PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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Item 7 How will we do it? The Enhanced Recovery Programme is currently being implemented in the four main specialties, Colorectal, Orthopaedics, Urology and Gynaecology, across the Trust. In addition to this the Quality, Innovation, Productivity and Prevention (QIPP) Programme identifies Enhanced Recovery as a key area through which quality improvement and savings can be delivered. It is important to implement best practice because: • The patient will be in the best possible condition for surgery i.e. managing pre existing comorbidities in Primary Care • The patient has the best possible management during and after the operation i.e. minimally invasive surgery, reduced starvation and fluid management • The patient has the best post-operative rehabilitation i.e. planned mobilisation, improved pain relief The Trust has introduced the Outpatient Efficiency Work Programme to improve and streamline the administration process and provide a better experience for patients. How will we measure it? % reduction in patient average length of stay % reduction in the number of delayed discharges % reduction of the follow up waiting list backlog % reduction in the number of patient waiting for repatriation % to be confirmed How will we report it? Progress will be reported through the Trust Board performance databook on a monthly basis. In addition monthly progress reports will be submitted for review at the Enhanced Recovery Steering Group (ERSG). Priority 4 - Ensure optimal outcomes of care through delivery of evidence based practice The Trust recognises that adopting best practice provides the maximum opportunity to ensure optimal outcomes for patients. There are a number of key healthcare organisations who are responsible for identifying best practice, which is shared through a variety of reports and guidance. We will ensure that all information is assessed and key recommendations identified for implementation at Plymouth Hospitals NHS Trust. How will we do it? The Trust will ensure all national guidance is effectively assessed and implemented throughout the organisation with the full engagement of clinical staff. National Guidance including: • NICE Clinical Guidelines, Interventional Procedure Guidance, Technology Appraisal Guidance and Public Health Guidance • National Confidential Enquiries in Peri-Operative Deaths (NCEPOD) – ‘Age Old Problem’ and ‘Mixed Bag’ • National Patient Safety Agency (NPSA) Alerts and Reports • Royal College and Professional Society Guidance and Reports Sarah Widnell / Jayne Glynn V7 21.03.11 6
Item 7 How will we measure it? Implementation will be measured through clinical audit, focusing on NICE Guidance and new interventional procedures and continuous assessment of key clinical outcomes. The Trust has an approved Annual Clinical Audit Plan to be delivered for the period 2011-12. Compliance rates will be monitored through the Healthcare Governance Team for all NICE guidance and NPSA reports. Increased level of compliance for NICE Guidance % reduction in the incidence of VTE % to be confirmed How will we report it? Regular quarterly reports submitted to the Trust’s Safety & Quality Committee. Additional quarterly reports detailing progress against the overall NICE Guidance submitted to the Clinical Governance Steering Group and NHS Plymouth. Priority 5 - Improve overall patient satisfaction, based on results of inpatient surveys, and aim for the upper quartile for all NHS Hospitals We believe that patients have the right to be treated in an environment that makes them feel safe and cared for. We will listen to patients and act on their concerns to make improvements, with the aim that patients will leave us having had a positive experience and will recommend us to people they know. How will we do it? Every month we will ask patients if they are happy with the care they received through a programme of continuous local inpatient surveys. Survey results will be shared with the relevant teams who will be asked to develop action plans addressing the key issues raised. The National Inpatient Survey provides an annual view of patient experience and our goal for 2011/12 will be to improve the percentage of patients who rated the care received as excellent in the National Inpatient survey. We will deliver the Nursing High Impact Actions which consist of the following key elements: • Staying Safe – preventing falls • Your Skin Matters • Keeping Nourished – getting better • Promoting Normal Birth • Where to die when the time comes • Fit and Well to Care • Ready to Go – no delays • Protection from Infection The Trust is working with the Strategic Health Authority to implement the Equality Delivery System, a new Department of Health initiative. How will we measure it? Local and national inpatient survey findings are compiled into our patient experience action plan which is monitored to ensure effective changes are being made. Sarah Widnell / Jayne Glynn V7 21.03.11 7
Page 1 and 2: Trust Board Standing Items Friday 2
Page 3 and 4: Item 2 any long term harm. The Chai
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Page 7 and 8: Item 2 studies described in the rep
Page 9 and 10: Item 2 Performance against Monitor
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Page 15 and 16: A second “Continuing Medical Educ
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Page 50 and 51: Item 8 Dementia costs the UK econom
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Page 62 and 63: Item 10 The Trust’s 12 month aver
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Page 68 and 69: Item 12 Key Recommendations 1. Cont
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Information on staffing of the R&D
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Organisation study capabilities Typ
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Specialty Group Membership (Local a
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R&D SOP Ref Number SOP Title Versio
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Item 14 SUMMARY REPORT Trust Board
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Performance Databook February 2011
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SAFETY OBJECTIVE PERFORMANCE REPORT
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A&E BREACH REASONS 2010/11 Apr May
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AMBULANCE HANDOVER TIMES Maximum of
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DELAYED TRANSFERS OF CARE Current M
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# MRSA SCREENING Current Month: Feb
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7 Stroke Indicators Current Month:
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QUALITY OBJECTIVE PERFORMANCE REPOR
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Consultant Outpatients Waiting & Re
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Current Month : February 2011 Inpat
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11 Referral To Treatment (RTT) Time
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RAPID ACCESS CHEST PAIN SERVICE Cur
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DIAGNOSTIC NEUROPHYSIOLOGY WAITING
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# Inpatient & Day Case Waiting List
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# CANCELLED OPERATIONS - Number can
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9 Choose And Book Slot unavailabili
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CANCER TARGETS : 31 Day "Decision T
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GFOCW TARGETS : 62 Days from Screen
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GFOCW TARGETS : 2 Week Wait for Bre
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Reperfusion Waiting Times Current M
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PLYMOUTH HOSPITALS NHS TRUST Trust
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8 Access to GUM clinics - Offered t
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INFANT HEALTH & INEQUALITIES # SMOK
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PARTICIPATION IN HEART DISEASE AUDI
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WORKFORCE OBJECTIVE PERFORMANCE REP
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PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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