Letter from GMMH re: Stakeholder Briefing: updates at GMMH & launch of draft Improvement Plan to address failings

The GMMH draft Improvement Plan, alongside a shorter, easy-read booklet (Building Our Future Together Note: currently not able to open this pdf from the GMMH website on 25/ 02/2023) which summarises the improvement pillars and key priority areas. Over the next six weeks, we are asking service users, staff and stakeholders to share their views on the plan. The documents can be found on our Improvement Plan webpage here, with the “Share Your Views” feedback form here. The option to send handwritten feedback is also available, by sending the tear-off form at the end of the booklet to our freepost address. 

The closing date for responses is Friday 31 March 2023, after which all feedback will be reviewed and, where relevant, incorporated into a final Improvement Plan which will be published on the Trust website soon after. 

17 February 2023 

Stakeholder Briefing Issue 8: updates at GMMH & launch of draft Improvement Plan 

Independent Review 

Last week (6 February) NHS England (NHSE) announced the appointment of Professor Oliver Shanley OBE as Chair of an Independent Review into a number of services at the Trust. The stated intention of the Review is to bring clarity and reassurance to patients, their families and staff, as well as the wider public, in respect of the ongoing safety of our services. 

Following his appointment, we understand that Professor Shanley will develop Terms of Reference for the Review in collaboration with patients, service users, families and colleagues within NHSE North West team. It has been confirmed that the Review will focus primarily on the Edenfield Centre, as well as the Trust’s other secure services, and will include a review of ward to board escalation, and oversight of patient safety and culture. The Review is scheduled to conclude by 30 September 2023. 

We welcome the appointment of Professor Shanley and have publicly committed to engage in an open and transparent manner with the Review. 

Recovery Support Programme and CQC inspections 

In late November 2022, GMMH was placed into Segment 4 of the NHSE Oversight Framework and joined the national Recovery Support Programme (RSP), in order to receive intensive support in high priority areas. At the same time, the Care Quality Commission (CQC) published their report based on inspections of several GMMH services last summer, and suspended our well-led rating at Trust level, as well as the overall rating for the Trust. 

In December, the CQC carried out an unannounced inspection of our wards for older people with mental health problems at Woodlands Hospital, following which they issued the Trust with a warning notice for immediate improvements. Earlier today, they published their report, in which the safe rating for these wards has dropped from good to inadequate, and the overall rating has declined from good to requires improvement. You can read our response here. 

Over the past few weeks, the CQC have also undertaken further inspections across a number of our services. These inspections will culminate in a series of well-led interviews at the end of the month. We expect to receive their draft inspection report soon after. STAKEHOLDER BRIEFING 8 | PS 

Improvement Plan 

During the winter months, the Trust has continued to work closely with stakeholders to implement sustained improvements to the quality, safety and effectiveness of the care we provide. In December, we transitioned from Rapid Quality Review governance arrangements to an Improvement Board, ensuring that the work undertaken as part of the initial critical incident response (centred on the Edenfield Centre) is sustained and expanded. 

The Improvement Board is chaired by the Regional Director for Strategy and Transformation for NHSE North West, with representatives from GMMH, Greater Manchester Integrated Care Partnership, Health Education England, Bury Local Authority (as safeguarding lead) and other relevant representatives, including the CQC, General Medical Council and the Nursing and Midwifery Council. 

The Improvement Board reports to the NHSE Regional Support Group, with links to our own Trust Board and Greater Manchester ICB. It currently meets monthly and will continue to meet until such time that sufficient evidence and assurance has been received that the Trust has made sufficient progress in order to exit the Recovery Support Programme. 

Last week (9 February), the Improvement Board approved our draft Improvement Plan. This detailed document incorporates all CQC actions, as well as several other measures to tackle the most urgent quality and safety issues facing the Trust, alongside a comprehensive range of longer-term ambitions. 

Today, we are publishing our draft Improvement Plan, alongside a shorter, easy-read booklet (Building Our Future Together) which summarises the improvement pillars and key priority areas. Over the next six weeks, we are asking service users, staff and stakeholders to share their views on the plan. The documents can be found on our Improvement Plan webpage here, with the “Share Your Views” feedback form here. The option to send handwritten feedback is also available, by sending the tear-off form at the end of the booklet to our freepost address. 

The closing date for responses is Friday 31 March 2023, after which all feedback will be reviewed and, where relevant, incorporated into a final Improvement Plan which will be published on the Trust website soon after. 

The publication of the draft Improvement Plan marks a key milestone within our ambitious programme of work to transform the Trust. Please do take the time to read the documents and share your views with us – we really do want to hear from you. If you have any further queries, please address them to the Programme Office: ProgOffice@gmmh.nhs.uk 

We will continue to keep you updated on developments and progress 

Published by CHARM Greater Manchester

CHARM, the Community for Holistic, Accessible, Rights Based Mental Health was launched by The Organic Recovery Learning Community in September 2020.

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