Part I Minutes of the Dorset HealthCare University NHS Foundation ...

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Mr Walsh suggested that the Dashboard could be improved by giving clearer section headings around Clinical Effectiveness, Patient Safety and Patient Experience, and that thresholds within Human Resources should be set across the total enlarged Trust. Mr Browning considered that the Dashboard should include finance, be more succinct and not cover more than 1 to 2 pages. The Quality, Clinical Governance and Risk Committee should examine the underlying detail behind the report. He was keen to ensure that thresholds set were not simple averages of current performance, but were challenging targets to ensure that we achieve the best possible results. The Dashboard should link quality, staff and finances demonstrating how these related to each other. Action JE Mr French felt that it was important to be flexible around setting thresholds to help drive the organisation especially around Human Resources. Dr Mynors-Wallis felt that whilst it was possible to reduce the size of the report, the question was to what extent the Board wanted to see the full detail as opposed to delegating this to the NED chaired Quality, Clinical Governance and Risk Committee. However, as a start, it was useful to have full data. Mr Browning felt that it was important to choose which were the key issues and how to bring those together in terms of the delivery of services, ie the number of “hand offs”, and how quickly and easy it was to get diagnosis and treatment. JE With reference to Line 8 of the report –the percentage of people screened on admission for MRSA in Community Hospitals, Dr Mynors- Wallis felt that it was important to know if the MRSA screen test was done within the timescales identified and therefore, we should report compliance regardless of whether the tests were performed in acute or community hospital. The target should therefore be 100% regardless of where the test was conducted. Line 20/21 Patient Reported Goals/Recovery Star – Dr Mynors-Wallis, Mr Barton and Dr Cope would be visiting clinical teams to encourage improvement. Specifically with this indicator, it was important to note trends through a rolling 3 month figure. Mr Walsh thanked Ms Elson for continuing to develop the Dashboard and this will be refined in the future. JE The Board accepted the Report. Quality Report Ms Elson reported that the Quality Report provides an overview and assurance of the Quality of Trust Services compiled under the Page 4 of 10 C:\Documents and Settings\leslford\Local Settings\Temporary Internet Files\OLKED\Part I Board Minutes for 28th September 2011.doc
headings of Quality of Services, Patient Safety and Patient Experience. Action Ms Elson highlighted the key points from the Quality Report; • A re-audit of transition (from Child and Adolescent Mental Health Services to Adult Mental Health) shows a similar position to the March 2011 audit. Most standards met 100% of the time. • The Trust is currently participating in the National Audit of Schizophrenia. • Following notification from the CQC to all Trusts, an audit of Radiograph Clinical Evaluation has been added to the Trust’s Annual Audit Programme. This is underway. • The results of the national audit on Prescribing of antipsychotics for people with dementia have been received. The Trust’s results show compliance with standards was equal to or better than national average. • Training and provision of lead staff in Dual Diagnosis (mental health and drug /alcohol problems) is on target to meet end of year targets. • CQC Visit Update - The Trust has formally written to the CQC to confirm that the actions resulting from reviews of King’s Park and St Ann’s Hospitals have been fully implemented. - One outstanding action following the CQC registration team visit to Maiden Castle. - Draft reports on the CQC visits to Forston Clinic and Alderney Hospital have been received. These are being checked for factual accuracy. - Community team sites have been visited in September as part of the CQC review of services registered to Trust HQ (prior to 1 st July). A report is awaited. - CQC and Ofsted are undertaking a joint Safeguarding Announced Inspection for Dorset during September. • The total number of incidents for the enlarged organisation in July was 1149. Risk grades are in line with reporting across the organisations prior to transfer of community services. • The membership of the Trust’s falls group and terms of reference are being reviewed in the light of the enlarged organisation and data reported on falls report is being reviewed in line with the South West Patient Safety Programme. • The Trust received 121 compliments and 20 written complaints received in July. 23 written complaints were received in August. • The PEAT results for 2011 have been published. Overall 49 (74%) scores for Trust sites were ‘Excellent’ in 2011. In comparison to 2010, 2 scores have improved and 6 scores have decreased • The response rate to a recent Crisis Service (East) discharge survey was low. All respondents stated that the service met their needs either completely or to some extent. There was a reduction in the overall rating of service compared to the previous survey. Hand held devices are being implemented and focus groups being TA TA/JB Page 5 of 10 C:\Documents and Settings\leslford\Local Settings\Temporary Internet Files\OLKED\Part I Board Minutes for 28th September 2011.doc
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