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FOUNDATION TRUST Consultation Document Have Your Say - Be a Member Better Together

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Page 1: Better Together - Staffordshiremoderngov.staffordshire.gov.uk/documents/s31482... · A variety of clinicians make up the team. They have rapid access to equipment to quickly diagnose

F O U N D A T I O N T R U S T ConsultationDocument

Have Your Say - Be a Member

Better Together

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Contents

Welcome 4

Our Organisation 5

What is a Foundation Trust? 11

Our Consultation 14

Our Future Plans and Priorities 16

Our Name Proposals 18

Our Membership Proposals 19

Our Council of Governor Proposals 21

Have Your Say 25

Foundation Trust Guide 27

Glossary 28

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Welcome

Prof. Nigel Ratcliffe Trust Chairman

This document outlines Staffordshire and Stoke on Trent Partnership NHS Trust’s

(The Partnership Trust) future plans and priorities, including its ambition to become

a Foundation Trust (FT). Most importantly, it asks for your views, ideas and support.

ConsultationDocument4 F O U N D A T I O N T R U S T www.staffordshireandstokeontrent.nhs.uk

This document will help to explain the opportunities that

achieving Foundation Trust status will offer. It will explain

why we want to become a Foundation Trust and the

benefits Foundation Trust status can bring to our local

communities. It will also provide you with information

about the Trust and how being a Foundation Trust will

underpin our vision and plans for the future.

The Government wants all NHS trusts to become

Foundation Trusts by 2014 but regardless of this

deadline, only those that can prove they are well

managed and financially sound can apply. Our

readiness to undertake this challenging process is a

testament to the quality of our services and to the

commitment, care and skill of our staff.

The key difference of a Foundation Trust is that it is

accountable to local people and involves service users,

carers, staff and local residents in deciding the priorities

of the Trust. We believe that becoming a Foundation

Trust is the best way for us to fulfil our exciting plans for

community based health and social care services. It will

also allow us to be truly Ô better togetherÕ as it is the best

way for people with an interest in health and social care

services to become directly involved in influencing them.

Between July and October 2012, we will be consulting

with patients, service users, carers, staff, partners and

members of the public about our plans for future service

delivery and proposals to become a Foundation Trust.

Please take some time to look through this document.

It may answer many of your questions and if not will tell

you how to find out more. It also includes a freepost

form through which you can tell us what you think Ð

and apply to become a Member.

We think this is a wonderful opportunity for local people

and for health and social care services. We hope you will

agree and look forward to hearing from you.

Stuart Poynor Chief Executive Officer Prof. Nigel Ratcliffe Trust Chairman

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Our Organisation

Prof. Nigel Ratcliffe Trust Chairman

Staffordshire and Stoke on Trent Partnership NHS Trust was established on

1 September 2011, bringing together the provider arms of NHS North Staffordshire,

NHS Stoke on Trent and South Staffordshire Primary Care Trust (PCT).

5www.staffordshireandstokeontrent.nhs.uk

In April 2012, Staffordshire Adult Social Services

successfully integrated into the Partnership Trust,

making it one of the largest Partnership Trusts in

England.

We are committed to providing high quality, safe and

effective services to patients and service users which are

simple to access.

We are located within the geographical boundaries of

Staffordshire County Council and Stoke-on-Trent City

Council and serve a diverse population of 1.1 million

people, covering a wide geographical area stretching

from the Staffordshire Moorlands which borders the

Peak District in the North to the conurbation of the

Black Country in the South.

Although largely rural we provide services in urban

centres such as Stoke-on-Trent, Leek, Burton upon Trent,

Cannock, Lichfield, Stafford, Tamworth and Wombourne.

Levels of deprivation are varied, however, Stoke-on-

Trent is in the 10 % most deprived areas. It is also

predicted that by 2020 the elderly population will

have risen significantly. All these factors will impact

on the demand for community health and social care

provision. We will be working closely with our partners

to understand this impact.

We employ approximately 6,000 staff and have an

annual turnover of £350 million.

We deliver services to a diverse population in a variety

of settings including community hospitals, clinics,

nursing homes, the community, prisons and in peopleÕ s

own homes. Our vast range of services include

district nursing, health visiting, nutrition and dietetics,

occupational and physiotherapy, school nursing, speech

and language therapy and an array of specialist teams.

Our Vision

We will deliver personalised care

of the highest quality, with the

best possible outcomes for users

and carers, empowering them to

remain independent.

Our Values

• Put quality first

• Listen to each other

• Be user focused and responsive

• Be innovative and adaptable

• Be respectful and caring of people

• Be honest, transparent and accountable

• Be efficient

Our Goals

• To provide high quality, safe services

which provide an excellent experience

and the best possible outcomes

• To work with users and carers to

deliver services simply and effectively

• To develop and deliver sustainable

new services that are exciting and

support independence

• To empower and support our

workforce to deliver care in a way that

is consistent with our values

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6 www.staffordshireandstokeontrent.nhs.uk

Our Partners

Staffordshire and Stoke on Trent Partnership NHS Trust

has a broad spectrum of partners. In order to continually

improve our health and social care services, we link in

closely with our service users, carers, staff and partner

organisations such as Staffordshire’s police and fire

services and other NHS provider trusts in the region.

We also have strong links with local third sector

organisations, which provide support to service users

and carers in the local community Ð for example,

Community Health Voice and the Fifty Plus Forum.

Other NHS partners and key health commissioners (people

who pay us to deliver health services) are the Clinical

Commissioning Groups within the Staffordshire Cluster.

Our main commissioner for adult social care is Staffordshire

County Council through the Joint Commissioning Unit.

We also work closely with a number of other local

authorities covering the areas of Staffordshire

and Stoke-on-Trent and have relationships with

neighbouring Primary Care Trusts (PCTs). A small

number of our services are commissioned by

organisations beyond the Staffordshire border.

Through the development of a diverse membership and a representative council of governors (see p.19-24), we can work with our partners even more effectively with true local ownership of the Partnership Trust.

Our Services

We provide a full range of services based in the

community, including five hospitals and five prisons.

