Cascade Live
17 April 2025
Moving to Excellence: Our roadmap
Our goals – where we want to be
• Excellence in quality, safety and experience of care
• A centre of excellence for research, innovation and education
• A great place to work
• Clinically and environmentally sustainable
• In financial balance
Our journey – how we will get there
• Driving quality
• Creating the right culture
• Transforming how we deliver services and digital capability
• Working in partnership
• Achieving university trust status
• Improving performance and restoring financial balance
Moving to Excellence: Stronger Together
to Ward 11 for
The team on Ward 11 have implemented a structured approach to enhance patient discharge processes and efficiency. The interventions aimed at improving teamwork, discharge planning, and communication.
Interventions:
1.SHOP model on Board Round
2.SHOP model on Ward Round (most successful)
3.Afternoon Huddle
Key Improvements:
• Enhanced consultant collaboration during board rounds led to robust peer review and timely discharges
• Input from social care and reconditioning teams reduced unnecessary therapy referrals
• Allocating a doctor specifically for discharge letters streamlined discharge processes
• Afternoon huddles effectively highlighted medically fit for discharge (MFFD) patients, addressing pending actions promptly
Moving to Excellence: Road to financial balance
Thank you – we made progress, but we need to keep going
• Thank you for everything you have done over the last few months. We know it wasn’t easy, but it did make a difference
• We made progress on our Cost Improvement Programme (CIP) and delivered £34m of efficiency savings in 2024/25 - nearly double that of 2023/24
• We need to keep going in 2025/26 – live within our budgets, deliver on performance and continue our mission to provide excellent care
Moving to Excellence: Road to financial balance
Delivering what we promise and staying within budget
We need to go further this year, and we have plans in place
• We have agreed an underlying deficit of £45.1m and CIP efficiencies of £41.4m for 2025/26
• We need to work towards an underlying breakeven position in future years
• We can deliver these challenging targets together, and we require everyone’s efforts:
o Recruit only to vacancies that are critical to patient safety
o Look for opportunities – big or small – to reform and remove waste
o Live within our means - challenge every pound we spend
o Maximise what we do well to make us more productive
Moving to Excellence: Road to financial balance
We have been selected to work with NHS Supply Chain to roll out a new Inventory Management System (IMS) - the first phase went live on 31 March
• The new system will be installed in phases, first in X-ray, Cath Lab and Pacing at PRH before progressing onto Theatres in the summer
• It allows colleagues to scan products in real time and capture the data electronically, making the process more efficient
• It is anticipated that the new IMS will save the Trust around £3m over 5 years Benefits include: • Improved patient care and experience • Better stock visibility
Cost savings
Less waste
Fewer administrative tasks
More efficient and joined-up processes
Hospitals Transformation Programme
The Hospitals Transformation Programme (HTP) is a key part of the overarching plan to transform health and care services across Shropshire, Telford and Wrekin and Powys.
• Emergency Department remodelling – phase one of the new ED became operational on 26 March – thank you to all colleagues involved. Phase two of the work will complete in August 2025, providing the second part of majors
• Attenuation tank works outside the Copthorne Building are underway. We have replaced car parking and drop-off facilities for services to the front of the site
• The next pop-up session for staff will take place on Thursday 15 May, 11am-1pm in the reception of Copthorne Building
Our estate: Car parking Parking on residential roads and car parks
We are hearing regularly from our neighbours about colleagues parking on residential roads and causing obstructions and concern.
We have provided colleagues at RSH with a safe, free solution to the reduced parking spaces on site in the form of the Park & Ride.
We would encourage all colleagues that are currently parking on neighbourhood roads, or in the cricket ground car park to embrace our Trusts values and use the Park & Ride.
Have you tried the PRH Park & Ride?
The service runs from 6.30am to 6.30pm on weekdays. We have received some excellent feedback about how helpful and friendly the drivers are and how they go the extra mile to help our colleagues.
You will need to register to use the service.
Help free up spaces for our patients with the free Park & Ride service and earn your free drinks.
Work progresses on RAAC project
The phased work to remove reinforced aerated autoclaved concrete (RAAC) from the PRH site.
