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CONTENTS...3 PART ONE Statement & Introduction from the Chief Executive I am pleased to introduce our fourth Quality Account for Compass Wellbeing CIC, describing both our progress

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Page 1: CONTENTS...3 PART ONE Statement & Introduction from the Chief Executive I am pleased to introduce our fourth Quality Account for Compass Wellbeing CIC, describing both our progress

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Page 2: CONTENTS...3 PART ONE Statement & Introduction from the Chief Executive I am pleased to introduce our fourth Quality Account for Compass Wellbeing CIC, describing both our progress

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CONTENTS

PART ONE

Statement & Introduction from the Chief Executive ................................................................... 3

Services Provided ........................................................................................................................ 5

PART TWO

Looking Forward; Improving Quality in 2018/19 ......................................................................... 9

What will we do? .................................................................................................................... 9

PART THREE

Looking Back; Priority areas we have been working on in 2017/18 ........................................... 10

Section A: Patient Safety ....................................................................................................... 12

Section B: Clinical effectiveness ............................................................................................ 16

Section C: Service User Experience ........................................................................................... 20

PART FOUR

Other achievements.................................................................................................................. 22

PART FIVE

Statement from Tower Hamlets CCG ......................................................................................... 28

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PART ONE

Statement & Introduction

from the Chief Executive

I am pleased to introduce our fourth Quality Account

for Compass Wellbeing CIC, describing both our

progress against the priority areas we agreed last year

and also some of our key achievements.

We are a values based organisation with quality at the

heart of all we do and we continue to be driven by our

Social Mission:

‘To improve quality of life through inspiring

hope in our communities’

We believe that how we do things is as

important as what we do. We pay

attention to the way in which the whole

organisation functions, always seeking to

improve the quality and effectiveness of

what we deliver.

We had a CQC inspection this year

focussing on our School Health service and

the way the whole organisation is run.

They did not rate us because of the size of

our organisation, however they let us

know that there were areas of outstanding

practice.

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The following is a summary of their key findings:

➢ Evidence of an open culture where safety concerns were valued as integral to learning

and improvement

➢ Leaders modelled and encouraged cooperative, supportive relationships among staff

so that they felt respected, valued and supported

➢ The service learned, shared lessons, identified themes and took action to improve

safety

➢ Outcomes for people who used the service were positive, consistent and met

expectations

➢ An area of outstanding practice was in the way nurses 'identify and manage service

users' mental health issues'

We are very proud of what we have accomplished this year and can demonstrate continued

improvement in our Psychological Therapy services. We have delivered on all of our priority

areas and have also seen significant increases in our outcomes across the board, and are

performing well above the nationally set targets.

These achievements are the result of very hard work and commitment from our staff and the

excellent and thoughtful leadership from the Heads of Service and Senior Managers. We also

want to thank our stakeholders and referrers for their support.

To the best of my knowledge all the information in this document is accurate.

Lucy Marks Chief Executive Officer

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PART ONE

Services Provided We provide services commissioned by Tower Hamlets CCG and the London

Borough of Tower Hamlets.

Our staff

Our staff provide services through the following teams who

work collaboratively in order to deliver our social mission

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Psychology and Counselling

Improving Access to Psychological Therapies Team

(IAPT)

This service is part of the national drive to increase access to

evidence based psychological therapy services for common

mental health problems. Our staff provide a range of

interventions for mild to moderate mental health problems for

adults aged 18 upward, including Cognitive Behavioural

Therapy (CBT) and Dynamic Interpersonal Therapy (DIT).

Practice based Psychology and Counselling Team

Primary Care Psychologists and Counsellors work in General

Practice providing consultation to GP’s regarding complex

clients as well as assessment and treatment services for adults

aged 18 upward who may need more specialist help.

Primary Care Perinatal Psychology Team

This service provides psychological therapy for pregnant

women and their partners and for parents of children under 5

years. The service targets parents who are experiencing

difficulties adjusting to a new baby, relationship problems and

anxiety and depression.

Disability and Health Counselling Team

The Disability and Health Counselling team provide specialist

counselling for individuals, carers and families with acquired or

congenital disabilities, sensory impairments or long term

conditions (LTCs).

