Well-led

Well-led

Includes establishing an effective leadership team and culture, providing the necessary tools and skills to enable the Trust to achieve its goals. We looked at what works well and at areas for improvement, at staffing (having the right people in the right roles) and enabling staff to work safely with the resources they need. We engaged with patients and staff and established regular opportunities to listen to them via surveys, etc. We are supporting staff through difficult experiences (bullying and harassment, etc.) and learning in the process.

YESTERDAY

TODAY

  • Noted concerns around processes to manage high pressure from Covid-19
  • Looked into long term issues of Bullying, harassment and discrimination and reviewed systems to protect staff from inappropriate behaviours
  • Reviewed oversight and governance arrangements for action plans and HR processes
  • Reviewed processes and systems to make them more robust and effective, including governance arrangements
  • Worked on Improving and sustaining quality of service

 

  • Learned from what worked well, increased staff and resources for PTS, A&E, call handling and clinical triage, monitored patient safety in real time, focused strategic leadership at each command level, sought consistency of information and reporting, implemented surge protocols
  • Encouraged staff to ‘speak up, speak out and stop it’ in confidence, learned from experience of victims of sexual harassment to improve the way we treat them and support them, used surveys to learn and improve, put support in place for managers
  • Restructured committees, reviewed metrics and escalation processes, improved assurance and reporting to Board and Audit Committee, introduced strategic oversight of performance, delivery and planning, filled key substantive roles, established SMG to support decision-making, centralised governance functions to improve oversight and accountability
  • Strengthened oversight of suspensions, introduced monthly review of ER cases, increased casework capacity and capability, consulted with staff on policies and procedures, developed industrial relations processes with ACAS, improved relationships with union representatives and encouraged informal approaches where appropriate
  • Implemented safeguarding training modules, reviewed and approved HR policies, put in place new leads for PAS, launched multiple skills booster training for behaviours and quality and training on managing disability in the workplace

 

TOMORROW

  • We will continue to learn from staff about specific areas we need to improve
  • We will embed a culture theme in the long-term plan, values and behaviours
  • We will centralise oversight of data and software systems, and regularly measure effectiveness
  • We will regularly review capacity and capability to ensure that the Trust can effectively achieve its strategic goals
  • We will use metrics and measures to regularly monitor performance and take prompt action if needed
  • We will embed improvements in business as usual
  • We will listen to and engage with both patients and staff to ensure their views can shape the decisions of the Trust
  • We will support staff and encourage their development
  • We will ensure that the managers and leaders have the necessary skills for their jobs