Northampton General Hospital NHS Trust Quality Account 2016-2017

Recommendations

Info

. Trainee Nursing Associates The new nursing associate role is a key part of national plans to create a strong, sustainable nursing workforce for the future. The nursing associates will work alongside existing health care support workers and registered nurses to deliver hands-on care for patients. The Trust is part of a wider East Midlands collaborative of NHS Trusts and universities and one of only 11 pilot sites in the UK training the first wave of nursing associates. 18 trainee nursing associate students have been recruited to this landmark pilot scheme, and the group began their 2 year programme in January 2017. The trainees were recruited from our existing healthcare assistant workforce, investing in our own staff for our future workforce. NGH & the University of Northampton Reflecting our desire to look for more ways to improve the quality of the services we provide to our patients we are collaborating with the University of Northampton to develop a number of areas where we can work together. Both organisations have a clear interest in biological, medical and health related research. Together are working towards a common goal of engaging in and delivering research for the benefit of the wider health economy population. MSc– Patient Safety & Quality Improvement Building on this collaborative model we are developing a Masters Degree programme in Quality Improvement & Patient Safety with the University of Northampton. The course is aimed at healthcare professionals and managers who wish to develop a greater understanding and expertise in patient safety and quality improvement with a strong emphasis on practical application. This will be supported by developing the candidates’ level of expertise by undertaking a project supported by both academic and clinical mentorship at NGH. The development is progressing well and we are on track for the validation process which should see the first cohort start in January 2018. The course will be classed as a premium level course which, as such, should attract international students as well as those from the UK. Collaboration with Health Education England (HEE) Northampton General Hospital has been delivering a bespoke modular course for medical Registrar development since 2012 which aims to provide our doctors with a sense of the wider issues facing the NHS and the local issues related to hospital medicine. As part of this course our registrars are asked to lead and deliver a patient safety, patient experience or clinical outcome based quality improvement project utilising the Institute for Healthcare improvement (IHI) approach “science of Improvement” which is a unique approach on improving quality, safety, and value in health care. Building on our experience in this area we have been awarded funding to deliver the training across the county for Specialist trainees in both acute and general practice. 38
Dare to Share Learning Events We have a number of methods for sharing learning following a clinical incident in order to keep our patients safe. This year we developed a new meeting to spread important safety information among a wide multidisciplinary audience and this has recently been shortlisted for has been shortlisted in the Clinical Governance & Risk Management in Patient Safety category of the Patient Safety Awards There have been four of these ‘Dare to Share’ events held which have each focused on learning from adverse events which have occurred within the Trust, supporting us on our journey to deliver the best possible care. The staff involved in the incident share their own experiences and there has been an open dialogue about factors which contributed to the incident. The events have been organised by our governance department and supported by the Medical Director. Each event consists of presentations and we have focused on a wide range of topics including: Unexpected admission to ITU Use of an alarm system for monitoring patients’ heart rate Never Events Care of the patient treated with Non-Invasive Ventilation Safer sharps MRSA bacteraemia Mental Capacity, Deprivation of Liberty and Medication To date, the events have been attended by over 200 members of staff from a variety of disciplines all of who have been encouraged to share their thoughts on the trusts learning tree. During the meeting all attendees are encouraged to document the learning that they will take away and share with their colleagues. At the following meeting those who attend are asked to describe how they have change practice and what they have done differently as a result of the meeting. 39
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 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
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: Some of our other projects include:
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
Page 59 and 60: 59
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
Page 73 and 74: 73
Page 75 and 76: The HSMR 100 looks at all hospital
Page 77 and 78: Following on from this the Secretar
Page 79 and 80: An action plan, work schedule and a
Page 81 and 82: Themes of Good Practice Noted Stan
Page 83 and 84: Palliative Care Coding - (percentag
Page 85 and 86: NGH is reviewing the scores in orde
Page 87 and 88: The results show that the trust is
Page 89 and 90:
Northamptonshire County Council FAO
Page 91 and 92:
Private & Confidential Carolyn Fox
Page 93 and 94:
93
Page 95 and 96:
95
Page 97:
Q R S PROMs QCI QELCA QI RCPH R&D R
show all

Northampton General Hospital NHS Trust Quality Account 2016-2017

Create successful ePaper yourself

Delete template?

Save as template?