Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital
Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital
Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital
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Quality <strong>Report</strong>Type of Guidance Published Applicable Compliant PartiallyCompliantNonCompliantClinical Guidelines 19 <strong>13</strong> 1 7 1 4TechnologyAppraisalsInterventionalProceduresPublic HealthGuidanceMedicalTechnologyGuidanceUnderReview28 22 18 0 1 329 3 3 0 0 06 4 2 2 0 04 0 0 0 0 0Quality St<strong>and</strong>ards 12 11 5 1 0 5DiagnosticsGuidance4 2 1 0 1 0Total 102 55 30 10 3 12Ensuring compliance with NationalInstitute for Health <strong>and</strong> CareExcellence (NICE) GuidanceThe Trust Clinical Governance <strong>and</strong> RiskCommittee (CGRC) reviews compliancewith all new NICE Guidance issued eachmonth. For the period from April <strong>2012</strong> toMarch 20<strong>13</strong> the CGRC reviewed a total of102 newly issued guidance documents.Compliance rates are shown in the tableabove.Where non or partial compliance has beenidentified this is reported to the TrustClinical Governance <strong>and</strong> Risk Committee<strong>and</strong> an appropriate action plan agreed.Ensuring compliance with safetyalertsA total of 89 Medicines <strong>and</strong> HealthcareProducts Regulatory Agency (MHRA)Medical Device Alerts were issued <strong>and</strong>received in the year. Of these 27 appliedto medical devices used within the Trust.The Trust ensured compliance with allrelevant alerts.In addition, 3 NHS Estates Alerts wereissued <strong>and</strong> received in the year. Ofthese 3 were applicable to the Trust, 1required action which was completed<strong>and</strong> 2 currently have action plans whichare being completed within the timescaleallowed.The National Patient Safety Agency(NPSA) did not issue any new alerts in<strong>2012</strong>/<strong>13</strong>.Patient <strong>Report</strong>ed OutcomeMeasures (PROMs)All NHS patients who are having hip orknee replacements, varicose vein surgeryor groin hernia surgery are being invitedto fill in Patient Recorded OutcomeMeasure (PROMs) questionnaires.PROMs is a method of measuring thefunctional activity level of a patientas recorded by the patient. The samequestionnaire is sent to the patient 6months post operation <strong>and</strong> the twoscores are recorded by an externalorganisation Quality Health (operating onbehalf of the Department of Health), withthe aim of helping the NHS to measure<strong>and</strong> improve the quality of the care itprovides.The Trust participates in all 4 NationalPROMs surveys. All patients whocome into hospital for one of the aboveprocedures are asked to fill in a PROMsquestionnaire before their operation.80<strong>Annual</strong> <strong>Report</strong> <strong>and</strong> <strong>Accounts</strong> <strong>2012</strong>/<strong>13</strong>
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