Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality Reportl Following a Trust-wide health recordsaudit the Health Records Policy hasbeen amended to stop the use ofplastic wallets within the health recordand the audit tool has been amendedto include the standard relating toALERT notifications in the record.A “new entry” bookmark has alsobeen successfully trialledl Dysphagia Awareness trainingsessions have been organised fornurses, healthcare assistants andhousekeepers following an audit oflunchtime feeding practicesl Following an audit of adherenceto protected mealtimes policy, linknurses have been redefined foreach ward to raise awareness ofthe updated policy and assist in itsimplementation on wardsl As a result of an audit of CarotidArtery Disease and Endarterectomy intransient ischaemic attack (TIA) andMinor Stroke all patients who havesignificant artery stenosis should bereferred to a vascular surgeon on thesame day of the carotid doppler study.A pathway is also being developed toensure that patients with significantartery disease have surgery performedwithin 2 weeksl Pharmacy attendance at posttake ward rounds (PTWR) on theAcute Admissions Unit has beenimplemented to improve patient safetyand medicines managementl An audit of the assessment of feetin patients with diabetes showedthe quality of feet assessment inthese patients could be improved.A note is now added to the MedicalClerking Proforma to remind doctorsto complete these assessments andconsultants check these on post takeward roundsl Following an audit of therapyintervention for patients in Phase 1cardiac rehabilitation, a new cardiacpathway has been implemented onWards 21, 23, 24 and Intensive Careto guide therapist input for cardiacpatients. A new cardiac screening toolis also being developed to identifypatients who are appropriate fortherapist inputl Pre-operative education booklets havebeen introduced and are issued to allenhanced recovery and non-enhancedrecovery patients. This resultedfrom an audit of therapy within theenhanced recovery programmel The Stroke Team have developedan electronic Multidisciplinary Team(MDT) form and set standards forMDTs using the Manchester modelfollowing an audit of Stroke MDTGoalsl Patient information leaflets inEndoscopy have been updatedfollowing a patient satisfaction survey.Statement Three:Participation in Clinical ResearchThe number of patients receiving NHSservices provided or sub-contracted bythe Trust that were recruited during thatperiod to participate in research approvedby a research ethics committee was 1157(April 2012 - March 2013).Additional Information:Data for April 2012 to the end of March2013 is as follows: Band 1 = 429, Band2 =266, Band 3 = 377, Commercial =85. Total 1157. This compares to the2012/13 value of 1452 and thereforerepresents a drop in activity for theyear. The Trust has taken a numberof actions to address this. In addition,we are to be a partner site for Quintileswhich we confidently expect willincrease commercial activity in 2013/14despite a predicted global decrease inthe UK market over the period.70Annual Report and Accounts 2012/13