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

58 4. Annex A
Royal Devon and Exeter NHS Foundation Trust
Quality Report 2012/13
Statement from the Northern,
Eastern and Western Devon Clinical
Commissioning Group
The NHS Northern Eastern and
Western Clinical Commissioning
Group (NHS NEW Devon CCG)
founded on 1st April 2013, is now the
commissioning organisation for many
services that the Royal Devon and
Exeter NHS Foundation Trust (The Trust)
provides. The Eastern Locality Board,
who have delegated authority and
responsibility from NEW Devon CCG
for commissioning those services, look
forward to working in partnership with
the Trust in the coming year to deliver
high quality, effective and efficient
services that meet the local needs of
their patients and both managers and
clinicians from commissioning and the
Trust are continuing to work closely in
determining and improving the services
for 2013/2014. This is a process that
is well aided by some of the excellent
patient-centred work identified in this
report.
This Quality Report describes the
patient experience. There is a range of
means that allow patients and carers
to give their views of the services
they have experienced. This enables
the Trust to act on the feedback. The
importance of patient experience
information is how it then influences
changes and improves services. The
hospital can clearly demonstrate the
difference they are making to patients
when using patient information, which
can be instant for example feedback
immediately at ward level or used
toward longer term improvements for
example, in service redesign.
Initiatives such as the use of the Forget
Me Not for patients who are struggling
to communicate their needs is a very
useful, visual reminder to staff when
they are caring for the patient. The
Consultant Nurse for older people
is addressing the needs of older
patients across the whole hospital.
The demographics for the east coast
of Devon shows higher numbers of
elderly patients than the national
figures who then use inpatient and
outpatient services therefore this work
is timely and the changes that this will
bring in terms of improving the Patient
Experience is supported by the Eastern
Locality Board.
CQUIN targets have been achieved
and exceeded this year and have led
directly to improved patient care and
outcomes. The areas chosen for local
improvement relate directly to areas of
care that impact on patient experience
such as nutrition and hydration, end
of life care, antibiotic prescribing and
nosocomial pneumonia. The Eastern
Locality Board acknowledges the hard
work that has been undertaken to
deliver the 2012/13 CQUIN targets.
The zero tolerance approach to
healthcare-associated infections
and care-acquired skin damage is
welcomed. Infection targets will be
very challenging over coming months
and the Trust is working strenuously to
keep patients free from harm.
The Eastern Locality Board agrees with
the work reflected in the 2012/13
Quality Account and acknowledges
that the Trust continues to put patient
safety and quality of care at the
forefront of the services they deliver
whilst striving to improve at every
level in order to meet the needs of
the population it serves. We look
forward to the Trust maintaining the
improvements in the quality of service
patients have received in receipt of
urgent care during 2012/13 and a
continuation in the collaborative
working which has brought the
improvements in the quality of service
in the Emergency Department.
Both organisations have a shared
vision with respect to delivering
innovative care in the areas of first
appointment outpatients and followups
and we look forward to the quality
improvements this work will deliver.
The work for 2013/14 will no doubt
bring challenges in order to deliver
safe, cost effective services, however
the Eastern Locality Board on behalf
of NEW Devon CCG looks forward to
working together with the Trust over
the coming year