Ruislip Residents' Association

Central & North West London Board Meeting on 13th July 2016

1. Hillingdon Mental Health, May 2016: This was highlighted due to underperformance for four consecutive months involving three NHS Improvement Indicators, as well as having one of the highest reports of complaints, sickness, vacancy and turnover rates in the Trust.
2. Harrow concerns: This was highlighted as an emerging concern in May 2016 due to deteriorating performance against NHS Improvement Indicators, as well as reporting the highest number of complaints and second highest vacancy rate in the Trust.  Harrow Mental Health had team capacity problems and data entry issues.

3. Community Health services: These services achieved all relevant NHSI Indicators in May 2016.  All three community health services provided by the Trust have consistently achieved all targets in the last four months.
4. Restraint of patients: The Trust has set a target to reduce the use of all restraint by 50% over an 18 month period, from the baseline set in January 2015.  In May 2016, there were a total of 123 restraints reported, 7 more than in April, which breached the trajectory of its reduction target;  the third time the trajectory has been breached and also the second month in succession.  This is believed to be due to a range of factors including:
  • A large number of in-patient admissions over the period
  • A rise in the acuity of patients admitted
  • Implementation of the Smoke Free Policy, which has generated additional challenges for staff working to support patients experiencing this policy for the first time.
5. Medical Appraisal and Revalidation: Annual appraisal for NHS consultants was established in 2002.  Wider medical revalidation was launched in 2012 to strengthen the way that doctors are regulated, with the aim of improving patient services and increasing public confidence in the medical profession.
CNWL’s system of medical appraisal covers all consultants, staff and associate specialist doctors.  Revalidation operates on a five year cycle, with a completely separate revalidation process for trainees.  Appraisal is based on a standard document produced by NHS England.  Each doctor should have at least two different appraisers during the five year cycle.  Appraisers, usually from the same Borough or service, are expected to have undertaken special training.  The Trust makes quarterly and annual returns to NHS England.
6. Legal claims against the Trust: There has been a slight rise in the number of claims received in year.  The majority of clinical claims are from mental health services, although there has been a rise in the number received from prison services.  Claims arising from assaults to staff continue to be a theme; it is unclear whether further training of staff in therapeutic interventions has yet had an impact.  Compared with national and regional levels the Trust is not an outlier in the number of claims reported – this is particularly positive as the national figures are not adjusted for size of Trust.  The Trust is on a comparable level with similar Trust types for psychiatry / mental health claims.


Published in Central & NW London FT on 14 July 2016.
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