Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

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