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WELCOME


FROM PROFESSOR TIM ORCHARD CHIEF EXECUTIVE


s a very busy acute and  hospitals, our focus has to be on ensuring the best possible, safest care 24 hours a day, seven days a week.


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But it’s also really important to look ahead and to work with our potential partners to adapt and plan for the future.


Two important documents – setting our path for the next 10 years – have been published in the past few months. This issue of Trust aims to show how these long term ambitions are starting to be put into place now and highlights the impact we’re already starting to achieve through practical changes. 


Maternity support worker Patricia Francis


Term Plan – is the national vision for health and care published by NHS England in January. There’s an ‘explainer’ at the end of this issue.


The second


“ This issue aims to show how long term ambitions are starting to be put into place now and highlights the impact we’re already starting to achieve through practical changes”


document is our own organisational strategy – Better health, for life – published in April 2019. I’m very pleased that we are already on the path


to tackling some of the big challenges the whole of the NHS is facing. This issue of Trust shows great examples of integrated care, digital innovation and working with patients to make our care more personalised. I hope you enjoy this edition.


Professor Tim Orchard Chief executive


Milk bank celebrates 80 years serving London


This year, the milk bank at Queen Charlotte’s & Chelsea Hospital celebrates 80 years since its founding.


It is the oldest continuously operating milk bank in the world and serves the neonatal units at Queen Charlotte’s & Chelsea and St Mary’s hospitals as well as several other NHS trusts in greater London. The milk bank provides donor milk to approximately 500 extremely premature and sick babies each year. “Mothers of very premature babies  come in at the same time as their child is born. For babies born at 31


Spring/Summer 2019


weeks or younger, breast milk is much easier to digest than formula, making it vital for their development,” says Sarah McGovern, milk bank co-ordinator. “To have reached our 80th birthday is an incredible achievement and we are extremely grateful to all of our donor mothers and volunteers without whom we could not provide this valuable service.”


FOR MORE INFORMATION


Visit our website to learn more and 


Trust/ 3


Our vision:


Better health, for life Strategic goals


To help create a high quality integrated care system with the population of north west London


To develop a sustainable portfolio of outstanding services


2019/20 objectives


To enable more patients to get the right care and support, in the right place, at the right time – focusing this year on improvements in operational processes and use of data


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To expand and connect developments that enable better integration of care – focusing this year on establishing strong partnerships and involvement, new care models and systems to support collaboration


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To reduce unwarranted variations in care pathways – focusing this year on projects supported by the Flow Coaching Academy Imperial and guided by external benchmarking on quality and efficiencies


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To develop strategic solutions to key challenges – focusing this year on staff recruitment and retention, reducing our underlying financial deficit and estates redevelopment


2019/20 key initiatives Keeping care flowing collaborative


A range of projects to ensure patients are able to move through our care pathways as quickly and smoothly as possible – focusing on improving real-time operational data, emergency department pathways, ward-level processes and discharge from hospital


New care models


Key developments include new approaches to outpatient services, the children’s hospital network and new adult respiratory pathway and facilities within our ‘healthier hearts and lungs’ proposal, and collaborations such as RM Partners, West London Cancer Alliance, a sector- wide imaging network and Hammersmith and Fulham Integrated Care Partnership


Primary care partnerships


Piloting new ways of working with primary care networks and building on learning to date from our connecting care programmes, patient-focused collaborations with GPs and other partners


The care environment


Making better use of our physical spaces for patients and visitors to explain, promote and involve, focusing on wayfinding; digital information screens and welcome areas


Our values and behaviours Kind Love to see


• Always go out of your way to make others feel welcome


• Proactively offer help and support to patients, visitors and colleagues; ‘go the extra mile‘ for others


• Make time to actively listen and respond, even when busy; tailor your approach to the individual and ’listen with fascination’


• Help others to challenge unkind or disrespectful behaviour and to understand its impact


• Understand and respond to the diverse needs of patients, visitors and colleagues – show you value their time


We are considerate and thoughtful so everyone feels valued, respected and included


Expect to see


• Make eye contact, smile, and introduce yourself


• Help patients, visitors or colleagues who seem lost or confused; if you can’t help, find someone who can


• Listen to others attentively and with patience; show empathy


• Constructively challenge unkind or disrespectful behaviour


• Treat everyone as an equal and a valued individual; see things from others’ points of view


Don’t want to see


• Ignore or avoid others; appear unapproachable, rude, abrupt or moody


• Make others feel they are a burden; be unhelpful; ignore visitors who are lost


• Appear disinterested, distracted or dismissive; talk over others


• Condone or ignore disrespectful or unkind behaviour in others; fail to challenge it directly or indirectly


• Ignore others’ feelings or needs; make others feel bullied, excluded, belittled or judged


Digital connectors


The programme includes the expansion of the Care Information Exchange, providing patients and clinicians in north west London with secure online access to health records and two-way communications, working with Chelsea and Westminster to roll out our Cerner electronic patient record system across their hospitals, and improving the accurate capture and use of digital data