Asian Counselling Service

This team provides counselling in Bengali/Sylheti, for the

Bangladeshi community in Tower Hamlets.

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School Health Service

The service is responsible for delivering public health

programmes or interventions to improve health outcomes for

school aged children and young people (5-19yrs). This includes

reducing childhood obesity, under 18 conception rates,

prevalence of sexual health problems and promoting emotional

health and wellbeing and the management of long term

conditions (LTCs).

This service is commissioned by the London Borough of Tower

Hamlets.

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Family Nurse Partnership

This service provides intensive support for vulnerable teenage

parents, until their child is 2 years old.

This service is also commissioned by the London Borough of

Tower Hamlets.

The Family Nurse Partnership celebrated 10 years of

service in the UK in October 2017

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PART TWO

Looking Forward; Improving

Quality in 2018/19 What will we do?

Areas agreed with our commissioners:

➢ Improvement in recovery rate of people accessing IAPT services identified as Black,

Asian and Minority Ethnic (BAME) by at least 2.5% from average recovery rate of

2016/17

➢ Increase in the proportion of people accessing IAPT services aged 65+ to at least 6%

of the proportion of adults entering treatment to IAPT services

➢ An increase in the number of people with long term physical health conditions

accessing IAPT services to the level of 2/3 of the increase in access since baseline

2016/17 data

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PART THREE

Looking Back; Priority areas

we have been working on in

2017/18

Priority areas agreed with

commissioners

➢ To increase the number of self-

referrals to the service

➢ To provide information about our

IAPT service that is targeted for

service users from Black Asian and

Minority Ethnic (BAME) Groups, for

those over 65 and those with long

term conditions

➢ To increase the numbers of service

users with long term health

conditions accessing the service

➢ To increase the proportion of

service users accessing IAPT

services who are over 65

➢ To improve the recovery of service

users accessing services from

BAME Groups

How we did

➢ We have exceeded the target of

increasing the number of self-

referrals to the service by 504 self-

referrals

➢ Informative and accessible leaflets

have been produced

➢ We have exceeded the target for

number of service users with LTCs

accessing the service by 39

➢ We have increased the proportion

of service users accessing IAPT

services who are over 65 to 2.9%

➢ We have improved the recovery

rate of service users from BAME

Groups by 5.4%, from 46.2% to

51.6%

We have exceeded the target..

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4765

4985

5247

2015/16 2016/17 2017/18

Entering Treatment

34% 66%

54.7%

Recovery rate at

Increase of

From last year

4.5%

Over

95%

Of patients were seen within

6 WEEKS

Increase in older adults accessing our service

32%

Data quality has now gone up to

89%

increase in patients with LTHC accessing our service

25%

More than

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PART THREE

Section A: Patient Safety

1. Duty management

The duty management system has been extended to

include evening cover three days a week to provide help

and support for all clinicians dealing with risk issues and

we have increased the numbers of senior staff who will

be providing duty cover. To support these staff, we

have introduced specialist supervision on domestic

violence and safeguarding led by experienced

colleagues from the Safeguarding and Domestic

Violence teams in Bart’s Health NHS Trust.

2. Safeguarding

The aim of the specialist supervision mentioned above

is to enhance the skills and knowledge in duty managers

in order for them to support decision making around

safeguarding and domestic violence for the Psychology

and Counselling service as a whole.

All new staff attended mandatory full day training on

safeguarding and staff who were due refresher training

on this also attended.

3. Audits

We undertook audits on three main areas:

a) Clinical note-keeping

b) Clinical risk reporting

c) Older adult access to IAPT

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4. Record keeping

A random selection of clinicians from

across the service were chosen for a

baseline clinical record keeping audit

regarding the quality of note recording at

four points in a service user’s journey:

triage, assessment, treatment and

discharge.

The results indicated that there was slight

variability in the standard of note keeping,

with some clinicians recording more

content than others. In the majority of

cases, clinicians were recording notes in a

professional manner. Discharge letters to

referrers were being sent within two

weeks.

