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Quality - we will provide good quality services

Original painting by Denim Brocko
Original painting by Denim Brocko
"The treatment I have received has been the best anyone could wish for." Service User

The Core Care Standards support the process of care, but good quality services are at the heart of what we do. The Trust is committed to providing good quality services, many evidence-based, to the people who use our services.

This would include:

  • Taking account of NICE guidelines and other best practice information and guidance

  • Promoting equality and respecting diversity

  • Basing what we do on the evidence, using research and development tools

  • Telling you about the risks and benefits of any treatment, including the potential side effects of any medication.

  • Having values as an organisation that focus on providing good quality services

  • Having a philosphy of care that applies to all professions within the Trust

  • Striving always for excellence in how we provide services

  • Asking the people who use our services, their families and our partners about how we're doing

  • Identifying individual outcomes, measuring these, and reviewing how well we have met them

  • Identifying developing and supporting innovation

  • Focusing on our staff, ensuring they are trained and supported

 

Calling all Carers - help us improve our services - fill in the Carers survey now

 "The treatment I am getting is excellent." Service User

The Trust publishes a Quality Account every year. To read these, please click on the link below:

Every year, the CQC rates the Trusts' Mental Health Services, based on the National Patient Survey. See the results:

Centre for Research & Development Apple
Centre for Research & Development

If we knew what is was we were doing, it would not be called research would it? Albert Einstein

Derbyshire Healthcare NHS Foundation Trust is delighted to announce a new Centre for Research and Development (R&D). This new centre was opened on 17 April 2013, by Jane Cummings, Chief Nursing Officer for England.

The aim of the centre will be to improve the patient experience with the services offered. By supporting and encouraging staff to own the research and development centre, staff will be supported not only in research but also with the implementation of their work.

The Centre for R&D is located on the Kingsway Site in Derby, and will focus on building upon the Trust’s existing compassion research profile as well as bringing together other strands of research activity already being undertaken.

Paul Lumsdon, Chief Nurse at Derbyshire Healthcare NHS Foundation Trust, who led this project, said: “The Trust puts quality at the heart of everything we do. It is recognised that the Trust has developed research based on the work of some keen individuals, and the new centre will allow us to bring this all together and provide positive benefits to staff and patients.” 

For more information see the main Trust website and find out what the Centre for Research and Development is doing

Find out how to get involved in research with the National Institute for Health Research

Trust Values

Our Trust Values include: 'We will deliver Excellence'

Our staff will:

  • work togther

  • learn together

  • devlop new ideas and ways of working together

  • measure, improve and achieve excellence

 

NHS Values include:

Respect and dignity. We value each person as an individual, respect their aspirations and commitments in life, and seek to understand their priorities, needs, abilities and limits. We take what others have to say seriously. We are honest about our point of view and what we can and cannot do.

Commitment to quality of care. We earn the trust placed in us by insisting on quality and striving to get the basics right every time: safety, confidentiality, professional and managerial integrity, accountability, dependable service and good communication. We welcome feedback, learn from our mistakes and build on our successes.

Compassion. We respond with humanity and kindness to each person’s pain, distress, anxiety or need. We search for the things we can do, however small, to give comfort and relieve suffering. We find time for those we serve and work alongside. We do not wait to be asked, because we care.

Improving lives. We strive to improve health and well-being and people’s experiences of the NHS. We value excellence and professionalism wherever we find it – in the everyday things that make people’s lives better as much as in clinical practice, service improvements and innovation.

Working together for patients. We put patients first in everything we do, by reaching out to staff, patients, carers, families, communities, and professionals outside the NHS. We put the needs of patients and communities before organisational boundaries.

Everyone counts. We use our resources for the benefit of the whole community, and make sure nobody is excluded or left behind. We accept that some people need more help, that difficult decisions have to be taken – and that when we waste resources we waste others’ opportunities. We recognise that we all have a part to play in making ourselves and our communities healthier.

Our Multi-Professional Care Philosophy is that we aspire to:

  • Continue to improve the quality of our services with and for patients.

  • Continue to promote public health and encourage healthy lifestyles and wellbeing.

  • Develop services based on a “Recovery and Person-Centred” philosophy where each person’s potential is maximised through an active partnership between themselves, the service, their family and carers and their community.

  • Influence public attitudes about; children and young people; mental health; alcohol and drug misuse and learning disabilities, and to promote the principles of social inclusion at all times.

NHS Constitution

The NHS Constitution establishes the principles and values of the NHS in England. It sets out rights to which patients, public and staff are entitled, and pledges which the NHS is committed to achieve, together with responsibilities which the public, patients and staff owe to one another to ensure that the NHS operates fairly and effectively.

