In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. [7], Until 2014, both Southmead and Frenchay were large hospitals with major Accident and Emergency (A&E) facilities, but the trust decided to centralise activities at Southmead. vacancies we have across our hospitals and divisions. A dedicated wellbeing message has been sent to all staff every day during the pandemic. )=c,{MyYY> Staff were well trained and competent. Some aspects of safety required improvement in relation to infection control, security and medicines management. Research has shown that bed occupancy of both 85% (and above 70% within critical care services) could start to affect the quality of care provided to patients. Staff provided care and treatment based on national guidance and evidence-based practice. In the pre-admission clinic they had a pharmacist working full time who reviewed elective patients. The programme is available to staff and their families and NBT was careful to position it as being provided by an independent organisation so that staff had the confidence to use it. They are at the very heart of all that we do, and should inform every action we take and every decision we make. PWC consultants initially trained 15 per cent of NBTs workforce, holding bootcamps with staff from all 26 wards, sites and discharge teams, supporting them through a 10-step process. These replace any issued under embargo or published on this website prior to this time. 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. Care was planned to meet the needs of local people, took account of patients individual needs, and made it easy for people to give feedback. Safe dropped to requires improvement. It takes a progressive approach to staff wellbeing. Leaders and staff actively engaged with patients, staff, the public and local organisations to manage services. At least one standard in this area was not being met when we inspected the service and, University Hospitals Bristol and Weston NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust, Gloucestershire Hospitals NHS Foundation Trust. 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. 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. This was the same as our last inspection at Southmead hospital in 2016. Discussions could be about the number of beds, outlier patients, anyone whos in the wrong place, or any other metrics that are decided by the team as being crucial to understanding how an area was performing and identifying how to keep it functioning properly. In January 2018 NBT instigated a new staff wellbeing programme, which was shaped through staff feedback as the year went on. However, issues relating to the availability of suitably qualified and experienced staff in some teams and the pressure this was putting on existing staff had the potential, if not addressed in a timely manner, to put children and young people at risk. An values listed below are abstractions. 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. Staff were aware of these procedures and their own responsibilities for the safeguarding of children and young people. GL53 7AN. review staffing levels to ensure they reflect current demand. there are some services which we cant rate, while some might be under appeal from the provider. 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. The trust has links with University of the West of England and University of Bristol who support undergraduate and postgraduate education and work placements across many professions. ensure the staff attend mandatory training, for example, safeguarding training. The institute is the regional centre for neurological services serving the South West of England. 2023 North Bristol NHS Trust. . For example, we respect their aspirations and commitments, and seek to understand their priorities, needs, abilities and limits. Due to the demands on the emergency department patients were not being cared for in the most appropriate place to manage their needs with a corridor often being used inappropriately. We saw several areas of outstanding practice including: As the major trauma unit for the Severn region the department was required to report all treatment results of major trauma patients to the national trauma audit and research network (TARN). Staff sickness levels also fell, generating associated budget savings. the service is performing badly and we've taken enforcement action against the provider of the service. [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. Staffing levels varied across the trust. Despite 2,500 more ED attendances and 3,000 more admissions, there were 600 fewer four-hour breaches and overall occupancy was down by 4 per cent. However, improvements had been made in urgent and emergency care services, which we rated as good. Nine patients were unable to have their operation rebooked with 28 days. Improvements had been made in supporting staff within their roles, through the appointment of nurse education practitioners and education programmes in the emergency department and in critical care. [18] It spent 20.8M, 7.1% of its total turnover, on agency staff in 20142015. [2], The Institute of Neurosciences is located in the Brunel building at Southmead Hospital. 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. Before that he spent six years at Nottingham University Hospitals NHS Trust, most of them as assistant director of finance. Identify the best time of day/year to hold activities and events, to ensure that all staff groups can access them. A few services relating to brain and head injuries remain at Frenchay after December 2014. and our acute colleagues in Weston Area Health NHS Trust and North Bristol NHS Trust, The hospital did not always ensure that appropriate patients were in escalation wards which meant some areas had unsuitable patients accommodated within them. The aim is to redevelop the site near Bristol. We were not assured that the care provided was always as safe as it could be. Leaders had the integrity, skills and abilities to run the service. It was clear that many of the pressures could be resolved by minimising delays in patient care. Good These included monitoring the waiting list for the newly established central intake team fortnightly. ensure that the privacy and dignity of patients in the Brunel building is maintained. Responsive improved to requires improvement. 6 April 2016. 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. 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. The team made judgements about 14 services. Corporate Records Retention Policy. We respect each other, acknowledge everyone's strengths and communicate effectively in an open and trusting environment. By creating a diverse and equal workplace we are able to draw on a wide range of ideas from a workforce full of different skills, experiences, resources, talents and energies. ensure that medicines are stored appropriately and administration is recorded accurately. 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. Lord Blencathra, a Tory peer and former minister, asked the Department of Health what steps they are taking to ensure that every hospital trust is able to guarantee same-sex accommodation and intimate same-sex care. We don't rate every type of service. We support and care for every member of staff, every carer, every visitor, and will always put the patient first. Improvements were made to the quality of care as a result of complaints and concerns. The move to the Brunel building had been managed well and the trust was aware that work was now required to further develop new ways of working and a clear strategy for the future of the whole trust. However, in the theatre department and outpatients areas, some were stored in rooms which were not secured. NBT was determined to do better. The group listening events provided refreshments as an extra incentive to attend. Leaders had a deep understanding of issues, challenges and priorities in their service, and beyond. Accessibility tools. In addition, the lack of individual risk assessments and clearly documented care plans had the potential to put children and young people at risk of receiving unsafe or inappropriate care and treatment. 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. Patients with dementia received care and treatment that was sympathetic and knowledgeable. Please review our, You need to be a subscriber to join the conversation. 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. Children and young people were involved in developing information leaflets and media applications, and the recruitment and training of staff, and have created artwork to make the service environments feel more welcoming. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. There was a large focus on celebrating success every day, which in turn helped staff to feel pride in their achievements. CQC Overall Rating North Bristol NHS Trust CQC overall rating Staff treated patients with compassion and kindness and took account of their individual needs. Following the implementation of Perform, NBTs performance improved massively. Safe and effective remained the same with a rating of good. Please note that all salary figures are approximations based upon third party submissions to Indeed. Wards created their own wellbeing boards, drop-in events and started boxes for donations of practical things colleagues might need in the middle of a busy shift. Our mission, vision and values 25 Our strategic priorities 26 Our strategic choices 27 Our strategic priorities and objectives 29 Section three - Implementing our strategy 32 . Most populous nation: Should India rejoice or panic? There was strong clinical leadership and direction within the service. Find out more about the results of the health and wellbeing themes in the 2022 NHS Staff Survey. They had a clear vision, understood the challenges the organisation faced and were committed to sustainable care that extended beyond the borders of the hospital. There were examples of learning as a result of incidents however feedback to staff who reported incidents was lacking. This became a key message for the wellbeing campaign, creating a paradigm shift to help staff know that their health is equally important as their patients.