Our Key Service Areas

• Community Hospitals

• ChildrenÕ s Services

• Community Nursing and Therapies

• Specialist Services and Divisions

• Adult Social Care Services

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7F O U N D A T I O N T R U S T ConsultationDocumentwww.staffordshireandstokeontrent.nhs.uk

The figure below outlines service delivery areas within the organisation:

Community Hospitals

Inpatient Beds

Rheumatology & MSK Services

Walk-in Centre / Minor Injuries Unit

Rehabilitation

Wheelchairs

Limb Fitting

Pain Management

Orthotics

Dermatology

Community Nursing & Therapies

District Nursing

Community Matrons

Intermediate Care

School Nursing

Occupational Therapy

Physiotherapy

Speech and Language

Podiatry

Community Rehabilitation

Children’s Services

Health Visiting

School Nursing

Community ChildrenÕ s Nursing

ChildrenÕ s Airways Support Team

Family Nurse Partnership

Safeguarding

Speech and Language Therapy

Dietetics

Physiotherapy

Specialist Services & Divisions

Dental

Sexual Health and Gum

Offender Health

Wheelchairs

Equipment Services

Chronic Pain Management

Community Stroke

Health Improvement and Lifestyle

Specialist Long-term Condition Teams

Adult Social Care Services

Community Support Services

Enablement Services

Ongoing Health and Social Care Support

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ConsultationDocument8 F O U N D A T I O N T R U S T www.staffordshireandstokeontrent.nhs.uk

This map shows the key geographic areas within Staffordshire and Stoke-on-Trent

and the locations of the Partnership Trust’s community hospitals. It also depicts the

locations of acute hospital sites in the region:

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Hospital@Home

Baby Finley Shepherd was referred to the ChildrenÕ s

Hospital@Home service based in North Staffordshire just

before Christmas after struggling for breath as a result

of a cough.

Following a number of visits to his doctor it was

suggested the nursing team from Hospital@Home called

to see Finley and his mum Michelle at home.

Michelle said: “Finley is our first baby and sometimes he

was really struggling for breath. It was frightening to see

him like that and we were very concerned. The Hospital

@Home team came in morning and night and they were

absolutely brilliant. At the time Finley didnÕ t need to go into

hospital but the doctor didnÕ t want us to be on our own.

“Knowing someone would be visiting to check him or

on the end of the phone for reassurance was fantastic

and so reassuring.Ó

During 2011, the service was recognised nationally for

its exceptional efficiencies, delivered without sacrificing

their impeccably high standards of patient care.

Cathy Morris, Team Leader, said: “Our team provides

follow-up nursing support, in a childÕ s home, to children

who have experienced mild to moderate episodes of

minor illness.

“We work in partnership with the child, their parents or

carers and other professionals to enable the child to be

cared for at home with appropriate support and advice.

This prevents the child having to be admitted to Hospital

which causes anxiety for their families and in turn this

reduces the pressure on accident and emergency and

hospital wards.

Case Studies

Here are a couple of examples of the excellent level of care already being provided by Staffordshire and Stoke on Trent Partnership NHS Trust. We believe that by becoming a Foundation Trust we will have the freedom to develop our services in a way that will make them even better.

The Hospital@Home team came in morning and night and they were absolutely brilliant.

“”

Michelle with son Finley

Case Studies

9www.staffordshireandstokeontrent.nhs.uk

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Musculoskeletal Service

Lynn Colley from Stoke was referred by her GP to the

Musculoskeletal Service based at Haywood Hospital as

she was experiencing a lot of pain throughout most of

her body. Lynn has been diagnosed with Fibromyalgia,

which is widespread musculoskeletal pain, the cause of

which is still unknown.

Lynn said: “The pain first started a couple of years ago,

just in my shoulder at first and I couldn’t move my neck.

It spread to my right arm and then my left one, then it

seemed to spread across my body. I had always suffered

from pain in my lower back, but this was very different

and my arm was swelling and I was in a lot of pain. My

appointment was great. It was quick but very thorough

and the staff were really professional and friendly.

“They talked me through what was wrong and assessed

what treatment would be best for me. In my case it will

be physiotherapy and advice, support and guidance on

how to manage my pain and manage my medication.

“I am just recovering from a hysterectomy, so I had to talk

through with staff when my treatment will start and what

will happen, but they have really put my mind at rest.Ó

Kay Stevenson, Consultant Physiotherapist said: “The

Musculoskeletal Service is a Ô one-stop-shopÕ for patients.

A variety of clinicians make up the team. They have rapid

access to equipment to quickly diagnose the problem,

including x-ray, MRI scanners and ultrasound. This means

we can assess the problem quickly and intervene to help

the patient, which may even be at the appointment itself

by giving medication, an injection or advice on how to

self-manage the pain.

“We have ensured that our clinicians are all appropriately

trained and supported. We listen to the patient, examine

them and suggest treatment in a short timescale. This

means less inconvenience and distress for our patients,

hopefully helping them to be independent and improve

their quality of life.Ó

Lynn added: “Other members of my family had talked

about the service, telling me how good it was, but now I

have experienced the friendliness for myself.Ó

Musculoskeletal Clinics are held in a variety of locations

across North Staffordshire including Haywood Hospital,

Longton Cottage Hospital, Milehouse Primary Care

Centre. Appointments are made through a referral by

your GP and may last up to 30 minutes. The patient could

be seen by any of our musculoskeletal practitioners, who

will ask about the problem, do an examination, request

appropriate investigation and suggest treatment.

Other members of my family had talked about the service, telling me how good it was, but now I have experienced the friendliness for myself.

”Lynn Colley

Musculoskeletal Service

Lynn Colley from Stoke was referred by her GP to the A variety of clinicians make up the team. They have rapid

1 0 www.staffordshireandstokeontrent.nhs.uk

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Foundation Trusts are a specific type of NHS

organisation. They are more independent of

Government and have more financial freedom than

other NHS Trusts.

They are all accountable to service users, carers, staff and

the local community, through a membership made up of

these key stakeholder groups. They also have governors,

who are elected by the members or nominated by

partner organisations, such as local authorities. Through

members and governors, local people have a real say in

how the Foundation Trust operates and its priorities.

Foundation Trusts work in partnership with other

organisations to develop services that best meet the

needs of the local health communities.