All NHS bodies and private and third sector providers supplying NHS services will be required by law to take account of this Constitution in their decisions and actions. The White paper Liberating the NHS expressly refers to the NHS Constitution and how it will be upheld.

Seven key principles guide the NHS in all it does. They are underpinned by core NHS values which have been derived from extensive discussions with staff, patients and the public.


1. The NHS provides a comprehensive service, available to all irrespective of gender, race, disability, age, sexual orientation, religion or belief. It has a duty to each and every individual that it serves and must respect their human rights. At the same time, it has a wider social duty to promote equality through the services it provides and to pay particular attention to groups or sections of society where improvements in health and life expectancy are not keeping pace with the rest of the population.

2. Access to NHS services is based on clinical need, not an individual’s ability to pay. NHS services are free of charge, except in limited circumstances sanctioned by Parliament.

3. The NHS aspires to the highest standards of excellence and professionalism – in the provision of high-quality care that is safe, effective and focused on patient experience; in the planning and delivery of the clinical and other services it provides; in the people it employs and the education, training and development they receive; in the leadership and management of its organisations; and through its commitment to innovation and to the promotion and conduct of research to improve the current and future health and care of the population.

4. NHS services must reflect the needs and preferences of patients, their families and their carers. Patients, with their families and carers, where appropriate, will be involved in and consulted on all decisions about their care and treatment.

5. The NHS works across organisational boundaries and in partnership with other organisations in the interest of patients, local communities and the wider population. The NHS is an integrated system of organisations and services bound together by the principles and values now reflected in the Constitution. The NHS is committed to working jointly with local authorities and a wide range of other private, public and third sector organisations at national and local level to provide and deliver improvements in health and well-being.

6. The NHS is committed to providing best value for taxpayers’ money and the most effective, fair and sustainable use of finite resources. Public funds for healthcare will be devoted solely to the benefit of the people that the NHS serves.

7. The NHS is accountable to the public, communities and patients that it serves. The NHS is a national service funded through national taxation, and it is the Government which sets the framework for the NHS and which is accountable to Parliament for its operation. However, most decisions in the NHS, especially those about the treatment of individuals and the detailed organisation of services, are rightly taken by the local NHS and by patients with their clinicians. The system of responsibility and accountability for taking decisions in the NHS should be transparent and clear to the public, patients and staff. The Government will ensure that there is always a clear and up-to-date statement of NHS accountability for this purpose.

Road to Innovation
Road to Innovation

The Trust Innovation Network - We Want Your Ideas!

Innovation, Health and Wealth: Accelerating Adoption and Diffusion in the NHS, published in December 2011, said that Innovation must become core business for the NHS

Innovation is the only way we can meet the challenges we face. Our ambition is for Derbyshire Healthcare NHS Foundation Trust to be defined by its commitment to innovation. We want your ideas as Innovation moves within Derbyshire from being a minority sport to become a core activity; the way we do our business.

Innovation, Health and Wealth (IHW) sets out eight key themes:

  1. We should reduce variation in the NHS, and drive greater compliance with NICE guidance

  2. Working with industry, we should develop and publish better innovation uptake metrics, and more accessible evidence and information about new ideas

  3. We should establish a more systematic delivery mechanism for diffusion and collaboration within the NHS by building strong cross-boundary networks

  4. We should align organisational, financial and personal incentives and investment to reward and encourage innovation

  5. We should improve arrangements for procurement In the NHS to drive up quality and value, and to make the NHS a better place to do business

  6. We should bring about a major shift In culture within the NHS, and develop our people by 'hard wiring' Innovation Into training and education for managers and clinicians

  7. We should strengthen leadership In innovation at all levels of the NHS, set clearer priorities for Innovation, and sharpen local accountability

  8. We should identify and mandate the adoption of High Impact Innovations in the NHS.

 

For more information see the Trust website

If you require any information about our policies please contact:

Freedom of Information
Ashbourne Centre
Kingsway Site
Derby DE22 3LZ
or email:
foienquiries@derbyshcft.nhs.uk           

Care Quality Commission Essential Standards of Quality and Safety - see them on YouTube

NHS Choices aims to give you information to help you choose the right service or treatment for you

NICE the National Institute for Health and Clinical Excellence gives information about treatment options

Medicines Choices: giving you guidance about medication, including side effects and benefits

Medicines Adherence: NICE Guidelines. This guidance is about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines.

QIPP - The NHS Quality, Innovation, Productivity and Prevention Challenge: an introduction for clinicians. This booklet has been published to support clinical teams and NHS organisations to meet the quality and productivity challenge and provides ways in which NHS clinicians can all get involved in shaping the response locally. 

