Quality Account 2010/11 - Royal Marsden Hospital

Quality Account 2010/11
Contents
1 What is a Quality Account
2 Introduction to The Royal Marsden
NHS Foundation Trust
3 How have Royal Marsden patients, carers,
frontline staff, the Board and the public been
involved in the preparation of the QA
4 Part one
4 Introduction to The Royal Marsden NHS
Foundation Trust and a statement on
quality by the Chief Executive Officer
6 Part two
6 Priorities for improvement and statements
of assurance from the Board
7 Safety
7 Safety priority 1:
To reduce the incidence of healthcare
associated infections (HCAI)
10 Safety priority 2:
Reducing patient harm from falls
11 Safety priority 3:
Reduction of medication incidents
13 Safety priority 4:
Prevention and prophylaxis of venous
thromboembolism (blood clots)
14 Effectiveness of care
14 Effective care priority 1:
Reduction of elective length of stay and
increase in same-day admission surgery
16 Effective care priority 2:
Reduction in hospital standardised
mortality ratio
18 Effective care priority 3:
Reduction in hospital acquired pressure ulcers
19 Patient experience of care
19 Patient experience of care priority 1:
To increase real-time feedback on care
using the Picker handheld survey
21 Patient experience of care priority 2:
To remain in the top percentile of trusts
in the annual national inpatient survey
22 Patient experience of care priority 3:
National Cancer Patient Experience Survey
23 Patient and public experience priority 4:
New initiatives to improve the
patient experience in 2011/12
24 Integration of community services with The
Royal Marsden NHS Foundation Trust
25 Statements of assurance from the Board
25 Review of services
25 Participation in clinical audits
35 Participation in clinical research
35 Use of the CQUIN payment framework
35 What others say about the provider
37 Part three
37 Review of quality performance
(previous years performance)
40 Statement from the Patient and
Carer Advisory Group
40 Statement from the Council of
Governors on the Quality Accounts
40 Statements from Local Involvement
Networks (LINKs)
41 Statement from the Commissioner
42 Statement from the London Borough of
Sutton Overview and Scrutiny Committee
43 Annex: Statement of Directors responsibilities
in respect of the Quality Report