Foundation Trusts remain part of the NHS, and continue

to provide services free to the people who use them, on

the basis of need not ability to pay. They are still subject

to the same regulations and standards as all other NHS

Trusts, including quality and effectiveness scrutiny by the

Care Quality Commission.

The Government has set up an independent body -

Monitor - to regulate Foundation Trusts, making sure

that they operate as they should and stepping in should

problems occur.

Foundation Trusts have more autonomy and freedom

for decision-making than other NHS organisations.

Therefore there is an extremely rigorous application

process before a Trust achieves Foundation Trust

status. Monitor is directly involved in this process and

they will examine our plans in detail.

More information on Foundation Trusts can be found at www.dh.gov.uk and www.monitor.nhsft.gov.uk.

What is a Foundation Trust?What is a Foundation Trust?

1 1F O U N D A T I O N T R U S T ConsultationDocumentwww.staffordshireandstokeontrent.nhs.uk

What does Foundation Trust status mean?

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Why do we want to become a Foundation Trust?Foundation Trusts have some major advantages in the way they are run, compared to other NHS Trusts.

In particular, becoming a Foundation Trust will ensure:

• Better…Accountability – Service users, carers, our

staff and the general public will have opportunity to

be directly involved in the running of the Trust.

• Better…Innovation – We will have greater

freedom to develop and innovate, using feedback

to design services to meet local needs. For example,

the Partnership Trust may wish to undertake

specialist research in a particular field, potentially

becoming national leaders in that area.

• Better…Quality – We will be able to use

information and involvement from the community

to further improve quality.

• Better…Investment – Should we work so

efficiently that we create a financial surplus, we will

be able to retain this at the end of the financial year

rather than it being taken back into a central budget

and reallocated nationally (as currently happens). This will give us more freedom to invest in our

services. For example:

- The Partnership Trust could save up surpluses

over number of years for a significant project

(building of new healthcare facility) rather than

budget being re-allocated annually

- The Partnership Trust could borrow money

providing it can show a sustainable and long-

term financial plan to achieve the level of surplus

required to pay this back. This gives scope

for bigger improvement projects to happen

immediately, depending on local need.

• Better…Viability – We will be able to focus on

efficiency and productivity to ensure that resources

are used effectively.

Why becoming a Foundation Trust will help

Although achieving Foundation Trust status is something

we are required to do by April 2014, we want to be clear

the emphasis will not be on completing this as a separate

programme of work or Ô tick box exerciseÕ .

We want to become a better organisation and to operate more

effectively on a day-to-day basis. We believe that by becoming

a Foundation Trust and adopting a new way of working

throughout the organisation, we can achieve this ambition.

Foundation Trust status will enable us to build on our

core vision and values because we will be able to use

the financial and operational freedom we will have as a

Foundation Trust to work differently. For example, with

more financial freedom, we can develop new services,

or deliver existing services in new ways.

We can also be more flexible in our relationships with

other organisations and engage in innovative partnerships

to deliver services in the most effective and equitable way.

Most importantly, we will be able to engage more

effectively with our communities to meet existing and

emerging needs.

On the next page are some comments from a service user, carer and member of our clinical staff on how they view our plans to become a Foundation Trust.

1 2 www.staffordshireandstokeontrent.nhs.uk

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We would like to hear your views on becoming a Foundation Trust.

My life

changed dramatically after I underwent

brain surgery to remove a tumour and I have been a service user

for over six years now. Three months after my operation it was discovered I had

suffered a stroke during surgery.

I knew something terrible had happened but felt like no one was listening to me. ThatÕ s when a

lifeline came into my painful, fearful life Ð I was visited by a stroke specialist nurse called Rita Tranter. Rita

helped me in my battle to obtain a diagnosis and at times IÕ ve felt like she has been the only constant with me on

this long and difficult journey.

I was eventually found to have central post stroke syndrome (thalamic pain). I still have days where I am in a lot of pain

and absolutely exhausted but when my husband and I feel stuck Rita always comes up with an answer.

ItÕ s great to have someone our lives that we can rely on.

I believe that achieving Foundation Trust status will help improve all aspects of care provided by Staffordshire and

Stoke on Trent Partnership NHS Trust. I feel very strongly that all members must be listened to and should be

able to voice their opinions in a variety of ways as leaflets can be confusing to some people. This should

include face-to-face contact with not only service users but their partners as well, many of whom

have become full-time carers and need consideration and support.

Janet Lowe, Service User

I am a carer to my husband and I am still finding my way around the

system. I think achieving Foundation Trust status will be a good thing, but itÕ s going to be important to reassure people that the standard of care will remain high and ensure

service users and carers understand how changes may affect them.

Providing the level of care continues to improve this could be positive. In particular, having a membership seems a very exciting idea and I think members of the public will want to get involved. I would definitely like to know more

about this as I feel it would help the local stroke group I attend in Tamworth. I would certainly like to get involved and put my degree to some use.

Karen Harrod, Carer

Achieving Foundation

Trust status will be enormously beneficial to our service users and

staff. It will help us to improve the patient experience and develop our services to meet the ever-

changing health needs of our communities.

Cath Skerratt, Lead Nurse (Haywood Walk-in-Centre)

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Your views are important and will have a real influence in

shaping our plans. You are welcome to comment on any

aspect of our services or proposals, but we are particularly

seeking your views on:

Our consultation will run from July 2012 to October

2012. During this period, we will explain our plans, listen

to your opinions and answer your questions.

During our consultation we will be out and about in

the community talking to local people. We will also

hold public meetings to provide information about our

plans. Details of the public meetings will be advertised

locally and posted on our website.

We very much hope to see you at one of them. However,

if you canÕ t make a public meeting, we will be attending

many other local events and will let you know where and

when these will be.

Our ConsultationAs part of our journey to become a Foundation Trust, we are consulting service

users, carers, staff, stakeholders and members of the public on the plans outlined

in this document.

• Our plans and priorities for the future

• Proposals for our new name as a Foundation Trust

• Proposals for our approach to membership

• Proposals for our Council of Governors

Our Programme of Events

• Public meetings at central venues across

the local boroughs and districts

• Attendance at local meetings of

community organisations and other

groups representing service users and/

or carers

• Road shows where we will get out

and about to meet local residents in

community locations

• Formal meetings with NHS organisations

and our main statutory partners such as

local authorities

• Discussions with our staff

• Information and resources on our website

• Distributing this document, leaflets and

other information to the public

After the consultation is over, we will prepare a

post-consultation report based on what you tell us

and will be submitting it with our application to the

Foundation Trust regulator, Monitor.

