Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

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Quality ReportStroke National Audit PilotProgramme (SNAP - combinedsentinel and SNAP)n n n Not involvedin pilotTrauma (TARN) n n n nVascular Surgery Database n n n 100%National Audit of Dementia n n n 100%National Confidential Enquiries forInclusion in Quality Report 2012/13Eligible toParticipateParticipatedin 2012/13DataCollectioncompletedin 2012/13Rate of caseascertainment(%)Asthma Deaths (NRAD) n n n 100%Cardiac Arrest Procedures n n n 100%Bariatric Surgery n n n 100%Alcohol Related Liver Disease n n n 100%Sub Arachnoid Haemorrhage n n n 100%Centre for Maternal and Child DeathEnquiries for Inclusion in Quality Report2012/13Eligible toParticipateParticipatedin 2012/13DataCollectioncompletedin 2012/13Rate of caseascertainment(%)Perinatal Mortality n n n All relevantcasesreportedMaternal Deaths n n n All relevantcasesreportedThe reports of 6 National audits publishedin 2012/13 were reviewed by the Trust in2012/13 and the Trust intends to take thefollowing actions to improve the quality ofhealthcare provided:3rd Round UK Irritable Bowel DiseaseAudit (UKIBD) Auditl Following the publication of the3rd Round UKIBD audit, clinicianswill improve the number of patientsprescribed bone protection and theuse of the Malnutrition UniversalScreen Tool (MUST) assessment toinform referral to dietitians as well asincreasing the number of patients seenby the IBD nurse specialistNational Outpatients Surveyl The results were positive in that theTrust performed significantly better on12 questions when compared to itsown results from the previous surveyin 2009. When compared againstother trusts, we performed better thanaverage on 32 questions, average on4 questions and only below averageon 2 questions. The results have beenincorporated into the Trust PatientEngagement Strategy68Annual Report and Accounts 2012/13
Quality ReportNational Confidential Enquiry intoPatient Outcome and Death (NCEPOD)Report - Time to Intervenel In response to the NCEPOD ReportTime to Intervene a business case toprovide full supporting care has beendiscussed with the Trust ManagementBoard and Board of Directors and anaudit of surgical acuity requirementshas been undertaken to inform thisNCEPOD Report - An Age Old Probleml Following publication of the NCEPODReport An Age Old Problem a pilotservice providing Medicine for theElderly support for surgical andorthopaedic patients has provedsuccessful. A business case to set upthis new service is being writtenConfidential Enquiry into MaternalDeaths in the UK (CEMAC) Report 2011- Saving Mothers’ Livesl Policies and mandatory trainingprogrammes have been updatedin maternity in line with therecommendations of the SavingMothers’ Lives (CEMAC 2011) reportConfidential Enquiry into Suicide andHomicide by People with a MentalIllness (CISH)l The report was considered at theTrust’s Clinical Governance and RiskCommittee and it was concluded thatno additional action was requiredAdditional Information:The Trust did not participate in the 3British Thoracic Society (BTS) auditsthis year as local audits had alreadybeen undertaken on these topics.The Trust will, however, be participatingin the BTS Bronchiectasis Audit in thecoming year as a new service is beingset up.Results of local clinical audits arereviewed within the directorates andat directorate clinical governancecommittees. A summary of actionsnoted from clinical audits is reviewedquarterly by the Trust ClinicalGovernance and Risk Committeeand by the Healthcare AssuranceCommittee.The Trust has developed a detailedclinical audit plan for 2013/14 toinclude national, corporate and localclinical audit priorities. Progress ismonitored via directorate clinicalgovernance committees and theTrust Clinical Governance and RiskCommittee. Progress is also reportedquarterly to the Healthcare AssuranceCommittee, Audit Committee andBoard of Directors.The reports of 286 local clinical auditswere reviewed by the Trust in 2012/13and the Trust intends to take thefollowing actions to improve the quality ofhealthcare provided:l On completion of the annualantimicrobial rolling audit, regularantibiotic ward rounds have beenestablished with robust referralpractices from ward pharmacists.The results were presented to theTrust Clinical Governance andRisk Committee who supportedimplementation of an electronicprescribing platform over the next yearto improve the quality of antimicrobialprescribingAnnual Report and Accounts 2012/13 69
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The Royal Bournemouth and Christchu
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Foreword from the Chief Executive2.
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Directors’ Reportl to work with p
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Directors’ ReportKaren Allman, Di
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Directors’ ReportParamedics now t
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Page 61 and 62: Quality ReportThe data is recorded
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Page 65 and 66: Quality ReportStatements of Assuran
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Page 81 and 82: Quality ReportIn May 2013, the Trus
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Governance ReportAs at 31 March 201
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Financial AccountsFinancial Stateme
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Financial AccountsThe Foundation Tr
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Financial AccountsAccounting Office
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Financial AccountsThe risk and cont
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Financial AccountsThere has been an
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Financial Accountsmonitoring meetin
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Financial AccountsAnnual Quality Re
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Financial AccountsAuditors’ Repor
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Financial AccountsStatement of Comp
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Financial AccountsStatement of Chan
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Financial AccountsNotes to the acco
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Financial Accounts1.3 Expenditure o
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Financial Accountsanticipated to ha
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Financial Accountsl the sale must b
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Financial AccountsLoans and receiva
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Financial Accountsworking capital f
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Financial Accounts4.2 Other operati
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Financial Accounts8 Operating lease
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Financial Accounts10 Retirements du
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Financial Accounts15 Impairment of
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Financial Accounts18.3 Provision fo
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Financial Accounts23 Prudential bor
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Financial AccountsDuring the year t
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Financial Accounts28 Financial inst
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Financial Accounts30 Losses and spe
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The Royal Bournemouth and Christchu
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Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

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