Annual Report and Accounts - The Great Western Hospital

Harm from falls WCHS: It was not possible to set a target for the reduction in numbers falls resulting
in severe harm and death, as there was not a robust system in place to record the level of harm from
reported falls prior to 2011/12. Since Wiltshire community services merged with GWH in June 2011,
there have been two recorded severe harm incidents across the four community wards. There has
not been any death directly caused by falls in the same period of time.
The previous Community Falls Policy has been updated; it now shares much of its contents with the
revised acute falls policy, this is prior to the proposed full integration of both the community and acute
polices later this year. Across the community hospital wards, the SAFE care bundle is being
introduced.
Priority 4: To reduce healthcare acquired pressure ulcers
Pressure ulcers GWH: The combined target of both Category 3 and Category 4 hospital acquired
pressure ulcers was 20 or less. The actual total number reported during 2011/12 was 5 (Grade 4 = 1;
Grade 3 = 4).
Comparing the total numbers for 2010/11 Category 4 and Category 3 hospital acquired pressure
ulcers (13) with 2011/12 figures we have a 61.5% reduction on the previous year’s total number.
Our greatest improvement is on the actual total numbers of pressure ulcers that have developed year
on year. This year our strongest achievement has been in the reduction of Category 4s.
GRAPH – Hospital Acquired Pressure Ulcers GWH – Category 3 and 4
Hospital Acquired Pressure Ulcers GWH - Category 3 & 4
Combined Total Target
Total Achieved
60
Total Number
50
40
30
54
Total
Target
of 54
or less
47
49
Total
target
of 49 or
less
20
10
0
2009/10 2010/11 2011/12
13
April 2009 to March 2012
20
Total
Target
of 20 or
less
5
Pressure ulcers are key quality care indicators within the Essence of Care patient-focused framework
for clinical effectiveness and are included in the South West Key driver programme. Further
information about pressure ulcers, including planned reductions, assessment tools, support, training
and equipment can be found in the Trust’s Quality Account 2011/12.
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