We hope that you will view our consultation as

an opportunity to have your say and to express

your interest in health and social care services by

becoming a member of our Trust.

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1 5www.staffordshireandstokeontrent.nhs.uk

• Send us a completed consultation questionnaire

(the one in this document is marked with a

freepost address so no need for a stamp)

• Write freepost to: Freepost Plus RSSS-GCBS-

EKSB, Staffordshire and Stoke on Trent

Partnership NHS Trust, Morston House, The

Midway, Newcastle, ST5 1QG

• Email: [email protected]

• Visit: www.staffordshireandstokeontrent.nhs.uk

• Telephone: 0845 602 6772 ext: 1630

• Fax: 01782 663 778

• Attend one of our public meetings

Getting in touch with usYou can respond to our consultation (or find out

more information) in lots of ways:

What happens next?After we have completed this consultation and finalised or plans, we will submit a formal application to the Secretary of State for Health. The provisional timetable for our application will be:

End of consultation

October 2012

Request to Secretary of State

February 2013

Decision of Secretary of State

March 2013

Monitor authorisation process

April 2013 to June 2013

Earliest date of authorisation

August 2013

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F O U N D A T I O N T R U S T1 6 F O U N D A T I O N T R U S TF O U N D A T I O N T R U S TF O U N D A T I O N T R U S TF O U N D A T I O N T R U S Twww.staffordshireandstokeontrent.nhs.uk

Our aim is to fundamentally transform the way care is delivered to local people with an integrated and

proactive approach to supporting people with long term conditions, coupled with a genuine shift in

power to the patient or user, making shared decision making a reality.

Our Better Together Transformation Programme will introduce a new Model of Care across

Staffordshire and Stoke-on-Trent which will enable us to achieve our vision of delivering personalised

care of the highest quality with the best possible outcomes for users and carers. Its key focus is to

improve:

• quality

• value for money

• service user and public involvement

• accountability

Our Future Plans and PrioritiesAs one of the largest providers of community health and adult social

care, we are in a strong position to be at the forefront of services

delivery to improve patient and service user experience and care.

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• Identification of patients and service users

most likely to use NHS or adult social care

services in the future so we can proactively

manage their condition before they need to

access emergency care

• Integrated Health and Social Care Teams to

deliver the care required via a single key worker

• A Single Point of Access / Care will provide

one single contact point into the organisation

which links to care co-ordination and allows

us to direct any service according to the needs

of the service user or client. This is expected

to be available 24 hours a day, giving a clear

route into our services at all times.

• A Standardised Assessment Process and

simplified care planning are essential to building

integrated care plans around the individual

needs of our service users. This new process will

stop duplication of paper work and will save

staff and patient or service user time.

• We know we could be more productive if we

made data entry easy through remote devices.

Good IT remote working will also improve

communication between team members and

as a result deliver a better experience for the

service user.

• We are working closely with our commissioners

to implement a new model of clinical cover

for our five community hospitals. We

are committed to providing safe care and

improving the opportunities for people

to access local care which is focussed on

maintaining independence and rehabilitation.

Key projects are already underway to support the implementation of the new Model of Care. These include:

What does it mean for you – the patient or service user?

The new Model of Care proposed will

• increase independence

• improve experience

• improve care

• deliver value for money

• save time

Staff will also be able to spend more time with patients

and service users as necessary and increase the number of

patients and service users they see. It is envisaged that, on

average, staff will be able to undertake between one and

two additional contacts per day.

It is this level of excellence that will play an integral part in

successfully becoming an Foundation Trust.

As part of our consultation and through our membership, we would welcome your views on our services and future plans.

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Our Name ProposalsOur name as a Foundation Trust will change. Once authorised as a

Foundation Trust we propose to be called:

We would value your opinion on our proposed name.

Staffordshire Partnership NHS Foundation Trust

If you have any other suggestions, we would very much like to hear them and would ask that you include your suggestions in your consultation questionnaire response.

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1 9www.staffordshireandstokeontrent.nhs.uk

Our Membership ProposalsAs an aspirant Foundation Trust, we are developing a membership of local people, service users and carers, staff and

partners. Our membership will reflect the diverse communities we serve and members will be able to offer their comments

and views on Trust priorities, service developments and plans. The local community will therefore have a direct influence on

what the Trust does.

Membership Criteria

We are proposing to have three membership categories with no limits on the number of people who can register.

Our Public Category

You are eligible to be a member of our public category if you are over 16 years of age (there will be no upper age limit)

and a resident of one of the following constituencies:

Our Staff Category

You are eligible to be a member of our staff category If

you are:

• on a permanent contract

• on a fixed contract of at least 12 months or have

worked for the Trust for 12 months on a

temporary contract

• on a secondment of over 12 months at the Trust

• exercising functions for the purposes of the Trust e.g.

volunteers can become staff members due to their

contribution to services

We are proposing an Ô opt-inÕ scheme where staff will be

asked to make an active choice to become members of the

Trust. We feel this matches our commitment to ensuring

active staff engagement in our activities. Staff may change

their mind and opt-in or out at any time.

Our Patient, Service User, Carer Category

We are passionate about involving people with real

experience of using our services. Therefore, we are

proposing that in addition to a category for public

members, we have a specific category for patients, service

users and carers.

This category will include anyone who has been or who is

currently a service user. It will also include people who care

or have cared for someone using the TrustÕ s services.

The patient, service user, carer category will operate under

the same age restrictions as the public category. Once a

person has become a service user or carer they will remain

within this membership category even if they cease to use

services, unless they contact the membership office stating

that they would like to alter their membership status. This

is due to the additional insight people gain from having

interacted with services and the

value they could add to certain

involvement activities.

• East Staffordshire

• South Staffordshire

• Staffordshire Moorlands

• Stoke-on-Trent

• Stafford

• Lichfield

• Tamworth

• Cannock Chase

• Newcastle-under-Lyme

Out of Area Constituency: REST OF WEST MIDLANDS AND ENGLAND

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2 0 www.staffordshireandstokeontrent.nhs.uk

What will members do?