A significant learning point from this audit

was that, at triage, consent to treatment

was not being routinely recorded.

Similarly, although verbal evidence from

service users supports the fact that

discussions around confidentiality are had

with service users, the audit indicated that

this was not being routinely noted.

An action point arising from this audit was

that managers and case managers were

asked to remind clinicians to record

consent to treatment and confidentiality

and to review this on a regular basis.

5. Clinical risk presenting to the

service

In April 2017 a risk monitoring system to

record and audit risk on IAPTus was

introduced. This system allows for the

categorisation of risk as low, medium or

high and also allows for monitoring of

safeguarding risks. Duty managers were

trained in how to grade presenting risk in

accordance with these categories.

An audit of risk presenting to the service

between 01/05/17 and 31/05/17 was

conducted. The results indicated that

nearly 70% of the risks presenting to CWB

were deemed to be low risk – meaning

that they required minimal risk

management support. 4.5% of presenting

risk was deemed to be ‘high risk’, requiring

detailed risk management support. Risk

relating to safeguarding accounted for

13.4% of risk presenting to the service.

However, the majority of safeguarding risk

was rated as ‘medium risk’ (i.e. requiring

additional follow up/liaison work). This

audit resulted in us implementing

additional safeguarding supervision for

duty managers.

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6. Older Adults Audit

Given the emphasis on equity of access for service users over

the age of 65 years in the Five Year Forward View document,

an audit was conducted to determine the pathway for referrals

of older adults who entered into treatment in 2016 -2017.

The results indicated an age range of 65-89 years, with 77% of

the referrals being females. The majority of the referrals came

from GPs, with those attending our brief psycho-educational

sessions being the next highest source of referrals. Depression

and adjustment difficulties (includes adjustment to physical and

emotional life changes including bereavement) were the main

reasons for seeking treatment. Around 75% of referrals stayed

within the service on either the IAPT or non IAPT pathways.

We have used the information obtained from this audit to

improve the marketing and promotion of primary care talking

therapies in Tower Hamlets in order to greater equity of access

for service users over the age of 65 years.

7. Incident reporting and complaints

Over the course of 2017/18 there were two serious incidents

involving suicide and one serious incident involving staff injury.

The following learning has been identified with regards to these

incidents:

➢ CWB has reviewed it’s procedures for reporting,

assessing and monitoring incidents in line with its

policies in order to ensure an appropriate escalation

procedure is in place

➢ CWB has reviewed the arrangements in place for

identifying accountabilities across organisations when

serious incidents occur involving staff seconded from

other organisations

➢ Our training schedules have been reviewed for all staff

groups including statutory and mandatory training

requirements in order to ensure compliance with

health and safety regulation

➢ CWB’s clinical and non-clinical audit schedule has been

extended to ensure the appropriate level of

monitoring. Audits are being used to evaluate service

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delivery and performance review via supervision and

caseload management. This is monitored at

operational and strategic level through the quality and

governance committees, as part of the board assurance

framework

We also recorded two near miss incidents, which involved

being alerted to potential risks. As soon as we became aware of

these risks we were able to manage the situations and have

implemented training (to our admin staff in one instance and

our clinical staff in the other) to prevent any similar future

incidents.

There were three formal complaints made by service users.

These complaints were all dealt with in accordance with our

complaints policy. Two complaints resulted in training for

admin staff and training for a clinical member of staff. The

other complaint resulted in a review of waiting lists in a

particular part of the service.

Six informal complaints/concerns were raised. Three of these

involved requests for different therapists. In all instances, after

ascertaining that there were no situations of inappropriate or

unprofessional behaviour on the part of the therapist, but

rather situations of ‘poor match’, new therapists were assigned

to service users or we helped the clinician to manage the

situation. Two concerns were expressed regarding the booking

or triage process – both were looked into and addressed. One

service user expressed concern about the number of

appointments they had been offered. On recognising that the

service user was requesting longer term therapy we helped

them to access a suitable service.

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20%

30%

40%

50%

60%

70%

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

2016-17 2017-18

PART THREE

Section B: Clinical effectiveness

1. Outcomes and recovery

The national target for outcomes is a 50%

recovery rate for service users who start

treatment with clinically significant levels of

anxiety and depression. Recovery is defined as

service users finishing treatment with levels of

anxiety and depression that are not in the

clinically significant range.

