PART A AGENDA ITEM 11 - The Princess Alexandra Hospital | NHS ...

CancerAs projected at the last Board, all national targets for cancer were delivered inFebruary and we expect the same consistent delivery in March.3. ActivityNon-elective activity (Emergency and Obstetric combined) for year was 11% overplan and 6.5% up from last year. This mirrored the movement in A&E attendanceswhich increased by 1.7% on last year and 7% over plan.Inpatient elective activity was 21% less than planned and 9% lower than last year.Day cases were 5% over planned and 1% down on last year.First outpatient attendances declined by 8% from last year and were 10% under planwhereas follow ups continue to rise (3% up on last year and 7% over plan).Our contact income increased by 4.9% from last year and was 5.1% over plan.4. QualityInfection ControlIn March we had a worrying increase in C diff cases and three deaths associated. (3pre and 6 post 72 hrs) Dr Visuvanathan called a meeting of senior clinicians,managers, Antimicrobial Pharmacist and ICT to see if there were any trends andfurther actions to take. One room was thought to be a risk of transmission so it wasdecontaminated with hydrogen peroxide at a cost of £1700. Other enhanced cleaningwas instigated on affected wards Dr Visuvanathan will be working further withclinicians to review the antibiotics policy. A new test which will detect C diff in stoolsthat are not liquid may help us to detect C diff in ill patients that do not have classicsymptoms. This may prevent deaths in patients that have the disease but havenegative stool specimens.Norovirus continued throughout March which can explain the increased acquisition ofC diff cases (some patients had both).No further cases of MRSA bacteraemia.1 pre and one post 48 hour ESBL bacteraemia.6 cases of MSSA bacteraemia, 1 was post 48 hour and 5 pre.MRSA screening compliance remains a challenge for all patients. The emergencypatient admitted flow, a revised standard operating procedure, is being introduced.Further training of staff is currently being undertaken by the Matron.For the planned admitted flow, all patients who go through a pre-assessment processare screened.HSMROverall risk rating for the period Feb10 - Jan 11 = 95.1 with the risk rating for January11 at 98.3. A number of alerts have been reviewed at April MRG and discontinued;Amputation of leg, electroconvulsive therapy. New alert added in April; RespiratoryFailure due to increased number of deaths during period October 2010 - January 11.Review being undertaken by Emergency Business Unit.