NHS trusts identified as experiencing the most significant and complex challenges in achieving financial sustainability and/or high quality care will now receive mandatory intensive support, through the national Recovery Support Programme (RSP).
Following assessment by the new NHS System Oversight Framework (SOF), UHMBT has been given access to this mandatory national intensive support and placed in the Recovery Support Programme.
This means that the NHS regionally and nationally will work collaboratively with us and local partners across Morecambe Bay to better understand the root causes of the challenges we face, agree, and deliver a package of intensive support, and set and monitor progress against an improvement plan which would allow us to exit out of the programme in a sustainable way. The Recovery Support Programme gives us access to additional expertise and resources to ensure sustainable improvements are made as quickly as possible.
We will be sharing videos along the way and, for now, there are two videos below about The Hive Improvement Centre - our approach to continuous quality improvement.
February 2022 Update
Productive work continues on the Recovery Support Programme (RSP) at UHMBT, despite the Trust remaining under considerable pressure and at a high level of internal escalation.
We are grateful to everyone involved in this hugely important improvement work for ensuring that our essential actions remain on track during these challenging times. Over the coming months we want all of our colleagues to be part of the RSP as their support, ideas and suggestions will mean we can make lasting improvements for the benefit of our patients and the communities we serve.
Our Trust continues to receive help from the intensive support team (through the RSP) as a result of being placed in Level 4 of the System Oversight Framework (SOF4) by NHS England and Improvement (NHSE/I). This was a result of regulatory notices and Care Quality Commission (CQC) reports, and we will continue to receive this high level of support for at least a year during which we will implement and deliver our improvements and ensure that our progress is sustained for the benefit of our patients and community into the future.
All regulatory actions relating to the RSP are continuing under the leadership of the Senior Responsible Officers (SROs) and workstream leads. Many other strands of RSP work are also progressing and these are outlined below.
Over the last month, the RSP Core Team has revised the High-Level Programme Plan and has agreed and allocated the budget to support improvements for 2021/2022. The RSP Core Team is now working on the budget allocation for 2022/2023 and work is taking place to update and improve the project workbooks in line with quality improvement methodologies.
The structure of Senior Responsible Officers (SROs) for the RSP is as follows:
- Regulatory Requirements – Bridget Lees Executive Chief Nurse
- Quality and Safety – Miss Jane McNicholas, and Bridget Lees Executive Chief Nurse
- Operations and Performance – Kate Maynard, Chief Operating Officer
- Leadership and Culture – David Wilkinson, Director of People and Organisational Development
- Sustainable Financial Improvement – Chris Adcock, Director of Finance, Deputy Chief Executive
- Clinical Strategy - Miss Jane McNicholas, Interim medical Director
Claire Alexander is the RSP Programme Director, Keith Bentham is the RSP Project Manager and the RSP Communications Officer is Ingrid Kent. We are pleased to announce that we have also now appointed a Clinical Director for the RSP.
We are using the Trust’s Quality Improvement (QI) Methodology to deliver the improvements, with a dedicated UHMBT Business Analyst, Harry Rogers, working on how we measure our success.
The Trust’s anti-racism and anti-discrimination agenda is being fully integrated into the RSP, working closely with Hannah Chandisingh, Race Equality Lead for UHMBT.
Our approach to continuous improvement - The Hive
The Hive Improvement Centre is UHMBT’S approach to continuous quality improvement. We are using The Hive approach for the RSP.
The Hive builds on the learning, tools, skills and expertise that the Trust has developed over the years through our programmes of Listening into Action and Quality, Service Improvement and Redesign (QSIR).
The Hive is about bringing people together with a shared purpose to improve or transform what we are doing for the benefit of our patients and colleagues.
To read more about The Hive an our approach to continuous improvement, please click here
Statement on the RSP at UHMBT
Aaron Cummins, Chief Executive, UHMBT, said: “We are committed to providing the best quality care to our patients, including recovering from the additional challenges COVID-19 has posed. The Recovery Support Programme provides an opportunity for us all to work together across Morecambe Bay to build better and more sustainable services for those patients for the future.”
NHS England and Improvement - Recovery Support Programme
The national Recovery Support Programme (RSP), provided to all trusts and systems in segment 4 of the NHS System Oversight Framework (SOF 2021/22) was launched on 13 July 2021.
The RSP is supported by the RSP guidance which can be found in paragraph 6 and Annex A of the SOF 20/21 guidance.
To read more, please click on this link
NHS system oversight framework segmentation
NHS England and NHS Improvement consulted on the new NHS system oversight framework (SOF) 2021/22, which introduced a new approach to provide focused assistance to organisations and systems. Following feedback from local leaders and others, the new SOF is now being implemented.
To provide an overview of the level and nature of support required across systems and target support capacity as effectively as possible, NHS England and NHS Improvement have allocated trusts and systems to one of four segments. A segmentation decision indicates the scale and general nature of support needs, from no specific support needs (segment 1) to a requirement for mandated intensive support (segment 4).
For systems and trusts in segments 1 and 2, overall support needs will be formally reviewed on a quarterly basis by the relevant regional team (in the case of individual organisations this will happen in partnership with the integrated care system).
For trusts and systems in segment 3, NHS England and NHS Improvement regional teams will work collaboratively with them to undertake a diagnostic stocktake to identify the key drivers of the concerns that need to be resolved. Through this, we aim to better understand their support needs and agree improvement actions.
Those in segment 4 enter the new Recovery Support Programme (RSP). The RSP replaces the previous financial and quality special measures programmes and will provide a collaborative, system-focused approach for supporting those trusts and systems with the toughest challenges. Systems and trusts will get intensive support to use all their levers to address the often complex, historical problems they face, and embed lasting solutions.