Over the course of 2017/18, we continued to

focus on clinical recovery and, as a service, we

made significant improvements in this area. We

ended the year with an average recovery rate of

54.7% (our average recovery rate in 2016/17

was 50.2%, an increase of 4.5%).

We have continued to review recovery rates on

a daily basis and to use our case management

system to systematically scrutinise treatment

and clinical recovery for every service user. We

have worked in a supportive way with individual

clinicians to understand areas of clinical strength

and weakness and to constantly reflect on their

achieved rates of clinical recovery.

Recovery Average for 2017-18 = 54.7%

Recovery Average for 2016-17 = 50.2%

Recovery Average for 2015-16 = 50%

Recovery Average for 2014-15 = 44.80%

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In line with national guidance, we have helped

our staff to more accurately identify presenting

difficulties in order to ensure that the correct,

evidence based treatment is provided; this has

had a beneficial impact on recovery rates.

We have, in line with national and local

requirements, focused this year on increasing

the recovery rates of BAME service users. We

ended 2017/18 with an average BAME recovery

rate of 51.6% which exceeds the national

recovery rate target.

2. Increasing the types of therapy on

offer in IAPT

As part of our aim to increase the types of

therapy on offer in IAPT, we recruited, in

2016/17, two counsellors to provide

counselling for depression treatment in

IAPT. We have also begun more digital

therapy in collaboration with Silver Cloud.

We have continued to train IAPT clinicians

in providing talking therapy for service

users with long term health conditions and

depression/anxiety. We have also

identified ‘champions’ for working with

service users in IAPT who are in the

perinatal period or who have a mild

learning disability. We have been working

with specialist services (internal and

external) to arrange specialist support and

supervision for these clinicians.

Two of our clinicians are currently

completing an Interpersonal Therapy (IPT)

training course and one is completing a

Dynamic Interpersonal Therapy (DIT)

training course. Both these types of

therapy focus on helping service users

improve their relationships.

3. Increasing numbers of service

users accessing IAPT

We implemented a service restructure to

ensure that as many service users as

possible could access the national IAPT

initiative. During 2017/18 we increased

the number of service users accessing

IAPT, whilst ensuring that the same

rigorous outcome and waiting time targets

are applied.

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PART THREE

Service Developments

IAPT- Long Term Conditions (LTCs):

Over the past six months, we have

undertaken the preparatory work to

establish a new IAPT service focusing on

integrating physical and mental health

care pathways. This service aims to

provide mental health care to service users

who have depression and/or anxiety as

well as a long term health condition or a

medically unexplained symptom. We are

working closely with physical health care

services, such as GP practices and the

community diabetes service and we will

soon be offering group interventions for

service users with early onset diabetes and

depression and/or anxiety, COPD and

depression and/or anxiety and with

chronic pain and depression and/or

anxiety.

A number of our staff members have

recently attended training in using

Acceptance and Commitment therapy in

the context of people with long-term

health conditions. This type of therapy

helps service users to manage distressing

feelings by allowing these feelings and

then learning to cope with them rather

than trying to fight or get rid of them.

Employment pilot

As part of a pilot project, funded by the

Department of Work and Pensions, we

have employed three employment

advisers and two senior employment

advisers to provide employment support

to service users in our IAPT service. If

service users wish to find employment or

want help in retaining employment they

are able to see an employment adviser at

the same time as they are receiving talking

therapies.

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Access lead

In order to ensure increased access to talking therapies,

together with equitable access, we created a new post with the

specific task of promoting primary care talking therapies in

Tower Hamlets, and increasing access for those service users

who may find it difficult to make initial contact with a talking

therapy service.

Online treatment

We have been working very hard over the last year to provide

alternative treatment options for our service users. Silver-Cloud

provides an online treatment option, whilst being supported by

a therapist. The online treatment allows instant access to

modules for service users to work through and receive

feedback form therapists on their ongoing treatment plan.

