Northampton General Hospital NHS Trust Quality Account 2016-2017

Recommendations

Info

When compared against other acute trust, the Trust was in the top 20% for: Staff motivation at work Effective team working Percentage of staff appraised in last 12 months Quality of non-mandatory training, learning or development. The Trust was benchmarked as above average when compared to other acute trusts for: Percentage of staff reporting errors, near misses or incidents witnessed in the last 12 months Percentage of staff working extra hours Percentage of staff able to contribute towards improvements at work Percentage of staff experiencing physical violence from staff in the last 12 months. The Trust was benchmarked as average when compared to other acute trusts for: Quality of appraisals Percentage experiencing discrimination at work in the last 12 months Fairness and effectiveness of procedures for reporting errors, near misses and incidents Percentage attending work in last 3 months despite feeling unwell because they felt pressure Staff recommendation of the organisation as a place to work or receive treatment Staff satisfaction with the level of responsibility and involvement Staff satisfaction with resourcing and support Recognition and value of staff by managers and the organisation Percentage reporting good communication between senior management Support from immediate managers Staff satisfaction with the quality of work and care they are able to deliver Percentage agreeing that their role makes a difference to patients and service users Effective use of patient/service user feedback Percentage reporting the most recent experience of violence The following graph shows the overall picture is now continuing towards an increasingly upward trend. 44
There have been improvements across all areas when you compare the Trust to the others as follows: Lowest Below Average Above Top 20% (worst) 20% average average 2015 9 15 5 2 1 2016 2 8 14 4 4 Percentage Improvement 78% 47% 180% 100% 300% Overall we have been recognised as being in the top 5 most improved acute Trusts in the country. The key areas for improvement, based on our rankings against other acute trusts include: Flexible working opportunities Staff experiencing harassment, bullying or abuse from other staff or patients/relatives/public Staff reporting most recent experience of harassment, bullying or abuse Physical violence from patients/relatives/public Equal opportunities for career progression Witnessing potentially harmful errors/near misses/incidents Confidence and security in reporting unsafe clinical practice Staff feeling unwell due to work related stress Organisation and management interest in and action on health and wellbeing. We recognise that overall the survey shows a lot of improvement. However, given the results on bullying and harassment we will be focussing more effort on addressing this to support our trust value of ‘we respect and support each other’. We will approach this from two perspectives; firstly to support to staff by understanding their concerns through engaging directly with staff; developing our Mental Well-Being & Resilience policy and providing resilience training as part of our Health & Well-Being strategy and secondly to send clear communications and have robust policies that make it clear that any form of bullying or harassment is unacceptable and will be dealt with. 45
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 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: NHS Staff Survey We have continued
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:
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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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