The kitchen and Apley Restaurant have been closed since RAAC was identified in September 2023. NHSE national funding has been confirmed for the project and work is due to be completed by March 2026.
How is the work progressing?
• The Apley Restaurant servery has been temporarily relocated to the former League of Friends Unit on the ground floor with seating close by in the conservatory
• Takeaway services will still be available within the main hospital building as the work is phased
• The temporary junior doctors’ mess in the Education Centre has been refurbished with walls put up to create more privacy
• Planning permission has been granted for a new generator facility
We would like to say thank you to the Estates and Catering teams for all their hard work.
Keep IT Confidential: Phishing
Phishing is when hackers and criminals send unsolicited emails to trick people into providing access to information. Phishing, scams, frauds and hoaxes via email or social media are a major source of cybercrime affecting many internet users.
How to spot a phishing email
• Is it a suspicious email address or an unusual design/format?
• Is the email requesting sensitive or personal information?
• Does the email have poor grammar and spelling?
• Does the email contain a suspicious link or attachment?
• Is the email urgent or trying to make you panic?
Scrutinise all requests carefully before actioning
What to do if you get a phishing email?
If you receive an email that you suspect to be spam, or an attempt to spoof or phish your account, it is extremely important that you report to the NHSmail helpdesk. You will never legitimately be asked to provide your NHSmail credentials to anyone.
• Do not respond to or follow any links within an email that asks you for your login details
• If you receive an email asking you for your NHSmail account credentials, please report it via the shield in your emails. Always click ‘report phishing’ and not ‘report junk’
• Once the email has been reported it should be deleted from your mailbox - select the suspect email, hold down the ‘shift’ key and press the ‘delete’ key (if you get a warning, click yes)
If you have responded in any way to any such email, please contact the Cyber Security Team or the IT self service desk immediately and report it to them in the first instance. They will be able to provide support and advice on further actions, such as password changes.
If you have any questions or concerns about cyber security, see the IT Cyber Security Team intranet page or email sath.cybersecurityteam@nhs.net.
Information Governance: Use of mobile devices by patients in hospital
There are many benefits for patients that arise from encouraging them to use mobile devices:
• Communication with family and friends – often an essential element of support and comfort
• Accessing helpful information about their conditions – apps and digital services can support greater patient participation and inform joint decision-making
• Recording conversations – doing so can help reduce anxiety for patients trying to remember and understand what was said. It also allows them to share the information later with their loved ones and carers. As a matter of good practice, the patient/service user should ask you whether you are okay with them recording the conversation. For information on what patients can legally record without seeking permission, and what to do if a covert recording is posted online, visit: BMA's guidance on patients recording consultations.
You can support patients to use their mobile devices appropriately as follows:
• Ask patients to respect people’s privacy if they look like they are taking photos without permission, e.g. of staff or other patients in the background
• Speak to patients if the use of their mobile device is disturbing others e.g. if it is interrupting care provision, creating unacceptable working conditions for colleagues or undermining patient recuperation
• Ask patients to switch off their phones or enable airplane mode if you see them using phones in an area where mobile devices are not permitted e.g. around sensitive equipment. These areas will be indicated by a sign that clearly states use of mobile devices is not permitted.
• Speak to your line manager and hospital security if you see anyone suspiciously taking photos of children or vulnerable adults.
PLEASE NOTE THE HUMAN RIGHTS ACT APPLIES: Article 8 protects your right to respect for your private life, your family life, your home and your correspondence (letters, telephone calls and emails) Use of mobile devices by patients in hospitals - NHS Transformation Directorate
Update from Risk Management Team
The risk management team supports teams Trust-wide with clinical and non-clinical risks. We provide assurance that the Trust is providing high quality care in a safe environment and that it is complying with legal and regulatory requirements. Below is a table that demonstrates how each division is managing its risks that affect its achievement of the Trust’s strategic objectives.
Meet the team: Medical Director Services
Sam Hooper, Senior Business Manager to the Medical Director
Debbie Steventon, PA to the Senior Business Manager to the Medical Director
Kim Kirk, Medical Appraisal and Revalidation Manager
Sally Gray, Team Manager / Project Lead
Dainora Buckley, Events and Project Administrator
Rhian Williams, Appraisal and Revalidation Advisor
Stephen Rawlinson, Project Administrator
Our team provides support to the Medical Director, Deputy Medical Directors, Associate Medical Directors and Medical Leaders as well as the Senior Medical Staff to enable safe patient care.