Website Development

We launched our new website in October 2017 with a

completely new look and updated information on all of our

services. This includes a more seamless self-referral system

that allows service users to directly refer themselves more

easily to Compass Wellbeing. The system creates efficiency

through connecting directly to IAPTus, our patient information

system.

“...we created a new post with the specific task of

promoting…talking therapies... and increasing access for

those … who may find it difficult to make initial contact”

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PART THREE

Section C: Service User Experience

What service users say about us...

1. Findings from Patient Experience Questionnaires:

We asked our service users to complete post therapy

experience questionnaires for our IAPT service.

The results shown in the tables below indicate that service

users have a very positive experience of our services.

2. Service Users were also invited to write comments about their experience:

Here is what some of our service users thought of our IAPT service:

➢ “I found the service to be extremely helpful. The therapist was

patient, kind and an excellent listener. She allowed me to lead in

terms of dealing with whatever concerns I had. She was focused

At all times

Most of the time

Sometimes Rarely Never

Did our staff listen to you and treat your concerns seriously?

96.8% 2.8% 0.4% 0% 0.0%

Do you feel that the service has helped you to better understand

and address your difficulties?

78.2% 19.8% 1.6% 0% 0.0%

Did you feel involved in making choices about your treatment and

care?

88.7% 10.1% 0.8% 0% 0.0%

On reflection, did you get the help that mattered to you?

79.0% 19.4% 1.2% 0% 0.0%

Did you have confidence in your

therapist and his/her skills and techniques?

93.1% 6.5% 0.0% 0% 0.0%

IAPT End of Treatment

Questionnaires 2017/18

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on my needs. She was flexible as to the timing of sessions,

allowing longer gaps, which was really helpful, particularly

towards the end. I feel that I've achieved a balance in my life

that I've never been able to achieve before, and I feel a

confidence in how to manage my wellbeing that I've never had

before. I feel confident too that I now have a formula and plan

for how to maintain this and what to do if things do go wrong in

the future.”

➢ “My therapist is a superstar and very good at his job. I still have

some problems with flying but the treatment has significantly

reduced the trauma around flying, significantly reduced the

length of time and power of any anxiety I experience before a

flight, and I am now able to fly as long as I employ the

techniques.”

➢ “I feel so grateful for this service and the help I have received as

if I hadn't I would have been in the same situation if not worse

and unable to work. My therapist is brilliant, absolutely felt at

ease. All the techniques/tools I feel confident going forward

that I will be able to manage my anxiety and in my therapist's

words "be my own therapist".

➢ “My experience has been great the whole way through from the

phone call to the discharge. I feel I have the correct tools to

carry on my recovery and feel it has enabled me to get through

bad times in my life a lot better. Can’t thank Compass

Wellbeing enough, I truly feel I’m ready to get on better in

everyday life when dealing with crisis.”

“I would genuinely

like to thank the

therapist for his

help over the past 6

weeks. I have said in

the sessions that

how I feel now in

comparison to

where I was feels

like a huge

improvement. I am

really positive that I

can sustain that.

Throughout the

process I have

found the therapist

to be an excellent

listener, practical

and positive in his

advice. Thank you.

You've made a real

difference.”

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PART FOUR

Other achievements

Psychology and Counselling

Excellent outcomes in our Innovative Eating Disorders Service

In the last year, the clinical outcomes for our innovative primary care eating

Disorder Service have been excellent, with all service users who completed

treatment having fallen below the threshold on a standardised measure for

eating disorders (EDE-Q). There has also been minimal onward referral to

secondary or tertiary care services.

We were delighted to be asked to present at the International Conference for

Eating Disorders 2018. This service has filled an important gap in local services

for those with mild to moderate eating disorders. It is also fulfils NICE

guidelines recommendations for Eating Disorders to provide early

intervention, since this is critical to good outcomes. Provision of primary care

based treatment for mild to moderate eating disorders also reduces the rate

of referral to secondary and tertiary care services and this creates significant

healthcare economy savings.

