Nottinghamshire Healthcare has an Involvement, Experience and Volunteering Strategy which sets out how we will ensure that we involve people, how we will listen to and act upon their views and how we will recruit, train and support volunteers within our services. On this page are a few of the projects we’ve been involved with as a team as well as any notes or minutes we’re able to share. This is a small snapshot of the involvement happening across Nottinghamshire Healthcare.
If you’re interested in becoming involved or finding out more, get in touch with us.
Patient Information Group
The Patient Information Group is a regular project group comprised of volunteers and staff. They meet regularly to work on various projects and requests to help transform information that is provided to patients, carers and staff into something understandable and useful. Due to restrictions, they currently meet virtually and have a dedicated project space on the Microsoft Teams Volunteer Hub. If you are a Nottinghamshire Healthcare volunteer and would like to be part of this group then please contact us.
A few examples of their ongoing projects include:
Announcements about Trust Changes
The group was asked to look and comment on an announcement that is to make to service users, staff, carers and the public about some major changes to our Adult Mental Health inpatient services in the county (Millbrook Mental Health Unit). The group looked at the announcement gave feedback on the wording and general tone of this and offered small changes to be made.
Due to Covid 19 and the restrictions around social distancing the Trust has been working hard to ensure that our services and community are able to remain in contact with their care teams. This has mainly through video consultations and the Trust would like to analyse if this way of working is something that we could continue in the future and a team has been put together to gather feedback on how services feel it has worked. The patient Information group were asked to look at a questionnaire and give feedback. This was completed and we are hoping to further work with this group to create guides for people to use within both inpatient and community settings.
The RECAP team have been looking at the content within this digital service and are looking at what is available to ensure the best and most relevant information is available for our service users, carers and staff. They are running 3 pilots around the Trust and have asked the Patient Information Group to work with them to do this.
Inpatient Admission Information
The Patient Information Group started in 2018, initially focussing on the information that is given to inpatients on their admission to an Adult Mental Health ward (AMH). This was completed and distributed to all AMH wards within the Trust. This of course needs to be continually updated and changes made, so over the coming months the group will look at this and make the necessary changes. The group will work closely with staff and service users in this area to make sure it contains information that is needed and relevant.
Carer’s Connect Network
The Carers Connect Network is a forum for carers, families, friends, staff and partnership organisations who work with carers. We’re open to new carers getting involved, it’s a chance to influence how we work together, add your voice and share good practice or just hear the latest news. To help keep carers up to date during national restrictions, the Carers Connect Network ‘meet’ using Microsoft Teams. Carers, carer organisations, local authority carer leads and Trust staff pick up the challenges carers are facing and respond collectively to these. A warm welcome is guaranteed!
For more information, see our dedicated Carer’s Connect Network page.
Patient and Carer Experience Review – Project Oversight Group
The Patient and Carer Experience Review aims to improve how much the experience and feedback of patients, carers and families influences how our Trust services deliver care. The Project Oversight Group meets to discuss, design and plan what we do in the review.
Phase two (May 2019 – October 2020) is specifically focussing on five key areas (that were identified in phase one – Aug 2018- Mar 2019):
- Improving and expanding the ways we capture feedback (example: introducing SMS feedback, using social media for feedback, focussing more on patient stories, recruiting/supporting/training more volunteers to capture feedback)
- Hearing more from carers and families (via carers events, carers survey, carers stories)
- Improving how effectively we show patients/families how their feedback is making a difference (example: You Said We Did whiteboards, new information on the surveys, blogs and information online, use of patient forums)
- Bringing patient and carer experience data closer to data on patient safety, patient outcomes and staff experience – to make sure patient experience is not seen as ‘fluffy’ or considered in isolation when it is so closely related to the other domains
- Doing more with positive feedback (example: sharing more positive feedback, reporting on positive feedback, analysing positive feedback to really understand what is being done well, use of quotes and stories, sharing positive feedback with named and unnamed staff)
We meet for 3hrs, once a month, at Rosewood Involvement Centre (this may alternate with the Involvement Centre at Duncan Macmillan House).
Sherwood Oaks Steering Group
A service user and carer group has been set up to discuss and help the thinking around plans for the new space. Volunteers, service users, carers and experts by experience are part of the group along with Involvement, Experience & Volunteering staff and senior management from Adult Mental Health services. The group themes feedback, uses personal experience to inform what the new unit might be like, and works with staff to think about how we can ensure that patient voice is represented in this new development.
