1. WHAT IS YOUR UNDERSTANDING OF THE MAIN STRATEGIC CHALLENGES FACING YOUR ORGANISATION(S) AND HOW HAVE YOU ADDRESSED THESE TO DATE?
1. Challenge: Rising referrals, and falling revenues on historic block contracts, causing financial pressures.
NSFT has demonstrated strategic leadership though implementing a merger of two previous trusts in 2012, and a full redesign and transformation of its services in 2012-13. It is now developing radical new plans to again reduce costs. These include a root-and-branch review of activities which are unfunded or loss-making and exploring system-wide savings in the wider local health economies, initially through innovative joint commissioning structures.
2. Challenge: Low staff morale and engagement (e.g. NHS survey scores), and high staff sickness absence rate.
NSFT is examining the mutual model, which has been part of very high staff engagement (see e.g. Kings Fund study and NAViGO achievement), and methods used by higher-scoring peer trusts. These issues are particularly important in mental health, as the quality of staff relationships with patients can directly influence outcomes, and because staff costs are a particularly high (c.75%) part of our costs.
3. Challenge: Lack of measurement of patient outcomes achieved, and of innovation to raise patient outcomes.
NSFT is one of the UK thought leaders in the emerging field of measuring mental illness treatment outcomes, including high–level participation in UK PbR and outcomes committees, and new thinking in best practice data collection, use of alternative outcome measures, and use of outcomes in clinician appraisals. In 8/14 NSFT, very unusually, recruited a Medical Director specifically with a job specification to measure and improve our outcomes. NSFT is looking to create a much more innovative culture, potentially including using the positive impact of the mutual model.
4. Challenge: Need to win new business in an increasingly open and competitive environment.
NSFT is working to deeply understand its costs and its competitive advantages/disadvantages, in order to enable accurate and successful bid selection and pricing. Whilst private sector competition is increasingly present in many areas, for NSFT inpatient services remains an area of strong competitive advantage. Innovation is another key competitive differentiator for NSFT, with examples including integrated bidding, prevention, outcomes, mobile IAPT in library buses, use of internet therapies (cCBT, POL), and innovative schools education (Compass).
mexican online pharmacies prescription drugs: Mexican Pharmacy Online – pharmacies in mexico that ship to usa
indian pharmacies safe http://indiaph24.store/# best india pharmacy
indian pharmacy
http://canadaph24.pro/# canada drugstore pharmacy rx
best india pharmacy https://indiaph24.store/# best online pharmacy india
india pharmacy mail order
http://mexicoph24.life/# buying prescription drugs in mexico online
top 10 pharmacies in india indian pharmacy reputable indian online pharmacy
best online pharmacies in mexico: Online Pharmacies in Mexico – mexican drugstore online
http://nolvadex.life/# tamoxifen rash
aromatase inhibitors tamoxifen: tamoxifen lawsuit – buy tamoxifen
http://nolvadex.life/# femara vs tamoxifen
propecia for sale buy propecia without prescription order propecia without a prescription
lisinopril 20 mg lisinopril 2.5 pill lisinopril 15 mg tablets
cytotec online: buy misoprostol over the counter – cytotec abortion pill
https://lisinopril.network/# zestril 10mg price
cost cheap propecia without a prescription buying generic propecia without prescription cost propecia prices
http://cytotec.club/# buy cytotec online fast delivery
http://cytotec.club/# ?»?cytotec pills online
cost generic propecia without prescription: buy cheap propecia – cost of generic propecia without a prescription
ciprofloxacin 500mg buy online cipro for sale buy ciprofloxacin
http://ciprofloxacin.tech/# ciprofloxacin mail online
antibiotics cipro: where can i buy cipro online – buy cipro online canada
http://cytotec.club/# cytotec buy online usa
how does tamoxifen work: tamoxifen rash – hysterectomy after breast cancer tamoxifen
