Quality Account 2010/11 - James Paget University Hospitals

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• 100 Key Scores Comparison 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Trust help staff work Appraisal/re view in last Have planned Disagree cannot meet conflicting Satisfied with extent Trust values Senior managers Care of patients top Management / staff communicatio n effective No work related stress in last Local Staff Feedback The local Patient Experience Tool (electronic survey device) has been utilised within the Trust to ascertain staff opinion and input into a range of areas. The devices have been positioned in the staff canteen and main foyer and analysis is pending. Involvement This Quality Account has been developed in close collaboration with the Governors Council, who represent the Trust members, our patients and the local population. A draft version of this document was shared with our main commissioners during 2010/11, NHS Great Yarmouth and Waveney, the local GP commissioners Health East CIC, Local Involvement Networks (LINks) and the Health and Overview Scrutiny Committees for their comments. The following statements have been provided by these organisations for inclusion in this report. James Paget University Hospitals NHS Foundation Trust Quality Account 2010/11 Page 58 of 62
Endorsement Local Involvement Networks Norfolk LINk and Suffolk LINk thanks the James Paget University Hospital Trust Board for the opportunity to comment on the Quality Account for 2010 - 2011. It was pleasing to see that cognisance had been taken of the previous comments made. The report was well presented with appropriate language for the general public to understand. The Trust is making good use of the national guidelines, CQUINN, and internal audits, etc to measure progress against defined targets when assessing progress against their four stated objectives of Reduction in Falls/ Reduction in Patient Mortality/ Patient Safety/ and Clinical Outcomes and Effectiveness. The Trust proposals are built upon the progress of the previous year and utilising specific equipment regarding falls throughout the hospital. This approach within the Trust and across the locality can only be good for patients and is pleasing to see. Improved patient safety has been put as a high value within the work across the Trust and this is to be commended. Norfolk LINk and Suffolk LINk look forward to the improved patient experience across the Trust. Internal audits are essential for the improvement of services. Norfolk LINk and Suffolk LINk are pleased to see the Trust is looking to ensure that the NICE Guidelines are embedded in all aspects of the work and commends the Trust on its recent good PEAT inspection and other external audits. Norfolk LINk and Suffolk LINk look forward to working with James Paget University Hospital NHS Foundation Trust in 2011/2012 and hearing of the continued improvements in the services that the hospital provides. Marion Fairman-Smith Suffolk LINk Chairman Patrick Thompson Norfolk LINk Chairman Health Overview and Scrutiny Committee The Norfolk Health Overview and Scrutiny Committee has decided not to comment on any of the Norfolk NHS Trusts Quality Accounts for 2010/11 and would like to stress that this should in no way be taken as a negative statement. The Suffolk Scrutiny Committee is confident with the relationships built up with NHS trusts in Suffolk over the past year. This work should be developed to ensure delivery of the best possible health services for the people of Suffolk. The Suffolk Scrutiny Committee has decided not to comment on any of the Suffolk provider NHS trust's Quality Accounts for 2010/11 and would like to stress that this should in no way be taken as a negative comment. The Committee has taken the view that it is appropriate for Suffolk's Local Involvement Network (LINk) to consider the Quality Account and comment accordingly. James Paget University Hospitals NHS Foundation Trust Quality Account 2010/11 Page 59 of 62
Page 1:
James Paget University Hospitals NH
Page 4 and 5:
Contents Page Foreword by Chief Exe
Page 6 and 7:
The old and the very young are know
Page 8 and 9:
Statement of directors' responsibil
Page 10 and 11: Current position: Patient Falls 120
Page 12 and 13: Priority 1b: Patient safety - Reduc
Page 14 and 15: Five work streams have been agreed
Page 16 and 17: No Commissioning for Quality and In
Page 18 and 19: No Commissioning for Quality and In
Page 20 and 21: The services provided by James Page
Page 22 and 23: Clinical Audits Audit Name Applicab
Page 24 and 25: (NHSBT UK Transplant Registry) Audi
Page 26 and 27: Case Study 2: Upper Gastrointestina
Page 28 and 29: The Trust has a dedicated lead for
Page 30 and 31: NHS number and GMC code validity Ja
Page 32 and 33: What others say about the Trust Car
Page 34 and 35: Current Position: Inpatient Pressur
Page 36 and 37: Metric 3 - Venous Thromboembolism (
Page 38 and 39: Monthly CVC BSI Rates 14 12 Rate of
Page 40 and 41: Metric 8 - Nutrition & Hydration Ma
Page 42 and 43: Patient Safety Incidents As at 18 t
Page 44 and 45: Never Events Never Events are serio
Page 46 and 47: Existing Commitments and National P
Page 48 and 49: Patient Experience National In-pati
Page 50 and 51: An action plan has been developed f
Page 52 and 53: Maternity National Survey The respo
Page 54 and 55: Question Area Conclusions Recommend
Page 56 and 57: Case Study: Health Service Ombudsma
Page 58 and 59: Patient Experience Measures Patient
Page 62 and 63: NHS Great Yarmouth & Waveney NHS Gr
Page 64: Glossary of Abbreviations A&E C dif
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Quality Account 2010/11 - James Paget University Hospitals

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