Annual Report and Accounts - The Great Western Hospital

This has been achieved by:
• Monthly reporting of percentage of patients having surgery within 36 hours
• Monthly trend analysis to close any gaps identified
• Monthly reporting of reasons for non-operation within 36 hours
• Changes to processes to improve compliance
• Prioritisation of operating slots for patients with hip fracture
• Increased bank holiday/weekend trauma lists
Priority 11: To ensure patients are assessed for the risk of developing
Venousthromboembolisms and that these risks are managed appropriately
Compliance with completing VTE risk assessment has been maintained at over 90%. This
achievement includes data from Wiltshire since June 2011.
This has been achieved with:
• Continued education sessions at Trust Induction.
• VTE update training now available on Training tracker and via a workbook.
• VTE sessions provided specifically for Health Care assistants which was very successful and
enabled recruitment of additional VTE link HCA’s who have made significant improvements
to the quality of VTE assessments in their areas. This is also being rolled out in Wiltshire to
enable VTE link staff to have the same level of access.
• Implementation of an audit trail through the nursing crescendo system and daily reports
provided by Informatics to each ward area which allows them to easily identify any patients
who have not been risk assessed.
• Raising awareness with patients and relatives by means of information boards and displays
during national thrombosis week, the winner of last year’s event is permanently displayed in
Cherwell, pre-assessment unit.
• A second patient information leaflet developed specifically for patients who are being
discharged home with VTE prophylaxis which gives information for the patient and also the
community health care provider.
• We have also worked closely with Swindon PCT to establish VTE risk assessment in the
community for patients who are discharged home with VTE prophylaxis. This will also enable
patients who deteriorate at home to be assessed and for them to receive appropriate VTE
prophylaxis if at risk.
Administer appropriate VTE thromboprophylaxis
Compliance with VTE prophylaxis has been maintained between 88%-100% for the last 12 months.
Audits are proposed to evaluate the quality of the risk assessments and ensure appropriate
thromboprophylaxis is prescribed and that patients who require extended prophylaxis in the
community receive it.
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