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

More documents

Recommendations

Info

Item 7 Target Performance Performance Target 09/10 10/11 11/12 Incidence of C-diff 77 26 tbc 43 Incidence of MRSA 15 3 tbc 5 Hand hygiene completion rates 100% 100% 100% Hand hygiene compliance rates 98% tbc 95% Patient falls resulting in harm or death 89 103 90 Incident reporting rate – per 100 admissions 3.5 3.86 (Sept 10) 4.25 Number of Never events 2 6 0 % of observation charts completed accurately 60% 89% 95% Deaths from cardiac arrests 474 255 TBC Ulcer prevalence (% of patients with pressure ulcers) Total Patients: Hospital Acquired: % patients receiving appropriate VTE risk assessment (started recording from July 2010) % patients receiving appropriate thromboprophylaxis Infection Control N/A N/A 5.3% 2.3% N/A 56% 93% 95% TBC The Infection Prevention and Control Team (IPCT) at Plymouth Hospitals NHS Trust has made significant progress towards modernising the service it provides and meeting the challenging new agenda being set at both local and national levels. This has led to improvements in clinical practice, with reductions in healthcare-associated infections. During 2010/11, we reinforced our efforts to control and reduce MRSA and Clostridium difficile infections. How: consistent approach to three important areas: environmental cleanliness, appropriate antibiotic prescribing and strict hygiene at the point of care have all been vigorously pursued. Key achievements for the year April 2010-March 2011 were as follows: • MRSA bacteraemias – to reduce cases of MRSA bacteraemias in line with the national target of 9 and local target of 6. For the period April to December 2010 there were 3 cases. • Clostridium difficile – to reduce cases of post 72 hour clostridium difficile in line with the national target of 128 and local target of 117. For the period April to December 2010 there were 24 cases. Sarah Widnell / Jayne Glynn V7 21.03.11 16
Item 7 • To achieve a 10% reduction in all cases of MRSA. For the period April to December 2010 there were 31 new cases, compared to 53 in the same period last year which equates to 42% • Epidemic gastroenteritis – to maintain the average ward closure time due to epidemic gastroenteritis below 7 days. For the period April to December 2010 there were 4 ward closures with an average ward closure period of 5.5 days. • Hand hygiene compliance – for all wards to perform at least 1 monthly hand hygiene audit with a compliance rate of 95%. For the period April to December 2010 overall compliance was 99%. • Alcohol hand gel - for the availability of alcohol hand gel in clinical areas to be maintained as close to 100% as possible. For the period April to December 2010 availability was 98%. • Surgical site surveillance – to continue surgical site surveillance on all major procedures. Majority of procedures now covered. • Delivery of a Postgraduate Certificate in Infection Prevention and Control in collaboration with the Peninsular School of Medicine and Dentistry. Two module PGCert to run in spring and summer 2011. • Infection Control Website developed and updated. • Saving Lives High Impact Interventions – all wards to perform at least 1 audit for in use medial devices, compliance monitored through the dashboard. C. Difficile Reporting Sarah Widnell / Jayne Glynn V7 21.03.11 17
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 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 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 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
Page 82 and 83: Specialty Group Membership (Local a
Page 84 and 85: R&D SOP Ref Number SOP Title Versio
Page 88 and 89:
Performance Databook February 2011
Page 90 and 91:
SAFETY OBJECTIVE PERFORMANCE REPORT
Page 92 and 93:
A&E BREACH REASONS 2010/11 Apr May
Page 94 and 95:
AMBULANCE HANDOVER TIMES Maximum of
Page 96 and 97:
DELAYED TRANSFERS OF CARE Current M
Page 98 and 99:
# MRSA SCREENING Current Month: Feb
Page 100 and 101:
7 Stroke Indicators Current Month:
Page 102 and 103:
QUALITY OBJECTIVE PERFORMANCE REPOR
Page 104 and 105:
Consultant Outpatients Waiting & Re
Page 106 and 107:
Current Month : February 2011 Inpat
Page 108 and 109:
11 Referral To Treatment (RTT) Time
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
RAPID ACCESS CHEST PAIN SERVICE Cur
Page 116 and 117:
DIAGNOSTIC NEUROPHYSIOLOGY WAITING
Page 118 and 119:
# Inpatient & Day Case Waiting List
Page 120 and 121:
# CANCELLED OPERATIONS - Number can
Page 122 and 123:
9 Choose And Book Slot unavailabili
Page 124 and 125:
CANCER TARGETS : 31 Day "Decision T
Page 126 and 127:
GFOCW TARGETS : 62 Days from Screen
Page 128 and 129:
GFOCW TARGETS : 2 Week Wait for Bre
Page 130 and 131:
Reperfusion Waiting Times Current M
Page 132 and 133:
PLYMOUTH HOSPITALS NHS TRUST Trust
Page 134 and 135:
8 Access to GUM clinics - Offered t
Page 136 and 137:
INFANT HEALTH & INEQUALITIES # SMOK
Page 138 and 139:
PARTICIPATION IN HEART DISEASE AUDI
Page 140 and 141:
WORKFORCE OBJECTIVE PERFORMANCE REP
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?