As a member you can be as involved as much or as little

as you would like, from attending membership events to

helping us sign up further members. You may even want

to stand for election as a Trust Governor.

We will communicate all upcoming opportunities to you

in whatever format or language you prefer. There is no

obligation or pressure to take part in activities and there

are no costs or liabilities in being a member.

How do you become a member?

Complete the membership application form online at:

www.staffordshireandstokeontrent.nhs.uk

Alternatively, complete the pull-out membership

application form attached to this document and return it

to the freepost address:

Business Reply Plus RSSS-GCBS-EKSB, Staffordshire and

Stoke on Trent Partnership NHS Trust, Morston House,

The Midway, Newcastle, ST5 1QGYou Could Also:

• Learn more about health and wellbeing

and how to take care of your own and

your familiesÕ health

• Become active in the life of the Trust,

and support it in the community

• Receive regular information through

the membership magazine

• Take part in focus sessions and working

groups to help us develop our plans

• Elect representatives to the Council of

Governors, or stand for election yourself.

You can also...

Telephone: 0845 602 6772 ext: 1630

Fax: 01782 663 778

Email: [email protected]

Do you agree with our membership proposals? We would welcome your views on our plans.

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F O U N D A T I O N T R U S T ConsultationDocumentF O U N D A T I O N T R U S T ConsultationDocument

2 1F O U N D A T I O N T R U S T ConsultationDocumentwww.staffordshireandstokeontrent.nhs.uk

Our GovernorsGovernors’ general duties and responsibilities include:

Following numerous political changes, the role will now

include additional responsibilities. Email [email protected]

for more details.

Our Council of Governor ProposalsAs an aspirant Foundation Trust, we will put in place a Council of Governors, the

majority of whom will be elected by members and some will be appointed from our

partner organisations. The Council of Governors will be available for consultation

and will represent the interests of members when providing views to the Board of

Directors. The Trust Chairman will chair the Council of Governors.

• Representing the views of members

• Feeding information about the Trust and its performance to members and stakeholders

• Bringing expertise from our partner organisations

• Receiving reports on how the Trust has carried out its plans, including financial accounts and annual plans

• Being available for consultation and providing views to the Board of Directors

• Appointing the Non-executive Directors including the Chairman

• Holding the Board of Directors to account

• Appointing the TrustÕ s Auditors

• Holding meetings in public and attending some other meetings at the Trust

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ConsultationDocumentF O U N D A T I O N T R U S T www.staffordshireandstokeontrent.nhs.uk2 2

• Public Ð elected from the Public Membership

• Patient/Service user/Carer Ð elected from the Patient/Service User/Carer Membership

• Staff Ð elected from the Staff Membership

• Stakeholders Ð appointed from local organisations (Local authority/s, CCG, University etc)

Public Governors - Constituency Areas Number of Governors

East Staffordshire 1

South Staffordshire 1

Staffordshire Moorlands 1

Stoke-on-Trent 3

Stafford 1

Lichfield 1

Tamworth 1

Cannock Chase 1

Newcastle-under-Lyme 1

Rest of West Midlands & England* 1

Patient/Service user/Carer Governors Number of Governor

Patient/Service users/Carers 4

Staff Governors Number of Governors

Staff 5

Stakeholder Governors – Local Organisations Number of Governors

Staffordshire Clinical Commissioning Cluster 2

Staffordshire County Council 2

Stoke City Council 1

Staffordshire Police 1

Staffordshire Fire Service 1

Keele University 1

Staffordshire University 1

Voluntary Sector 1

Council StructureWe propose to support four types of governors and that the council is comprised as below:

Elected

Appointed

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ConsultationDocumentF O U N D A T I O N T R U S T www.staffordshireandstokeontrent.nhs.uk 2 3

For a better idea of how the Council of Governors might be structured, take a look at the diagram below:

Council of Governors (31)

Public (12)

Patient / Service Users /

Carers (4)

Staff (5)

Appointed Stakeholders (10)

Board of Directors (12)

Executive Directors inc.

Chief Executive (7)

Non-Executive Directors

inc. Chairman (5)

Appointed Governors (10)

Staffordshire Clinical

Commissioning Cluster 2

Staffordshire County Council 2

Stoke City Council 1

Staffordshire Police 1

Staffordshire Fire Service 1

Keele University 1

Staffordshire University 1

Voluntary Sector 1

Staff Governors (5)

Patient / Service User / Carer Governors (4)

Public Governors (12)

East Staffordshire 1

South Staffordshire 1

Staffordshire Moorlands 1

Stoke-on-Trent 3

Stafford 1

Lichfield 1

Tamworth 1

Cannock Chase 1

Newcastle under Lyme 1

Rest of West Midlands

& England 1

Chairman

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2 4 www.staffordshireandstokeontrent.nhs.uk

The Board of DirectorsThe Board of Directors will continue to be responsible for

the day-to-day management of the Foundation Trust.

We propose it should consist of:

• Five Non-Executive Directors, including the Chairman

• Seven Executive Directors including the

Chief Executive

The Chairman and the Non-Executive Directors will be

appointed by a Council of Governors.

The Chief Executive will be appointed by the Non-Executive

Directors, and the appointment approved by the Council of

Governors.

The Chief Executive and Non-Executive Directors will

appoint the Executive Directors.

What are your views on our proposals for governance? Do you agree with proposals for the Council of Governors? We would welcome your views.

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F O U N D A T I O N T R U S T ConsultationDocumentF O U N D A T I O N T R U S T ConsultationDocument

2 5F O U N D A T I O N T R U S T ConsultationDocumentwww.staffordshireandstokeontrent.nhs.uk

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1. Do you agree with our future plans and priorities? Yes / No Comments:

2. What do you think of the proposed name for our new NHS Foundation Trust?

Staffordshire Partnership NHS Foundation Trust Comments:

3. Do you agree with our proposals for members? Yes / No

Comments:

4. Do you agree with our proposals for governance? Yes / No

Comments:

5. Do you have any further comments you would like to make? Yes / No

Comments:

We look forward to hearing from you.