National Award for our perinatal and under 5’s service

We were very proud that our excellent perinatal and under 5’s service

received the Analeaf Award for Best Service from Parent Infant Partnership

UK, a National charity working with a range of organisations who share the

common vision of giving every baby the best possible start in life in the first

1001 days. The award was presented by the Rt. Hon. Tim Loughton MP, Co

Chairman of The All Party Parliamentary Group for Conception to Age 2 and

was in recognition of the services we provide to mothers, fathers and couples

in the antenatal period which promote parental mental health and healthy

parent infant attachment and for our integrated working with health

colleagues.

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Integrating clinical pathways with other services

Over the course of 2017/18 we have worked to create a more integrated clinical

pathway between primary care talking therapies and other services in the mental

health care pathway. We have had a series of meetings with the Community Learning

Disability Service and the Tower Hamlets Autism Service. We are working on a clearer

referral pathway, improved communication between services and the establishment

of specialist training and supervision for primary care mental health clinicians. We

have also had a series of meeting with the local drug and alcohol service (RESET) and

have established a regular joint service clinical meeting to discuss potential referrals.

We have also met with our colleagues from East London Foundation Trust to ensure

smoother pathways between primary and secondary care services, making sure

service users start their treatment in the right place. This followed a detailed

discussion about cases where referrals between our services had not been

straightforward and we have learned from these examples. This work is ongoing and

we are working towards referral protocols between the two organisations.

Electronic MDS

We have recently established a system whereby IAPT patient questionnaires can be

directly emailed to patients prior to appointments. This creates a less stressful

situation for both patients and clinicians as these forms do not need to be completed

over the telephone.

Emailing of referrals from GP’s

During the course of 2017/18 we introduced a system, working with the CCG whereby

referrals can be directly sent by GP’s from EMIS Web to IAPTus. This is a more secure

system and is also more time efficient.

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School Health Service

Empowering Young Mind’s Programme

School nurses and nursery nurses from Compass Wellbeing have taken part in a

training and transformational change programme to help them promote emotional

wellbeing and good mental health in Children and Young people (CYP). Staff reported

important shifts in their understanding of why and how CYP might experience mental

health difficulties, increased skills and confidence in having conversations about

mental health with CYP and their parents, and greater confidence to make effective

referrals for specialist mental health support, and we have seen referrals for

counselling and CAMHS increase.

The evaluation of this programme was undertaken by City University and identified

‘that when an organisation shows commitment at several levels to the development of

new staff skills, and when trainers and managers are sensitive to the stresses and

anxieties experienced by training participants, well-designed courses can … give staff

the skills and motivation to undertake new work or do existing work in a new way’.

Furthermore, staff report positive changes in their conversations and interactions

with colleagues and other professionals, particularly teachers as a result of the

training. For example, they report being more mindful of the pressures a teacher

might be under and how this might affect the interface between schools and the

school health service.

The programme was jointly funded by the Burdett Trust for Nursing and London

Borough of Tower Hamlets.

The team have presented this work at the International School Nursing Conference in

San Francisco and at the Public Health Nursing Conference in Denmark and we were

delighted that there was considerable interest in this work. In addition to this the

team have two papers in press.

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Family Nurse Partnership

Compass Wellbeing’s Family Nurse Partnership (FNP) service celebrated their 10th

anniversary in Tower Hamlets in October 2017. Provider organisation Compass

Wellbeing hosted a very successful local event, which was attended by past and

present clients, stakeholders and the LBTH Councillor for Education and Children’s

Services, Amy Whitelock-Gibbs, gave an address.

The Family Nurse Partnership 10 year celebration in Tower Hamlets was

reportedly the country’s largest FNP event!

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Stakeholder Event

On 4th May 2017, our staff hosted an evening to showcase our work with our service

users and describe our innovative approach to service delivery.

Special Guests

Children from Roman Road Adventure Playground, a centre in Tower Hamlets working

to engage young children and unite communities through activities and play, started

things off with some fabulous singing.

Children from Roman

Road Adventure

Playground

Local Bethnal Green Councillor, Amy Whitelock-Gibbs and guest speaker, Rt. Hon.