https://lisinopril.network/# zestril tablet
tamoxifen moa nolvadex gynecomastia tamoxifen vs raloxifene
http://ciprofloxacin.tech/# antibiotics cipro
Cytotec 200mcg price cytotec buy online usa purchase cytotec
http://lisinopril.network/# zestril 5 mg india
get propecia without a prescription: propecia generics – get propecia without a prescription
http://nolvadex.life/# tamoxifen and osteoporosis
buy cytotec online fast delivery buy cytotec online fast delivery ?»?cytotec pills online
https://cytotec.club/# cytotec abortion pill
ciprofloxacin generic ciprofloxacin generic buy cipro online
http://cytotec.club/# cytotec abortion pill
cipro pharmacy: cipro online no prescription in the usa – buy generic ciprofloxacin
medicine lisinopril 10 mg cheap lisinopril 40 mg lisinopril 100 mg
https://ciprofloxacin.tech/# where can i buy cipro online
https://ciprofloxacin.tech/# cipro pharmacy
femara vs tamoxifen: tamoxifen and bone density – tamoxifen for gynecomastia reviews
cipro cipro cipro
https://finasteride.store/# cheap propecia without insurance
cytotec buy online usa buy cytotec in usa cytotec buy online usa
propecia pill: buying propecia for sale – buying cheap propecia price
https://cenforce.pro/# order cenforce
order viagra: viagras.online – sildenafil online
https://viagras.online/# order viagra
https://viagras.online/# Sildenafil 100mg price
Kamagra 100mg price kamagra buy kamagra online usa
Buy Cialis online Generic Cialis without a doctor prescription Tadalafil Tablet
https://levitrav.store/# ?»?Levitra price
Cheap Cialis: buy cialis overseas – Generic Cialis without a doctor prescription
Vardenafil online prescription Levitra generic price ?»?Levitra price
http://cialist.pro/# ?»?cialis generic
order viagra Cheapest place to buy Viagra Order Viagra 50 mg online
https://viagras.online/# Sildenafil Citrate Tablets 100mg
http://levitrav.store/# Buy Vardenafil 20mg online
cenforce for sale cenforce for sale buy cenforce
Kamagra 100mg price: Kamagra 100mg price – buy Kamagra
http://kamagra.win/# buy kamagra online usa
http://kamagra.win/# Kamagra 100mg price
mexican rx online: mexican rx online – medicine in mexico pharmacies
mexico pharmacy: reputable mexican pharmacies online – mexican online pharmacies prescription drugs
mexico pharmacies prescription drugs mexico drug stores pharmacies mexico drug stores pharmacies
canadian pharmacy drugs online: northwest canadian pharmacy – vipps canadian pharmacy
cheap prescription medication online buy medications without a prescription no prescription needed
https://pharmnoprescription.icu/# legitimate online pharmacy no prescription
canadapharmacyonline com: canadian pharmacy 365 – canadian pharmacy no scripts
mexican drugstore online mexican mail order pharmacies reputable mexican pharmacies online
canadian pharmacy drugs online: thecanadianpharmacy – vipps canadian pharmacy
http://pharmmexico.online/# mexican pharmaceuticals online
http://pharmnoprescription.icu/# no prescription
how to buy prescriptions from canada safely ordering prescription drugs from canada how to get a prescription in canada
https://pharmcanada.shop/# canadian pharmacy store
http://pharmworld.store/# mail order prescription drugs from canada
pharmacy no prescription required: pharmacy no prescription required – pills no prescription
medication from mexico pharmacy medicine in mexico pharmacies medication from mexico pharmacy
http://pharmcanada.shop/# canadian pharmacy meds
prednisone 40 mg tablet: where can i get prednisone over the counter – buy prednisone online usa
where to get doxycycline: doxycycline pills – buy doxycycline online 270 tabs
amoxicillin generic amoxicillin generic brand amoxicillin price canada
buying amoxicillin in mexico: amoxicillin without a prescription – purchase amoxicillin online without prescription
http://gabapentinneurontin.pro/# neurontin 800 mg tablet
where can you buy amoxicillin over the counter: buy amoxicillin from canada – generic amoxicillin 500mg
order prednisone online canada: online prednisone – prednisone 20mg nz
neurontin 100 mg cost: generic neurontin cost – neurontin cap 300mg
doxycycline vibramycin: doxycycline 100mg capsules – doxycycline 200 mg