AH ANNUAL REPORT 2018

3.3.8 Peri-operative Care
The focus of the previous report was creating and implementing standards in relation to national policy such as the
national safety standards. The focus across this year has been on ensuring these standards are embedded and are
useful to the whole team in theatre.
This set out eight key aims for the year ahead alongside a strategy for achieving those aims. On reflection, at the
close of 2017/18 all of these aims have been achieved or work has commenced.
Aims and Objectives 2017/18
Embed risk, governance and National Safety
Standards for Invasive Procedures (NatSSIPS) into
mandatory training sessions within theatre.
Creation of Divisional Infection Prevention and
Control (IPC) board.
Establish audit process for NatSSIPS.
Development of departmental human factors
strategy.
Creation of a surgical site surveillance service for
the division.
Undertake baseline safety culture report with plans
to repeat bi-annually.
Creation of an electronic booking system to improve
emergency theatre flow.
Development of strategy for peer support and
reduction in stress related sickness.
Achieved
Mandatory training delivered in house on all update
sessions.
Now reports into Divisional integrated governance and
Trust IPC Committee.
Peer audit in place, departmental audit plan being
completed for next year.
Strategy developed, actions underway to embed.
Business case complete and recruited, database
underway.
Initial safety assessment undertaken, plan in place to
repeat.
Emergency List Information system (ELIS) created and
live within department.
Strategy developed and funded, will assess impact on
work related stress over coming year.
Key Quality Improvements made in 2017/18:
• Development of a business case and funding for the
surgical site surveillance programme.
• Agreed changes and funding for the way in which
patients requiring surgery for plastics trauma injuries
are booked and managed.
• Surgical admissions lounge working group to improve
pathway of admission for patients admitted on the
day of surgery.
• Approval of a business case for the expansion of the
pre-operative assessment service.
• Development and implementation of a clear strategy
for human factors training supported by external
partnerships.
• Award winning electronic booking system for the
emergency theatre.
Surgical Site Surveillance:
Surgical site surveillance is a mandatory reporting
requirement for all national trusts within the UK, but a
lot of the data required for submission is only relevant
to adult surgery. We completed a successful business
case to fund and develop a surgical site surveillance
team within surgery which will ensure that all sites are
surveyed and reported on to support improvements to
patient care and clinical outcomes.
Successful recruitment took place in March 2018 and
we are currently working with the developer to create a
bespoke database for use within the service. We hope
to see our first full year’s set of data complete at the
close of the 2018/19 financial year.
Alder Hey Children’s NHS Foundation Trust 134
Annual Report & Accounts 2017/18