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Norfolk and Suffolk Foundation Trust provides specialist mental health and learning disability care for people across Norfolk and Suffolk. They work with NHS and social care partners, service users, carers, the voluntary sector and the police to provide integrated health and social care mental health services in community and inpatient settings.
As an evolution of our ‘Must and Should Do’ project with NSFT, we supported them to embed continuous quality improvement within the Trust by delivering a programme of self-assessment and improvement across all teams within the trust (c.140 core teams in 11 service lines). For this, we used the CQC’s newly introduced Single Assessment Framework (SAF).
Working closely in partnership with the Quality Team and Clinical Leads, Baxendale supported a 20-week programme that sought to utilise the structure of CQC’s framework to empower staff to improve care delivery and safety across the 5 key questions – Safe, Effective, Caring, Responsive and Well Led. The project involved supporting all teams to understand the framework, and candidly self-assess, before identifying and delivering quality improvements capable of driving lasting change.
The coaching approach used in the previous Must Do project highlighted the importance of collaborating with frontline staff to ensure that change is sustainable and engages the entire team. A key aspect of the work was to enable cross-learning and collaborative change across the Trust.
Our design of the programme, and its 20-week duration, included:
• Creating a structured and collaborative approach for 140 core teams to complete their self-assessments, using the Single Assessment Framework as a key tool.
• Designing the digital self-assessment tool in collaboration with the CNIO for staff to deliver, monitor and develop their self-assessments on a continuous basis.
• Facilitating weekly coaching sessions with a broad range of teams and services to empower staff, helping them recognise their expertise and build confidence in driving service improvements.
Working closely with a broad range of staff during the 20-week programme highlighted how empowering individuals to take ownership of quality can inspire real change and drive meaningful improvements. While a push for change can be complex, this initiative sparked a transformative journey of learning, growth and improvement for NSFT, enabling cross learning across the organisation.
It helped them to identify gaps, recognise where they were delivering good care, and, ultimately, demonstrated the value of using quality frameworks to drive change and make lasting improvements. Bringing together 140 core teams within NSFT, the programme encouraged collaboration and a genuine commitment to quality improvement. The process empowered teams to take ownership of improvements that, fundamentally, have the ability to make positive impact for service users, their families, and carers while also sharing learning.
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