We assist with doctors' appraisal and revalidation requirements, support with job planning and manage statutory safety update training bookings to maintain essential skills and compliance.
In addition, we undertake programmes of work to support organisational goals and improvements to support the Medical Director's portfolio of work.
Contact: sath.medicaldirectorsoffice@nhs.net
Welcome to new colleagues
Charlotte Lloyd-Davies Lead Nurse for Mental Health
Charlotte has joined us as Lead Nurse for Mental Health on a 12-month contract. Charlotte previously worked as Lead Nurse providing targeted interventions to improve health outcomes for vulnerable people across Shropshire.
Louise Clayton Programme Manager for Shropshire Bowel Cancer Screening Centre
Louise has recently joined the Shropshire Bowel Cancer Screening Programme as Programme Manger. She has over 20 year’s service within the NHS and has worked at SaTH for the last 10 years. Louise is looking forward to working with colleagues and the wider bowel screening team.
Liz Slevin Transformation Lead Nurse - UEC
Liz is a nurse with an extensive Emergency Care background and previously worked at Walsall Healthcare Trust focusing on UEC recovery and was clinical lead for the new UEC centre. She is excited to be part of the improvement journey that is underway at SaTH for patients and colleagues.
Ella Conde Macmillan Cancer Support Centre Manager
Ella has worked for SaTH for 15 years, starting as a Clerical Assistant before moving to Histopathology and then into the Cancer Services Team in 2018. Ella aims to bring her passion for people into managing the Macmillan Support Centres across both hospitals and improve the experience of people affected by cancer.
Recognising our colleagues
Congratulations to the latest cohort of the Springboard @ SaTH Preceptorship Programme. The programme is designed to provide support and guidance to newly registered practitioners.
Congratulations to our newly qualified Professional Nurse Advocates.
Dr Nasreen Soliman and Dr Banchhita Sahu have been awarded the West Midlands Trainer of the Year Award for two consecutive years. Congratulations to both.
Our Vision: To provide excellent care for the communities we serve
Inclusion: News and events
Racism is not accepted in our Trust, whether this is directed at colleagues, visitors or patients. It will not be tolerated; it causes harm, and it is a crime. If you are reading this and need support, we have a variety of forums which can help:
• Freedom to Speak Up: Details on the intranet
• Our People Advisory Team: sath.hradvice@nhs.net / ext. 2891
• Health and wellbeing information is on the intranet
• The multi-faith rooms at both RSH and PRH are safe spaces. The Chaplaincy Team is on hand 24/7 to offer support
• Information and support about our Race and Equality Network can be found on the intranet
• Information about our EDI Champions can be found on the intranet.
• NHS Talking Therapies: Visit their website
Upcoming staff network meetings
Multi Faith & Belief staff network meeting
MS Teams, Thursday 24 April , 12-12.45pm
DAWN staff network meeting
MS Teams, Thursday 29 May, 1-2pm
Race, Equality & Inclusion staff network meeting
MS Teams, Wednesday 23 April, 11am12.00pm
LGBT+ staff network meeting
MS Teams, Friday 13 June 1-2pm
Looking forward: Key messages
Please continue to use the two Park & Ride services and be mindful that patients are using it at RSH
Please get involved with, and support, Moving to Excellence and Stronger Together
Please attend the HTP pop-up session
Please take part in Research, Education and Improvement Week
Did you know there is a Loop app? Download now via your app store
Windows 11 migration continues
Please consider joining our Staff Networks
Familiarise yourself with the pension advice to help you plan for retirement
Bowel Cancer Awareness Month (April)
StressAwareness Month (April)
Easter (18-21April)
Lesbian Visibility Week (21-27 April)
Experience of Care Week (2127 April)
Administrative Professionals Day (23 April)
We are here to help and support you
If you would like to raise a concern, you can contact our FTSU team
Contact
sath.ahealthieryou@nhs.net for support if you are facing pressures due to rising cost of living
Familiarise yourself with the health and wellbeing support available – details on the intranet