p.1

AGM 2020 p.2

Agenda Time Item

18.30 18.35 Welcome Tom Hayhoe, Chair 5 mins

18.35 18.55 Review of the Year Carolyn Regan, Chief Executive 20 mins

18.55 19.05 Financial overview Paul Stefanoski, Director of Finance and Business 10 mins

19.05 19.15 Developments in local services - Sarah Rushton, Director of Local Services

- Dr Christopher Hilton, Clinical Director of Integrated Care 10 mins

19.15 19.30 Service story Hannah MacDonald 15 mins

19.30 19.55

Panel:

Tom Hayhoe Chair

Dr Christopher Hilton, Clinical Director of Integrated Care

Hannah MacDonald, Service User

Paul Stefanoski, Director of Finance and Business

Nathan Christie-Plummer, Deputy Director of Workforce

25 mins

19.55 20.00 Thank you and close Tom Hayhoe 5 mins

Review of 2019/20

Carolyn Regan

Chief Executive

AGM 2020 p.4

188,167 patients using or referred to our services

182,226 patients seen in the community

6,247 older people using or referred to our dementia services

8,141 children & young people using or referred to our services

2,965 inpatients

142,107 in Ealing

21,153 in Hammersmith & Fulham

22,174 in Hounslow

During 2019/20

AGM 2020 p.5

Our staff in 2019/20

Administration & estates 28%

Healthcare assistant & support

27%

Nursing 25%

Medical & dental 6%

Scientific, therapeutic & technical

10%

Allied Health Professionals

4%

White British 34%

White Other 11% Asian

21%

Black 24%

Other 4%

Not specified

3%

Mixed 3%

Female 65%

Male 35%

Registered disabled 4.3%

LGBTQ+ 2.8% 3770 staff

AGM 2020 p.6

> Acute wards for adults, specialist community mental

health for children and young people, perinatal

services all inspected in January/February 2020

> Report published in June 2020

> Outstanding for caring and forensic services

Our performance

p.7

> Provides treatment for up to 210 men, over the age of 18,

with mental illness and personality disorder

> Spacious ward areas, with plenty of natural light and access

to ward gardens

> A modern layout which allows staff to observe patients

effectively and maintain a safe environment

> A multi-disciplinary team located on every ward

Opening of new Broadmoor Hospital - December 2019

Improving

patient environment

AGM 2020 p.8

> Launched 1 July 2019

> Partnership

> Collaboration

> Integrated Care System

Ealing Community Partners

AGM 2020 p.9

Partnerships

Working with London

Ambulance Service

Mental health emergencies make up

11% of calls to ambulance services.

CAMHS collaborative Fewer admissions and reduced

lengths of stay for young people

requiring psychiatric inpatient care.

More young people treated closer to

their home.

Working with GPs

The Trust is developing a new

model of integrated primary and

community mental health care to

work more closely with local GPs

and local services.

AGM 2020 p.10

Achieved first Triangle of Care star

Working with patients,

service users and carers

AGM 2020 p.11

Staff survey

A total of 1,935 staff members completed the survey, with headline results showing that:

> We ranked well compared to other mental

health, learning disability

and community trusts

> More staff than ever would recommend the

Trust as a place to work (67%).

> 79% of staff are happy with their immediate managers

> Areas for improvement:

bullying and harassment

increasing participation

AGM 2020 p.12

Recruitment > High vacancy rate across the Trust

> Growing our own workforce:

