Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

Paper DNHS Leicester City Board Meeting12 May 2011Medication errors were the third highest category of incidents. There were 23reported patient safety medication incidents in this time period and 15 wererelated to the administration of medication. The Medicines ManagementPharmacist has completed a review of medication administration incidents andshared his findings widely across LCCHS and in particular with staff responsiblefor administering medication.Between 1 October 2010 and 31 December 2010 there have been twelvereported incidents that have required a full root cause analysis (RCA)investigation. There were 9 pressure ulcers reported as serious incidentsduring this quarter in addition to the one noted in the coroner’s case previouslymentioned and all are subject to on-going investigation.There were 69 incidents relating to LCCHS staff. 25 concerned abuse ofsome kind. 15 related to security incidents and 13 were slips, trips, falls orcollisions. One was reported as a moderate incident and was RIDDORreported.There were 48 complaints received in quarter three, 74% related to adultservices and 26% related to children’s services. Of the 31 formal complaints, 2were later withdrawn, other NHS organisations took over lead responsibility for7 complaints and 2 complaints were received, one from a GP and one from aHead Teacher which are not covered by the scope of the policy and wereclassed as service concerns.There were 15 Informal Complaints received in quarter three.LCCHS has received notification of two clinical negligence claims during thistime period and one notification of an employee liability claim.The first claim (opened on 25 October 2010) concerns the assessmentand treatment of a child at the Urgent Care Centre and alleged delays ina referral to secondary care services.The second claim (opened on 17 November 2010) relates to the findingsof the Coroner’s Court in October 2010 which have been describedearlier in this report.SERVICE DELIVERYIt was RESOLVED:- to note the report.PS/11/61 To Receive a Report on LCCHS Workforce as at February 2011Kam Kotecha reported that LCCHS’s overall workforce decreased by 3.20 fulltime equivalents (FTE) during the period January 2011 to February 2011.LCCHS’s absence rate for February was 3.84%, a decrease on January’sabsence which was 4.05%. The number of employees on long termabsence has decreased from 22 in January 2011 to 17 in February 2011. 15111