Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality ReportStatement Four:Use of Commissioning for Qualityand Innovation (CQUIN) paymentframeworkThe Trust’s income in 2012/13 wasnot conditional on achieving qualityimprovement and innovation goalsthrough the Commissioning for Qualityand Innovation (CQUIN) paymentframework. The Trust agreed a managedcontract during 2012/13 to share therisks during the transitional year to thenew clinical commissioning groups. As aresult the risks of over-performance andthe delivery of the CQUIN goals/paymentswere shared.Statement Five:Statements from the Care QualityCommission (CQC)The Trust is required to register with theCare Quality Commission and its currentregistration status is unconditional.The Care Quality Commission has nottaken any enforcement action against theTrust during 2012/13.The Trust has participated in 1 reviewor investigation by the CQC relating toits registration in 2012/13. The CQC didnot issue any concerns against the Trustduring 2012/13.Additional Information:The CQC inspected the RoyalBournemouth Hospital on the 22and 23 November 2012. On the firstday two inspectors carried out theinspection and on the second daytwo inspectors and an Expert byExperience attended. The inspectorsspoke with patients, relatives andclinical staff. They also undertook aSOFI observational on one ward wherepatients were not able to tell us abouttheir experiences. The inspectionsreviewed documentation standardsand discussed with staff the systemsfor managing patients’ records.Discussions were also held with theDirector of Nursing and Midwifery,senior staff representatives from theEstates Department, Human ResourcesDepartment and the Board of DirectorsCommentary from the inspection report(the full details of which are on the CQCwebsite) notes:“The patients we spoke with hadbeen fully involved in their treatment.Their consent had been obtained forprocedures and operations. Signedconsent forms were filed withinpatients’ medical records appropriately.Patients reported that they were happywith their treatment and care. No oneraised any concerns with us. They toldus that they had been well looked afterand were very positive about the staff.We found that the Estates Departmenthad developed highly organised andefficient systems for maintaining a safeenvironment for patients. Overall, wefound that there were efficient systemsfor management of records. Recordswe viewed were up to date, accurateand stored securely to maintainpeople’s confidentiality.”The CQC inspection report found thatthe Trust met CQC standards for:l Consent to care and treatmentl Care and welfare of people who useservicesl Safety and suitability of premisesl Requirements relating to workersl RecordsStatement Six:Data QualityThe Trust submitted records during2012/13 to the Secondary User Service(SUS) for inclusion in the Hospital Episodestatistics which are included in the latestpublished data.The percentage of records in thepublished data which included thepatients’ valid NHS number was 99.6%for admitted patient care: 99.8% foroutpatient care; and 97.2% for accidentand emergency care.Annual Report and Accounts 2012/13 71