5 Year Strategic Plan 2021-2026 - Isabel Hospice
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You really have no idea how amazing everyone is at Isabel Hospice. “Outstanding palliative care for all” With death, we only get one chance to get it right. We work hard as a team of nurses to make that as good an experience as we can. Being able to care for someone right through to the end is a privilege. 5 Year Strategic Plan 2021-2026
You are there when others are not. I don’t know what I would have done without you. Thank you for all Contents the wonderful care you gave to 1-2 Who we are my husband in his last few days. 3-4 Our journey 5-6 What we do 7-8 Our strategy - an overview 9-10 Empower 11-12 Enable 13-14 Engage 15-16 Our vision 5 Year Strategic Plan 2021-2026
Who we are Isabel Hospice has been providing free palliative care to its patients and their families since 1982. Through our Hospice at Home, In-Patient Unit, Community Team, Living Well with Isabel programme and our Family and Bereavement support service, we provide care to people in eastern Hertfordshire who are affected by life- limiting illnesses. Our clinical teams work closely with other healthcare providers in the area, including care homes, hospitals and GP surgeries, improving access to our services and sharing their knowledge and expertise. We have expanded our services to support more people with a non-cancer diagnosis, now on average 41% of our patients. Our Living Well programme has also allowed us to reach people much earlier in their diagnosis, supporting them to manage the challenges of living with serious illness and long term conditions through a range of interventions and holistic therapies. Covid-19 has presented a number of critical challenges and we have had to adapt quickly, making substantial changes to the way we deliver our care. It is now more important than ever that we plan for the future to ensure Isabel stays resilient and relevant. This five-year strategy will help us to remain flexible and to harness our new ways of working to deliver better results, reduce our costs, diversify our income streams and collaborate more successfully. Helen Glenister Chief Executive Officer 5 Year Strategic Plan 2021-2026 1.
Looking back, I just don’t know how we would have coped without Isabel Hospice. 5 Year Strategic Plan 2021-2026 2.
Our journey 1989 Launch of 1986 £800,000 appeal to build an 1984 Isabel Wing, Hall Grove opens. In-Patient Unit in grounds of QEII, 1967 Two specialist nurses appointed to cover Welwyn Building provided by Welwyn Hatfield Council. Welwyn Garden City. Building work begins. First sod Dame Cicely Saunders OM and Hatfield. cut by Patron DBE FRCP FRCS Becomes the hub Kim Wilde. Public meetings (1918-2005) opens of the service. begin to be held all St Christopher’s First Hospice shop over the catchment Hospice in opens in Cheshunt area to recruit local Sydenham, the by Patron Marty volunteers and beginning of the Wilde. fundraisers. modern hospice movement, providing a holistic approach to palliative care. 1988 Isabel Last, our founder, 1982 1985 Change of name dies. 1990 to Hospice Care On 1 October, On 21 April, Service for East HRH The Isabel Last, resident Hertfordshire. Duchess of Kent of Welwyn Garden opens 10-bed City, former nurse Dr David Knight 1987 IPU. and living with and wife Patricia cancer, convenes the offer respite care Development of first meeting of the at their converted On 14 May, HRH The the Bereavement Welwyn and Hatfield home “Pinewood”, Duchess of Kent Service. Hospice Service. in Hoddesdon. opens Isabel Wing. Prayer groups Seven specialist established. nurses in post to cover the Hospice catchment area, i.e. the East Herts Health Authority. 5 Year Strategic Plan 2021-2026 3.
2001 2016 Extended and refurbished IPU opens, with 2007 Launch of Living Well with Isabel Day service sessions in 25th Anniversary 16 beds. Welwyn Garden City, 13 Hospice shops Bishop’s Stortford and New courtyard run by the Trading Stanstead Abbotts aim 1993 garden designed Company. to increase mobility, and opened by Physiotherapy and strength and life Patron Kim Wilde. First palliative lymphoedema care expectation of patients. care contract increases. 1996 Old QEII Hospital with East and Welwyn Garden City is North Herts demolished. In-Patient Health Authority. Children’s Services moved to care support group home in Hatfield until Garden at Isabel launched Wing, Hall Grove work is completed. (CATS) and designed and family support established by extended. volunteers and sponsors. Lights of Love ceremonies 21st volunteer 2020 commence. course held. Isabel Hospice 2009 responds to the Covid-19 crisis. Offers six beds in IPU Isabel Hospice receives The for use by the NHS. Queen’s Award for Specialist nurses work 1995 Voluntary Service. remotely. Change of name and logo of charity 2012 All fundraising events postponed or cancelled. Virtual fundraising to Isabel Hospice. 30th Anniversary events organised. Day hospice Appointment services become Lights of Love and of first General more targeted to Garden of Memories Manager. patients’ needs “Forget-Me-Not” at the various services are held Hospice launches virtually to support satellites. lottery. families. 1,000 volunteers supporting all parts Hospice launches 1998 of the service. Fighting Fund, raising £160,000. 1994 Hospice at Home launched. Appointment of part-time chaplain. First Sunflower Appeal and Sunflower Ball. 2022 40th Anniversary of Isabel Hospice. 4.
