Matt Hancock for the project. The introduction of service line management had been well implemented and received positively. Cares stands for Caring, Ambitious, Respectful and Supportive: Caring - because it underpins everything we do for our patients and the way we care for one another The group listening events provided refreshments as an extra incentive to attend. ;1~j"R**Pb e$6?D0P"6%E*K%Y7~'b DJFLBBL@ (p*!_ sxc(GsO)Ty'y x0+gb ,JS+;=;e=a$ot~3m3Msgf?R[Yo)`eexH63,R"dH|ukxWz\TWzU[,{d]t;t&M&]NeteDJ#]\Myiz>etn%hTuYNcdmw)MECW4|+*OJ%T2nzL6z|Yzb:5'6Rc[\S;GZt<3~5__v>U\A]~ _MwYZde~5@D@g~N~/WFvpg*R)e1UW2gR. In May 2014, the Brunel building on the Southmead Hospital site opened. The maternity service at Cossham Hospital was meeting the needs of each individual woman who attended, services were flexible and choices offered. lhV qe+ bEpdc6hv4Y0{B nh5NfePhyMasS%_D%`& Your information helps us decide when, where and what to inspect. Leaders had the integrity, skills and abilities to run the service. Records within the service were in paper format, sometimes disorganised, and it was difficult to find information within them. Staff understanding of Deprivation of Liberty Safeguards varied across the trust. This includes ensuring that patients are cared for in the most appropriate place and are supported to leave hospital when they are ready to do so. The safe domain was rated good because there were effective systems in place to assess and manage risks to patients. The service for young people and their families at Riverside was good. ?CI ( This included the implementation of an integrated discharge lounge in October 2015.There was a focus on embedding discharge pathways and gaining pace in discharge activity. 8 March 2018. increased staffing in ED, including mental health, community teams and GP support. It's a very simple statement; one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Nine patients were unable to have their operation rebooked with 28 days. People could not consistently access the service in a timely way and this was a continuing problem since our last inspection. This enabled midwives to focus on providing direct patient care. The Royal College of Nursing (RCN) is taking strike action at a number of NHS trusts, including North Bristol NHS Trust, where action is due to take place from 7pm on Sunday 30 April 2023 until midnight on Monday 1 May 2023. On staff engagement there was an improvement in questions on staff feeling their feedback was acted on. Bringing together a combined workforce of over 13,000 staff, the new Trust delivers over 100 different clinical services across 10 different . Commitment to quality of care We strive to deliver quality care every time. . %PDF-1.5 % The trust's Brunel Building has been honoured with two RIBA awards, an internationally-recognised mark of excellence awarded by the Royal Institute of British Architects. patients in the emergency department must be assessed in a timely manner and cared for in a suitable environment. [28] The Wellbeing Programme is funded by their charity, Southmead Hospital Charity, and is made up of a range of physical, psychological and lifestyle support. Our overall rating of the trust improved. One quick win from the Perform process was instigating huddles, which took place on the wards, focused on key data, with actions as a result. In the community CAMHS service, young people had access to the staff kitchen at Monks Park House, which contained knives and hazardous cleaning products. North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. An values listed below are abstractions. Staff did not consistently use safe lone working practices. Annual Statement 2009 for - PDF - (opens in new window), In The team made judgements about 14 services. ensure that staff understand when a deprivation of liberty application should be made and that they are clear which patients are subject to such a restriction. for current vacancies in Bristol and Weston, then why not join us? The overall rating took into account the previous good ratings in the effective, caring and well led domains. Staffing levels and skill mix did not always meet patients needs. The service provided care and treatment based on national guidance and evidence-based practice. These included the Be Safe project and a project managed by Barnardos Child Sexual Exploitation (BASE)to which theCCHP second a CAMHS nurse. This success prompted NBT to commission a Perform Academy, which saw NBT staff trained to become Perform coaches to help further embed the approach and ensure that the coaching style continued. This includes bespoke rotations, wellbeing support, personalised travel plans, and a structured preceptorship. It was easy for people to complain or raise a concern and they were taken seriously when they did so. improve compliance with hand washing and ensure that all staff are bare below the elbows in clinical areas. The trust performed worse than the England average for most national