Safety improvement


Includes nine improvement work streams, focusing on use of real-time data to drive improvements (to tackle sepsis and deteriorating patients, for example) and behaviour change (to improve compliance with surgical checklists and hand hygiene, for example)


Specialty review programme


Priority developments across all services to help ensure alignment with our organisational strategy


Planned care improvement


A range of initiatives to improve our management of waiting lists and to reduce waiting times


Strategic workforce programme


Work streams include developing new roles, apprenticeships, overseas recruitment and improving career development opportunities


Research


Key developments include widening access to research opportunities, the development of Imperial Health Knowledge Bank – a register of patients who want to support and/or be more involved in research – and developing an aligned strategy around patient data and research


Estates and facilities programme


Projects include creating a hybrid theatre at St Mary’s Hospital and re-tendering our catering, cleaning and portering contract, as well as progressing options for a major estates redevelopment


Leading change through vision, values and behaviours


Embedding our new behaviours framework, focusing on feedback, appraisals, leadership, management and behaviours training and measuring impact


Equality, diversity and inclusion


A renewed focus on ensuring our leadership and management development, HR processes and talent management actively promote diversity and fairness; our first priority is to implement the NHS workforce race equality standard across the organisation


Workplace wellbeing and collaboration


A programme to create better working and social spaces and other opportunities to facilitate connections, support and learning


Patient and public involvement


Key developments include further expansion and support for our lay partner programme, a new focus on learning from complaints and patient feedback, actions to embed involvement in day- to-day activities and processes and improving evaluation of impact


To strengthen the connections between our service developments and our research – focusing this year on data and digital initiatives and expanding staff involvement


To achieve a measurable improvement in our organisational culture – focusing this year on improvements in leadership, fairness and collaboration


To build learning, improvement and innovation into everything we do


Kind


Expert


Collaborative Collaborative Love to see


• Encourage and support others to find better ways of working within and across teams


• Proactively seek diverse views and feedback in all aspects of your work


• Develop genuine and generous partnerships with others, internally and externally, to achieve a common goal


• Create a culture of proactive, tailored and transparent communication


• Be generous with your time and actively make yourself visible and available to others


Aspirational


We actively seek others’ views and ideas so we achieve more together


Expect to see


• Work as part of a team; co-operate and engage with colleagues and partners


• Respect others’ expertise and value advice; involve others in the development of ideas and projects


• Respond and contribute to partnerships and collaborations to achieve a common goal


• Openly and freely share information with others


Don’t want to see


• Exclude others and work in isolation; resist others’ attempts at collaboration


• Disregard others’ expertise or views; ignore or dismiss ideas; avoid seeking input


• Act in your own interests or to the detriment of other teams or partners to achieve your own goals


• Provide incomplete or inaccurate information; withhold information


• Respond positively to requests for help or support from others


• Be elusive or hard to contact; fail to respond to others in a timely or positive way


Expert We draw on diverse skills, knowledge and Love to see


• Actively inspire and encourage others to act responsibly and always act in line with best practice


• Role model continuing development and encourage others to do the same; be generous with your knowledge and networks


• Promote a culture of delivery; highlight issues, challenges and risks in delivery and help find solutions and mitigations


• Consider and seek to reduce negative impacts on cost, resources or the environment; encourage others to do the same


• Constantly find improvement opportunities in every aspect of your work


April 2019 Expect to see


• Understand and comply with policies, procedures and reporting


• Demonstrate competence in current practice, be sure of your facts and opinions and know the limits of your knowledge


• Do what you say you will do and strive to deliver on your commitments


• Use money, time and other resources as efficiently and sustainably as possible


experience so we provide the best possible care Don’t want to see


• Ignore best practice, policies and procedures; take unwarranted risks or short cuts


• Make no attempt keep up to date or maintain knowledge and best practices


• Fail to follow through on commitments; miss deadlines and neglect to highlight actions when not on track


• Show disregard for resources, time and facilities


Aspirational Love to see


• Actively help others to identify improvements and find solutions to problems, focusing on outcomes


• Create a culture where achievement is proactively identified and celebrated


We are receptive and responsive to new thinking, so we never stop learning, discovering and improving


Expect to see


• Initiate improvements and look for opportunities to learn from others


• Recognise and celebrate achievement


Don’t want to see


• Resist or avoid change because ‘we’ve always done it this way’


• Fail to notice or appreciate others’ efforts or achievements


Leading change through vision, values and behaviours


• Promote and role model reflection and learn openly with others


• Promote a culture of feedback and role model high quality feedback conversations as part of daily practice


• Use our quality improvement methodology to tackle problems and make improvements


• Fail to recognise or act on opportunities for improvement


• Take proactive steps to contribute to wider improvement initiatives and bring a positive mindset to new ideas


• Build in reflection and learning to support daily practice


• Ask for, listen to and accept feedback to improve performance and practice


• Fail to make time for learning and reflection; show little or no interest in learning from incidents, patients or best practice


• Avoid asking for or being open to feedback; defensive when it is offered


• Support improvement initiatives in your own role or team


• Have a cynical or negative mindset towards improvement initiatives or change


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