Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital
Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital
Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital
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56 4. Annex A<br />
<strong>Royal</strong> <strong>Devon</strong> <strong>and</strong> <strong>Exeter</strong> NHS Foundation Trust<br />
Quality <strong>Report</strong> <strong>2012</strong>/<strong>13</strong><br />
Statement from the Council<br />
of Governors<br />
This report has been prepared on<br />
behalf of the Council of Governors<br />
by the Patient Safety <strong>and</strong> Quality<br />
Group (PSQG) - a sub-group of<br />
COG with the particular remit to<br />
focus on issues relating to patient<br />
safety <strong>and</strong> quality of care. The<br />
COG as a whole is informed <strong>and</strong><br />
can seek assurance from many<br />
information sources including<br />
Board papers; attendance at Board<br />
meetings; performance reports<br />
<strong>and</strong> the results from the Trust’s<br />
participation in national surveys.<br />
In addition, three Governors<br />
(including the chair of PSQG) are<br />
members of the Engagement <strong>and</strong><br />
Experience Committee <strong>and</strong> provide<br />
updates to other Governors at<br />
COG meetings.<br />
Governors welcome the Trust’s focus<br />
on using a variety of methods such<br />
as the CQAT for obtaining ‘real-time’<br />
patient feedback <strong>and</strong> staff experience<br />
to identify improvement priorities.<br />
Likewise, the ‘what went well, even<br />
better if...’ scheme allows the early<br />
identification of patient concerns as<br />
well as confirmation of good practice.<br />
At Board level, Governors are reassured<br />
to see actions taken to underst<strong>and</strong><br />
<strong>and</strong> resolve real or potential problems<br />
identified in the ‘ward to board’<br />
reports. In addition, COG has received<br />
detailed presentations on topics such<br />
as the CQAT assessment tool; end<br />
of Life care; dementia care; patient<br />
pathways; complaints; nursing<br />
vision; frail <strong>and</strong> elderly care. These<br />
presentations provide the opportunity<br />
for Governors to question senior staff<br />
about the Trust’s approach to these<br />
areas of patient care.<br />
Progress with<br />
Governor priorities<br />
for <strong>2012</strong>-<strong>13</strong><br />
1. Accessible information<br />
The Trust’s Equality <strong>and</strong> Diversity<br />
Manager is working with the Patient<br />
Experience Group (PEG) on the<br />
production of easy read pamphlets<br />
on eight topics: coming into hospital,<br />
information for outpatients, protection<br />
<strong>and</strong> use of information, ‘your<br />
experience counts’, your spiritual<br />
health, MRSA screening, colonoscopy<br />
<strong>and</strong> anaesthesia.<br />
2. Frail older patients<br />
Governors are aware of the Trust’s<br />
emphasis on all aspects of care for<br />
this vulnerable group of patients, <strong>and</strong><br />
some Governors are directly involved<br />
in the Frail <strong>and</strong> Older People Project.<br />
The Consultant Nurse leading this<br />
project regularly reports on progress<br />
to the COG. Further details about this<br />
project are provided in Part Three of<br />
this report.<br />
3. Written communications<br />
between staff <strong>and</strong> patients<br />
Governors have previously commented<br />
on the many variations in the format<br />
of hospital letters, <strong>and</strong> are pleased<br />
that a working group has been<br />
formed to revise letter formats <strong>and</strong><br />
produce draft templates. The Patient<br />
Experience Group have asked patient<br />
representatives to test the new formats<br />
<strong>and</strong> report on their findings.<br />
4. Dignity <strong>and</strong> respect<br />
There is no single measure for this<br />
priority, but there are many sources<br />
of information which relate to these<br />
aspects of care including national<br />
surveys; the Trust’s own CQAT tool;<br />
complaints <strong>and</strong> commendations; <strong>and</strong><br />
the ‘what went well - even better if’<br />
scheme. In addition, senior nursing<br />
staff <strong>and</strong> members of the Trust<br />
executive undertake ‘walk arounds’<br />
where they can directly observe<br />
whether dignity <strong>and</strong> respect are<br />
preserved by all members of the<br />
care teams.