As many of you will have seen in the news last week, the trust’s latest report by the Care Quality Commission (CQC) was published and the decision was made to place ULHT into special measures.

We’re clearly disappointed with some of the findings of the report. However it is encouraging that over half of our services (56%) were rated as good, including surgery at Lincoln and Pilgrim hospitals, services for children and young people at Lincoln and critical care at Pilgrim.

Many of our staff also told the CQC inspectors that they felt our hospitals were much safer than they used to be.

The report identified some areas for improvement, and I’m pleased to say that since the CQC inspected us in October, many of the immediate issues they raised have been resolved.

These improvements include a significant increase in identifying and treating sepsis and it’s pleasing to report that over the last few weeks 100% of patients at risk of sepsis have been screened on all sites, which is a great achievement.

We have introduced additional senior clinicians and management at Pilgrim hospital.

We have also launched an anti-bullying campaign and are encouraging staff to raise any concerns they may have.

I’d like to thank our staff who have worked tirelessly to address the concerns that the CQC raised during their inspection and for their continued commitment and dedication to provide the best care for our patients.

The CQC said that they found our staff were caring and treated patients with kindness and respect, which is fantastic to hear.

Obviously the CQC report has had an effect on the morale of our staff, so it’s been heartwarming to hear the good stories from our patients in the news.

I would encourage all patients and their families to keep sharing their views and experiences with us.

Our next steps are to demonstrate our continued improvement in all areas the CQC identified.

We also need to continue to ensure that quality and safety is at the heart of all we do.

It’s encouraging to see that in our recent national staff survey results, published in March, our staff saying that the care of patients / service users is our top priority has increased by 28%, from 57% in 2014 to 73% in 2016.

We know we still have more work to do, and we have been very open about the long-term challenges we face in making our services safer and more sustainable.

Our biggest challenges are around our shortages of permanent staff and that we struggle to meet some of the national quality standards.

ULHT has a five year plan in place to improve the long-term quality and safety of our services – our part of Lincolnshire’s STP – called 2021 strategy and we’re working hard to quicken the pace of these changes.

With the support from NHS Improvement, our partners in Lincolnshire and our patients, I’m confident we can make long-term improvements for the benefit of our patients and our staff.

Jan Sobieraj is the new Chief Executive of United Lincolnshire Hospitals NHS Trust.

Towards the end of last year the Sustainability and Transformation Plan (STP) was published for Lincolnshire. For the first time we have a single plan that describes how health and care services across the whole county will change in order to deliver better quality care, improve health and wellbeing and bring our health and care system back into financial balance.

As part of this work we are developing the ULHT 2021 strategy which is our own five-year plan to ensure we transform and further improve our own services.

Keeping all services as they are is not an option and we need to redesign the system by supporting people to make healthy choices and stay well.

The challenge we face in Lincolnshire and nationally is that demand is increasing on our services due to an ageing population with long term, complex health conditions.

We currently spend too much money on treating people in hospital rather than providing support in the community to prevent people needing hospital care.

2021 is our chance to transform our services for the benefit of our patients, staff and the population of Lincolnshire.

As mentioned in my December column, we really want our patients, our staff and the public to be involved in shaping the future and for your voice to be heard. Without input from our patients, public and staff we can’t improve, as these groups know what we do well and what we could improve better than anyone else.

We have already started engaging with our patient members and have had discussions with over 670 people at 31 community groups on this. At our centralised locality forum meeting recently we had in-depth debates with over 50 people on our 2021 strategy, and we want to do more of this.

We’ve discussed what services they think should be centralised and what should be delivered locally. We’ve also asked what ideas they have about how we can deliver services differently.

We have identified five areas of work, and need your help to develop the options for what we do. They are:

  • Redesign our clinical services: clinical strategy, clinical services and pathways
  • Productive hospital: urgent care, elective work, theatres and outpatients
  • Workforce and organisational development: recruitment, retention, education, training and skills, leadership development, appraisals, inclusion, values and behaviours
  • Productivity, efficiency and estates: how we can work smarter, save money and improve care
  • Quality Improvement: patient safety, safe staffing, reduced mortality, infection control

As part of this work we have also have developed a survey so people across Lincolnshire can share their views with us, and help us to develop our plans for the future of hospital services across Lincolnshire.

The deadline to complete this is Monday, April 10, 2017.

ULHT has a positive future. We want to improve the quality of care to our patients and improve the experiences of our staff while at work. Our staff will have exciting opportunities and access to training. They will also have a key role to play in shaping what these roles will be.

More information on the STP can be found here.

Jan Sobieraj is the new Chief Executive of United Lincolnshire Hospitals NHS Trust.

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