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

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Education and Practice Development Staff are provided with the fundamental skills required to deliver quality, effective and safe care. All groups of clinical staff need preliminary and ongoing education and training. In line with the dramatic changes in the NHS and the increased pressures, education and training is being provided in different ways to meet the challenges and strive for excellence in care. Two intakes per year of preregistration student nurses gained their clinical experience at the Trust. Healthcare Assistants joining us are provided with a full induction programme. Once qualified, staff embark on a learning journey that will directly relate to their clinical practice. During the year 43 people undertook study days and 112 people undertook modules. Clinical Skills are developed through comprehensive training sessions provided by the team including cannulation, administration of intravenous drugs and accountability. The essentials of nursing care are addressed through the many programmes provided concerning dignity, communication and customer care. New roles are being developed to address the changing needs in the NHS. The role of the Assistant Practitioner will provide a skilled member of the team who can take on many additional skills. Patient pathways are evolving and lengths of stay reducing to improve the overall quality and experience that patients receive. The many education and practice development activities taking place all have a part to play in this process. Current projects include falls prevention, new multi-disciplinary documentation and the development and advancement of clinical skills and new techniques. Medical staff All medical staff have considerable opportunities for both in-house and external learning. Trainees and junior doctors in non-training grades have a full programme of in-house training which is planned well in advance and the programme circulated monthly. Different grades also have grade specific generic training. As an example all Foundation Trainees (those in their first two years of training) attend a bi-weekly half study day where aspects of the Foundation Curriculum are delivered. General Practice trainees have an afternoon per week of protected time to develop further knowledge and skills appropriate for them. Page 16 James Paget University Hospitals NHS Foundation Trust Annual Report 2010/11 www.jpaget.nhs.uk
Our Trust contributes towards the Deanery funding of external study leave for all training and non training junior posts. We have developed significant training facilities and trainer expertise over the last five years. The Specialty Doctor/Staff Grade and Associate Specialists are also able to access specific training due to additional deanery funding provided for career development, in addition to their annual funding. Senior Medical Staff have ten days of study leave per year and an individual allocation of funding towards course costs. Serious Untoward Incidents (SUIs) The number of SUIs relating to data loss has increased from one to three this year. Incident date Incident description Outcome 24 June 2010 24 July 2010 10 February 2011 The clinical details of patients were sent to the home address of two patient. The Trust was informed of the error and arrangements were made to retrieve the information immediately. Paperwork believed to be from the Trust was found in a burnt out vehicle. A packet of clinical filing was placed within the external mail. The filing was returned to the Trust. Full root cause analysis undertaken. No further action from Information Commissioner’s Office. Full root cause analysis undertaken and actions implemented. Investigation undertaken with immediate actions taken. Due for completion June 2011 Dr Foster Hospital Guide The Trust worked closely with the authors of the Dr Foster Guide 2010 during the compilation of their report and prior to its publication in November. The figures relating to the Trust are positive overall and within the expected ranges. Those for post operative respiratory failure place us among the best performing hospitals for this category. The Trust’s HSMR (Hospital Standardised Mortality Ratio) has reduced from last year. The Board of Directors, our managers and clinicians closely monitor this. Any areas of concern are considered in great detail to ensure that issues are fully understood and any action is taken as soon as possible. www.jpaget.nhs.uk James Paget University Hospitals NHS Foundation Trust Annual Report 2010/11 Page 17
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 12 and 13: Those with dementia The increasing
Page 14 and 15: Quality A full quality report can b
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
Page 62 and 63: Case Study - Project Search The Tru
Page 64 and 65: Lowestoft Hospital League of Friend
Page 66 and 67:
Our directors As a Foundation Trust
Page 68 and 69:
Non Executive Directors Jean Mason
Page 70 and 71:
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 14.
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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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