Have Your SayWe are looking forward to receiving your comments on our plans for the future.

All suggestions are welcome, no matter how big or small, and we will use the comments we receive to shape our new

service delivery proposals and our application for NHS Foundation Trust status.

You can give your views by completing this Consultation Questionnaire and sending it back to us FREEPOST

(no need for a stamp): Business Reply Plus RSSS-GCBS-EKSB, Staffordshire and Stoke on Trent Partnership NHS

Trust, Morston House, The Midway, Newcastle, ST5 1QG

Alternatively, you can: Phone: 0845 206 6772 ext: 1630 Fax: 01782 663 778 Email: [email protected]

Complete the questionnaire online by visiting: www.staffordshireandstokeontrent.nhs.uk

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ConsultationDocumentF O U N D A T I O N T R U S T www.staffordshireandstokeontrent.nhs.uk

1. NHS Foundation Trusts will be part of the NHS and subject to NHS standards, performance ratings and systems of inspection. They will treat NHS patients according to NHS quality standards and principles - free care based on need, not ability to pay.

2. NHS Foundation Trusts will be established in law as independent public benefit corporations. This will mean far greater local ownership and involvement of patients, the public and staff rather than control from the Department of Health. The principles behind NHS Foundation Trusts build on the sense of ownership many local people and staff feel for their health and care services.

3. NHS Foundation Trusts will be democratic. Local people and staff will directly elect representatives to serve on the Council of Governors. The Council of Governors will work with the board of directors - responsible for day-to-day running of the Trust - to ensure that the NHS foundation trust acts in a way that is consistent with its terms of authorisation. In this way, the Council of Governors will play a role in helping to set the overall direction of the organisation.

4. NHS Foundation Trusts will not mean privatisation of the NHS. They will be required in law to use their assets - such as land and buildings - to promote their primary purpose of providing care to service users. A legal lock will protect these organisations from the sort of Ô de-mutualisationÕ we have seen in the Building Society sector and prevent any threat of future privatisation.

5. NHS Foundation Trusts will operate within a clear accountability framework. They will not be left to sink or swim, allowed to Ô cherry pickÕ services or set loose to pursue organisational goals at the expense of the needs of their local communities.

6. NHS Foundation Trusts will be there to treat service users, not to make profits or to distribute them. Most of their income will come through agreements reached with local Clinical

Commissioning Groups to provide locally relevant services care to service users at the national tariff rate. Private work will be strictly limited.

7. NHS Foundation Trusts are at the cutting edge of the Government’s commitment to devolution and decentralisation in the public services. They will not be subject to direction from Whitehall. Local managers and staff working with local people - rather than remote Civil Servants - will have the freedom to innovate and develop services tailored to the particular needs of their local communities.

8. NHS Foundation Trusts are not about elitism. All NHS trusts will get help and support so they too are in a position to apply for foundation status.

9. NHS Foundation Trusts will work in partnership with other NHS organisations. They will remain part of the NHS. They will have a duty in law to cooperate with other local partners using their freedom in ways that fit with NHS principles and are consistent with the needs of other local NHS organisations. They will be overseen by the Independent Regulator, Monitor, who is accountable to Parliament, and they will be inspected by the Healthcare Commission.

10. NHS Foundation Trusts will be able to direct their services more closely to the communities they serve with freedom to develop new ways of working that reflect local needs and priorities. This will be done within the NHS framework of standards and inspection that safeguards the quality of NHS care. Direct elections of Governors by local people and staff will ensure local health and social care is better focused on meeting the needs of local communities.

A Foundation Trust Guide Department of Health Ten key points about NHS Foundation Trusts:

www.staffordshireandstokeontrent.nhs.ukwww.staffordshireandstokeontrent.nhs.uk 2 7

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www.staffordshireandstokeontrent.nhs.uk

Board of Directors The Board of Directors of our

Foundation Trust will run the organisation day-to-day. It

will be chaired by the Chairman of the Trust, Nigel Ratcliffe,

and will comprise of our most senior staff including the

Chief Executive and seven other Executive Directors. In

addition, the Board will have four Non-Executive Directors.

These are people who do not work full-time for the Trust,

but bring a wealth of experience from other walks of life.

Council of Governors Having a Council of Governors will

be completely new to us if we become a Foundation Trust.

The Council of Governors does not run the Trust day-to-

day, but takes a very important role in scrutinising plans

and agreeing key decisions. The Council will also be a main

channel of accountability to local communities. It will be

made up of Governors elected by public and service user/

carer members (the majority); by our staff members; and

non-elected Governors appointed by partner organisations.

An important question for this consultation is around the

composition of the Council of Governors.

Care Quality Commission (CQC) The Care Quality

Commission is a Government agency which oversees the

quality of services within the NHS. Even if we become a

Foundation Trust, we will still be inspected and expected to

meet the same standards as all other Trusts.

Integrated Business Plan (IBP) The Integrated Business

Plan (IBP) is the central document to our Foundation Trust

application. It is a costed plan of our long-term strategy

and what we hope to achieve as an organisation. The areas

we see as priorities for our future will be written into the

IBP, so this consultation exercise is seeking your views on

these priorities.

Monitor Monitor is an organisation set up by the

Government to oversee all Foundation Trusts. It is known

as a Ô RegulatorÕ . Ultimately, Monitor will have to agree

our application if we are to become a Foundation Trust. If

we are successful, Monitor will continue to work with us,

ensuring that our plans remain on track.

Commissioners All Trusts are funded by commissioners,

who agree with us the health and social care needs of our

communities. They are the route by which the Government

finances health and social care. The Partnership Trust’s key

health Commissioners will be the Clinical Commissioning

Groups (CCGs) within the Staffordshire Cluster. In

addition to this the Partnership Trust provides services to

local authorities and neighbouring Primary Care Trusts

(PCTs) and a number of services are commissioned by

organisations beyond the Staffordshire borders. Our

main commissioner for social care is Staffordshire County

Council through the Joint Commissioning Unit.

Primary Care Trust (PCT) Primary Care Trusts (PCTs) are

the part of the NHS which agrees with Trusts how much

money they need to provide services. Our commissioners

provide the payments which enable us to run as an

organisation and buy the supplies we need. However, due

to recent NHS reforms the role of commissioner will soon

be taken over by Clinical Commissioning Groups.

