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This includes bespoke rotations, wellbeing support, personalised travel plans, and a structured preceptorship. This continues on appointment to a role at the trust, as the trust offers a wide range of benefits. University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) was formed on 1 April 2020 following the merger of University Hospitals Bristol NHS Foundation Trust and Weston Area Health NHS Trust. Potassium: 3.5-5 mmol/L. Plans were in place to review staffing and caseloads to manage this increase. North Bristol NHS Trust - Wikipedia This was because the environments for patients were not always safe, especially during times of escalation when patients were accommodated in inappropriate areas on wards and in the interventional radiology department. The board had developed significantly since our last inspection. CCHP started the central intake team (CIT) to manage the risk of service users new to the service and subject to urgent referrals. Color. Some examples include the use of deep brain stimulation techniques for the treatment of functional disorders such as Parkinsons disease, led by Professor Gill, and developing the use of robotic surgery to deliver drugs directly into the brain.[4]. However, improvements had been made in urgent and emergency care services, which we rated as good. NBT engaged professional services firm PWC to help develop an approach to improving patient flow, using a staff coaching and empowerment methodology called Perform. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. A childrens and young persons participation strategy (20142016) had been developed. People could not consistently access the service in a timely way and this was a continuing problem since our last inspection. Thursday 27 April 2023. Staff within community CAMHS services had not consistently documented that they had assessed the risk to young people. v1c[4/z#u-. Find out more, Lord Markham, the health minister, said that the NHS is reviewing its current guidance on delivering same-sex accommodation, Donald Trump celebrates his family roots on visit to Scotland, One in four children suffered greater anxiety and depression during pandemic, Labour accused of plotting widows tax by scrapping single person council tax discount, Ant and Dec among congregation at Westminster Abbey for King Charles's Coronation, Fierce clashes erupt as France faces largest May Day protests in 30 years, Russia disrupts Ukrainian counter-offensive with ammunition depot strike, transgender NHS staff to treat patients based on their gender identity, patients privacy and dignity is respected, Concerns have also been raised about the NHS England policy, reviewing its current guidance on delivering same-sex accommodation, guidance on the importance of same-sex care, NHS is increasingly compromised by an ideology, NHS policies allow transgender people to be included. Services provided by the outpatient clinics reflected the needs of the local population. While leadership and governance within the unit were effective, we found that the service was not as integrated in North Bristol Trust as it could be. The trust needed to maintain focus on culture, particularly in maternity, facilities management and the BME population and continue to promote freedom to speak up. )=c,{MyYY> Requires improvement Studies have proved a direct link between better staff engagement and improved clinical outcomes for patients. 404 0 obj <> endobj The building, designed by BDP architects, won RIBA South West Award 2018 for its architecture, as well as RIBA South West Client of the Year 2018. Printable this page Accessibility tools. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds,. 11 February 2015. As Chair of the Trust I feel passionately that we deliver on this aspiration to ensure that we have a workforce that truly represents the population we serve. One quick win from the Perform process was instigating huddles, which took place on the wards, focused on key data, with actions as a result. The average salary for North Bristol NHS Trust employees in United Kingdom is 29,032 per year. By creating a diverse and equal workplace we are able to draw on a wide range of ideas from a workforce full of different skills, experiences, resources, talents and energies. The trust performed worse than the England average for most national targets, this included the Admitted Adjusted Referral to Treatment time (where the time from referral to treatment should be less than 18 weeks). Staff did not consistently use safe lone working practices. A new electronic records system had been implemented in the month prior to our inspection. 122 people at Southmead Hospital were left on trolleys in corridors for more than 12 hours during December. 'xt^ The four hour target, within the emergency department, to admit or discharge patients to the hospital had been achieved for a three month period between June and August 2015. Surgery: was rated good overall. Our Trust values - University Hospitals Bristol and Weston NHS Click below to view the %%EOF The secret mine that hid the Nazis' stolen treasure. North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. The service was able to respond to urgent referrals. As much emphasis was placed in the caring for and about those close to patients as patients themselves. As the trust has not provided the service since 1 April 2016 these issues will be followed up with the new providers. It detailed a letter sent by the chief executive of North Bristol NHS Trust which said the hospital was unable to guarantee patients will receive treatment by a clinician of the same sex if requested. Effective, responsive and caring ratings remained good. Ensure that risk assessments in care records are consistently completed for all of the young people who use the community CAMHS service. Targets in the emergency department were not being met for a maximum wait of four hours to be admitted, discharged or transferred, (in October 2014 this was 80.7% against a target of 95%); triage within 15 minutes of arrival and for patients remaining on a trolley in the department or more than 12 hours. Mental capacity of patients was not clearly recorded in their notes when it was assessed. Every service was found to be caring and we observed positive interaction with patients. The following policies and procedures relate to the conduct of business and the provision of services at the University Hospitals Bristol NHS Foundation Trust: Complaints and Concerns Policy. The vision and values within the trust were clearly articulated by staff and board members alike. Although we had some concerns regarding the privacy and dignity of some patients in the Brunel building the majority of patients and relatives told us they felt their privacy and dignity was respected. There was more to do to ensure staff felt equality and diversity were promoted in their day to day work and when looking at opportunities for career progression. The network serves both adult and children's major trauma and has an adult population of around 2.3million and children's population of approximately 810,000. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. The industrial action is a national dispute between the Government and Trades Unions about terms . A comedy postcard flu campaign designed by staff resulted in NBT ranking fifth in the UK for the proportion of frontline staff vaccinated, with 87.9 per cent of all frontline staff choosing to have the flu jab, up 15.3 per cent on 2017. The service managed safety incidents well and learned lessons from them. This programme was recognised by the NHS Parliamentary Awards in 2019.[28]. Records were clear, up-to-date, and available to staff providing care. hko6 A new employee assistance programme was instigated, giving staff access to free financial and legal support, relationship advice and counselling 24/7. These reports look at how NHS hospital trusts use resources, and give recommendations for improvement where needed. There were however some concerns that hand washing audits were not meeting the compliance target of 95% and some staff were seen not to be bare below the elbow. Hospitals are set to be told they must guarantee single-sex care amid a row over hospitals allowing transgender NHS staff to treat patients based on their gender identity. Care was delivered by kind, compassionate and respectful staff who were passionate about their work and were committed to delivering high-quality services to children, young people and their families. The specialist palliative care team had worked with the acute medical unit with complex end of life patients to improve patient outcomes. Staff were reaching out to promote the use of the unit and natural births not excluding woman who traditionally may have not been thought suitable to have their birth in a midwifery led unit. Although the NHS may claim to be committed to providing single-sex services, the reality is that both accommodation and care are mixed sex because NHS policies allow transgender people to be included as the sex with which they identify, according to the way they dress, and the name and pronouns they currently use. There was alignment between service and trust plans. Despite 2,500 more emergency department (ED) attendances and 3,000 more admissions, there were 600 fewer four-hour breaches in 2018/19, with occupancy down by 4 per cent. The institute is the regional centre for neurological services serving the South West of England. Plans for the site potentially include a base for GP surgeries, enhanced mental health support and support for older people to receive care at home. Staff assessed risks to patients, acted on them and kept good care records. The rate of completion of staff appraisals was inconsistent between teams. Browser Support There were clear pathways for addressing the particular risks associated with the care and treatment and referral of, for example, children, frail elderly or patients with sepsis, stroke or mental health conditions. Therapy rooms at Monks Park House had no alarm system and staff did not follow lone working procedures. #5]%wT$@^@^]H q!zdF*EVUgE. One patient had their operation cancelled on the day of operation for the second time. This included both written and verbal consent. There were long waiting times, delays and cancellations ongoing. Staff treated patients with compassion and kindness and took account of their individual needs. That report, released in January, warned that the NHS is increasingly compromised by an ideology which disregards the realities and immutability of biological sex and that is diminishing the rights of women and girls. Of the other services four were rated as good and the remaining seven as requiring improvement. We are OneNBT. There was strong clinical leadership and direction within the service. These included monitoring the waiting list for the newly established central intake team fortnightly. Due to the demands on the emergency department patients were not being cared for in the most appropriate place to manage their needs with a corridor often being used inappropriately. The trust has links with University of the West of England and University of Bristol who support undergraduate and postgraduate education and work placements across many professions. Mortality rates were significantly lower than expected when compared with other hospital trusts, as measured by the Hospital Standardised Mortality Ratio and the Summary Hospital-level Mortality Indicator. Details of free physical and mental wellbeing sessions for NHS staff. Patients with dementia received care and treatment that was sympathetic and knowledgeable. the service isn't performing as well as it should and we have told the service how it must improve. Lord Markham added: Patients can request same-sex intimate care, and it will be up to the care provider or clinician to respond based on the patients needs and staff availability. Most patients could access the service when they needed it. This had an impact on the critical care unit which had a high number of delayed discharges from the unit and the length of stay for patients was higher than the NHS national average. The trust was also not meeting standards for referral to treatment pathways within outpatient services. There are over 8,000 reasons why North Bristol NHS Trust is a place to be #NBTProud of. [27], The trust employs around 8,000 medical and non-medical professionals,[1] supported by volunteers. They reviewed patients medications, wrote them up on the medication chart and gave advice to patients about their medication (what needed to be stopped prior to admission). Nurse staffing levels were meeting national guidelines. Learning and development at the trust is based in the Learning and Research Centre at Southmead Hospital. Luke Hall, Conservative MP for Thornbury & Yate, said he had secured the support of Health and Social Care Secretary Matt Hancock for the project. the service is performing exceptionally well. [3] Using the latest techniques, the Neurosciences team treat a wide range of conditions. There were issues of concern with the availability of medical records and the use of temporary sets of records. Average North Bristol NHS Trust Salary in United Kingdom - PayScale The programme is available to staff and their families and NBT was careful to position it as being provided by an independent organisation so that staff had the confidence to use it. Community Child and Adolescent Mental Health Services (CAMHS) provided services that were safeand all staff had a good understanding of their roles and responsibilities in relation to child protection and safeguarding children and young people. Involving children and young people was routinely undertaken across the CCHP and was seen as an example of outstanding service nationally. The secret mine that hid the Nazis' stolen treasure.