ACHIEVING SEQOHS ACCREDITATION

8th September 2011

Guy’s and St. Thomas’ Occupational Health Service

Who are we•Est. in 1982

•Clinical Director – Prof David Snashall

•Team consists of approx 71 staff, (variety of roles and length of service)

•Services accessible to approx. 73,000 employees (NHS and commercial)

•Recent merger of Safety Advisory team

•Staff Counselling Services

•Rehabilitation services

Support from – Commercial directorate– Infection Prevention and Control

Team– Clinical Governance– Finance/IT

Mandy Murphy General Manager

NHS (GSTT) Occupational Health

Service

External Contract Services

Approx 55 contracts

Staff Counselling Service

Guy’s and St. Thomas’NHS EmployeesApprox. 12,000

employees

Trust BankApprox 3000 employees

Contractors and Sub Contractors e.g.

Honorary Contractors

KCL Undergraduate Schools

Approx. 8000 students

Medium sized businesses Approx 6000 employees

Small to medium sized businesses on variable

pricing contracts. Approx 3000 employees

Counselling Services to Trust employees

Counselling Services to External Contractor

employees

Dr. David SnashallClinical Director

Safety Advisory Service

NHS/Trust Services (Plus small amount of income generation)

Large public sector contracts

Approx. 41,800 staff

Mandy Murphy General Manager

NHS (GSTT) Occupational Health

Service

External Contract Services

Approx 55 contracts

Staff Counselling Service

Guy’s and St. Thomas’NHS EmployeesApprox. 12,000

employees

Trust BankApprox 3000 employees

Contractors and Sub Contractors e.g.

Honorary Contractors

KCL Undergraduate Schools

Approx. 8000 students

Medium sized businesses Approx 6000 employees

Small to medium sized businesses on variable

pricing contracts. Approx 3000 employees

Counselling Services to Trust employees

Counselling Services to External Contractor

employees

Dr. David SnashallClinical Director

Safety Advisory Service

NHS/Trust Services (Plus small amount of income generation)

Large public sector contracts

Approx. 41,800 staff

Assistant Director of Emergency

Preparedness

General Manager

Clinical Director

Director of Assurance

OfficeManager

SafetyManager

Contract Manager

CounsellingCo-ordinator

(0.4wte)

Head of Nursing

Medical Team 7.85 wte

Nursing team 29wte

Matron

Senior Specialist Nurse Advisers-Rehabilitation Nurse Manager- Education Nurse Manager- Public Health Nurse Manager- Clinical Ops NHS- Clinical Ops KCL- Clinical Ops LAS- Clinical Ops Contracts- Clinical Ops MPS

Administrators

Manual Handling Adviser

Manual Handling Trainers~ sub-contract

Admin Team 10wte

Secretarial team

Administrators

Reception team

Specialist Nurse Advisers Trainee OH Nurse Advisers

Clinic Nurse AdvisersOH Support Workers

Staff Counselling Team ~ 1.82 wte

Staff Counsellors

Occupational Physicians

Specialist Training Registrars

Occupational Physiotherapist

Occupational Psychiatrist

Rehabilitation Support Staff 0.25wte

Contract Administrators

5.25wte

IT Business Support

1wte

Guy’s and St. Thomas’ Occupational Health ServiceAugust 2011

Total WTE: 55.57Total headcount: 71

Why did we pursue accreditation so quickly?

•Good for business

•Credibility of the service

•Professionalism

•“Why wait” mentality

Preparation, Preparation, Preparation

•Full team involvement

•Meetings and opportunities

•Beyond the OH front door

•Allow plenty of time

•Talk to neighbouring OH units and colleagues in regional groups

•Share protocols

•Use the quality facilitator

Sourcing the Evidence

•What will demonstrate that you are doing this right?

•Enlist help of IT, Finance, HR.

•Consider what formats you want to use – does it need to be a policy? Can a flow chart or a statement provide evidence you need?

•There is a lot of information you could use so be selective

•If submitting a large Trust wide policy highlight the section which is relevant and you want the assessors to focus on.

Domains A, B, C, G1, G2Domain A Published materials, leaflets, Trust Recruitment Policy, SpR research project

Trust Financial Instructions, Trust Annual Report, Contract Price List (without the pricing)

Domain B Departmental Audit, IT policies and statements, IT JD, OH protocols for record management and transfer of records

OH confidentiality statements, Induction competency and training matrix, protocols for opening and closing of dept, Trust IT policies, T&Cs for contracts

Domain C NMC/GMC list, Job Plans, Appraisals and 1-1’s, training matrix and OH workshop plan, Induction manual

Indemnity via NHSLA, organisation chart and dept structure, samples of OH policies, HR policies

Domain G1 SLA with Trust (currently in draft), agenda and meeting notes with my manager/NHS customer

Domain G2 Budget statement and costing model examples for external businesses, budget statement and trading account set up. Business Plan and strategies

Site Visit

Agenda

10:00 Start of Visit / Meet and Greet

10: 00 “Our OH Service” Presentation by the lead

11: 00 Service Tour

11:30 Individual Interviews

12:30 Lunch

13:00 Lunch

15:15 Feedback Meeting

16:00 Close of Visit

Assessment Timetable Draft

Building on Success

Can we now sit back and relax ….. Its all over?

No!

Action Planning

Making improvements

Monitoring Systems

3 Key learning points

1. Don’t underestimate the time you need to prepare and complete the accreditation process

2. Impact on the team

3. Able to build on current standards and improve them

Guy’s and St. Thomas’ Occupational Health Service

Copyright statement:

© 2011 Guy’s & St Thomas’ NHS Foundation Trust. All Rights reserved. No part of the contents of this product may be reproduced or transmitted, in any form or by any means (electronic or otherwise), or stored in any form or any medium (electronic or otherwise) without prior written permission from the copyright owner, or as expressly permitted by law.

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