Annual Report and Accounts - The Great Western Hospital

Priority 9: To review the clinical care of patients who need to return to theatre within a
two week period
The aim for 2011/12 was to establish baseline figures for patient returns to Theatre within 2 weeks.
Total returns to Theatre for YTD = 41
Total cases YTD = 18.468
Overall % YTD = 0.2%
• There continues to be monthly monitoring of specialty trends. Theatre Coordinating
Managers validate the monthly figures collated by the Informatics Team.
• 2012/13 we will continue to collate, monitor and validate on a monthly basis.
• We will continue to highlight any trends and report these to the appropriate specialty Clinical
lead in the first instance.
• Any trends or areas of concern will be discussed at the Directorate & Clinical Governance
meeting on a monthly basis where appropriate.
Priority 10: To ensure that patients who have sustained a fractured neck of femur are
operated upon within 11 hrs of sustaining their injury if medically fit
Hip fracture is a common, costly and well-defined injury, which occurs mainly in older people. As the
number of elderly people and age-specific incidence of hip fracture continue to rise, orthopaedic and
rehabilitation services face growing pressures and a multidisciplinary working group meets bi-monthly
to review all aspects of care for these patients.
Early surgical intervention is associated with better patient outcome. In accordance with best practice
tariff, the quality indicator contract time to theatre is 36 hours. The Trust indicator requires that 90% of
patients who are deemed medically fit require surgery within 36 hours of admission. The average
percentage of patients who achieve this is 91% for the year.
CHART – Fractured Neck of Femur – Patients going to theatre with 36 hours if medically fit
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