Trust Board papers - University Hospital Southampton NHS ...

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2012/13 PIF (For Reference)Appendix CUniversity Hospital Southampton NHS Foundation Trust2012/13 Patient Improvement Framework PrioritiesTrusted on QualityPatient Safety Patient Experience Patient Clinical Outcomes Performance Targets Reduce pressure ulcers* Improve Diabetes care* Reduce falls* Reduce Venous Thrombo-Embolism (VTE)* Achieve 24/7 safe emergency care Children’s services◦ less full-term babies admitted toNeonatal care*◦ one-to-one care in labourSustainability Improve nutrition & hospitalfood* Improve patient communication*◦ discharge planning◦ patient information Address the needs of vulnerablepeople*◦ implement delirium & dementiapathway Deliver compassionate andfundamental care to all patients*◦ ensure privacy & dignity◦ meeting the needs of olderpeople Reduce mortality rates* Efficient emergencypathway* Management ofdeteriorating adults* Patient Reported OutcomeMeasures (PROMS)**◦ hip & knee replacements◦ cardiac intervention Improve outcomes fromsurgery*◦ for older people◦ children under age 1 year Improve ED waits Reduce 18 week waits Stroke pathway Improve cancer waits Improve 52 weeks surgery Incomplete pathwayPatient Safety Patient Experience Patient Clinical Outcomes Performance Targets Infection prevention and control Medication errors Theatre safety checklist Never eventsCQUIN Safety Thermometer VTE risk assessmentSustainability Same sex accommodation End of Life care Patient feedback, Safeguarding children & adultsSustainability Effective policies and guidance NICE guidance, QualityStandards Map of Medicine/clinicalpathwaysSustainability Monitor Compliance Internal performancemonitoring frameworkPatient Safety Patient Experience Patient Clinical Outcomes Performance TargetsCQUIN Patient experience survey Delirium and DementiaCQUIN Emergency frequent attendees Reduce non-electiveadmissions Health improvementassessmentCQUIN National quality indicators(Gateway) High impact innovations6
ContentPIF Priorities:Leads review 2012/13 Q1-3 to draft 2013/14 outlinev1 & engagement to TEC & Trust BoardIn overview, key milestones for the quality report process are:LEAD Dec Jan Feb Mar Apr May Jun JulMiM,JG/ GB,JBPIF Priorities Final Draft to TEC and Trust Board,approve for Core Brief& implementation in April JGQuality Report Draft to Trust Board, and toExternal Audit for scrutiny JG, JDAnnual Report FINAL inc Quality Report to TrustBoardConsultationsDraft QR Core brief: invite staff comment AA, JGAwayday: All Trust review PIF 2012/13, prioritysetting 2013/14JH, JGOSCs, LINKs, Council of Governors, & PCTs fordevelopmental engagement on draft prioritiesCouncil of Governors choose PIF indicator forExternal AuditFinal draft Quality Report to OSCs, LINKs, Councilof Governors, & PCTs for 30 day consultation onpriorities JDLegal, Statutory etcExternal auditors signed limited assurance report JGExternal auditors submit governors report JGFull Annual report inc Quality Report to Parliament AAPublication Quality Account to DH NHS Choices JDTECSetdate7
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UHSFT - Directors’ Actions Summar
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172/12 b) A discussion followed cov
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176/12 b) A discussion followed cov
Page 12 and 13: UNIVERSITY HOSPITAL SOUTHAMPTON NHS
Page 14 and 15: Worked wtes rose by 105 in November
Page 16 and 17: ) Delivering an in-year financial s
Page 18 and 19: FINANCE REPORTSchedule 1 2012/13 Mo
Page 20 and 21: Schedule 2bINCOME & EXPENDITURE FOR
Page 22 and 23: Schedule 4Central and Divisional Re
Page 24 and 25: Schedule 6DIVISIONAL/HEADQUARTERS P
Page 26 and 27: Schedule 7CIPS BEING WORKED OotalDi
Page 28 and 29: Schedule 8b 2012/13 Month: 8Univers
Page 30 and 31: Schedule 10Finance Risk Indicators:
Page 32 and 33: Annex 2DIVISIONAL/HEADQUARTERS INCO
Page 34 and 35: Annex 4CAPITAL EXPENDITURE 2012/13
Page 36 and 37: Trust Board ReportTITLEFRIENDS AND
Page 38 and 39: 2.3 Other Guidance ReceivedThe DOH
Page 40 and 41: 3.0 Scope of the ProjectThere are 4
Page 42 and 43: 8.0 Project BudgetDoH anticipated a
Page 44 and 45: Roll out to wards/departmentsdevelo
Page 46 and 47: Trust Board PaperTitleQuarterly Pat
Page 48 and 49: 2 SECTION 1: What Patients are Tell
Page 50 and 51: 2.2 Complaints and ConcernsIt is po
Page 52 and 53: Actions in the reporting quarter In
Page 54 and 55: 3.1 Nutrition3.1.1 MUST Screening a
Page 56 and 57: The Clinical accreditation Scheme (
Page 58 and 59: 1 Purpose1.1 The UHS patient qualit
Page 60 and 61: DRAFT UHS Patient Improvement Frame
Page 64 and 65: Board Paper Cover SheetTitleChief E
Page 66 and 67: 4. Signing & Sealing4.1 The Seal of
Page 68 and 69: performance target and C-Diff targe
Page 70 and 71: University Hospital Southampton NHS
Page 72 and 73: Appendix 2Exception Reports - Novem
Page 74 and 75: Monthly MeasuresPatient ExperienceH
Page 84 and 85: IM&T Report - Nov 20121. Purpose1.1
Page 86 and 87: 2.2. Information to support patient
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