The meetings are take place monthly and also provide the opportunity for this group to be part of other planning groups or task and finish groups across the whole project. The meetings all currently take place online via Microsoft Teams, but support is provided through our Involvement Centres.
Further information on the meeting can be found here.
The Glade Psychiatric Clinical Decisions Unit
Where this is the case a more purposeful admission can be prepared which can lead to it being of more benefit and potentially shorter. Where an admission is not required this will allow for a care plan to be developed which can include the patient, carer and family and friends and support available in the community. PCDUs have been developed in several cities. They have been found to have helped to reduce bed occupancy and to have improved the patient experience.
Previous meeting notes:
Waiting Well Involvement Group
This project is looking at the experience service users & carers have waiting for their local community mental health team. The aim is not simply to reduce the time people have to wait for a service, (although that would be great if it happened as part of this work), but to see whether the experience of waiting at home, the environment of waiting rooms, and the processes and administration can all be improved.
Previous meeting notes:
Examples of involvement within the Forensic Division include:
Patient Forums are held across Nottinghamshire Healthcare, including in the Forensic Division. These are a chance for patients to meet with staff to discuss issues on the wards or within the service. Volunteers will often attend these to act as patient representatives.
Sub-Divisional Involvement and Improvement Group
This meeting is chaired by the Associate Director of Nursing and supported by the Head of Governance for Forensic Services and the Forensic Involvement Lead from the Involvement, Experience and Volunteering Team. These are strategic meetings which give patients the opportunity to take part in discussing and reviewing business planning and the strategy across Nottinghamshire Healthcare. Where patients are unable to attend, Volunteers who regularly attend Patient Forums are able to represent their voice and the themes raised within these meetings. Within the Sub-Divisional Involvement and Improvement Group, outstanding action plans for services are also reviewed and escalated if needed.
Complaints Audit Peer Review
This group regularly meets to review complaints from across the Forensic Division. Complaints are randomly selected and scrutinised as to the handling and outcome. Volunteers and staff are able to challenge how w complaint has been dealt with and are able to offer recommendations to improve processes for future complaints.
Offender Health Champions Meeting
These regular meetings bring together volunteers and involvement leads from a number of prisons to review feedback and make recommendations of how to involve prisoners who use Nottinghamshire Healthcare services. It is a chance for staff and volunteers to share best practice and bring in new ideas and innovation.
Divisional NICE, Research and Audit Committee
The NICE Research and Audit Committee provides Divisional oversight of all Research and Clinical Audit Activity undertaken within the Division.
The Committee will also ensure that the Division has in place effective processes for the review and implementation of guidance produced by the National Institute of Clinical and Health Excellence (NICE). The group meets bi-monthly and aims to cover the below points:
Setting Direction – Strategy and Policy
- Support the development and implementation of relevant Trust strategies and policies e.g. Research Strategy, Clinical Audit Strategy and Policy and the NICE Policy and Strategy.
- Develop and monitor the annual programmes of work for clinical audit, research and NICE with clearly defined timescales and responsibilities.
- Lead the development of Divisional priorities for inclusion in Clinical Audit Plans and approve plans ensuring there are links to the Quality Priorities, risks identified via external reviews, intelligence monitoring, complaints, patient feedback and themes from internal audit reviews.
- Define future research priorities ensuring links with Divisional business plans.
Assurance and Escalation
- Seek assurance from services across the Division that suitable arrangements, clinical audit plans and research activity are being delivered and that any delays in the delivery are highlighted within exception reporting.
- Ensure any identified risks relating to non-compliance are identified and recorded on the relevant Divisional Risk Register and escalated to the Quality Operational Group.
- To be aware of all current and forthcoming NICE Guidance.
- To undertake a screening process to ascertain the relevance of NICE Guidance for the Divisions.
- To ensure that where a NICE Guideline has a significant impact on the Division a Topic Expert Group (TEG) or nominated individual reviews the Guidance and completes a clinical impact analysis form.
- To monitor Divisional compliance against the implementation of the NICE Guidelines and ensure that supporting evidence is provided and updated.
- To monitor progress on the implementation of recommendations highlighted within TEG reports or completed clinical impact analysis forms.
- The NICE, Research and Clinical Audit Committee will provide assurance to the Trust Quality Operational Group on all matters relating to clinical audit, research and NICE Guidance.
Collaborative Service Change Network
The meetings are every three months and are attended by service users, carers, volunteers, Nottinghamshire Healthcare staff as well as other 3rd sector and councils – basically anybody that is interested in collaboration. We’ve gathered together some useful resources and information on collaborative working, you can take a look at that page here.