25 nurses recruited from the Philippines

21 nursing apprentices in training

18 nursing associates in training

> Apprentices

> Recruiting volunteers

82 joined during Covid-19 pandemic

New post created to coordinate volunteer workforce

AGM 2020 p.13

Success stories

Neil Ragoobar

Career progression

Megan Heaphy

Apprentice

Pat McKee

Retire and return

AGM 2020 p.14

New board recruits

Nina Singh

Executive Director of Workforce &

Organisational Development

Jaspal Dhillon

Non-Executive Director

AGM 2020 p.15

Award winners Neil Ragoobar

Service Director for Medium

Secure Services

Nurse Manager of the Year,

Nursing Times Workforce

Awards

Balraj Basra

Domestic Supervisor,

Thames Lodge

Leadership Category

National Unsung Heroes

Awards

eRostering

Team

Fair and Safe Shift Charter

Allocate Award for Cultural

Excellence

BK

a service user at West London Forensic

Services

Outstanding Achievement Award, National

Service User Awards 2019

LEAD by Example

programme

Silver for Best Training Partnership, Training

Journal Awards

Vincent Kanyi

Executive Chef, Broadmoor Hospital

High

Becky Martin

Redevelopment Service Transition Lead,

Broadmoor Hospital

High Award

Quality Awards 2019

Our annual awards ceremony attracted

over 500 nominations from staff, service

users and stakeholders across 12

categories

AGM 2020 p.16

Response to

Covid-19

> Emergency planning crisis mode from March 2020

> Redeployment of staff across the Trust

> Different ways of delivering services

> 5 x PPE hubs created

> Risk assessments

AGM 2020 p.17

Child & Adolescent Mental Health Services Avonmore Ward Hammersmith & Fulham

Older Health Service

AGM 2020 p.18

Impact on staff

> Wellbeing offer:

Keeping Well service across

NWL and London Ambulance

Mindfulness sessions

Thrive webinars

> New ways of working e.g. remotely and/or

those shielding

> Virtual listening events (40+ so far)

> Support for BAME staff

> Risk assessments over 75% completed

AGM 2020 p.19

Juliet Alder

(1962-2020)

p.20

Mary Robinson Unit opened

Dr Roopak Khara

selected as one of the faces of the NHS response

AGM 2020 p.21

Where next?

> Resuming services safely

> Maintaining improved ways of working

> Engagement is crucial

Service users, patients and carers

Staff

Local stakeholders

AGM 2020 p.22

Thank you

AGM 2020 p.23

Looking ahead

> Preparing for possible second wave

of Covid-19 and flu season

> Tackling inequalities

> Key partner in the North West

London integrated care system

> Continued progress towards being

an outstanding organisation

Financial Overview 2019/20

Paul Stefanoski

Director of Finance and Business

AGM 2020 p.25

Financial performance

statutory requirements

Financial

Control Total

Capital

resource Limit

Paying

Bills on time

AGM 2020 p.26

Summary financial position 2019/20

Operating Income 314,973

Expenditure (434,302)

Operating Surplus/(deficit) (119,329)

Finance cost (17,874)

Other gains 2,191

Surplus/(deficit) for the year (135,012)

Impairment /capital grant amortisation/prior year PSF 142,648

Adjusted retained surplus/(deficit) 7,636

AGM 2020 p.27

Financial performance How we spent our money in 2019/20 (£000)

Pay

75%

Non-pay &

impairments

25%

£6,990

£8,493

£20,698

£7,315

£1,691

£5,479

£6,249

£1,853

£13,730

Puchase of Healthcare

from NHS & non NHS

Bodies

Other

Supplies (clincial &

general)

Estates & facilities cost

Consultancy

Operating lease

Establishment costs

Education & training

Depreciation

AGM 2020 p.28

Financial performance How we spent our capital funding in 2019/20

> The Trust invested £37m capital funding on buildings and equipment to improve the

service delivery environment for service users and staff.

> Examples include:

Continuation of Broadmoor redevelopment

Completion of Medway Lodge refurbishment

Fire safety upgrades

Rolling redecoration programme

Rolling maintenance programme

AGM 2020 p.29

£15,332

£13,244

£15,472

£12,000

£13,000

£14,000

£15,000

£16,000

17/18 18/19 19/20

Agency spend has increased in

2019/20, as a result of the trust

taking on Ealing Community

Partners services from 1st July

2019

Financial performance How we spent our Capital funding in 2019/20

AGM 2020 p.30

Financial performance 2019/20 Cash

> Cash movements during the year

From an opening balance of £52.1m to a closing balance of £35m

Cash

1 April 2019 Income Pay Expenditure Non pay spend Capital spend

Cash

31 Mar 2020

52,140 309,679 -192,419 -96,229 -38,165 35,006

20

19

/20

AGM 2020 p.31

Looking ahead

> Financial flows due to Covid-19

> Additional IT expenditure

> Funding the achievement of the Long Term Plan

Developments in Local Services

Sarah Rushton

Director of Local Services

Dr Christopher Hilton

Clinical Director for Integrated Care Services

AGM 2020 p.33

> NHS Long Term Plan, launched Jan 2019

> New investment will help shape the way we plan and

deliver our local services

> Further integrate mental and physical health in the

future

AGM 2020 p.34

Community and recovery

> Won a competitive bid process to

become an early implementer site for

the new community framework from the

Long Term Plan.

