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2017 Scatter Map and League Table for all MENTAL HEALTH & LEARNING DISABILITY Trusts

Tue 14th March, 2017
2017 Scatter Map and League Table for all MENTAL HEALTH & LEARNING DISABILITY Trusts

Okay, today it’s the turn of the Mental Health Trusts to come under the spotlight. How have staff at your Trust rated leadership and culture via the 2016 National Staff Survey results? Read on.

In a similar vein to the Acute sector, NHS England and Picker set different thresholds for measuring results for Mental Health and Learning Disability Trusts, from those that also include Community Services. So the next two blog posts will have similar messages but focus on these two different groups.

This post focuses on the Mental Health and Learning Disability Trust cohort, providing both the LiA Scatter Map and the corresponding League Table.

We have reviewed and analysed the 32 Key Findings from the 2016 NSS results – produced by Picker Europe for the NHS – for 27 of the 28 MH&LD Trusts for 2017 (Mersey Care FT are not included for 2017 given their acquisition of Calderstones, as they have no comparable results over the 2 years).

Each Trusts' results are reflected at a grid reference on a 32 by 32 ‘Scatter Map’ that shows how staff have rated the Trust’s leadership and culture over the past year. It's simple to understand:

  • The higher up you are, the better your Trust is performing against your peers in the eyes of your staff
  • The further to the right you are, the more positive your trend, year-on-year.

So, the best quadrant to find your Trust in is 'top right': an above average performance and a positive trend. Second best is 'top left': a positive relative performance according to staff, but they are less positive than the same time last year. The second worst quadrant is 'bottom right': below median performance with some encouraging positivity from staff to soften the blow. The worst quadrant is 'bottom left', with staff views on leadership and culture resoundingly negative.










This year’s results have been updated and improved in several key ways:

  • All 32 Key Findings have been included in the analysis, giving a complete picture of how staff feel
  • Each Trust is colour-coded according to its status as either a Foundation Trust (blue) or a non-FT (yellow). Where more than one Trust occupies the same grid reference (green), their status is reflected in their name annotation
  • A League Table of how each Trust has fared from last year to this year is included (below), highlighting the movement up or down the league table for each Trust, relative to their scatter map grid position.

So what can we glean from the MH&LD LiA Scatter Map:

  • This Trust cohort bucks the trend from the Acute sector, with a general shift towards a more positive workforce and no real impact on performance
  • The Foundation Trust/non-FT split is relatively evenly spread, with several non-FT Trusts fighting their way into the 'top-right' quadrant, whilst the bottom 4 Trusts according to staff results are all FTs: more grist to the mill that questions exactly what being an FT means for staff and how FTs should be measured on this aspect of performance?
  • Although there are only 27 Trusts plotted – with less Trusts to scatter! – there are a greater number of outliers in the map than other Trust cohorts done to date; one or two Trusts in particular are looking particularly ‘stranded’ in the 'bottom-left' quadrant, whilst 7 of the Trusts in the bottom half are still there from 2015
  • Four MH&LD Trusts who have adopted LiA are in the top quadrant, including one or two that have come from a long way down, so LiA is helping CEOs and their teams 'shift the dial' on these measures of success. Two very special shout-outs to Neil Carr and his team at South Staffs and Shropshire for being the top ranked Trust in the country in this cohort – and for having THE BEST results on the Scatter Map from any cohort! Also to Colm Donaghy and his team at Sussex Partnership for a quite stellar rise through the ranks in the past 12 months.

The most pleasing thing we’ve heard from many quarters since the publication of the Acute Trust Scatter Map and League Table last year is how valuable it has been in helping Trusts ‘see where they are nationally’. Great, that’s the intent, and, on the basis that ‘nothing gets done that doesn’t get measured’, if the Scatter Map and League Table elicit a response from Trust Boards and actions happen as a result, we’ve accomplished our goals. No more minutiae discussions by Trust Boards about how their NSS results are ‘up 1% on this target’ or ‘below median but trending better than last year’, or ‘we’re top 20% on 3 key findings, one better than last year’. Nope, now it's crystal clear what your staff results tell you. Are they good? Bad? Or downright ugly? Check out the LiA Scatter Map and League Table to find the answer.

League Table
We have produced the League Table below for all MENTAL HEALTH & LEARNING DISABILITY Trusts based on their LiA Scatter Map position. The National Staff Survey results on which the Scatter Map and League Tables are based are a summary of how staff feel about the leadership and culture of their Trust. Their response to 32 of the Picker Key Findings establishes the Trusts position on the scatter map for 2016. This position is then compared with each Trust’s position for 2015.

The League Table shows:
• In blue and yellow, a Trust status as an Foundation Trust (blue) or non-FT Trust (yellow)
• The league position for each Trust’s NSS results from best to worst
• The movement of each Trust up or down from last year’s position.

On this basis, the top 3 positive movers are: Sussex Partnership (+11), SWL&StG (+9), and Lincolnshire Partnership (+8). The top 3 Trusts going the wrong way, in a big way, are: Birmingham & Solihull MHFT (-8), Central & North West London FT (-9), and Tavistock and Portman (-9).


The tables are designed to help CEOs and their leadership teams understand their NSS results, how they place the Trust within their peer group, and, hopefully, decide on a course of action that will build on success or address what staff say is not working for them at their own Trust.

Download the PDF version of the LiA Scatter Map.

For further information on your Trust’s position and its implications, or to discuss your Trust’s response to the analysis, please contact Gordon Forbes, Director at Optimise Limited and owner/architect of Listening into Action (LiA) at 07734 812311 or by email

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