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Our Big Plan
Our Integrated Improvement Plan Making improvements, together
We know your NHS, the services and support we provide are important to you, your family and your community. We want to listen and involve you in shaping and planning the things we are doing to improve.
Your voice and your experiences are the core ingredients to building better services together, and there are lots of opportunities to get involved and be part of monitoring, developing, and transforming our future.
The bigger picture
Nottinghamshire Healthcare NHS Foundation Trust faces a significant challenge to rapidly improve the quality of our services to provide the standards of care deserved by our patients.
We have launched an ambitious integrated plan to cover all our improvement work, called ‘The Big Improvement Plan’, or simply ‘Our BIG plan’, which includes all the actions we must do as part of the special review commissioned by government earlier this year, as well as other ideas to make services better for our patients in the long term.
The Big Improvement Plan is an opportunity for all our staff, patients, and carers to work together to help steer these improvements.
Colleagues from across the Trust have taken the opportunity to speak directly to senior leaders about the plan at a series of roadshow events.
We call these events the Big Conversations, and we want to involve patients and carers in these discussions too.
There are five key areas in our Big Improvement Plan with a range of different proposals for improvements under each heading. To make sure we are focussing on the right priorities, we want to involve the people who use our services and have lived experience. We hope this will help us understand what works well now and where we need to make improvements.
We have listed these five key areas below, with a few examples of work already happening. The information below is also available to download here (PDF Form) (opens in new window)
1. Patient safety and quality improvement
We are focusing on delivering sustainable improvements for safety and quality, for patients and their carers and families, on the services and support we provide.
For example:
- Our local mental health teams have more contact with people waiting to be seen in the community to agree crisis plans in case they become more unwell.
- We are working more closely with primary care and talking therapies, helping to reduce waiting times as well as communicating better when patients move between services or cannot engage with treatment.
- Our community teams now ask more questions about whether families have been involved in decisions, if GP's have been informed and if risks have been referred to the right agencies.
2. Leading for the future
We have been looking at the way we support leaders across the Trust.
- Our BIG plan calls for a stronger clinical voice at every level of the Trust to make sure colleagues delivering care to patients can help steer decisions in how the organisation works.
- We have put this into action already by revamping our crisis line service and the introduction a new telephony system to cope with rising demand.
3. Finance and productivity
The plan looks at saving money in the way we use buildings and facilities and proposes changes to financial controls. Most of the proposals aim to improve patient experience and outcomes as well as save money to reinvest in services.
- For example, we have reduced costly placements and treatments for patients happening outside of the Nottingham area, providing care closer to home.
- We know that efficient services have the most positive impact on patient outcomes, and that poor care is most expensive care. That’s why we will always prioritise maintaining high-quality services.
4. People and culture
This work is about investing in people within the Trust, to encourage good staff to stay with us as well as attract the best new talent.
- For example, more than three quarters of the workforce have now completed the Oliver McGowan eLearning programme, designed to help people working in health and social care to provide more compassionate and informed care to autistic people and those with a learning disability.
5. Governance
The final key area is Governance, and describes how the Trust will be held to account.
- This part of the Big Improvement Plan will support the development of processes that support change by listening to our patients, carers and partners.
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