Annual Report and Accounts - The Great Western Hospital

The Trust is using its foundation trust status to develop its services and improve patient care. An
example of this is that the Trust was able to use retained cash surpluses to provide a new Cath
Lab.
3.17 Performance against key healthcare targets
Details of performance against key healthcare indicators is set out elsewhere in this report (section
6.4 refers).
3.18 Arrangements for monitoring improvements in the quality
of healthcare
Continuous monitoring of the Quality Account and Improvement Plan and National Targets is
observed monthly. The improvement indicators and national targets inform the Safety and
Performance Dashboard and are reported through to our Commissioners and Trust Board via an
Executive Committee. The Quality Account improvement indicators also inform a Patient Safety
and Quality Committee each month.
Compliance Monitoring of the CQC regulations is undertaken through a Clinical Standards Group,
the Patient Safety and Quality Committee and Executive Committee up to Trust Board.
Compliance monitoring is informed by the CQC Quality and Risk Profile. Exceptions in compliance
or risks identified inform the Trust’s 15+ Risk Register (a register of top risks) and actions plans are
developed and progress monitored to ensure any evidence of compliance or strengthened where
appropriate.
3.19 Progress towards targets
Progress with national targets informs the Trust Safety and Performance dashboard which
is shared and monitored by our commissioners, as well as monitored through the Executive
Committee and Trust Board. Monthly directorate performance meetings are held to monitor
performance at directorate level. Quarterly reporting on compliance with the national targets
informs Monitor quarterly.
Progress towards targets as agreed with local commissioners, together with details of other key
quality improvements are included elsewhere in this report (section 6.4 refers).
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