targets, this included the Admitted Adjusted Referral to Treatment time (where the time from referral to treatment should be less than 18 weeks). Consent was obtained for any procedures undertaken by the staff. There was a high level of delayed transfers of care which was frequently above 100 patients per day and at the time of the inspection was 114.However, there had been significant work undertaken since the inspection in November 2014 to facilitate patient discharges. This was because there were processes to keep patients safe, which were supported by comprehensive staff training. Staff followed processes to keep patients safe and there were improvements in systems to manage safe staffing across wards. Bath, . Staff also have access to a 24/7 free, confidential helpline offering counselling about financial, legal, relationships and more, provided by partner organisation Health Assured. North Bristol NHS Trust 8 years 5 months Data Quality Marshall North Bristol NHS Trust Feb 2021- Present2 years 4 months United Kingdom Supply Chain Analyst North Bristol NHS. We carried out this focused inspection of the North Bristol NHS Trust to follow up on the areas that were rated as inadequate and requires improvement in our inspection in November 2014. They are volunteers who are highly experienced at their task. The biggest reason for avoidable breaches of the target was said to be the availability of suitable beds to admit patients. Salary information comes from 14,747 data points collected directly from employees, users, and past and present job advertisements on Indeed in the past 36 months. In the 2019 staff survey, NBT improved its wellbeing score from 5.7 to 5.9 and staff engagement from 6.9 to 7.1. There was more to do to ensure staff felt equality and diversity were promoted in their day to day work and when looking at opportunities for career progression. and our acute colleagues in Weston Area Health NHS Trust and North Bristol NHS Trust, To do this we must together build and develop the capability of our people, and share common values and behaviours which are transparent and visible in whichever role we play. the service is performing well and meeting our expectations. [3], The service receives patient referrals from across the South West, throughout the UK, and worldwide. This was an improvement from our last inspection in 2018. Only 71 per cent of patients in A&E received the care they needed within four hours. There was a big improvement in the willingness of staff to recommend North Bristol as a place to work, rising from 59 to 69 per cent. Mortality rates were significantly lower than expected when compared with other hospital trusts, as measured by the Hospital Standardised Mortality Ratio and the Summary Hospital-level Mortality Indicator. 7 Appendix A: North Bristol NHS Trust today 24 8 Appendix B: The challenges we face 30. Our humanity is what binds us together but we mustnt forget that each of us is a uniquely different human being. Overall, North Bristol NHS Trust has been judged as requiring improvement. This deception is nothing short of scandalous., The Telegraph values your comments but kindly requests all posts are on topic, constructive and respectful. There were long waiting times, delays and cancellations ongoing. We rated it as good because: Caring and Well led at core service level were rated outstanding. Most populous nation: Should India rejoice or panic? Any other browser may experience partial or no support. The letter also suggested that the trust does not require clinicians to disclose their sex. Our inspection was carried out in two parts: the announced visit, which took place on 4, 5, 6 and 7 November 2014; and the unannounced visit, which took place on 17 November 2014. The minister said that the NHS is reviewing its current guidance on delivering same-sex accommodation. The aim is to redevelop the site near Bristol. Like many NHS organisations, patient health had always been the number one success factor, but now NBT positioned staff health as equally important. Find out more, Lord Markham, the health minister, said that the NHS is reviewing its current guidance on delivering same-sex accommodation, Donald Trump celebrates his family roots on visit to Scotland, One in four children suffered greater anxiety and depression during pandemic, Labour accused of plotting widows tax by scrapping single person council tax discount, Ant and Dec among congregation at Westminster Abbey for King Charles's Coronation, Fierce clashes erupt as France faces largest May Day protests in 30 years, Russia disrupts Ukrainian counter-offensive with ammunition depot strike, transgender NHS staff to treat patients based on their gender identity, patients privacy and dignity is respected, Concerns have also been raised about the NHS England policy, reviewing its current guidance on delivering same-sex accommodation, guidance on the importance of same-sex care, NHS is increasingly compromised by an ideology, NHS