Client Work
Safer Staffing Review
NHS Healthcare Trust
Facere Melius completed a staffing review of all wards, trained matrons on how to undertake the reviews and provide professional challenge. Created a model that predicts required staffing levels
Quality Governance Review
NHS Healthcare Trust
Facere Melius completed a quality governance review providing the trust with over 50 recommendations for improvement
Governance Review
NHS Healthcare Trust
Facere Melius completed a governance review providing the trust with 20 recommendations for improvement
Multiple Death Independent Investigation
CCG
Facere Melius completed an independent investigation into multiple deaths of similar origin.
Governance Improvement
NHS Foundation Trust
Facere Melius provides ongoing governance support by implementing improved governance arrangements.
Governance Review
NHS Foundation Trust
Facere Melius completed a Governance review, identifying recommendations for improvement.
CQC Preparation
Commercial Healthcare Provider
Facere Melius provided rapid support for a CQC inspection, this included mock interviews and training of all managers.
Implementation of the new Model Constitution
CCG
Facere Melius is working with the CCG to implement the new NHS England Model Constitution.
Governance Support and Improvement
CCG
Facere Melius is providing ongoing support and improvement to a CCG, this includes committee development, improvement in the use of the Governing Body Board Assurance Framework.
Risk Management Improvement
NHS Foundation Trust
Facere Melius provides light-touch support to rebuild risk management systems from board to ward.
Risk Management Improvement
University NHS Trust
Facere Melius provides support to rebuild risk management systems from board to ward.
Including; observation of risk discussions, rapid rollout training, coaching of risk facilitators, evaluation of risk management system and improvement, board assurance framework, cleansing of risk registers, drafting risk reports from board to ward. Trust achievement requires improvement from inadequate.
Human Factors
University Hospitals NHS Trust
Facere Melius developed a human factors strategy.
Risk Management Training
Hospital NHS Trust
Facere Melius delivered level 2 risk management training.
Evaluation of Risk Management System
Hospital NHS Trust
Facere Melius completed a review of the effectiveness of two risk management systems. The organisation avoided an Inadequate CQC rating.
Serious Incident Investigation
Hospital NHS Trust
Facere Melius is providing external support for an internal level 2 serious incident investigation.
Risk Management Improvement
Partnership NHS Trust
Facere Melius provides support to rebuild risk management systems from board to ward, including training, developing assurance reports to board sub-committees. Trust aspiring to ‘Outstanding’ from ‘Good’ CQC rating.
Independent Investigation
Hospital NHS Trust
Facere Melius completed an independent investigation into paediatric death.
Risk Management Improvement
Hospital NHS Trust
Facere Melius provided support to rebuild risk management systems from board to ward, including training, developing assurance reports to board sub-committees. Trust achieves ‘Requires improvement’ from ‘Inadequate’.
Regulation Assurance Review
County-wide Care Provider, Not for Profit Charity
Facere Melius completed a review of quality governance to understand the line of sight of the quality committee to expected regulatory assessment outcomes. Trust had received an unexpected inadequate rating.
Serious Incident Investigation Turnaround
Hospital NHS Trust
Facere Melius provided turnaround support for over 100 breached Serious Incidents, this included coaching for investigating officers to drive up the quality of the investigations. Trust had received an inadequate rating and was subsequently assessed as requires improvement.
Complaint Investigation
Hospital NHS Trust
Facere Melius completed a rapid investigation of a complex patient complaint.
Quality Governance Improvement
University Teaching Hospital NHS Foundation Trust
Facere Melius provided turnaround support for Quality Governance.
Including; designing and implementing a new QG integrated management structure, establishing new ways of working and improving the quality of assurance provided to the Trust Board. Review and implement improvements to the approach to monitoring compliance with CQC regulations and preparation for CQC compliance. Sustained ‘Requires improvement’ rating, avoiding a predicted ‘Inadequate’ rating.
Risk Management System Rebuild
University Teaching Hospital NHS Foundation Trust
Facere Melius delivered a full rebuild of the Safeguard Risk Management System including associated processes.
Including; risk management, incident reporting and management, management of the central alerting system and patient experience. Trust was criticised in a Well-led review for lack of progress with its Risk Management System.
Evaluation of Risk Management Review
University Teaching Hospital NHS Foundation Trust
Facere Melius completed a full management audit and review of the Safeguard Risk Management System Implementing rapid improvements and proposing recommendations to make the system fit for its purpose.
