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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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14 2. Progress on our<br />

<strong>2012</strong>/<strong>13</strong> Priorities<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 />

CASE STUDY<br />

Members’ Say: What does 'quality'<br />

mean to our Members?<br />

In September <strong>2012</strong> the Trust held the<br />

latest in its series of Members’ Say<br />

events. These are opportunities for<br />

around 200 of our Members to spend<br />

a day at the Trust learning from leading<br />

clinicians about some of our services,<br />

as well as being able to meet with<br />

staff representing different aspects of<br />

the hospital such as infection control,<br />

patient nutrition <strong>and</strong> nursing care.<br />

Members who come to these events<br />

also have the opportunity to take part<br />

in a range of interactive activities as<br />

well as attend focus group discussions.<br />

The chance to develop an in-depth<br />

dialogue with Members – who broadly<br />

represent the wider public served by<br />

the Trust – is very important to us. The<br />

mix of activities <strong>and</strong> discussion groups<br />

enables us to really underst<strong>and</strong>, in<br />

some depth, the views <strong>and</strong> opinions<br />

of Members who have experience of<br />

the RD&E but also other NHS services<br />

locally <strong>and</strong> nationally. Although<br />

there are a number of similarities<br />

between the views of patients <strong>and</strong><br />

our Members, we have found that the<br />

priorities, interests <strong>and</strong> concerns of<br />

Members are different, partly because<br />

they have broader experiences to<br />

draw on <strong>and</strong> because they have also<br />

had the opportunity to reflect on their<br />

experiences of using the NHS.<br />

The feedback we receive from these<br />

events helps to inform both our Board<br />

<strong>and</strong> our Council of Governors in<br />

relation to:<br />

• The Trust’s developing strategy <strong>and</strong><br />

strategic options<br />

• Underst<strong>and</strong>ing <strong>and</strong> improving the<br />

reputation of the Trust<br />

• Member priorities for the Trust<br />

• Improving service delivery<br />

• Consulting Members on different<br />

options we are considering to<br />

improve patient experience.<br />

Our Council of Governors has a duty<br />

to represent the views of the public<br />

in their role <strong>and</strong> these events help<br />

to shape their views about what is<br />

important to Members. Similarly, our<br />

Board recognises the need to consult<br />

with Members <strong>and</strong> the wider public<br />

<strong>and</strong> the outcomes from Members’<br />

Say events help the Board to fulfil this<br />

obligation.<br />

Members’ Say – September <strong>2012</strong><br />

In September <strong>2012</strong>, the Members’ Say<br />

event focused on two themes:<br />

• Elderly care<br />

• Quality <strong>and</strong> safety.<br />

We held six focus group discussions<br />

on the issues of quality <strong>and</strong> safety.<br />

These groups consisted of around 10<br />

Members, who discussed a range of<br />

issues for about an hour, facilitated<br />

in a neutral <strong>and</strong> independent way,<br />

by a trained member of staff. These<br />

discussions were very rich <strong>and</strong> the<br />

results below are based on an in-depth<br />

analysis of the results, picking up some<br />

of the common themes that emerged<br />

from the dialogue.<br />

Quality matters<br />

The groups were asked to say what<br />

quality meant to them. The purpose of<br />

this was to help us to underst<strong>and</strong> what<br />

Members mean when they talk about<br />

quality; how important it is to them in<br />

comparison to other factors; whether<br />

their assessment of quality is the same<br />

in healthcare as in other settings; <strong>and</strong><br />

what key factors were most important<br />

in determining <strong>and</strong> assessing quality.<br />

There were five key issues that emerged<br />

from this discussion. Comments in bold<br />

were those that were highlighted the<br />

most by respondents. For our Members<br />

quality means:<br />

“First rate outcomes”<br />

• I get the treatment I need,<br />

when I need it, to deal with my<br />

health issue<br />

• I know I will get access to the<br />

latest technologies/drugs<br />

• My expectations were met or<br />

exceeded.<br />

“Personalised care”<br />

• I receive tailored care that is<br />

individualised <strong>and</strong> where I have<br />

a real say in my own care<br />

• I know what is happening, what<br />

will happen next <strong>and</strong> some of the<br />

care options I have<br />

• I get first rate after-care.<br />

“A positive experience at every<br />

stage”<br />

• I am treated well, with respect,<br />

friendliness, empathy, care <strong>and</strong><br />

dignity – I feel I am looked<br />

after <strong>and</strong> that my care really<br />

matters to everyone I come into<br />

contact with<br />

• I am confident that there is good,<br />

effective communications with<br />

me <strong>and</strong> between staff caring<br />

for me <strong>and</strong> by all staff from the<br />

receptionist onwards

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