1.1 Statement on quality from the Chair and the Chief Executive Officer
We are pleased to present our fourteenth annual quality report for the financial year April 2022 to March 2023.
It has continued to be a very challenging period for the Trust and the NHS generally. Our staff and volunteers have continued to demonstrate incredible strength and resilience during the past year.
We have continued to keep the focus on our core purpose, which is to ensure our service users and carers have a positive experience of high-quality evidence-based care. By high quality we mean care which delivers improved outcomes, the best level of recovery possible and results in an enhanced quality of life. To achieve this, we promote strong partnership working alongside effective governance processes. Working in partnership with our service users, carers, staff, governors and other system partners and stakeholders is critical to achieving the highest standards of patient safety, patient experience and clinical effectiveness. We recognise that our services will only ever be as good as the dedicated and skilled workforce we have and that we continue to develop and in which we invest.
This report provides an overview of the quality governance arrangements in place for identifying and monitoring risks and trends to ensure that the Trust works safely and continuously improves. We are proud of our achievements over this last year and passionate about making improvements in the future. Our quality report highlights our successes and strengths, areas we need to improve upon and our quality plans for 2023 to 2024.
We will continue to maintain a strong focus on service user, carer and staff engagement as we move into 2023/24. This involvement will put us in the best place to meet the increasing demand for our services. As a Trust we will continue to work to provide the highest standards of healthcare within Lincolnshire, to support people to live well in their communities.
Kevin Lockyer, Chair Sarah Connery, Chief Executive 29 June 2023
Declaration The Trust, including its Board, has sought to exercise appropriate due diligence to ensure the accuracy of the data reported, but recognises that it is nonetheless subject to the inherent limitations noted below. Following these steps, to the knowledge of the Chair and Chief Executive, the information in the document is accurate.
There are a number of inherent limitations in the preparation of quality accounts which may impact the reliability or accuracy of the data reported.
These include:
- Data are derived from a large number of different systems and processes. Only some of these are subject to external assurance or included in internal audits programme of work each year.
- Data are collected by a large number of teams across the Trust alongside their main responsibilities, which may lead to differences in how policies are applied or interpreted. In many cases, data reported reflects clinical judgement about individual cases, where another clinician might reasonably have classified a case differently.
- National data definitions do not necessarily cover all circumstances, and local interpretations may differ.
- Data collection practices and data definitions are evolving, which may lead to differences over time, both within and between years. The volume of data means that, where changes are made, it is usually not practical to re-analyse historic data.
- Guidance was changed by NHS England (NHSE) in February 2021 and confirmed for 2022/2023 regarding the requirements for quality reports and quality accounts including the ceasing of external auditors’ content and consistency review: NHS England Quality accounts FAQs
1.2 Our services
The Trust is the principal provider of NHS funded mental health, learning disability and autism services in Lincolnshire and provides adult social care services in a partnership model.
Specialist Services Division
- Child and Adolescent Mental Health Service (CAMHS) Community Mental Health Teams (Lincolnshire County-wide service)
- CAMHS Crisis and Enhanced Treatment Teams (CCETT) (Lincolnshire Countywide service)
- CAMHS Eating Disorder service (Lincolnshire County-wide service)
- CAMHS Learning Disability service (Lincolnshire County-wide service)
- Young Minds Matter (Northeast Lincolnshire)
- Healthy Minds Service (Lincolnshire County-wide service
- Lincolnshire Children and Young People (CYP) Secure Unit
- Mental Health Support Teams (some schools)
- CYP Access Team (Lincolnshire County wide service)
- CYP Complex Needs Service
- CYP Psychological Services
- Adult Learning Disabilities service
- Adult Eating Disorder Service
- Autism diagnostic service (Adults)
- Sexual advice referral centre (SARC)
- Independent Sexual Violence Adviser (ISVA)
- Transforming Care Team
- Veterans Services (Op Courage)
Adult Community Division
- Integrated Place-Based Teams (IPBT)
- Adult Community Mental Health Teams
- Steps2change (NHS Talking Therapies, for anxiety and depression)
- Recovery College
- Adult Social Care Team
- Best Interest Assessors
- Community Forensic Team
- Perinatal Services
- Individual Placement Support (IPS)
- Holistic Healthcare for the Homeless
- Criminal Justice Liaison and Diversion
- Personality And Complex Trauma (PACT)
- Early Intervention in Psychosis (EIP)
- Community Rehabilitation Service
Adult Inpatient & Urgent Care Division
- Single Point of Access (SPA)
- Adult Acute inpatient wards
- Inpatient Mental Health Rehabilitation Wards
- Electroconvulsive Therapy (ECT)
- Crisis Resolution and Home Treatment
- Crisis response vehicle
- Low Secure mental health inpatient unit
- Health Based Place of Safety (Section 136 Suite)
- Psychiatric Clinical Decisions Unit
- Psychiatric Intensive Care Unit
- Police Force - Control Room Nurses
- Mental Health Urgent Assessment Centre (MHUAC)
- Mental Health Liaison Service
Older People and Frailty Division
- Older Adult Community Mental Health Teams
- Older Adult Mental Health Home treatment team
- Specialist Older Adult Mental Health inpatients
- Dementia Support Service
- Community Dementia Teams
- Dementia Home treatment team
- Inpatient services for people with dementia
- Neuropsychology
- Psycho-Oncology
- Chronic fatigue syndrome/Myalgic Encephalomyelitis (ME)
- Older adult psychology
Pan Trust
- Pharmacy and medicines optimisation services
- Infection prevention and control services
- Physical healthcare team
- Volunteers
- Prevention and Management of Violence and Aggression (PMVA) team