What we do Our vision is of a world where communities talk openly about death and dying, everyone lives life to the full and dies with dignity in the place of their choice, knowing their loved ones are supported. We support patients and their families who are living with life-limiting illnesses and conditions including cancer, heart failure or respiratory illness, and neurological conditions such as motor neurone disease. We help people to live pain- and symptom-free so they can make the most of the time they have left. Isabel Hospice are there when others aren’t. I don’t know what I would have done without you. 5 Year Strategic Plan 2021-2026 5.
Living Well with Isabel supports patients to deal with the physical and psychological effects of their condition and to improve their daily quality of life. Our Compassionate Neighbours scheme provides assistance to those struggling with isolation. Our community team manage our helpline and provide consultations and specialist palliative care knowledge and support to patients at home living with a life- limiting diagnosis. The In-Patient Unit provides 24-hour medical and nursing care to patients when they have distressing or complex symptoms which cannot be managed at home. Our Hospice at Home team work alongside local GPs and District Nursing teams to offer specialist palliative nursing care in a patient’s own place of residence, often avoiding the need for admission to hospital. The Family Support service offers practical counselling, emotional, and social support to patients, carers, family and friends, which continues throughout the illness into bereavement. 5 Year Strategic Plan 2021-2026 6.
Our strategy - an overview What Isabel will look like in the next stage of our strategy... mpower nable Numbers of active volunteers increased to 75% Patient satisfaction remaining above 95%
ngage Deliver outstanding services A blend of face-to-face and virtual consultations Increase our income Reduce our costs 5 Year Strategic Plan 2021-2026
mpower a dynamic, agile organisation that is financially sustainable and resilient 5 Year Strategic Plan 2021-2026 9.
mpower The challenge We cannot generate sufficient income to cover the costs of the ever- increasing need for our services, by doing what has worked in the past. Isabel Hospice ‘as is’ cannot sustain the anticipated growth. Our workforce needs to be empowered and driven to enact change. What we will do • Develop a skilled, focused, high-performing and committed workforce of staff and volunteers • Leverage high-quality data to drive informed decisions • Consider charging for non-core services • Be efficient with costs and expenditure • Improve legacy income predictions, e.g. investigate ‘Legacy Insights’ • Increase our income • Reduce operating costs • Review governance structure to ensure it supports an agile business • Develop succession plans for employees Measures of success By 2026 we will have: • Diversified into other income streams • Increased active volunteers to 75% in a month • Better understood our volunteer requirements and diversified our base to support those needs • Met our targets for employee satisfaction (sickness, retention, empowerment) • Ensured that expenditure is no more than 80% of income • Free reserves equivalent to at least six months of expenditure • Increased fundraising income (excl. legacies) to £3M a year. • Trading company contribution in excess of £1M a year. • Increased the amount of donor pence in the pound that goes towards patient care 5 Year Strategic Plan 2021-2026 10.
nable an outstanding organisation that delivers care in any setting and is seen as a leader in our field 5 Year Strategic Plan 2021-2026 11.
nable The challenge Our organisation needs to be outstanding in everything we do. Specialist palliative care will remain core. We also need to leverage new technology to reach people in new ways and improve our business at every level. What we will do • Build on new ways of engaging with our partners and primary care borne out of Covid, e.g. webinars/virtual sessions • Efficiently continue virtual community care where applicable • Find new, innovative ways to deliver income • Become an employer of choice • Find new ways to understand and measure patient satisfaction • Assess accreditation options, e.g. CHKS Measures of success By 2026 we will have: • Delivered outstanding services • Identified four key success areas from the staff survey and improved those vs 2021 results • Patient satisfaction remaining above 95% • A blend of face-to-face and virtual consultations • Delivered outstanding donor and retail experiences 5 Year Strategic Plan 2021-2026 12.
ngage with our stakeholders and one another 5 Year Strategic Plan 2021-2026 13.
ngage The challenge We need to find ways to collaborate successfully externally (e.g. other hospices, the NHS, universities) and to ensure better internal collaboration to support this. What we will do • Work with the NHS to deliver valued services that they are willing to fund • Collaborate with external partners as widely as possible, e.g. the University of Hertfordshire • Benefit from economies of scale through greater collaboration and partnership with other hospices • Investigate outsourcing • Engage in new ways of working • Build partnerships with local organisations to enable a strong community presence and drive awareness • Improve our internal communications Measures of success By 2026 we will have: • Increased perceived level of NHS funding due to offering valued services • Built a partnership with the University of Hertfordshire and other businesses • Partnered with another organisation to reduce operating costs and improve patient services • Increased employee survey results 5 Year Strategic Plan 2021-2026 14.
Our vision Outstandin care f 5 Year Strategic Plan 2021-2026 15.
ng palliative for all 5 Year Strategic Plan 2021-2026 16.
@IsabelHospice @IsabelHospice website: www.isabelhospice.org.uk tel: 01707 382500 email: enquiries@isabelhospice.org.uk 61 Bridge Road East, Welwyn Garden City, Hertfordshire, AL7 1JR Registered Charity Number: 1046826 DEC 2020 - v1
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