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Northampton General Hospital NHS Trust Quality Account 2016-2017

Northampton General Hospital NHS Trust Quality account 2016-2017

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Statement from the Director of Nursing & Midwifery and the Medical Director<br />

The cornerstone of <strong>Northampton</strong> <strong>General</strong> <strong>Hospital</strong> <strong>NHS</strong> <strong>Trust</strong>’s philosophy is to provide the best<br />

possible care for all our patients, underpinned by our values:<br />

<br />

<br />

<br />

<br />

We put patient safety above all else<br />

We aspire to excellence<br />

We reflect, we learn, we improve<br />

We respect and support each other<br />

We have successfully delivered Year 1 of our three year <strong>Quality</strong> Improvement Strategy with<br />

programmes aligned to our <strong>Quality</strong> Priorities to make our care safer, more effective and to improve<br />

the experience of our patients and families.<br />

We have achieved the majority of our key performance indicators including the Referral to<br />

Treatment Time but did not achieve the national access standard of 95% for patients being treated<br />

within four hours in the Accident and Emergency Department. Although this was disappointing, our<br />

patients have rated their experience highly and we were assured that patient care was not<br />

adversely affected.<br />

The focus on patient safety remains a priority for all our staff and this culture is embedded<br />

throughout the <strong>Trust</strong>. We continued to make significant progress in reducing the numbers of<br />

hospital-acquired pressure ulcers and consistently improved the delivery of harm free care as<br />

measured by the “Safety Thermometer”.<br />

We continue to encourage our staff to report incidents so that we are able to improve the care<br />

given to our patients as a result of learning from incident reports and investigations. During the<br />

year, we focussed our work in infection prevention and control on reducing the number of patients<br />

contracting C Difficile and MRSA.<br />

Our improvements in patient experience have been recognised nationally with a prestigious award<br />

from the Patient Experience Network. Our patients are telling us the care we are providing is<br />

improving, with 92.3% recommending our services to their family and friends in comparison to<br />

89.2% last year.<br />

The results of the National Staff Survey were exceptionally positive this year which continues to<br />

build on the year improvements that we have made since 2013. The survey showed 12 statistically<br />

significant improvements including overall levels of staff engagement with no areas of<br />

deterioration. There were significant improvements in staff recommending the <strong>Trust</strong> as a place to<br />

work, staff agreeing that their role makes a difference to patients and their carers and the<br />

satisfaction of staff with the quality of the work that they are able to deliver. Overall, we were in the<br />

top 5 most improved <strong>Trust</strong>s in the country.<br />

One area of concern that has come through from the survey is that not all of our staff are<br />

consistently living our <strong>Trust</strong> value of ‘we respect and support each other’. This will be an area of<br />

focus for us in the coming year.<br />

We welcomed the sustained improvement in the Summary <strong>Hospital</strong>-level Mortality Indicator (SHMI)<br />

and <strong>Hospital</strong> Standardised Mortality Ratio (HSMR) which are among the lowest in our peer group<br />

and reflect our aim to place patient safety above all else. Building on our work in this area we are<br />

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