policies allow transgender people to be included. The trust was also not meeting standards for referral to treatment pathways within outpatient services. Following our inspection the trust had updated the standard operating procedure to address concerns about the safety of placing patients in escalation areas. NBT created comprehensive plans to address both simultaneously. At a hearing on November 30, 2021, North Bristol NHS Trust's lawyers asked the tribunal to strike out his case on the grounds that his beliefs are "not worthy of respect in a democratic. Health minister is considering clearer guidance on the provision of same-sex staffing for patients receiving intimate care. There were backlogs in unreportedimages (4,642) and in appointment requests (49,000). Teams used national guidance and best practice tools to ensure children and young people received an evidence-based, good practice service. Changes have improved staff health and wellbeing, as well as driving down overall occupancy by 4 per cent, and caring for 6 per cent more patients with 38 fewer beds in 2018/19. Staff in the pre-operative assessment clinic were able to assess patients cognition and report back to GPs if it was below expected levels. On health and wellbeing, it moved from well below average to average, and on staff engagement it is now above average for similar trusts. We saw evidence that partnership working was routinely included in every aspect of their work. The trust opened the doors of its new building, Brunel, at Southmead Hospital, in 2014. Families were involved in the referral and assessment process. The volunteers proved useful, so it was decided to keep them on indefinitely. No rating/under appeal/rating suspended This has continued to be true for NBT during the COVID-19 pandemic response. The trust had introduced new roles to improve communication between senior management and staff. This was an improvement from 5.6 and 6.8 respectively in 2017. Although infection control procedures were followed across the trust, there were higher rates of infection for Clostridium difficile and methicillin resistant Staphylococcus aureus (MRSA) than the target for the trust for the year.There had also been an outbreak of Pseudomonas aeruginosa in the critical care unit. A range of other interventions were accessible including online learning and others that were arts based. There was good multidisciplinary working across the trust. We saw good evidence of collaborative working across the system. #5]%wT$@^@^]H q!zdF*EVUgE. Staff sickness levels also fell, generating associated budget savings. North Bristol NHS Trust owns the hospital but the adjacent health centre is owned by NHS Property Services. As Chair of the Trust I feel passionately that we deliver on this aspiration to ensure that we have a workforce that truly represents the population we serve. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Elective activity increased a sure indicator that the system was coping with winter pressures and able to deal with non-essential activity. Neuromuscular services at the trust and University Hospitals Bristol and Weston NHS Foundation Trust have been recognised by Muscular Dystrophy UK for providing outstanding care for people with muscle-wasting conditions. Cheltenham, Winter 2018/19 was completely different for NBT. There was strong clinical leadership and direction within the service. [1], The trust issued invoices to patients thought to be ineligible for NHS treatment totalling 1.2M in 201819, but only collected 0.2M. The ratings we gave to these services on previous inspections in 2015, 2016 and 2017 are part of the overall rating awarded to the trust this time. [21], In December 2017, the trust reported 122 breaches of the 12-hour target in A&E the worst performance in England and only 70.3 per cent of patients were seen within the four-hour target. Staff monitored the effectiveness of care and treatment, using the findings to make improvements and achieve good outcome for patients. In recent months we have reflected and, with input from our staff, have further developed our core values and behaviours. The service managed patient safety incidents well and monitored safety performance. The trust board had the appropriate range of skills, knowledge, integrity and experience to perform its role and were dedicated to delivering high quality patient centred care. Staff appraisals were undertaken across the hospital, but improvements were required within medical and community CAMHS services. Staff also had monthly meetings to feedback on the service. We have over 12,000 staff delivering healthcare across Southmead Hospital Bristol, Cossham Hospital, Bristol Centre for Enablement and within the local community of Bristol and South Gloucestershire. [14], The hospital recruited a group of volunteers, known as 'Move Makers', to aid the transition from the Frenchay site. There were sufficient staff to ensure outpatient clinics ran safely.
