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

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64 4. Annex C Royal Devon and Exeter NHS Foundation Trust Quality Report 2012/13 National Clinical Audit / Confidential Enquiry Title Eligible? Participated 2012/13 % Participation Rate Hip fracture (National Hip Fracture Database) Yes Yes 100% Parkinson's disease (National Parkinson's Audit) Yes No 0% Stroke Improvement National Audit Programme (SINAP) (closed 31 December 2012) Sentinel Stroke National Audit Programme (SSNAP) (began 1 January 2013) Yes Yes 97.6 % 100% Prescribing in mental health services (POMH) No No 0% Psychological Therapies No No N/A Schizophrenia (National Schizophrenia Audit) No No N/A Childhood epilepsy (RCPH National Childhood Epilepsy 12 Audit) Yes Yes 100% Fever in Children (CEM) Yes Yes 100% Neonatal intensive and special care (NNAP) Yes Yes 100% Paediatric asthma (British Thoracic Society) Yes Yes 100% Paediatric intensive care (PICANet) No No N/A Paediatric pneumonia (British Thoracic Society) Yes Yes 100%
4. Annex C Royal Devon and Exeter NHS Foundation Trust Quality Report 2012/13 65 The reports of 10 national clinical audits were reviewed by the provider in 2012/13 and the Royal Devon and Exeter NHS Foundation Trust intends to take the following actions to improve the quality of healthcare provided: National Clinical Audit / Confidential Enquiry Title National Audit of Epilepsy 12 (Childhood Epilepsy) Actions • Appointment of a paediatrician with a recognised expertise in managing epilepsy to act as service lead • Second paediatrician to complete additional training • Presentation to the Child Health Service Line Meeting and the Paediatric Clinician2Clinician meeting about the need for an epilepsy nurse service. Seek other funding • The need for an epilepsy nurse to be raised in negotiations regarding the community child health contract • Risk Assessment completed re lack of epilepsy nurse (risk level 9 = high). Action plan to be presented at Divisional level • To increase the number of children with an appropriate diagnosis, to be achieved by: o o increase in dedicated epilepsy clinics education for other senior paediatricians. • To increase the number of children with appropriate investigations to be achieved by: o increase in dedicated epilepsy clinics BTS Paediatric Asthma o education for other senior paediatricians (in-house, PET1). Improve education for doctors and nursing staff through teaching by paediatric respiratory nurse specialists at mandatory training sessions and doctor induction sessions on the following areas: • Awareness of availability of information leaflets for parents • Training and assessment in inhaler device techniques • The writing of asthma management plans for patients and communicating these to GPs • Advising patients to visit their GPs within 1 week of discharge or arranging an alternative appropriate follow up at paediatric respiratory nurse clinic The Management of Pain in Children in the Emergency Department (ED) • Ensuring the appropriate prescription of antibiotics for emergency treatment of an exacerbation. • To improve the re-evaluation of pain scores, change in ED practice is planned to enable greater nursing input for repeat observations of patients, including pain scores • In order to improve documentation in patient notes, work is planned to increase the mandatory fields in the electronic ED patient notes.
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1. Our Year Royal Devon and Exeter
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2 Royal Devon and Exeter NHS Founda
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Royal Devon and Exeter NHS Foundati
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1. Chief Executive’s Introduction
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1. ACCOUNTING POLICIES (CONTINUED)
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5. Operating expenses ROYAL DEVON A
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Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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