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Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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2. Core Indicators<br />

<strong>Royal</strong> <strong>Devon</strong> <strong>and</strong> <strong>Exeter</strong> NHS Foundation Trust<br />

<strong>Annual</strong> Quality <strong>Report</strong> <strong>2012</strong>/<strong>13</strong><br />

47<br />

Indicator<br />

Group<br />

Core<br />

Indicators<br />

Core<br />

Indicators<br />

Indicator Description Data The <strong>Royal</strong> <strong>Devon</strong><br />

<strong>and</strong> <strong>Exeter</strong> NHS<br />

Foundation Trust<br />

considers that this<br />

data/percentage is<br />

as described for the<br />

following reasons<br />

21. The data made<br />

available to the<br />

National Health Service<br />

Trust or NHS Foundation<br />

Trust by the Health <strong>and</strong><br />

Social Care Information<br />

Centre with regard<br />

to the percentage of<br />

staff employed by,<br />

or under contract to,<br />

the Trust during the<br />

reporting period who<br />

would recommend the<br />

Trust as a provider of<br />

care to their family or<br />

friends.<br />

23. The data made<br />

available to the<br />

National Health<br />

Service Trust or NHS<br />

Foundation Trust by<br />

the Health <strong>and</strong> Social<br />

Care Information Centre<br />

with regard to the<br />

percentage of patients<br />

who were admitted to<br />

hospital <strong>and</strong> who were<br />

risk assessed for venous<br />

thromboembolism<br />

during the reporting<br />

period.<br />

<strong>2012</strong> - 74.121% (4th Quartile - top<br />

performer), Median 63.256% (acute<br />

& acute specialist trusts), Lowest<br />

35.337%, Highest 94.119%.<br />

2011 - 75%, Average 62% (acute<br />

trusts), Lowest 33.149%, Highest<br />

89.464%.<br />

Oct12 - Dec-12: 92.1% (National<br />

94.1%, Highest 100%, Lowest 84.6%)<br />

Jul-12 - Sep-12: 88.3% (National<br />

93.8%, Highest 100%, Lowest 80.9%)<br />

Apr-12 - Jun-12: 83.5% (National<br />

93.4%, Highest 100%, Lowest 80.8%)<br />

Jan-12 - Mar-12: 80.5% (National<br />

92.5%, Highest 100%, Lowest 69.8%)<br />

Oct11 - Dec11: 80.5% (National<br />

90.7%, Highest 100%, Lowest<br />

32.4%)<br />

The general economic<br />

climate is difficult for<br />

the NHS <strong>and</strong> what<br />

this means for staff<br />

is becoming clearer.<br />

For example in the<br />

South West the pay<br />

consortium has been<br />

high profile <strong>and</strong> has<br />

caused anxiety for staff.<br />

The focus has been on<br />

sustained improvement<br />

against this target.<br />

There has been a<br />

steady improvement in<br />

performance over <strong>2012</strong><br />

which has continued<br />

in the first quarter of<br />

20<strong>13</strong>. This has been<br />

achieved through a<br />

relentless focus by ward<br />

clinical teams to ensure<br />

that all eligible patients<br />

are risk assessed in a<br />

timely manner <strong>and</strong><br />

current performance<br />

exceeds the quoted<br />

National average.<br />

The <strong>Royal</strong> <strong>Devon</strong><br />

<strong>and</strong> <strong>Exeter</strong> NHS<br />

Foundation Trust<br />

intends to take/has<br />

taken the following<br />

actions to improve the<br />

indicator (percentage/<br />

proportion), <strong>and</strong> so the<br />

quality of its services<br />

To support staff, the<br />

Trust has invested<br />

<strong>and</strong> commenced<br />

implementation in a Trustwide<br />

transformational<br />

programme that will<br />

create a culture which<br />

engages all staff in<br />

delivering the changes<br />

required for the future.<br />

Ongoing work with<br />

clinical teams to strive for<br />

100% risk assessment.<br />

Further identification<br />

of ineligible cohorts of<br />

patients. Improved VTE<br />

event audits to ensure<br />

that the Trust derives<br />

maximum learning from<br />

adverse events related<br />

to missed opportunities<br />

for VTE prophylaxis. This<br />

work will be monitored<br />

by the Infection Control<br />

<strong>and</strong> Decontamination<br />

Group.

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