Our priorities are documented within our Annual Report and Annual Plans:
Targets, Aims and Objectives
Southern Health NHS Foundation Trust's Annual Plan provides the detail of the Trust's objectives for the coming financial year. Further information can also be founds by viewing our visions and values.
Performance against targets
The Trust's corporate performance report includes performance against key performance indicators (KPI) and is reviewed by the Board on a monthly basis.
The Board also receive a monthly quality and safety report which details performance against key clinical quality and patient safety indicators.
Care Quality Commission
You can view the Trust's registration and outcomes of inspections carried out at our registered sites on the Care Quality Commission website.
The Trust also conducts its own inspections as part of its 'Mock CQC' programme. Further information will be made available in due course.
Clinical governance
Clinical governance is an umbrella term to cover the activities that help sustain and improve patient care. It was first described for the NHS by Sir Liam Donaldson in 1998 as a 'system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care'.
Clinical governance is at the heart of all of our clinical activity and we deliver and embed it in our activities through a number of measures. These include:
- The Trust has a strong track record of focusing on our most important asset, our staff. Without well developed staff who understand their role and contribution to the patient or service user experience and outcome we cannot achieve good governance.
- Leadership is high on the organisation priority and our Chief Executive Officer commits energy, time and resource into ensuring leaders are fit for purpose and drive and deliver a strong clinical, quality based service.
- In order to achieve good clinical governance we must and do listen to our patients as they are the only ones able to tell us first hand how well we are doing to give the best possible care. We hear their voice through a variety of media - including patient experience surveys, stakeholder groups and events and respond. In 2012 we have appointed a Head of Organisational Learning so that we can listed and learn from patient surveys, patient comments and to ensure we do not repeat mistakes that come to light in complaints or adverse events.
- The Trust cannot deliver good clinical governance without good information and we have a wealth of information resource available. We have been using this data to enable us to understand how we can perform against clearly defined clinical outcomes.
- A comprehensive clinical audit programme that staff of all grades and disciplines participate in. Many of our audits are locally designed to ensure that we can truly test the efficacy of our services. Many of our audits are based on national best practice (e.g. NICE guidance). We also undergo a rigorous audit programme of services undertaken by external auditors. The Care Quality Commission (CQC) visit us regularly to ensure we are complying with essential standards and we have our internal 'Mock CQC' programme where a team of colleagues visit services and assess them against the CQC outcomes.
- Other important elements or 'pillars' of clinical governance includes research. The Trust has a research programme that enables our services to deliver care based on the best available evidence.
Our Board receives monthly reports on various governance activities and seeks continual assurance through our committee structure and also by partaking in regular site visits and walk-rounds with our staff.
Clinical governance is at the heart of the Trust and is led by our Medical Director.
Audit reports
Our audit reports provide detailed evaluation of our accounts, plus recommendations and timescales for improvement and implementation. As Southern Health NHS Foundation Trust was created on 1 April 2011 (as a result of the merger between Hampshire Partnership NHS Foundation Trust and Hampshire Community Health Care), we currently only have reports from the Trusts as separate organisations.
Service user surveys
We are currently in the process of redesigning our patient satisfaction surveys.
The Care Quality Commission uses national surveys to find out about the experience of service users receiving care and treatment from healthcare organisations and mental healthcare providers.
The results, published in August 2011, from the community mental health based survey are available to view on the Care Quality Commission website.
Declarations of compliance
We are required to submit regular returns demonstrating our compliance with the Terms of Authorisation as a Foundation Trust. Details of these returns are available to review on the Monitor website.
Download details of the Trusts adherence to eliminating mixed sex accommodation (EMSA) guidelines.
