1. Avon Partnership Occupational Health Service Investing in good health at work Area Collaborative Service Barry Lane Business Manager Avon Partnership NHS Plus Occupational Health Service

2. Avon Partnership Occupational Health Service APOHS – the Partnership Formed in 2001 as a partnership between UBHT, NBT, Weston Area HealthTrust, with South Gloucestershire PCT and Avon Ambulance Trusts Currently providing OH for 25,000 NHS staff External contracts include University of the West of England, University of Bristol, Wessex Water, Western Power Distribution. Hosted by (now) UHBFT NHS Plus ISO 2001 Investors in People Investing in good health at work

3. Avon Partnership Occupational Health Service Investing in good health at work Partnership aims To provide a more effective organisation to enable the local NHS to better achieve the national Human Resource Strategy: Particularly to: –Provide a high quality, cost effective occupational health provision to staff. –Achieve a more equitable core standard of service across the local NHS. –Improve the access of occupational health services to staff. –Improve attendance and retention rates in relation to work induced mental and physical ill health. –Improve performance in the management of disability of staff. To create a centre of excellence derived from high quality clinical leadership and governance, education, research into and development of local occupational health services. Though membership of NHS Plus, contribute to the national occupational health strategy thereby: Providing Occupational health services and advice to local SMEs. –Contribute to the improvement of local public health. –Generating income to improve occupational health services for NHS staff.

4. Avon Partnership Occupational Health Service Investing in good health at work APOHS Management Organisational chart Partnership Board Dr Brian Williams Lead Clinician Barry Lane Business Manager Dr Robin Philipp Consultant Vacancy Consultant Jess Metherill MSK Lead Physio’ (TBC) Lead Counsellor Maggie Brettell Lead Nurse Audrey Du'Mont Operations Manager Jenny Hares Office Manager Sue Bell Office Manager Nurse Specialists x 9 Trainee Nurse Specialists x 3 Screening Nurses x 6 Admin Team UHB & Weston sites Admin Team NBT sites Counselling team x 6 Physio’ team x 4 Physio Direct Specialist Registrar & Clinical Assistants APOHS Organisational Chart

5. Avon Partnership Occupational Health Service Investing in good health at work APOS – Historical Structure Nursing Counselling Physio Helpdesk Admin Helpdesk Admin Nursing Counselling Physio Helpdesk Admin OPAS Whitefriars Frenchay Weston Southmead Consultants Registrars Nursing Counselling Physio Nursing Counselling Physio Consultants Registrars

6. Avon Partnership Occupational Health Service Investing in good health at work Situation Analysis - Internal Shared Values: Excellence Care Dedication Service Structures: Based on Health Trusts, Not Partnership Systems: Duplicated Not supportive of multi site working Style: Inclusive Supportive Reactive Staff: Knowledgeable Motivated Dedicated Skills: Expert OH Skills Excellent Management skills Strategy: Extend service and reduce costs to partners by generating external income

7. Avon Partnership Occupational Health Service Investing in good health at work Planned structure APOHS OPAS / VPN / Web OH Clinic UHBFT Weston NBT OH Clinic HUB Advice Line Doctors Physio Counselling Admin OH Nurse Clinic Customer sites

8. Avon Partnership Occupational Health Service Achievements Comprehensive OH service Provider. Core services delivered to Partners at below average cost (£70 Average – 2008 NHS Plus audit) Service provided to 22% more Partner staff than 2001 at 14.4% less per capita cost (Adjusted for NHS inflation) than 2001. Physio-Direct –Early intervention for Minor MSK problems – achieved 9% reduction in MSK sickness absence in first year. Investing in good health at work

9. Avon Partnership Occupational Health Service Investing in good health at work Where do we want to be? Providing all NHS Occupational Health in the area. Hub of NHS Plus in the region Market leading Occupational Health Provider in area. Recognised as exemplary Occupational Health Service. An employer of choice.

10. Avon Partnership Occupational Health Service Investing in good health at work Current Business Priorities Achieve SEQOHS & NHS Plus Standards IiP Re-accreditation Rationalise facilities to centralise Admin / Advice line Consolidate duplicated IT systems to provide location independent working capabilities / improve management information.

11. Avon Partnership Occupational Health Service Investing in good health at work Benefits Improve service to Partners Increased efficiency Greater consistency Greater customer contact Free resources to broaden client base

12. Avon Partnership Occupational Health Service Ensuring Sustainability What is the vision? Agree SLAs and funding frameworks at the outset. Install effective management systems Autonomy with accountability Inclusive management Investing in good health at work

13. Avon Partnership Occupational Health Service Investing in good health at work Avon Partnership NHS Plus Occupational Health Service Barry Lane Business Manager