The Operating Framework for the NHS in England 2012/13 describes the national priorities, system levers and enablers needed for NHS organisations to maintain and improve the quality of services provided, while delivering transformational change and maintaining financial stability.  

The NHS Constitution for England

4Children the national charity about children and families

Maternal Mental Health Pathway - Guide for Health Visitors and Mental Health Professionals from the Department of Health

Report of the Children and Young People's Health Outcomes Forum 2012

2011 Census, Population and Household Estimates for Wards and Output Areas in England and Wales Office for National Statistics

The Quality of Health Principles from Changing our Lives, an organisation that works for people with disabilities 

Find out about evidence from the 'Elfs': The Mental Elf; The Learning Disabilities Elf; The Lifestyle Elf

NHS Change Model and NHS Change Day

NHS Evidence

Dementia Reseach from ALOIS The Cochrane Dementia and Cognitive Improvement Group

Our Stratgic Intent to support the Outcomes framework from the NHS Commissioning Board 

The Derbyshire Observatory has information on a range of social, health, economic, crime and environmental indicators. The indicators are grouped under ten quality-of-life themes. Together they build a picture of life in the county and help to identify where improvements are needed.

Public Health England includes health profiles for local areas in England

NICE Clinical knowledge summaries

Ethics Tool Kit for medical students
Healthy Lifestyles

Making Every Contact Count (MECC) is about using every opportunity to talk to individuals about improving their health and well being.

The promotion of health and wellbeing should be at the core of an organisation's design and service culture, which is why MECC has become one of the five ambitions for NHS Midlands and East, and is being supported by the Trust through its 'It's OK to ask' and 'Don't be surprised if we ask' campaign. You might see posters around, and Trust staff are being trained to have lifestyle conversations with the public and each other.

For more information about Keeping well see the new section on the website or go to:

For learning materials see NHS Midlands and East and NHS Local learning

Energise for Excellence
The Energise for Excellence vision is for at least 200,000 nurses, midwives and health visitors to sign up to Energise for Excellence, take action and tell others their quality and cost saving stories. Under the Energise for Excellence umbrella we have gathered an array of tools, approaches and measures that will help you respond to the call to action and decide which priorites you want to focus on so that you can be confident that your patients receive the best possible care.

 

Energise for Excellence embraces a number of key programmes that nurses and midwives can use to drive both quality improvement and cost reduction. Select the ones which will make the most difference for you. It may be that combining them will give you even better outcomes and a strong platfrom from which to begin your quality and cost reduction journey.

To find out more see NHS Institute for Innovation and Improvement or contact the Improving the Patient Experience Team

Energise Umbrella

Autism: recognition, referral, diagnosis and management of adults on the autism spectrum.

NICE have issued a new guide which includes:

  1. General principles of care

  2. Identification and assessment

  3. Identifying the correct interventions and monitoring their use

  4. Interventions for autism

  5. Interventions for challenging behaviour

  6. Interventions for coexisting mental disorders

  7. Assessment and interventions for families, partners and carers

  8. Organisation and delivery of care

 

Autism: recognition, referral, diagnosis and management of adults on the autism spectrum.  Issued:  June 2012 NICE clinical guideline 142. This clinical guideline offers evidence-based advice on the diagnosis and management of autism in adults.

Autism: Summary and Implementation Tools from NICE

Autism: Summary and other links from The Mental Elf

The National Autistic Society UK Charity for people with autism (including Asperger Syndrome) and their families  

Self-help books on autistic-spectrum disorders

Autism and Asperger's Syndrome: Information for Parents, Carers, and anyone who works with young people

Asperger's syndrome explained for children on YouTube

NICE Guide: Psychosis and Schizophrenia in children and young people issued January 2013

See comments and summary on The Mental Elf

Pressure Ulcer Prevention
Pressure Ulcer Prevention

This week (17 – 21 September) is Pressure Ulcer Prevention Awareness week – a week of action across the NHS Midlands & East area.  There is a regional ambition to eliminate all avoidable pressure ulcers for those in our care by December 2012.  It’s a big ambition, but one we are committed to playing our part in.

We are working with partner agencies to promote the SSKIN care bundle, which highlights the 5 key aspects to recognising risk of developing a pressure ulcer. We are launching a new policy, and have a new requirement for each new inpatient admitted to have a Waterlow risk assessment. We are at the start of a piece of work to standardise what we do across all of the clinical areas, and look forward to working proactively with teams to develop best practice in our specialist fields.

For more information, please link to www.stopthepressure.com where you will find resources, or contact Hayley Darn, Nurse Consultant for help, information and to pass on your ideas.

See the video about pressure ulcers, and SSKIN