Annual Report & Accounts 2010/11 - James Paget University Hospitals

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Those with dementia The increasing number of patients with dementia is a long term challenge for the Trust. Between 79 and 90 people per month are discharged with a confirmed diagnosis of dementia. This does not include the number of patients suspected to have dementia or those that die within the Trust. Ward areas have seen a significant increase in patients with dementia and in some cases up to 50% of the patients on a ward have been diagnosed with the condition. As the Trust looks to reduce patient length of stay, the issue of patients with dementia is a particular challenge. Significant work is already underway, with Matron Barry Pinkney leading a six month project funded by the Innovation in Nursing Midwifery Practice Project (INMPP). Since December 2010, a pathway has been piloted and awareness training has been given to over 90 multi disciplinary staff. The key component of this project has been the ‘More about Me’ information care package which focuses on improving hydration and nutrition for patients with dementia. This complements the ‘This is Me’ audit of data. Early indications suggest that documentation and adherence to the pathway are improving. In early April the ‘More About Me” package won the Health Enterprise East Spotlight Competition for Publications and Training Aids. The department received a cash prize to assist with training. The Trust is also involved in local dementia initiatives such as the PCT Mental Health and Learning Disability Programme Board, Clinical Dementia Group and Health Innovation Education Cluster (HIEC). The Trust was represented at the East of England Dementia Strategy Conference and represented acute trusts at the HIEC Dementia day in April. Strategic planning for the future is vitally important if the Trust is to meet the increasing demand being placed on its resources. The INMPP project should be rolled out across all wards and units over the next few months, with additional focus on communication with family carers. Page 12 James Paget University Hospitals NHS Foundation Trust Annual Report 2010/11 www.jpaget.nhs.uk
Patient safety A decision was made to establish a Patient Safety Project to support staff in finding ways to drive forward patient safety improvements so that our patients get the right care, at the right time by the right person. To be confident we are targeting our efforts in the right places, we have assessed the areas of service with high rates of adverse incidents or errors. We have also taken into account the specific requirements of regional and national patient safety programmes. As a result, a list of the Trust’s Top Ten Key Metrics has been developed. This is being used as the starting point for our Trust-wide project improvement work. Over the next five years, the overall aim for the organisation is to achieve a 50% reduction in avoidable harm events. The Journey so Far…..Patient Safety Month September was our official Patient Safety Month. A variety of events took place to get people involved and become more informed about the work that is taking place. th • Patient Safety Awareness Day – 8 September An impressive 185 members of staff attended. The aim was to raise awareness of the Top Ten Key Metrics and the individual workstream leads were on hand to talk to staff about the improvements. th • Using data to Improve Patient Safety – 9 September A significant amount of patient safety work involves the use of measurements. The way information is presented is also an important factor to consider. It can tell a more significant story than whether the number is higher or lower than before. Matt Tite, a Statistician and Associate from the Institute of Innovation and Improvement, visited the Trust to facilitate a study day on how we can ‘Use Data to Improve Patient Safety’. This focused on understanding what data is telling us and how we use it as part of our decision making processes. • Human Factors and the Science of Safety – 23 rd September Martin Bromiley and retired Surgeon Professor Tony Giddings visited the Trust to share their experiences of human factors with 75 members of staff. Martin presented the story of his late wife’s journey and Professor Giddings provided a very entertaining but meaningful discussion on the Science of Safety. This included discussion about how human factors can influence us doing the right thing, at the right time, to the right patient in the right way. One key message was about increasing awareness of human factors and using this knowledge to improve understanding of how and why things go wrong. When we have this understanding it can help improve and inform patient safety. Full performance information on this project can be found in our Quality Report. www.jpaget.nhs.uk James Paget University Hospitals NHS Foundation Trust Annual Report 2010/11 Page 13
Page 1: James Paget University Hospitals NH
Page 4 and 5: Page 4 James Paget University Hospi
Page 6 and 7: Welcome From our Chairman, John Hem
Page 8 and 9: identify and address concerns and m
Page 10 and 11: Our Core Values Our values are the
Page 14 and 15: Quality A full quality report can b
Page 16 and 17: Education and Practice Development
Page 18 and 19: Care Quality Commission regulations
Page 20 and 21: Listening and responding to our pat
Page 22 and 23: ‘Coffee machine was broken’ Rep
Page 24 and 25: Patient Advice and Liaison Service
Page 26 and 27: Consultations There have been no fo
Page 28 and 29: • The work in QIPP development ha
Page 30 and 31: of Directors and Governors Council
Page 32 and 33: Our performance Regulatory Ratings
Page 34 and 35: Indicator Measure National Standard
Page 36 and 37: Our commissioners The main commissi
Page 38 and 39: Financial Performance The Trust ach
Page 40 and 41: Patient Care Income 31 March 2011 (
Page 42 and 43: Capital investment 2010/11 £’000
Page 44 and 45: Better Payments Practice During the
Page 46 and 47: Equality Over the last year signifi
Page 48 and 49: A year in our life April 2010 • O
Page 50 and 51: patients are admitted to our Emerge
Page 52 and 53: Midwifery-led Birthing Unit (MLBU)
Page 54 and 55: Support Services The areas that pro
Page 56 and 57: Our staff The Trust is the largest
Page 58 and 59: In 2010, the staff response rate to
Page 60 and 61: Occupational health Our occupationa
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Case Study - Project Search The Tru
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Lowestoft Hospital League of Friend
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Our directors As a Foundation Trust
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Non Executive Directors Jean Mason
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Feedback has been received and the
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Our governors The Governors Council
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Elections Governors standing for th
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Our members The Trust has two membe
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• Tracker form developed to recor
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Governors Council Nomination and Re
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Trust Remuneration Policy Executive
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Senior managers’ pension entitlem
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disclosure of this report within th
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HSMR ICU IG IT Inpatient INTRAN JPU
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James Paget University Hospitals NH
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Contents Page Foreword by Chief Exe
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The old and the very young are know
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Statement of directors' responsibil
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Current position: Patient Falls 120
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Priority 1b: Patient safety - Reduc
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Five work streams have been agreed
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No Commissioning for Quality and In
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No Commissioning for Quality and In
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The services provided by James Page
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Clinical Audits Audit Name Applicab
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(NHSBT UK Transplant Registry) Audi
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Case Study 2: Upper Gastrointestina
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The Trust has a dedicated lead for
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NHS number and GMC code validity Ja
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What others say about the Trust Car
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Current Position: Inpatient Pressur
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Metric 3 - Venous Thromboembolism (
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Monthly CVC BSI Rates 14 12 Rate of
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Metric 8 - Nutrition & Hydration Ma
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Patient Safety Incidents As at 18 t
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Never Events Never Events are serio
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Existing Commitments and National P
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Patient Experience National In-pati
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An action plan has been developed f
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Maternity National Survey The respo
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Question Area Conclusions Recommend
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Case Study: Health Service Ombudsma
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Patient Experience Measures Patient
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• 100 Key Scores Comparison 90% 8
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NHS Great Yarmouth & Waveney NHS Gr
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Glossary of Abbreviations A&E C dif
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Contents Page Statement of Accounti
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Annual Governance Statement Scope o
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Annual Governance Statement continu
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Independent Auditor's Report to the
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Foreword to the Accounts James Page
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Statement of Financial Position As
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Notes to the Accounts 1 Significant
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Notes to the Accounts continued - -
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Notes to the Accounts continued 1.6
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Notes to the Accounts continued 2 S
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Notes to the Accounts continued 27.
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Annual Report & Accounts 2010/11 - James Paget University Hospitals

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