1. Welcome to Southern Health Southern Health exists to improve the health, wellbeing and independence of the people we serve

2. An introduction to Southern Health Katrina Percy, Chief Executive Who we are, what we do Our context and local perspective Our quality programme Our clinical services Working together this week Questions & discussion

3. Southern Health NHS FT: providing mental health, learning disability, community and social care services 8,000 members of staff Staff working in patients homes and from 200 main sites including community hospitals, health centres, and inpatient units Providing care for 250,000 people each year 1.5 million community contacts 280,000 outpatient appointments 730 beds in 23 sites

4. 90% of our care is provided for people in Hampshire

5. The services we provide Integrated Community Services Physical health and older people’s mental health community services for adults & older people Mental Health services Learning Disability services Specialist support to adults with learning disabilities in community and inpatient settings Adult mental health and specialised secure services for adults and young people Social Care services Children’s Services Health visitors & school nurses providing public health services for children and families Social care services for people with learning disabilities or mental health needs, and for older people 2,500 staff 600 staff 1,700 staff 700 staff 1600 staff

6. Our Trust strategy: quality driven and guiding all that we do Our goals:Delivered through: Internal Redesign Integration with partners People development

7. Culture and behaviour are key to improving quality Our values Culture will trump rules, standards and control strategies every single time A promise to learn - a commitment to act Don Berwick August 2013 Person and Patient Centred Valuing Achievement Driving Innovation Delivering Value Forging Relationships Releasing Ambition “ “

8. Going Viral – The Southern Health Way When staff feel motivated and engaged with their work, patient satisfaction, patient outcomes and Trust financial performance is better Prof Michael West Kings Fund “ “

9. Team Meetings Service/Area Meetings Divisional Boards Board Committees Trust Board A robust quality governance infrastructure providing assurance at every level in the Trust Peer review with strong service user involvement Quality dashboards at divisional and trust level Data and peer review processes working in tandem to provide assurance

10. Our quality programme

11. Our challenges Ensuring quality everywhere Medicines Management and Record Keeping Reduced investment in our services Staffing and delivering change Infrastructure

12. Some of the things we are proud of Leading edge models of care Our assurance and improvement processes Patient led care and engagement Our people and their development

13. Our clinical services

14. Mental Health Services A simplified Adult Mental Health pathway that supports recovery, formed of Community Mental Health Teams and Acute Care Teams A range of forensic services some of which are highly specialist, eg Bluebird House, one of only two units in England caring for young women with the most complex mental health needs Referral Recovery College Community Mental Health Teams Access & Assessment Community Treatment Discharge Acute Mental Health Teams

15. Mental Health Services Strengths Recovery oriented practice National recognition of excellence – following significant redesign Partnership with Hampshire County Council, plan to full integration Challenges Recruitment & use of bank and agency staff Use of out of area beds – with a range of plans in place to reduce this Estate issues that we are working to address – including Ravenswood House

16. Integrated Community Services Integrated leadership of community based physical and older people’s mental health teams Building block is Integrated Community Team based around general practices Working to join up assessment and caseload management with general practice and social care Inpatients on 10 sites

17. Integrated Community Services Strengths Strong and clear single clinical leadership of physical and older people’s mental health services ‘Putting Quality First’ Programme Local innovation and Trust wide change delivering quality improvements for patients Challenges Addressing variability in care – raising all areas to be as good as the best  holistic assessment  personalised care planning Electronic record keeping Workforce capacity

18. Learning Disability Services

19. Strengths Clinical model in Hampshire externally validated as being ‘world class’ High levels of service user engagement and experience Underpinned and supported by our social care services, TQ21 (which are not the focus of your visit this week) Challenges Recruitment and use of bank and agency staff Delivering culture change across the whole service – with improved communication and strengthened clinical leadership Safe transformation of care

20. Children’s Services Strengths Hampshire wide Universal and enhanced ‘Healthy Child Programme’ provided by team of health visitors and school nurses Family Nurse Partnership teams focussed on young parents requiring extra support for the first 2 years Delivering Call to Action Key focus on safeguarding Challenges Future integrated models of care

21. Working together this week We are looking forward to working with you and learning from you this week We welcome your observations and feedback Our aim is to be open, transparent and honest Questions and discussion