Clinical Commissioning Groups A Clinical

Commissioning Group (CCG) is the name for the new

health commissioning organisations which will replace

Primary Care Trusts in 2013. The key difference between

a PCT and a CCG is that the commissioning of services

will be led by clinicians instead of managers. This is due to

clinicians being better placed to understand what service

users want and need. The Staffordshire CCG Cluster is

made up of seven CCGs which will commission services

covering the entire county. The Partnership Trust is working

closely with its CCGs to ensure the best quality care is

provided to service users.

Stakeholders As well as the NHS, we work with many

other agencies. Good health within the community

relies on many agencies working together, for example:

local authorities, housing providers, education, and

voluntary sector organisations. Our stakeholders include

organisations such as councils, universities, StaffordshireÕ s

police and fire services. As part of this consultation we will

be talking to many of these organisations so their ideas can

help shape our plans.

NHS Glossary

2 8

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Staffordshire and Stoke on Trent Partnership NHS Trust, Morston House, The Midway, Newcastle-under-Lyme, ST5 1QG

Telephone: 0845 602 6772 ext: 1630

Fax: 01782 663 778

Email: [email protected]

Visit: www.staffordshireandstokeontrent.nhs.uk

0845 602 6772 [email protected]

For further information, or to request this report in a different format or language,

please contact us on 0845 602 6772 ext: 1630 or email [email protected]

,, , [email protected] [email protected] [email protected]

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W celu uzyskania dalszych informacji, lub wnioskowania tego raportu w innym formacie lub jezyku, prosimy o kontakt na 0845 602 6772 wew: 1630 lub email: [email protected] Polish

Punjabi Pakistani

2 9

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Do you have a special need or disability that we should take into account when communicating with you?

How would you like to be involved?

Yes.......... No.......... – If yes, please specify:

Receive information about Trust services / local health & social care campaigns ...........

Take part in consultations - give your feedback / ideas ....................................................

Attend membership events .................................................................................................

Stand for election as a Governor ........................................................................................

Which of our services are you most interested in?

Adult Social Care ..... Community Hospitals ..... Children’s Services ....... Dental ...................

Nursing ..................... Sexual Health .................. Physiotherapy .............. Rehabilitation ......

Speech & Language Therapy ....................................... Community Stroke Services ..............................................

Health Improvement & Lifestyle ................................. Prison-based Care Services ................................................

How did you hear about us?

What is your connection to the Trust?

No Connection ............................................. I use / have used Trust services .......................................................

My child uses / has used Trust services ....... I care / have cared for someone using Trust services ....................

I work for the Trust ...................................... Other (please specify)

Mailing ...... Face-to-face recruitment ..... Through a member of staff ... Newspaper/magazine ...

TV/radio ..... Friend/Family member ......... Other (please specify)

DeclarationI wish to be a member of the Staffordshire and Stoke on Trent Partnership NHS Trust. I have understood the content of this form and I know how my details will be used.

Date of application:

Thank you for taking the time to complete this form and for becoming a member. For more information about our Foundation Trust journey, or if you would like a copy of this form in large print, Braille, audio tape or in a different language/format, call us on 0845 602 6772 ext: 1630 or visit our website: www.staffordshireandstokeontrent.nhs.uk

D D M M Y Y Y Y

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ten

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95040 membership form w.g.indd 2 10/7/12 11:02:54

Do you have a special need or disability that we should take into account when communicating with you?

How would you like to be involved?

Yes.......... No.......... – If yes, please specify:

Receive information about Trust services / local health & social care campaigns ...........

Take part in consultations - give your feedback / ideas ....................................................

Attend membership events .................................................................................................

Stand for election as a Governor ........................................................................................

Which of our services are you most interested in?

Adult Social Care ..... Community Hospitals ..... Children’s Services ....... Dental ...................

Nursing ..................... Sexual Health .................. Physiotherapy .............. Rehabilitation ......

Speech & Language Therapy ....................................... Community Stroke Services ..............................................

Health Improvement & Lifestyle ................................. Prison-based Care Services ................................................

How did you hear about us?

What is your connection to the Trust?

No Connection ............................................. I use / have used Trust services .......................................................

My child uses / has used Trust services ....... I care / have cared for someone using Trust services ....................

I work for the Trust ...................................... Other (please specify)

Mailing ...... Face-to-face recruitment ..... Through a member of staff ... Newspaper/magazine ...

TV/radio ..... Friend/Family member ......... Other (please specify)

DeclarationI wish to be a member of the Staffordshire and Stoke on Trent Partnership NHS Trust. I have understood the content of this form and I know how my details will be used.

Date of application:

Thank you for taking the time to complete this form and for becoming a member. For more information about our Foundation Trust journey, or if you would like a copy of this form in large print, Braille, audio tape or in a different language/format, call us on 0845 602 6772 ext: 1630 or visit our website: www.staffordshireandstokeontrent.nhs.uk

D D M M Y Y Y Y

Moisten here

Mo

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here

Mo

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95040 membership form w.g.indd 2 10/7/12 11:02:54

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Freepost Plus RSSS-GCBS-EKSBStaffordshire & Stoke on Trent Partnership NHSMorston HouseThe MidwayNEwCaSTlEST5 1QG

Staffordshire and Stoke on Trent Partnership NHS Trust is applying for Foundation Trust status. As an NHS Foundation Trust, our service users, carers, staff and members of the public can become members of the Trust. This means you can be involved in shaping your local health and social care services and help us to improve quality of life for people all over Staffordshire and Stoke on Trent. We hope you will decide to join us.

General informationIn order to enable us to communicate with you effectively, and to ensure that we build a representative membership, we need you to tell us a bit about yourself. Please fill in the form below, sign the declaration at the end, fold it so that the Freepost address shows and post it back to us. All of the information you provide will be kept strictly confidential in accordance with the Data Protection Act 1998 and we will only use this for matters relating to your membership.

