January 2012 - Sandwell & West Birmingham Hospitals

Trust Objectives 2011/12
SWBTB (1/12) 266 (a)
Ref. Objective Measure of Success Baseline
(2010/11)
2.6 Make improvements in Stroke
services.
DO’D
2.7 Embed the Quality and Safety
Strategy incorporating the FT
Quality Governance Framework.
KD
2.8 Improve and heighten awareness
of the need to report and learn
from incidents.
KD (with all Execs)
Stroke dashboard fully populated
and incorporated into the Quality
Management Framework.
Ensure that performance remains
in the top Quartile nationally.
Continued improvements in KPIs
for Stroke and TIA pathways.
Ensure robust management
structure for stroke services
including clarity on reporting lines
and accountability.
Develop an option appraisal in
partnership with commissioners
to ensure optimal configuration of
Acute and rehabilitation
components of stroke/TIA services
and pathways.
Achieve the plan developed to
ensure effective implementation
of the Quality and Safety Strategy.
Positive outcomes to support the
Trust’s top 3 quality related
priorities.
Annual rate of incident reporting
increased at least 10% on previous
year.
Improved position with the NRLS
report as benchmarked against
similar size Trusts.
Reduced number of incidents that
cause harm, of a similar nature
and / or within the same
environment / location.
Page 10
Q1 – 2891
Q2 – 3286
Q3 – 3263
Q4 – 3322
Total ‐ 12744
Summary Position as at end of Quarter
Three (December 2011)
Stroke dashboard continues to evolve.
Trajectories agreed for delivery of
performance to attract best practice tariff.
Business case approved by SIRG being
implemented
Additional Stroke Consultant appointed
10/10/11, to start in January 2012. Post
covered by locum in the interim.
Weekend ward rounds covering Stroke and
TIA across sites commenced 8/10/11 with
imaging slots for high risk TIA delivered.
Work on high risk TIA pathway continues.
January 2012 Targets still disappointing,
but appreciative enquiry acknowledged
progress has been made in improving
stroke services
Option appraisal process on track
Directorate quality goals identified at the
Consultant Conference; these are now
being finalised.
Quality goals to be requested from the
Trust‐wide governance committees for
inclusion in the Quality Improvement Plan.
Data to the end of Q3, including those
incidents not yet merged onto the live
safeguard system show 10652, an increase
of 1230. This does not include figures from
community division.
Electronic incident reporting rollout is
almost complete and has not shown the
expected dip in reporting. Training is being
offered either in groups or in one to one
sessions as required.
Red /Amber
/Green
Assessment
3
3
4