Moving in the right direction the journey from

Moving in the right direction: the journey from ‘requires improvement’ to ‘good’ Chair: Dr Francesca Cleugh, Head of Specialty Paediatric Emergency Medicine/ Associate Medical Director Quality Improvement, Imperial College Healthcare NHS Trust Speakers: Dame Marianne Griffiths, Chief Executive, Brighton and Sussex University Hospitals Trust Donna Lamb, Director of Nursing and Non-Medical Professionals, Hounslow & Richmond Community NHS Trust

Speaker: Dame Marianne Griffiths, Chief Executive, Brighton and Sussex University Hospitals Trust

CQC inspections Our approach to improvement Dame Marianne Griffiths Chief Executive Officer

Who we are St Richard’s Hospital, Chichester Royal Sussex County, Brighton Worthing Hospital, Worthing Princess Royal Hospital, Haywards Heath Southlands Hospital, Shoreham

Success. . . consistency

Brighton and Sussex • • BSUH in April 17 was extremely challenged Poor and deteriorating performance across all domains Concern over capacity and capability Significant, safety critical estates concerns Legacy of unsuccessful turnaround schemes Rated Inadequate by the CQC in 2016 Quality and Financial Special Measures

Our approach 1) Organisation’s Vision, Strategy, and Values 2) Embedded Improvement Methodology in Operational Delivery 3) Integrated Performance Management and Improvement System

Progress: Royal Sussex County Hospital 2016

Progress: Royal Sussex County Hospital 2018

Progress: Princess Royal Hospital 2016

Progress: Princess Royal Hospital 2018

CQC recognition “I congratulate [BSUH staff] on what they have achieved. The overall rating of Good reflects a substantial improvement in the quality of services at the trust and I am happy to recommend that it is removed from special measures. ” Professor Edward Baker Chief Inspector of Hospitals

A year of progress

Our advice • • Invest in relationship with CQC Encourage staff to take pride in their services Minimum safety standards Quality governance Clean, declutter and fix Present your narrative Prepare a warm welcome

Thank you

Speaker: Donna Lamb, Director of Nursing and Non-Medical Professionals, Hounslow & Richmond Community NHS Trust

Journey to Outstanding

Overview of the trust

Overview of the trust

Quality of care (March 16)

Quality of care (March 18)

Case study – Teddington Memorial Hospital Achievements: • • Length of stay by 59% Falls by 29% Harm free care by 7% Agency staffing 28% to 1% • Admissions from home by 155% v. No change in admissions despite reducing beds by half

Case study – Teddington Memorial Hospital How? • Managed admissions and discharges • Closed one ward • Pathways • Audit • Learning • Patient experience • QI through co-design

Reflections… Engagement • Clinical ownership • Patients and families • Listen/engage Systems and processes Culture ‘this is how we • ‘Housekeeping’ • Continuous improvement • Clinical governance • Pace • PMO • Celebrating success do things around here’ • Leadership