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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.

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