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5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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11 May 2012<br />

Many thanks for sharing your quality account with us and asking for<br />

feedback. I shared the report with a number of colleagues to request their<br />

views on the account. One of the observations was around the lack of<br />

reporting around the following areas: 3.7.1; 3.9.1 and 3.9.2. The numbers<br />

around MRSA and C-Diff offer assurance that there are effective<br />

measures in place to ensure patients are not at risk. I must also<br />

congratulate you on your impressive number of compliments from 21 per<br />

cent to 88 per cent is a terrific achievement and the small increase of 4 per<br />

cent to 19 per cent for complaints is also a significant achievement.<br />

A further observation around your Quality and Safety priorities is your<br />

intention to reduce the amount of falls by 10 per cent considering that at<br />

the last quality meeting there was a notable increase in the data with 18<br />

reported falls in January to eight last month with a worrying trend from<br />

June – September last year when there was as many as 18 falls being<br />

registered. Is 10 per cent a sufficient reduction or should the <strong>Trust</strong> not be<br />

aspiring to reduce this further?<br />

Regarding the <strong>Trust</strong>’s quality measures I was disappointed that there was<br />

no mention around what measures you were hoping to implement to<br />

address a steady increase in the number of medication / controlled drug<br />

errors during the last 12 months and I wonder what actions will be taken to<br />

improve the steady increase in this area of patient safety.<br />

I welcome the programme that you have put together regarding the patient<br />

safety framework - particularly your strong emphasis on the thematic<br />

review of serious untoward incidents Safer Mental Health Checklist and<br />

the emergence of a clinical quality dashboard to feedback to frontline staff<br />

are all significant improvements to ensure that there is a cohesive<br />

approach to ensuring that quality and safety are shared across the<br />

organisation.<br />

The ‘Creating Time to Care’ strategic objective demonstrates a desire to<br />

address the core values of ensuring that the patient remains at the heart of<br />

care delivery. The productive ward programme has been recognised as an<br />

innovative programme, which will improve the patient experience but also<br />

offer an ideal opportunity for frontline staff to demonstrate their skills to<br />

make real improvements in the main domains of patient care quality,<br />

safety and cost-effectiveness. The inclusion of the five quality metrics,<br />

which are regularly reviewed, will identify areas for improvement by the<br />

team.<br />

<strong>Annual</strong> Report and <strong>Annual</strong> Accounts 2011-12 127

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