1. Environmental scan Dr Peter Miller Chief Executive

2. National Context Francis – ‘Freedom to speak up’ No voice unheard, No rights ignored – consultation led by Norman Lamb ‘Hospitals run out of beds’ Zero suicides ambition Dementia training - £300m next 5 years A&E waits FT sector £321m in deficit – expected improved position next year Tariff disputes New access targets for mental health

3. Locally Better Care Together Better Care Fund – reduce emergency admissions by 3.5% Urgent care performance Agreeing our contracts locally Mental health summits - HWB and local stakeholders

4. Leicestershire Partnership Trust CQC inspection – our time to shine Transitional funding Workforce – new recruitment strategy agreed Crisis House opens, crisis reconfiguration Oakham house/Coalville Patient opinion Staff survey

5. What do our patients say? CBT group mindfulness therapy has been an eye opener, need more support like this! Thank you nursing staff at Oakham House. You really do make it the happy, safe place it needs to be

6. What do our patients say? Themes Access to services Improvements in Adult Mental health inpatient care Level of support in community Staff attitude Activity on wards Out of hours access in crisis

7. What do our staff say? Outputs From 58 to 62

8. What do our staff say? Themes workload Staff not being able to deliver the quality of service to which they aspire Stress/ work-life balance Staffing numbers/ use of bank & agency Communication Recruitment delays

9. Conclusions Real challenges to create sustainability next year Investments in community services to deliver out of hospital care Need to continue to listen to and work with our staff, patients and stakeholders Living our values