Northampton General Hospital NHS Trust Quality Account 2016-2017

Recommendations

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The mean for 2016 – 2017 is 7.43% (excluding March 2017) demonstrating a 1.71% improvement from the baseline. % Overdue Observations by month: We said we would: Provide care that is safe by reducing harm through Improving Organisational Safety Culture. What we achieved: What: In recent years there has been an increase in focus in the UK and internationally on approaches to improve safety and this has led to greater recognition of the importance of the culture of organisation and teams. NHS England launched the Patient Safety Collaborative in October 2014 following the publication of the Francis and Berwick Reports. Safety culture and leadership were identified as mandatory areas. How Much: The overall outcome measure for this project will be from the Pascal Survey – i.e. the operational staffs’ perceptions of the safety culture in their work area. The survey will be repeated in 2018 and the following two years. The following tables show the results of the baseline assessments. The baseline position shown reflects the work of the teams over recent years in both the A&E and Maternity departments to improve the safety culture for the benefit of our patients. 26
A&E (ED) NGH received the most favourable scores within the region. The Quality Improvement team have supported the A&E to identify three primary drivers to support make further improvements in line with the aims described above : Improvement in the designated paediatric area to ensure 100% of children will receive a rapid assessment when clinically appropriate. (4 secondary drivers) 100% of patients will attend A&E clinical observation area adhering to the Trust and departmental policy (3 secondary drivers) 25% increase in the number of staff who have a favourable opinion of the work culture in A&E (6 primary drivers) Maternity The maternity team have identified two major work streams that will be led by community and hospital based midwives. The teams have identified the following areas for improvement : An improved, transparent reporting culture (non-punitive response to errors) Increased senior management visibility Improved support and appreciate of staff Improved internal communication 27
Page 1 and 2: 1
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 and 10: Statement of Directors’ Responsib
Page 11 and 12: Part Two Priorities for Improvement
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: We said we would: Provide care that
Page 29 and 30: When: In 2016/17, we are measuring
Page 31 and 32: 31
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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Page 61 and 62: IBD Registry Y Data collection ongo
Page 63 and 64: o Safe discharge for children from
Page 65 and 66: National audit mortality and consul
Page 67 and 68: Consent in total hip and total knee
Page 69 and 70: The CQUINs for 2017/18 have been ag
Page 71 and 72: Care Quality Commission (CQC) The t
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Page 75 and 76: 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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