You must be 16 years or above to apply. All fields marked with * are mandatory

Contact details

* Title: Mr Mrs Miss Ms Dr Rev Employee Other

* First name:

* Last name:

* Gender: Male Female

* Date of birth:

* Address:

D D M M Y Y Y Y

* Postcode:

* Daytime Tel:

Mobile

Email (Go Green) @

Please specify your ethnic group

White:

White British ............... White Irish ............... Any Other White Background ...............

Mixed:

White & Caribbean ............... White & Black African White & Asian ............... Any Other Mixed Background ..............

Asian or Asian British:

Indian ............... Pakistani ............... Bangladeshi ............... Any Other Asian Background ...........

Black or Black British:

Caribbean ............... African ............... Any Other Black Background ...............

Other Ethnic Group:

Chinese ............... Any Other Ethnic Group (please specify):

Do not wish to declare

Staffordshire and Stoke on Trent Partnership

NHS Trust

Membership Formfoundation trust

You must be 13 years or above to apply. All fields marked with * are mandatory

Contact details

* Title: Mr Mrs Miss Ms Dr Rev Other

* First name: * Gender: Male Female

* Last name:

* Date of birth: D D M M Y Y Y Y

* Address:

* Postcode:

* Home tel: Work tel:

Mobile:

Email:

@

Dudley & Walsall Mental Health Partnership NHS Trust is applying for NHS Foundation Trust status. As an NHS Foundation Trust, our service users, carers, staff and members of the public can become members of the Trust. This means you can be involved in shaping the future of your mental health care services and increasing awareness of mental health issues. We would love you to become a member of our Trust.

General informationIn order to enable us to communicate with you effectively, and to ensure that we build a representative membership, we need you to tell us a bit about yourself. Please fill in the form below, sign the declaration on the second page, fold it so that the Freepost address shows and post it back to us. All of the information you provide will be kept strictly confidential in accordance with the Data Protection Act 1998 and we will only use this for matters relating to your membership.

e a part of it - e a membermaking tomorrow together

Freepost Plus RSLK-BXZU-SYKGDudley and Walsall Mental HealthPartnership NHS TrustCorporate Affairs Dept 2nd FloorTrafalgar House, 47-49 King StreetDudleyDY2 8PS

Tick the box to select your preferred method of contact:

Post Home tel Work tel Mobile Text Email

Please specify your ethnic group

White: White British ................ White Irish ........... Any other White background ......

Mixed:

White & Caribbean ..... White & Black African White & Asian ..... Any other Mixed background ......

Asian or Asian British:

Indian ........................... Pakistani ........................ Bangladeshi ......... Any other Asian background .......

Black or Black British: Caribbean ..................... African ................. Any other Black background .......

Other Ethnic Group: Chinese ......................... Any other ethnic group ................

Do not wish to declare

Freepost Plus RSSS-GCBS-EKSBStaffordshire & Stoke on Trent Partnership NHSMorston HouseThe MidwayNEwCaSTlEST5 1QG

Staffordshire and Stoke on Trent Partnership NHS Trust is applying for Foundation Trust status. As an NHS Foundation Trust, our service users, carers, staff and members of the public can become members of the Trust. This means you can be involved in shaping your local health and social care services and help us to improve quality of life for people all over Staffordshire and Stoke on Trent. We hope you will decide to join us.

General informationIn order to enable us to communicate with you effectively, and to ensure that we build a representative membership, we need you to tell us a bit about yourself. Please fill in the form below, sign the declaration at the end, fold it so that the Freepost address shows and post it back to us. All of the information you provide will be kept strictly confidential in accordance with the Data Protection Act 1998 and we will only use this for matters relating to your membership.

You must be 16 years or above to apply. All fields marked with * are mandatory

Contact details

* Title: Mr Mrs Miss Ms Dr Rev Employee Other

* First name:

* Last name:

* Gender: Male Female

* Date of birth:

* Address:

D D M M Y Y Y Y

* Postcode:

* Daytime Tel:

Mobile

Email (Go Green) @

Please specify your ethnic group

White:

White British ............... White Irish ............... Any Other White Background ...............

Mixed:

White & Caribbean ............... White & Black African White & Asian ............... Any Other Mixed Background ..............

Asian or Asian British:

Indian ............... Pakistani ............... Bangladeshi ............... Any Other Asian Background ...........

Black or Black British:

Caribbean ............... African ............... Any Other Black Background ...............

Other Ethnic Group:

Chinese ............... Any Other Ethnic Group (please specify):

Do not wish to declare

Staffordshire and Stoke on Trent Partnership

NHS Trust

Membership Formfoundation trust

You must be 13 years or above to apply. All fields marked with * are mandatory

Contact details

* Title: Mr Mrs Miss Ms Dr Rev Other

* First name: * Gender: Male Female

* Last name:

* Date of birth: D D M M Y Y Y Y

* Address:

* Postcode:

* Home tel: Work tel:

Mobile:

Email:

@

Dudley & Walsall Mental Health Partnership NHS Trust is applying for NHS Foundation Trust status. As an NHS Foundation Trust, our service users, carers, staff and members of the public can become members of the Trust. This means you can be involved in shaping the future of your mental health care services and increasing awareness of mental health issues. We would love you to become a member of our Trust.

General informationIn order to enable us to communicate with you effectively, and to ensure that we build a representative membership, we need you to tell us a bit about yourself. Please fill in the form below, sign the declaration on the second page, fold it so that the Freepost address shows and post it back to us. All of the information you provide will be kept strictly confidential in accordance with the Data Protection Act 1998 and we will only use this for matters relating to your membership.

e a part of it - e a membermaking tomorrow together

Freepost Plus RSLK-BXZU-SYKGDudley and Walsall Mental HealthPartnership NHS TrustCorporate Affairs Dept 2nd FloorTrafalgar House, 47-49 King StreetDudleyDY2 8PS

Tick the box to select your preferred method of contact:

Post Home tel Work tel Mobile Text Email

Please specify your ethnic group

White: White British ................ White Irish ........... Any other White background ......

Mixed:

White & Caribbean ..... White & Black African White & Asian ..... Any other Mixed background ......

Asian or Asian British:

Indian ........................... Pakistani ........................ Bangladeshi ......... Any other Asian background .......

Black or Black British: Caribbean ..................... African ................. Any other Black background .......

Other Ethnic Group: Chinese ......................... Any other ethnic group ................

Do not wish to declare

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