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Annual Report and Accounts 2012/13 - Hillingdon Hospital NHS Trust

Annual Report and Accounts 2012/13 - Hillingdon Hospital NHS Trust

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the emphasis is on resolving complaints<br />

locally <strong>and</strong> this has been achieved in 456<br />

(92%) of complaints, with the majority<br />

of these resolved through the <strong>Trust</strong>’s first<br />

response. 27 (5.5%) of complaints were<br />

resolved through further local resolution,<br />

either by writing again to the complainants,<br />

or by meeting with them.<br />

12 of our complainants (2.4%) were not<br />

happy with our local responses <strong>and</strong> referred<br />

their complaint to the Parliamentary<br />

<strong>and</strong> Health Service Ombudsman for an<br />

independent review. The Ombudsman<br />

decided to investigate one complaint <strong>and</strong><br />

that is ongoing. Two complaints were<br />

rejected by the Ombudsman as properly<br />

resolved by the <strong>Trust</strong>. The <strong>Trust</strong> was asked to<br />

undertake further work locally to resolve the<br />

complaint in four cases, three of which have<br />

now been completed <strong>and</strong> closed, <strong>and</strong> one<br />

remains open. In five cases the papers have<br />

been supplied to the Ombudsman <strong>and</strong> we<br />

are awaiting their decision.<br />

The <strong>Trust</strong> has continued to work with<br />

complainants <strong>and</strong> use complaints as drivers<br />

for improvements to the services we<br />

provide. Once again this year changes <strong>and</strong><br />

improvements have been embedded in<br />

clinical areas as a result of complaints.<br />

A particular area of focus has been on<br />

ensuring that test results are followed up<br />

appropriately, <strong>and</strong> new systems have been<br />

put in place in the Clinical Support Services<br />

Division <strong>and</strong> in the Women’s <strong>and</strong> Children’s<br />

Division following a complaint in each<br />

Division that results had been overlooked.<br />

In the Division of Surgery, the Urology<br />

Department has been looking at catheter<br />

care, <strong>and</strong> staff have been working very<br />

closely with a patient who was keen to<br />

be involved in formulating new ideas for<br />

improving the experience <strong>and</strong> underst<strong>and</strong>ing<br />

of patients who have a catheter for a period<br />

of time.<br />

On a simpler level a patient informed us<br />

that after his eye clinic appointments his<br />

eyes were sore <strong>and</strong> it was uncomfortable<br />

to wait for transport in the Outpatient Hall<br />

because the seats were in a draughty area.<br />

The Matron responsible for the Outpatients<br />

Department met with Facilities staff <strong>and</strong> the<br />

seating area has been reconfigured; chairs<br />

have been moved away from the draught<br />

<strong>and</strong> a dedicated waiting area for those<br />

waiting for transport has been arranged,<br />

which is away from draughts. Signage is<br />

being made to identify the area.<br />

Improvements in patient <strong>and</strong> carer<br />

information<br />

Providing high quality <strong>and</strong> clear information<br />

is central to the patient experience.<br />

During <strong>2012</strong>/<strong>13</strong> the Patient Information<br />

Review Group continued to work with staff<br />

across the hospital to develop new patient<br />

<strong>and</strong> carer information <strong>and</strong> to refresh existing<br />

information.<br />

Our Readers Panel, service users, <strong>and</strong> patient<br />

involvement groups support <strong>Trust</strong> staff to<br />

ensure that the information we produce<br />

is clear, jargon free <strong>and</strong> user friendly. For<br />

example, our Fighting Infection Together<br />

(FIT) public involvement group worked with<br />

the <strong>Trust</strong> Infection Control Team to develop<br />

an ‘isolation leaflet’. The leaflet describes<br />

why a patient may be cared for in isolation<br />

<strong>and</strong> what relatives can expect. Input from<br />

patients <strong>and</strong> public has been particularly<br />

helpful in developing leaflets on sensitive<br />

issues. For example, our Readers Panel<br />

supported the production of a Post Mortem<br />

leaflet which is given to relatives soon after<br />

the death of a loved one. The panel ensured<br />

that the leaflet presents the relevant legal<br />

<strong>and</strong> technical information in a sensitive way.<br />

The <strong>Trust</strong> is developing a poster that will<br />

be used in A&E cubicles to illustrate the<br />

typical pathways through the emergency<br />

department explaining the points at which<br />

there may be waiting periods. The poster<br />

22 Directors’ report

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