Agenda and supporting papers - Plymouth Hospitals NHS Trust
Agenda and supporting papers - Plymouth Hospitals NHS Trust
Agenda and supporting papers - Plymouth Hospitals NHS Trust
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Item 3<br />
The Board discussed the learning points <strong>and</strong> matters arising from Dr<br />
Higginson’s experience:<br />
• The Surgical Assessment Unit had been very crowded <strong>and</strong> the<br />
patient experience would be improved by reducing the number<br />
of beds per bay.<br />
• The area was pervaded by the lingering smell of hospital food.<br />
• Rear opening gowns eliminated any sense of patient dignity.<br />
D<br />
• Staff were not aware of two-way claves <strong>and</strong> how to connect<br />
them.<br />
• Ward managers must have control of ward stock lists.<br />
• A patient had been kept in a bed whilst awaiting diagnostics but<br />
could have been discharged <strong>and</strong> called back as an outpatient,<br />
freeing up the bed. The wider issue was medically fit patients<br />
R<br />
detained in beds awaiting diagnostics.<br />
• Delayed discharges waiting for TTAs. Dr Higginson had spent<br />
15% of his entire hospital stay waiting for medications.<br />
• He had been prescribed <strong>and</strong> provided with TTA drugs that he<br />
did not require,<br />
A<br />
resulting in unnecessary costs to the <strong>Trust</strong>.<br />
• The benefits of the Enhanced Recovery programme in<br />
engaging patients in goals for their discharge. This programme<br />
was currently practiced in the <strong>Trust</strong> in surgery but not yet in<br />
medicine.<br />
• The known variations in clinical outcomes according to time<br />
<strong>and</strong> day of admission,<br />
F<br />
recently the subject of national media<br />
reporting.<br />
The Chairman requested an update on the issues arising from Dr<br />
Higginson’s story at the next Board. The next scheduled Board<br />
walkround to the ED <strong>and</strong> SAU would focus on the issues raised. On<br />
behalf of the Board, the TChairman thanked Dr Higginson for attending.<br />
Dr Higginson left the meeting.<br />
104/13 Minutes <strong>and</strong> matters arising from the meeting held on 3 May 2013<br />
DoN/DoG<br />
The minutes of the meeting held on 3 May 2013 were agreed as a<br />
true <strong>and</strong> accurate record. There were no matters arising.<br />
105/13 Review of Action List<br />
95/13 Quality Improvement Strategy<br />
Dr Mayor updated the Board. The points made at the Board on 3 May<br />
had been incorporated into the implementation plan led by the Deputy<br />
Director of Nursing <strong>and</strong> Assistant Medical Director Paul McArdle. The<br />
plan was due to be reviewed at the Senior Management Team<br />
meeting on 24 June <strong>and</strong> by the Safety & Quality Committee in July.<br />
71/13 Review of performance data presented to the Board to ensure<br />
3