Northampton General Hospital NHS Trust Quality Account 2016-2017

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Part Two Priorities for Improvement 2016/17 Patient safety is the cornerstone of our philosophy at Northampton General Hospital - it is at the heart of everything we do. Our Quality Improvement Strategy sets out our ambition and aim to provide the best possible care to all our patients. Our quality priorities are focused on improving the safety, efficiency and effectiveness of the care we provide, as well as improving our patients’ experience. The information presented within this report summarises the progress made on the priorities we set ourselves in the first year of our Quality Improvement Strategy. We said we would: Provide care that is clinically effective by delivering reliable care by increasing compliance with Intentional Rounding. Intentional rounding (also known as essential care rounds) are regular, planned ‘nursing care rounds’, to check on patients and ensure that their essential care needs are met. What we achieved: What: Improving compliance in key process measures for Intentional Rounding How Much: Greater than 90% as measured on a monthly basis via Quality Care Indicators (QCI’s) When: March 2017 Outcome: All inpatient adult wards use the Intentional Rounding tool which incorporates the main questions asked to patients around pain, the need for food/ fluid and their toileting needs, plus safety checks within the environment such as having call bells to hand, and moving aids available. As well as repositioning checks, our charts also allow staff to plan and record the delivery of care given for personal hygiene, patient moving, prevention of pressure damage, and checking of equipment and aids. We monitor compliance by asking our patients the following questions: Are care rounds in operation on ward? Do staff ask you the care round questions every 1-2 hours? The results during 2016/17 show that care rounds are in operation on our adult wards and that staff ask the care round questions with a high degree of consistency. Further data has been obtained from direct observation of ward practice. A snapshot of the data from 2016/17 Quarter 4 shows a compliance rate of 98.6% with Intentional Rounding against a target of 90%. We also asked our patients whether Intentional Rounding is undertaken 1-2 hourly and our compliance with this was 96.3% as shown in the following graph: 11
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Page 3 and 4: Introduction What is a Quality Acco
Page 5 and 6: Part One A statement on quality fro
Page 7 and 8: Statement from the Director of Nurs
Page 9: Statement of Directors’ Responsib
Page 13 and 14: When: March 2017 Outcome: There wer
Page 15 and 16: A new Falls Care Plan has been tria
Page 17 and 18: We said we would: Reduce the number
Page 19 and 20: We said we would: Aim to Deliver Pa
Page 21 and 22: In December 2016 a change to the pr
Page 23 and 24: When there has been an increase in
Page 25 and 26: We said we would: Provide care that
Page 27 and 28: A&E (ED) NGH received the most favo
Page 29 and 30: When: In 2016/17, we are measuring
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Page 33 and 34: We made 25 submissions of QI work c
Page 35 and 36: Our reporting structure provides cl
Page 37 and 38: Some of our other projects include:
Page 39 and 40: Dare to Share Learning Events We ha
Page 41 and 42: Red2Green The Red2Green approach is
Page 43 and 44: NHS Staff Survey We have continued
Page 45 and 46: There have been improvements across
Page 47 and 48: Detailed below are some examples of
Page 49 and 50: Real Time Survey The survey adopts
Page 51 and 52: Improving our complaints process Si
Page 53 and 54: Pressure Ulcer Collaborative A pres
Page 55 and 56: Priorities for Improvement in 2017/
Page 57 and 58: Priority 4: To Lead and Promote a R
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IBD Registry Y Data collection ongo
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o Safe discharge for children from
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National audit mortality and consul
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Consent in total hip and total knee
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The CQUINs for 2017/18 have been ag
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Care Quality Commission (CQC) The t
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The HSMR 100 looks at all hospital
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Following on from this the Secretar
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An action plan, work schedule and a
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Themes of Good Practice Noted Stan
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Palliative Care Coding - (percentag
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NGH is reviewing the scores in orde
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The results show that the trust is
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Northamptonshire County Council FAO
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Private & Confidential Carolyn Fox
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Q R S PROMs QCI QELCA QI RCPH R&D R
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Northampton General Hospital NHS Trust Quality Account 2016-2017

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