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

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Item 7 Severe Trauma ( TARN) Psychological Conditions Dementia Blood Transfusions O Neg Blood Use Platelet Use In progress In progress In progress In progress National Confidential Enquiries During 2010/11, 6 national confidential enquiries covered NHS services that Plymouth Hospitals NHS Trust provides. Full details of national confidential enquiries can be found at www.ncepod.org.uk. The national confidential enquiries that Plymouth Hospitals Trust participated in and reported during 2010/11 are as follows: NCEPOD studies – reported in year Title of study An Age Old Problem - Emergency Surgery in the Elderly A Mixed Bag - Parental Nutrition Action taken Report recommendations and implications for the Trust considered by lead clinicians for further action. Report and recommendations considered by the Trust’s Nutritional Team. The national confidential enquiries that Plymouth Hospitals NHS Trust participated in, and for which data collection was completed or commenced during the 2010/11, are listed below alongside the number of cases submitted to each audit or enquiry as a percentage of the number of registered cases required by the terms of that audit or enquiry NCEPOD studies – data collection (100% participation in relevant studies) Title of study No. of cases submitted Percentage required by enquiry Cardiac Arrest Procedures 8 100% Surgery In Children 18 100% 2.4 Participation in Clinical Research The number of patients receiving NHS services provided by Plymouth Hospitals NHS Trust in 2010-11 that were recruited during that period to participate in research approved by a research ethics committee was 3300. Participation in clinical research demonstrates Plymouth Hospitals NHS Trust’s commitment to improving the quality of care we offer and to making our contribution to wider health improvement. Our clinical staff stay abreast of the latest possible treatment possibilities and active participation in research leads to successful patient outcomes. Sarah Widnell / Jayne Glynn V7 21.03.11 10
Item 7 2.5 Goals agreed with commissioners Plymouth Hospitals NHS Trust income in 2010-11 was not conditional on achieving quality improvement and innovation goals through the Commissioning for Quality and Innovation payment framework. 2.6 Statements from the CQC Plymouth Hospitals NHS Trust is required to register with the Care Quality Commission and its current registration status is ‘registered’ and therefore licensed to provide services. Plymouth Hospitals NHS Trust no conditions on its registration. The Care Quality Commission has however taken enforcement action against Plymouth Hospitals NHS Trust. A Warning Notice was issued on 22 February 2011 for concerns raised about the number of Never Events in our operating department. Plymouth Hospitals NHS Trusts has not participated in special reviews or investigations by the Care Quality Commission as at 31 March 2011. 2.7 Data Quality We recognise that good quality information underpins effective delivery of quality patient care. Having robust data enable us to make meaningful decisions to improve care and overall patient safety. Plymouth Hospitals NHS Trust submitted records during April to December 2010 to the Secondary Uses service for inclusion in the Hospital Episode Statistics which are included in the latest published data. The percentage of records in the published data: Which included the patient’s valid NHS number was: Percentage for admitted patient care % Which included the patient’s valid general medical practice was: 98.3% Percentage for admitted patient care % 99.9% Percentage for outpatient care 98.8% Percentage for out patient care 100% Percentage for accident and emergency care 93.3% Percentage for accident and emergency care 99.5% 2.8 Information Governance Plymouth Hospitals NHS Trust Information Governance Assessment Report score overall score for 2010-11 was 71% and was graded as green, which equates to satisfactory using the IGT Grading Scheme. 2.9 Clinical Coding Plymouth Hospitals NHS Trust was subject to the Payment by Results clinical coding audit during 2009/10 by the Audit Commission and the error rates reported in the latest published audit for that period for diagnoses and treatment coding (clinical coding) were: Sarah Widnell / Jayne Glynn V7 21.03.11 11
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 30 and 31: Item 7 Nursing dashboards are curre
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
Page 40 and 41: Item 7 MRSA Reporting Medicines Man
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
Page 80 and 81: 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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