Northampton General Hospital NHS Trust Quality Account 2016-2017

There are also additional outcome measures for each primary driver, detailed below.
A&E
A&E Continuing Observation Area (COA) project (1): Average length of stay in the
A&E COA
A&E COA project (2): Compliance with the revised departmental policy on the
clinical observation area.
Rapid Assessment project: Time to triage paediatric ‘minors’ patients
Rapid Assessment project: Average length of stay (LOS) for paediatric patients
Staff Working culture project: Percentage of staff with a favourable opinion of the
work culture.
Maternity
Response to errors: % of staff who say there is a positive reporting culture
Communication: % of staff who say there is effective communication within
Maternity
Senior Management: % of staff with a favourable opinion of senior managers
Support: % of staff who feel appreciated and supported in their role
We have also agreed all relevant process, balancing, financial and patient
experience factors and measures with the project leads for each work area.
When:
Outcome:
The project aim for both work streams, is by 2020 there will be a 50% improvement
from the 2016 baseline in the number of operational staff who have a favourable
opinion of the safety culture in A&E and Maternity
The programme of culture assessment provides diagnostic and actionable insights
into organisational and unit level cultures which enable the development of data
driven training programmes to address areas of risk and opportunity. This includes
a single culture survey using the safety attitudes questionnaire and a range of other
surveys including for example engagement, burn out and resilience.
We said we would:
Provide care that is safe by reducing harm through eliminating delays in investigations and
management for patients with sepsis
What we achieved:
What: Failure to recognise symptoms of developing sepsis or red flag sepsis can lead to
delayed antibiotic treatment, with a subsequent rise in morbidity / mortality and
increased length of stay.
How Much:
We will eliminate delays in antibiotics administration to septic patients by
ensuring that patients with deranged early warning scores (EWS) are screened for
sepsis both on identification of EWS rise and at entry to the hospital.
We also aim to increase antibiotic administration to 90% compliance within 60
mins (A&E) and 90 mins (inpatients), in line with national CQUIN targets, from
diagnosis, for patients with red flag sepsis
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