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Nurses Day! - Birmingham Children's Hospital

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Participation in Clinical Research<br />

The number of patients receiving NHS services<br />

provided by <strong>Birmingham</strong> Children’s <strong>Hospital</strong> NHS<br />

Foundation Trust that were recruited during that<br />

period to participate in research by a research<br />

ethics committee was 2,863.<br />

This demonstrates our continued improvement<br />

in this area over the last four years as we work<br />

towards our aim that every child and young person<br />

treated at the hospital is either offered participation<br />

in a research project or is aware that research is<br />

a major driver to our desire to deliver the best and<br />

safest clinical care in the country.<br />

Figure 26: Numbers of patients recruited to<br />

participate in research 2009/10 - 2012/13<br />

1797<br />

2079<br />

2573<br />

2863<br />

A good way of finding out how well we are doing<br />

on clinical research is to monitor the number of<br />

peer reviewed research publications - excluding<br />

abstracts and letters - that we deliver each year.<br />

When a research publication is reviewed by other<br />

professionals, or ‘peers’, this ensures that it is of a<br />

high enough standard to be used to help develop<br />

treatments for patients. Another important indicator<br />

of research quality is the impact factor of the<br />

journals in which the research is published, which<br />

reflects the number of times the journal is cited by<br />

other researchers and the number of citations of<br />

particular publications over a period of time.<br />

Figure 27: Peer Reviewed Publications per<br />

year 2008/09 - 2012/13<br />

141<br />

178<br />

225<br />

271<br />

218<br />

BACK TO CONTENTS PAGE<br />

Table 29: Schemes agreed for Quality Improvement and Innovation 2012/13<br />

CQUIN Goal Name WM PCT Cluster WMSCT Total End of year<br />

Goal Weight Value Goal Weight Value Value Performance<br />

Safety Thermometer - National 1 10% £179,659 1 5% £92,320 £271,979 Targets met<br />

Safety Thermometer - 2 10% £179,659 7 5% £92,320 £271,979 Targets met<br />

Paediatric Specific<br />

Friends & Family Test - 3A 4% £71,863 8a 1% £23,080 £94,944 Targets met<br />

Regional<br />

Friends & Family Test - 3B 4% 71,863 8b 1% £23,080 £94,944 Targets met<br />

Board Minutes<br />

Friends & Family Test - 3C 4% £71,863 8c 1% £23,080 £94,944 Targets met<br />

Weekly Reporting<br />

Friends & Family Test - 3D 4% £71,863 8d 1% £23,080 £94,944 Targets met<br />

Performance Improvement<br />

Net Promoter - 4 16% £287,454 9 5% £92,320 £379,774 Targets met<br />

Paediatric Specific<br />

Healthy Lifestyles - Smoking 5A 8% £143,727 £143,727 Targets met<br />

Healthy Lifestyles - Alcohol 5B 6% £114,981 £114,981 Targets met<br />

2009/10 2010/11 2011/12 2012/13 2008/09 2009/10 2010/11 2011/12 2012/13<br />

One of our strategic objectives is to strengthen<br />

<strong>Birmingham</strong> Children’s <strong>Hospital</strong>’s position as a<br />

provider of specialised and highly specialised<br />

services, so that we become the leading provider<br />

of Children’s Healthcare in the UK. To help us<br />

achieve this, we are implementing a Research &<br />

Development Strategy towards becoming a leader<br />

in paediatric clinical research.<br />

Clinical research is important as it helps us to<br />

understand conditions and improve and discover<br />

new treatments, resulting in improved quality of<br />

care for patients.<br />

Use of the CQUIN Framework<br />

A proportion of <strong>Birmingham</strong> Children’s <strong>Hospital</strong><br />

NHS Foundation Trust’s income in 2012/13 was<br />

conditional upon achieving quality improvement<br />

and innovation goals agreed between <strong>Birmingham</strong><br />

Children’s <strong>Hospital</strong> NHS Foundation Trust and<br />

any person or body they entered into a contract,<br />

agreement or arrangement with for the provision<br />

of NHS services, through the Commissioning<br />

for Quality and Innovation (CQUIN) payment<br />

framework.<br />

The exception to this is the Quality Improvement<br />

Development Innovation Scheme (QIDIS) used by<br />

the National Specialised Commissioning Team to<br />

support Trusts to improve the quality of care and<br />

clinical outcomes for nationally designated services,<br />

replacing CQUIN arrangements for those services.<br />

Further details of the agreed goals for 2012/13<br />

and for the following 12 month period are available<br />

online at: https://commissioning.supply2health.nhs.<br />

uk/eContracts/Documents/cquin-guidance.pdf<br />

Healthy Lifestyles - 5C 2% £28,745 £28,745 Targets met<br />

Making Every Contact Count<br />

CAMHS QNCC 6 16% £287,454 £287,454 Targets met<br />

Antimicrobial Stewardship 7 16% £287,454 £287,454 Targets met<br />

Implementation of clinical 2 10% £184,641 £184,641 Targets met<br />

dashboards for specialised<br />

services<br />

(PIC) To minimise the number 3 10% £184,641 £184,641 Targets met<br />

of patients undergoing<br />

unplanned extubation<br />

CAMHS Tier 4: Education, 4 5% £92,320 £92,320 Targets met<br />

training and meaningful activity<br />

CAMHS Tier4: Patient 5 5% £92,320 £92,320 Targets met<br />

Involvement in Recruitment<br />

CAMHS Tier4: Feasibility study 6 5% £92,320 £92,320 Targets met<br />

for conversion to single<br />

room accommodation<br />

Local CQUIN: Enhancing HDU 10 25% £461,602 £461,602 Targets met<br />

Local CQUIN: CNS Pathway 11 20% £369,282 £369,282 Targets met<br />

Planned CQUIN income 100% £1,796,585 100% £1,846,409 £3,642,994<br />

Other Commissioners £276,508<br />

Total Planned CQUIN income £3,919,502<br />

120 121

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