Stephen Dorrell, Chair of NHS Confederation, both spoke highly of the services

delivered by Compass Wellbeing and the hard work being done to improve the lives

of the local community. They praised the service’s innovation, recognising it as a

company who are ‘breaking all the rules’ and working to transform the way mental

health care is provided.

A video interview was shown featuring Sir Sam Everington, Chair of NHS Tower

Hamlets CCG, who shed light on Compass Wellbeing’s impressive journey as well as

his own personal and professional experiences of working within the healthcare

service.

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Members of the Compass Wellbeing Executive Board spoke about how we are an

effective listening organisation, offering new perspectives on mental health and

wellbeing and highlighted the hard work that has gone into making Compass

Wellbeing the success it is today.

Achievements

In her opening remarks, CEO Lucy Marks talked about how effective relationships are

at the heart of all change and the strides we have made to develop strong

relationships with our services users, partners and stakeholders over many years. She

thanked them, the team of dedicated staff members and ultimately the community

and service users for their on-going hard work and support.

Ultimately what really matters is the experience of our service users. The audience

heard positive testimonials from clients who have accessed the Family Nurse

Partnership and Talking Therapies services. They described the transformation and

progression of their lives and spoke of their new found optimism for the future thanks

to Compass Wellbeing. Staff across all services within the company also spoke about

their journey within the company, highlighting the fact that Compass Wellbeing is a

great place to develop as a staff member as well as a service user.

CQC Inspection

In November 2017 the CQC visited Compass Wellbeing to complete an inspection.

The final report states that the inspectors found the organisation was able to

demonstrate an environment that was ‘safe, open and supportive’ and where services

were routinely encouraged to look at ways of improving and sustaining care delivery.

In addition, they found outstanding practice particularly in supporting staff through

training and reflective practice to manage the mental health of CYP and to maximise

opportunities to integrate emotional wellbeing in nursing roles.

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PART FIVE

Statement from Tower Hamlets CCG Commissioner statement for 2017/18

Tower Hamlets CCG Statement on Compass Quality Accounts 2017/18

Tower Hamlets Clinical Commissioning Group (THCCG) is responsible for commissioning

mental health services from Compass on behalf of the people of Tower Hamlets. We

welcome the opportunity to comment on the Compass Wellbeing CIC (Compass) Quality

Account for 2017/18.

We note the 2017/18 Quality Account and we would like to thank Compass for their

engagement with us over the last financial year. We would like to congratulate Compass on:-

• Their work with the Perinatal and Under 5 Service

• The outcome of the CQC inspection

• The achievements against the priorities set for 2017/18

We confirm that we have reviewed the information contained within this Quality Account

and have checked this information against data sources where this is available to us as part of

the existing quality, contract and performance monitoring discussions. The information

within the quality account is accurate in relation to the services provided.

Sir Sam Everington Simon Hall Chair Managing Director

Tower Hamlets CCG Statement on Compass Quality Accounts 2017/18

Tower Hamlets Clinical Commissioning Group (THCCG) is responsible for commissioning

mental health services from Compass on behalf of the people of Tower Hamlets. We

welcome the opportunity to comment on the Compass Wellbeing CIC (Compass) Quality

Account for 2017/18.

We note the 2017/18 Quality Account and we would like to thank Compass for their

engagement with us over the last financial year. We would like to congratulate Compass

on:-

• Their work with the Perinatal and Under 5 Service

• The outcome of the CQC inspection

• The achievements against the priorities set for 2017/18

We confirm that we have reviewed the information contained within this Quality Account

and have checked this information against data sources where this is available to us as part

of the existing quality, contract and performance monitoring discussions. The information

within the quality account is accurate in relation to the services provided.

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Listening to feedback on this report We would like to thank all the stakeholders, service users and staff who gave their feedback

on our services that enabled us to see where we could make improvements in what we do

and how we do it. Our thanks also to the staff involved in producing this document.

We welcome feedback from all readers on this report and our work on our quality priorities.

If you would like to give us your thoughts on this report, please contact:

Lucy Marks, CEO

Compass Wellbeing CIC

Steels Lane Health Centre

384-398 Commercial Road

London E1 0LR

[email protected]

Compass Wellbeing Community Interest Company. Registered in England: 08451249

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