Risk Management Improvement
Combined NHS Trust
Providing rapid turnaround to corporate and quality governance processes. Facere Melius reviewed and segmented the full risk register and then focussed on high-level risks, created a working board assurance framework that would assure CQC of improved board grip on risk and completed a review and implemented rapid improvements to the Datix Risk Management System.
Governance Review
Combined NHS Trust
The Trust was in the process of being placed into special measures fowling its second ‘Inadequate’ CQC inspection. Facere Melius provided advisory to the Trust Board on corporate and quality governance matters whilst conducting a rapid review of quality and corporate governance arrangements bringing together information from the NHSI, Capsticks Well-led review and CQC report to create a practical plan of action that would have rapid high impact changes. Our work also included an annual board review.
Quality Governance Review
University Teaching Hospital NHS Foundation Trust
Quality Governance review, the Trust is currently rated as ‘Requires improvement’ and wanted an independent review of its quality governance arrangements from board to ward. The review put forward 58 recommendations for improvement and delivered some ‘difficult messages’ to the board in a constructive and supportive way.
Quality Governance Turnaround
Hospital NHS Trust
Quality Governance turnaround in an acute trust assessed by CQC as inadequate for Safety improved to ‘Requires improvement’ and taken out of special measures (6 months). Developed and delivered a transformation programme to put in the key foundations to improve the CQC rating.
Quality Governance Review
Working within the Clinical Services Directorate to assess the maturity of the clinical governance processes within the services provided, coaching staff and facilitating development plans to further strengthen the clinical governance and service improvement plans.
Hospital Trust Quality Governance Turnaround
Delivered a quality and safety turnaround project. Following a CQC improvement notice the Trust was placed in special measures. Development of new quality and safety governance structures, management groups and accountability frameworks for a new way of working. Coaching of top teams within divisions and directorates. Support to the executive team and non-executives on quality and safety management and assurance. Delivery of a development programme for divisions, directorates and corporate support.
Assurance of clinical governance and safety systems for a CSU
Working within the Clinical Services Directorate to assess the maturity of the clinical governance processes within the services provided, coaching staff and facilitating development plans to further strengthen the clinical governance and service improvement plans.
Capsticks Alliance
Programme managing for the Capsticks Alliance the bidding process to support the London CCG Pathfinders and responsible for the mobilisation and delivery of a £500K support programme for Wandsworth and Hounslow CCG Pathfinders.
Private Medical Consortia
Facilitating the constituent companies to prepare for and enable registration with the healthcare regulator, skilling up the Directors to be registered managers and providing the right competencies and assurance to the Care Quality Commission.
The Facere Melius team have also worked with other consultancies to support client delivery, these assignments have included:
Combined Healthcare Trust – Quality and Safety Development
Completing a management review of the quality and safety structures within the orgsanisation and developing a maturity matrix for newly established directorates. Support and coaching for the leadership of the quality and safety support team.
Hospital Trust – Clinical Audit Workshop
Running a workshop on reviewing the organisations maturity to clinical audit building on the national guidance for boards and partners published by HQIP and GGI.
CCG – Governance review and turnaround
Working with a CCG in legal direction, completed a review of governance arrangements across key governance domains then making recommendations for improvement. Providing turnaround support to the CCG leading to legal directions being lifted.
University Hospital Trust – Quality and Safety Turnaround
Programme managed and delivered key aspects of a quality and safety turnaround project. The programme was established following an CQC improvement notice and the Trust being placed in special measures. It achieved establishing new ways of working in the hospital divisions and corporate support team, delivering the foundations for sustainable improvement.
Welsh Hospital Trust – Business delivery structures
Working directly for the Chief Executive providing professional advisory service on establishing a new way of working, and undertaking a mapping exercise of good practice to plan a safe transition from the current structure to the future state.
University Hospital Trust – Serious Incident Recovery
Leading a recovery programme of a backlog of over 100 serious incidents, including completion of root cause analysis and investigation reports. Helping the Trust identify themes and trends and opportunities for improvement.
CCG – Investigation of Continuing Healthcare Complaint
Supported the delivery of an investigation report into a continuing healthcare complaint involving a commissioning support unit and a clinical commissioning group.
Federated CCG – Review of Governance Arrangements
Supported a diagnostic review of governance systems across three federated clinical commissioning groups.