Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality ReportStatements of Assurance fromthe BoardThis section contains eight statutorystatements concerning the qualityof services provided by The RoyalBournemouth and Christchurch HospitalsNHS Foundation Trust. These arecommon to all trust quality accounts andtherefore provide a basis for comparisonbetween organisations.Where appropriate, we have providedadditional information that provides alocal context to the information providedin the statutory statements.Statement One: Review ofServicesDuring 2012/13 the Trust provided8 NHS services in accordance withits registration with the Care QualityCommission:l Management of supply of blood andblood derived productsl Assessment or medical treatment forpersons detained under the MentalHealth Act 1983l Diagnostic and screening proceduresl Maternity and midwifery servicesl Family planningl Surgical proceduresl Termination of pregnanciesl Treatment of disease, disorder orinjuryThe Trust has reviewed all the dataavailable to it on the quality of care inall of these NHS services provided.This has included data available fromthe Care Quality Commission, externalreviews, participation in National Auditsand National Confidential Enquiries andinternal clinical audits.The income generated by the NHSservices reviewed in 2012/13 represents100% of the total income generated fromthe provision of NHS services by the Trustfor 2012/13.Additional Information:The data reviewed for the QualityReport covers the three dimensionsof quality - patient safety, clinicaleffectiveness and patient experience.Information reviewed includeddirectorate clinical governance reports,risk register reports, clinical auditreports, patient survey feedback, realtime monitoring comments, complaints,compliments and adverse incidentreports, quality dashboards andquarterly clinical governance data. Thisinformation is discussed routinely atTrust clinical governance meetings.There is a clear quality reportingstructure where scheduled reportsare presented from directorates andspecialist risk or quality sub groupsto the Clinical Governance and RiskCommittee each month. Many of thereports are also reported quarterlyto our commissioners as part of ourrequirement to provide assuranceon contract and quality performancecomplianceStatement Two: Participation inClinical AuditDuring 2012/13, 31 National clinical auditsand 4 national confidential enquiriescovered NHS services that the Trustprovides.During 2012/13 the Trust participated in84% (26/31) of national audits and 100%of national confidential enquiries which itwas eligible to participate in.The national clinical audits and nationalconfidential enquiries that the Trust waseligible to participate in during 2012/13are shown in the tables overleaf.The national audits and nationalconfidential enquiries that the Trustparticipated in, and for which datacollection was completed during 2012/13,are listed alongside the number of casessubmitted to each audit or enquiry as apercentage of the number of registeredcases required by the terms of that auditor enquiry.Annual Report and Accounts 2012/13 65