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

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Item 7 Nursing dashboards are currently being developed and will be used to monitor activity against a number of set criteria during 2011-12. We will aim to improve our response rate for ‘excellent’ in the National Inpatient Survey by 10% 2009 2010 Overall, how would you rate the care you have received 51% 48% Threshold for highest scoring 20% of NHS Trust 44% 44% Improved overall % in the national inpatient survey Improved provision of single sex accommodation Improved engagement with patients in decision about their care % to be confirmed How will we report it? Regular update reports will be submitted to the Trust’s Improving Through Listening Steering Group and quarterly reports will be submitted to the Safety & Quality Committee. 2.2 Statements relating to quality of NHS services provided During 2010-11 Plymouth Hospitals NHS Trust provided and/or sub contracted 64 NHS services. The Trust has reviewed all data available to us on quality of care in all these NHS services. The income generated by the NHS services reviewed in 2010-11 represents 100% of the total income generated from the provision of NHS services by Plymouth Hospitals NHS Trust for 2010-11. 2.3 Review of data on quality care Participation in Clinical Audit and National Confidential Enquiries During 2010-11 Plymouth Hospitals NHS Trust participated in 106 Trust wide and local clinical audits, this is an increase in coverage from the previous year. The results of all clinical audits were presented to and reviewed by the appropriate staff within the Trust over the course of the year. The table below summarises the high level reporting arrangements for key aspects of Clinical Audit results. The results of Trust-wide audits are reported and reviewed to the following groups: • 12 audits were reviewed and discussed at the Trust’s Health Records Committee • 3 audits were reviewed and discussed at the Trust’s Medical Devices Steering Group • 3 audits were reviewed and discussed at the Clinical Governance Steering Group • ? audits were reviewed and discussed at the Trust’s Audit Committee • All local audits are reviewed and discussed at the relevant directorate meeting The results of all local audits are reviewed and discussed at the relevant directorate meeting. The Clinical Audit Support Team is further developing its processes during 2011/12 and has developed, with the support of the Medical Director, a corporate trust wide plan for the coming year. The current Clinical Audit Policy is also in the process of being reviewed to reflect current practice. Sarah Widnell / Jayne Glynn V7 21.03.11 8
Item 7 In addition the national clinical audits and national confidential enquiries that Plymouth Hospitals NHS Trust participated in, and for which data collection was completed during 2010-11 are listed below. National Clinical Audits Plymouth Hospitals NHS Trust participated in and reported on 24 national audits, the reports of which were reviewed by the provider in 2010-11, full details of National Audits can be found at www.nao.org.uk. The Clinical Audit Support Team is developing improved links with clinical directorates and the Healthcare Governance Team to ensure participation in National clinical audits is recorded and resulting learning opportunities disseminated. National Audit Title Peri and Neonatal Perinatal Mortality (CMACE) Neonatal Intensive and Special Care (NNAP) Paediatrics Paediatric Fever Childhood Epilepsy Paediatric Diabetes Acute Care Adult Non-invasive Ventilation (NIV) Pneumonia Cardiac Arrest Long Term Conditions Diabetes – Adult Heavy Menstrual Bleeding (HMB) Adult Asthma Ulcerative Colitis and Crohn’s Disease COPD Inflammatory Bowel Disease (IBD) Cystic Fibrosis Elective Procedures Hip, Knee and Ankle Replacements (National Joint Registry) Cartoid Interventions Elective Surgery (PROMS) Abdominal Aortic Aneurysm Cardiovascular Disease Stroke Care Acute Stroke? Renal Disease Acute Kidney Injury Vascular Access Renal Transport Survey Cancer Lung Cancer Bowel Cancer Mastectomy and Breast Reconstruction Trauma Falls and Non Hip Fractures – National Audit of falls and bone health in older people Hip Fracture Status Completed Completed In Progress In Progress On going Completed In progress In progress In progress In progress Completed In progress In progress In progress In progress Completed Completed In progress In progress Completed In progress In progress In progress In progress In progress In progress Completed In progress Completed Sarah Widnell / Jayne Glynn V7 21.03.11 9
Page 1 and 2: Trust Board Standing Items Friday 2
Page 3 and 4: Item 2 any long term harm. The Chai
Page 5 and 6: Item 2 Plymouth Hospitals NHS Trust
Page 7 and 8: Item 2 studies described in the rep
Page 9 and 10: Item 2 Performance against Monitor
Page 11 and 12: Item 2 30/11 Chairman’s report fr
Page 13 and 14: Item 5 SUMMARY REPORT Trust Board M
Page 15 and 16: A second “Continuing Medical Educ
Page 17 and 18: Item 6 DETAILED REPORT Trust Board
Page 19 and 20: Item 6 NHS Constitution Patient Ple
Page 21: Item 7 Plymouth Hospitals NHS Trust
Page 24 and 25: Item 7 1.2 Statement by Chief Execu
Page 26 and 27: Item 7 The five priorities were dev
Page 28 and 29: Item 7 How will we do it? The Enhan
Page 32 and 33: Item 7 Severe Trauma ( TARN) Psycho
Page 34 and 35: Item 7 Criteria Measured 2009/10 %
Page 36 and 37: Item 7 3.2 Performance against key
Page 38 and 39: Item 7 Target Performance Performan
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Page 42 and 43: Item 7 Cancelled operations by the
Page 44 and 45: Item 7 Complaints and Compliments T
Page 46 and 47: Item 7 3.8 Our Environment Providin
Page 48 and 49: Item 8 SUMMARY REPORT Trust Board (
Page 50 and 51: Item 8 Dementia costs the UK econom
Page 52 and 53: Item 8 Standard 4: The hospital and
Page 54 and 55: Item 9 DETAILED REPORT Trust Board
Page 56 and 57: Item 10 SUMMARY REPORT Trust Board
Page 58 and 59: Item 10 Safety 9. Infection Control
Page 60 and 61: Item 10 15. Going Further on Cancer
Page 62 and 63: Item 10 The Trust’s 12 month aver
Page 64 and 65: Item 11 SUMMARY REPORT Trust Board
Page 66 and 67: Item 11 The Director of Financial S
Page 68 and 69: Item 12 Key Recommendations 1. Cont
Page 70 and 71: Item 12 The OD programme sets out t
Page 72 and 73: Item 12 • 40% of staff feel that
Page 74 and 75: Item 13 CQC Regulations Financial I
Page 76 and 77: Item 13 The Statement is not meant
Page 78 and 79: 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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