> Set up integrated services to help rough

sleepers with mental health symptoms

across all three boroughs.

> Roll out 14-45 y/o for first episode

psychosis services with planning to go

all age in 20/21

AGM 2020 p.35

Serenity integrated mentoring

(SIM) in Hounslow > Across the UK, emergency and healthcare services respond every minute to people in mental health

crisis.

> Approx -

Exposed to higher levels of risk and harm and cause intensive demand on police, ambulance, A&E

departments, and mental health crisis teams

What did we achieve?

> More joined up care with a significant reducing in crisis presentations and use of the criminal justice

system.

> Cost tracking on 5 live cases has identified savings of £59,033 within 2019/2020.

AGM 2020 p.36

Cognitive impairment

& dementia

> Reduction in wait times from referral to diagnosis

> Increased support to people in the community

> Development of an Older persons Mental Health Service

> Re-accredited by the Memory Service National Accreditation

Programme

> Positive patient and carer feedback

> Offering music therapy and group work in different languages

AGM 2020 p.37

Acute mental health services

> Bed availability well maintained

> Developed alternatives for people in crisis

Safe haven

Diversion away from A&E inc during Covid-19 pandemic

> Improved discharge planning: reduction in delayed transfers of care

> Maintained safe local bed capacity throughout the year (consistently the safest

percentage in London)

> Dedicated HBPoS team with improved staffing

AGM 2020 p.38

Child & adolescent

mental health services New Models of Care project

> Fewer CYP admitted and when

admitted, closer to home.

> Better access to crisis services 24h

Success developing NDS offer

> Hounslow: reducing waiting times

> New funding in Ealing: live in October

Workforce developments

> Training and progression project

improves recruitment

Work with vulnerable

families

> Mental health support

teams in schools in

Hounslow and Ealing

> Non-violent resistance

groups for parents

AGM 2020 p.39

Ealing Community

Partners

> Launched on 1 July 2019

> Smooth transfer of ~500 staff from previous provider into

the new partnership

> Successful transfer of care for >40,000 patients, of whom

a third were known to West London NHS Trust for mental

health or psychological care

> Deployment of 600 new computers

> Took occupancy of 11 new community premises

AGM 2020 p.40

Key achievements

> Launch of the 24/7 Ealing Community

Referral Hub

> Integration of some community nursing

functions e.g. a 24/7 rapid response (in

2 hours) to help avoid unnecessary

admissions

> based

in Carmelita House

> Adult community teams realigned to

match GP practice networks

> Launch of the adult autism assessment

service

AGM 2020 p.41

services

> Awarded Disability Language Disorder Friendly status

> Launched new speech and language therapy page on Facebook

with over 1500 and reaching 8000 people per month

Intermediate care

> Enhanced our pathways with London Ambulance Service

> Rosemary Ward (rehabilitation) celebrated 5 pressure ulcer free years

District nursing

> Completed a 24 week programme of service improvement

> Recruited new matrons and specialist nurses

AGM 2020 p.42

A year in numbers

> 800 staff

> 56% BAME

> Annual budget £45m

> 18 team bases

> 798 inpatients

> 70,000 new adult

community referrals

> 12,000

referrals

> Primary care support to

1,065 care home beds

> 13,000 calls to hub per

month

> @EalingPartners: 613 followers, 330.8k tweet

impression

AGM 2020 p.43

Covid-19 response

> Rapid implementation of service changes

> Joint working with Ealing Hospital, CCG and GPs e.g. supported care homes

> Cross referenced the national shielding lists with our caseloads and contacted

2,000 patients known to community services to provide support and discuss

adjustments to care plans

AGM 2020 p.44