Quality & Safety Ambitions Colin Ovington, Chief Nurse Kam - - PowerPoint PPT Presentation

Quality & Safety Ambitions

Colin Ovington, Chief Nurse Kam Dhami, Director of Governance

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What is Quality ?

Patient Experience of care Safety of care provision Effectiveness of Care

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Continuously improving the quality of care provided

• ur overarching aims

Our patient promises are consistently delivered across all our services and

• ur staff report that ours is a safe
• rganisation in which they would

choose to be treated, within a health and social care system that is integrated

Through an accountability framework ensure fundamental standards are delivered in a standardised way, reducing variability in practice. Through a culture and behaviour which strives for best practice, service development improvement plans will be in place to ensure best practice.

All feedback from patients, whether it is concerns voiced on the ward at the time, or complaints made once they are back home, will make a

• difference. These will be taken

seriously and lessons learned.

Hearing the voice of doctors in training at every level of the organisation for improving the learning from complaints and incidents, ensuring they have the knowledge, skills and attitudes that equip them as champions for safety throughout their career.

Everyone working in the Trust will be honest, open and truthful in all their dealings with patients and the public. Organisational and personal interests must never be allowed to outweigh the duty to be honest, open and truthful. Patients can be confident of receiving the highest quality, knowledge based care, delivered consistently with compassion by caring and competent nurses. A culture where older patients are valued and listened to and are treated with compassion, dignity and respect. Ensuring a culture where the quality

• f data is viewed as important by all

staff providing as well as those using data with a known framework and assurance systems in place for delivering accuracy

Getting fundamental standards right Creating the right culture with values that put patients first Effective complaints handling Openness, transparency and candour Caring for the elderly Medical education and training Compassionate, caring and committed nursing Accurate, useful and relevant information

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The CQC’s new hospital regime

To get to the heart of the patients’ experience the CQC inspection panels will try to answer five questions about an

• rganisation’s services

What do you think?

Is it safe?

Services organised to avoid harm occurring to patients

Is it effective?

Services delivered in line with national guidelines and achieve good outcomes for patients.

Is it caring?

Direct staff / patient interactions are caring

Is it responsive to people’s needs?

The organisation meets the needs of patients (e.g. access, comfort, letters to patients etc.).

Is it well-led?

At trust level, service level and ward/team level

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Quality Improvements in our annual plan

Indicator Target 2012/13 Current Position 1 Emergency readmission rates 10.9 9.5 9.06 2 A&E re-attendance Patient seen within 4 hours 5% 95% 7.89 92.5 6% 94.54% 3 Complaints per 1000 episodes No national target 0.52 0.46 4 VTE assessment rate 95% 91.5 95.5% 5 Sickness & Absence rates 3.15% 4.45 4.26%

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Cultural Quality Improvements

1 MaPSaf (Manchester Patient Safety tool) 2 Leadership assessment and development at all levels of the trust

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We will always achieve ten out of ten Our approach to prevent harm

Proposed Standards 1 We will use Positive patient identification using three unique identifiers 2 We will assess every patient for their risk of developing a pressure ulcer and put in place the appropriate preventative measures 3 We will assess every patient for their risk of falling and ensure that the correct preventive measures are in place 4 We will assess every patient for the risk of developing venous thrombo-embolism and ensure the correct prophylaxis is prescribed where appropriate 5 We will ensure every patient has a base line set of observations carried out by a registered nurse including at least one record of height and weight 6 Every patient will have their medicines checked and reconciled against a definitive list and have any allergies clearly documented on their prescription chart 7 Every patient will have their mental capacity assessed and where required referral for further assessment 8 Every patient will have their pain assessed against a visual analogue scale and offered analgesia if required 9 Every patient will be screened for MRSA and give decolonisation treatment if required 10 Every patient will have their nutrition and fluid needs assessed and given access to appropriate nutritional advice

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Contracting for Quality and Innovation (CQUIN)

Our plans for the new year starting 1st April 2014. Proposed CQUIN for 2014 Current measures

• Safety thermometer
• Pressure sore prevention
• Blood clot prevention
• Falls – inked to sedation and blood pressure medicine
• 94% harm free
• 1 grade 4 ulcer
• 95.5%
• 24 with harm
• Sepsis
• Referral time to treatment for therapy services
• 5% trajectory on track
• Not measured yet
• Friends and family test
• Dementia
• Pain
• 73% on wards
• 44% in ED
• Met for two months
• 90% improvement on

trajectory

• Speed up sending letters to GPs after an outpatient appointment
• Letters to GP’s after an inpatient discharge
• Safeguarding referral patterns
• Readmissions 13.69%
• Requires a baseline

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Patient Knows best

Our plan to improve patients experiences of care in our system We do need to work up a better engagement and experience strategy which is wider reaching and more inclusive of our diverse population Our Nine Promises

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I WILL make you feel welcome

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I WILL make time to listen to you

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I WILL be polite, courteous and respectful

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I WILL keep you informed and explain what is happening

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I WILL admit to mistakes and do all I can to put them right

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I WILL value your point of view

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I WILL be caring and kind

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I WILL keep you involved

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I WILL go the extra mile

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