Annual Report and Accounts - The Great Western Hospital

No. Audit Title
Learning From The Project
Dieticians. Patients and parents felt there was a need for psychological services to
be made available (particularly at diagnosis). Over half of the Parents and patients
said they visited the clinic 4+ times. Majority of patients and parents felt they had
enough choice re: insulin regime. Over 80% of patients and parents felt they could
contact their PDSN or Dr outside of their appointment, and this that service was
valued and useful.
13. The National
Oesophago-
Gastic Cancer
Audit (NOGCA)
14. National Lung
Cancer Audit
(LUCADA) -
2009/10
15. Consultant Sign
Off – College of
Emergency
Medicine (CEM)
Audit 2011
16. Major
Complications of
Airway
Management
17. Carotid
Interventions
Audit 2010
18. National Diabetes
Inpatient Day
Audit-2010
19. National
Comparative
Audit of the use
of Red Cells in
Neonates &
Children - 2010
20. College of
Emergency
Medicine (CEM )-
Paediatric Fever
21. National
Paediatric
Diabetes Audit
2010
The aim of the audit is to look at the diagnosis, staging, and treatment planning
process, curative treatment outcomes, palliative oncological treatment
(chemotherapy / radiotherapy) and endoscopic / radiological palliative therapies. The
Trust is compliant with the recommendations made by the national audit. The
surgical treatment is offered in Oxford. The Trust aims to continue with the current
practice and participate in the next round of the national audit.
The Trust is compliant with all the standards covered under this project in 2009/10.
This audit was to review of selected patient groups by a consultant in Emergency
Medicine prior to discharge from the Emergency Department (ED) or admission to
hospital. The results showed that there is limited consultant availability in ED in the
evenings and at night. Consultants in the department have started to cover shifts
from 3pm to 7pm. There should be teaching of all ED staff to underline the
importance of review of these patients prior to discharge. Results of the national
audit will be taken forward by the College to look at national guidance on staffing
levels in emergency departments.
The project aimed at focusing on the complications of airway management in the
NHS hospitals across the UK. Although the Trust did not have any eligible patients
for the audit, the trust is compliant with the recommendations made by the Royal
College of Anaesthetists.
The trust has demonstrated excellent clinical outcomes. The next steps include, a
planned patient experience questionnaire from August 2011, further joint working
with stroke team to streamline pathway, and improved data submission.
This Audit was to assess the care received by diabetic patients. Actions include
raising awareness of the Think Glucose Initiative across the whole of the trust to
improve patient care.
Participation in the National Audit reflected that the Trust is compliant with the
majority of the recommendations. Action plans include drawing up new guidelines
and policies for the use of red cell transfusions to all children and not just neonatal
groups, promote education about safe prescribing and administration of transfusions.
Re-audit with a focus on pre and post transfusions Hb levels and the
recommendations around documentation and prescriptions.
There is a need for training and supervision for medical and nursing staff so that the
guideline is both understood and becomes part of the normal practice of our
departments. Actions include: Dissemination of the results and revision of paediatric
proforma to capture all elements required on admission with fever.
This National report is two years out of date and changes have already been made
to the service. Recent data suggests that the Trust is performing equal to or above
the National Average. Actions that have been completed include increase in
diabetes support nurse.
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