Pennine News 83 - June 2010 - Pennine Acute Hospitals NHS Trust
Pennine News 83 - June 2010 - Pennine Acute Hospitals NHS Trust
Pennine News 83 - June 2010 - Pennine Acute Hospitals NHS Trust
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pennine<br />
news<br />
Core Brief - May <strong>2010</strong><br />
STanDarDiSeD<br />
MOrTaLiTY<br />
Based on CHKS 008 standardisation<br />
modelling, the <strong>Trust</strong> has achieved its<br />
objective for 009 in reducing its<br />
standardised mortality by 5%. The <strong>Trust</strong>’s<br />
crude mortality rate (trend) has continued<br />
to show an improvement over the last<br />
three years and has mirrored its peer<br />
group, which is made up of approximately<br />
90 other trusts. Within this overall<br />
downward trend the peer and <strong>Trust</strong><br />
average mortality rate peaked significantly<br />
during December 009 and January<br />
010. The <strong>Trust</strong> and peer group are<br />
looking into the reasons for this.<br />
More information: contact Dr Ruth<br />
Jameson, medical director, on tel. 45461.<br />
PaTienT SafeTY<br />
cOMMiTTee<br />
A new Patient Safety Committee, which<br />
reports to the Clinical Governance and<br />
Quality Committee, held its inaugural<br />
meeting on 30 April. The group, chaired<br />
by Dr Ruth Jameson, medical director,<br />
meets monthly and includes clinical leaders<br />
and patient safety project leads. Its main<br />
purpose is to ensure that the Patient Safety<br />
Improvement work is delivered using<br />
improvement methodology in accordance<br />
with the <strong>Trust</strong>s key outcome measures. It<br />
will be looking at end of life strategy,<br />
coding and evidence-based care bundles.<br />
Care Bundles are packages of evidencebased<br />
interventions that are applied to<br />
selected patients.<br />
More information: contact Dr Ruth<br />
Jameson, medical director, on tel. 45461<br />
fOUnDaTiOn TrUST<br />
UPDaTe<br />
The next version of the <strong>Trust</strong>’s Integrated<br />
Business Plan (IBP) which sets out the<br />
organisation's five year business strategy as<br />
an aspirant Foundation <strong>Trust</strong> has been sent<br />
to the Strategic Health Authority. One of<br />
the key elements is the “mini-IBPs” which<br />
are being developed within divisions. The<br />
<strong>Trust</strong> is soon to commence a membership<br />
recruitment campaign to encourage the<br />
public and partner agencies to sign up as<br />
FT members. Further information on the<br />
staff membership process will be issued<br />
shortly.<br />
finance - Year enD<br />
2009/10<br />
The <strong>Trust</strong> successfully achieved its financial<br />
duties for 009/10 and ended the year<br />
with a small surplus of £6 0,000 (0.1 %<br />
of budget) before technical adjustments.<br />
<strong>Trust</strong> expenditure was £5 6,30 ,000 in<br />
the year (£1.4million per day).<br />
More information: contact Robert<br />
Chadwick, director of finance and IM&T,<br />
5469.<br />
The core brief should be included in everyone’s team briefing following<br />
circulation, which takes place the week after <strong>Trust</strong> Board meetings. These<br />
are held the last Thursday of the month. if you need more info, then each<br />
article contains contact details. Some of the items on this page have been<br />
edited slightly for space reasons. for a full copy of the core brief either<br />
click on the communications page of the intranet or ask your manager.<br />
reDUcing HeaLTHcare acQUireD infecTiOnS<br />
The <strong>Trust</strong> has achieved its target for reducing<br />
MRSA and Clostridium Difficile (CDT) for<br />
009/10.<br />
The target set for MRSA bacteraemia in<br />
010/11 is no more than 14 post 48 hour<br />
cases – effectively a maximum of one<br />
hospital-acquired MRSA case per month. Hand<br />
washing remains the single most important<br />
procedure for preventing the spread of<br />
biological contamination. Staff are reminded to<br />
use the 7-step procedure when hand washing<br />
and to contact their hospital site infection<br />
prevention nurse if they have not already had<br />
this year’s training and 010 ‘tick’ sticker.<br />
More information: to receive mandatory<br />
training and this year’s sticker, contact:<br />
ROH – Liz Wilson ext. 78771, Lorraine Durham<br />
ext. 719 , Pat Gallagher ext. 719 3<br />
NMGH – Michael Beesley ext. 4 935,<br />
Mark Ronan ext. 47945<br />
FGH – Sylvia Maxfield ext. 8 4 8,<br />
Cheryl Wood ext. 8 91<br />
Rochdale – Anne Taylor ext. 56150,<br />
Marie Boswell ext. 56151<br />
PerfOrMance - Year enD 2009/10<br />
The <strong>Trust</strong> achieved a number of national and<br />
other performance standards in 009/10.<br />
� 36 MRSA bacteraemias were recorded<br />
during 009-10, against a target of 38.<br />
� 394 C Difficile infections were recorded during<br />
009-10 compared to 47 for 008-9<br />
� Cancer research performance at the <strong>Trust</strong><br />
has seen considerable success this year in<br />
exceeding all of the research targets set<br />
by the National Cancer Research Network<br />
(NCRN). Fifteen per cent of the <strong>Trust</strong>’s<br />
cancer/pre-malignant patients participated<br />
in a NIHR study.<br />
� Declaration of compliance with same sex<br />
accommodation requirements.<br />
� 80% of staff had a personal development<br />
plan review during the year.<br />
� Successful registration with the Care Quality<br />
Commission with no conditions.<br />
� Achieving rapid access to chest pain clinics<br />
in weeks<br />
The <strong>Trust</strong> achieved the overall national 18<br />
weeks admitted and non-admitted standards.<br />
Within the overall <strong>Trust</strong> figures some specialities<br />
did not meet the 18 weeks standard, including<br />
orthopaedics, general surgery, plastic surgery,<br />
urology and neurosurgery. Action plans for<br />
these specialties to meet the standard have<br />
been developed and are monitored by the<br />
Scheduled Care Group.<br />
nHS nW reSTricTeD cLearing HOUSe fOr<br />
BanDS 1-9<br />
An <strong>NHS</strong> North West restricted Clearing<br />
House for Bands 1 – 9 posts came into effect<br />
on 1 April 010. All such vacancies will<br />
initially be advertised via this clearing house<br />
to ensure <strong>NHS</strong> staff who may be affected by<br />
organisational change throughout the North<br />
West region have the opportunity to apply for<br />
vacant posts first. This has required several<br />
changes in the recruitment process. Stage<br />
of the clearing house process is open to any<br />
existing <strong>NHS</strong> employee working within north<br />
west <strong>NHS</strong> <strong>Trust</strong>s to apply on their substantive<br />
The <strong>Trust</strong> achieved the cancer week access<br />
target. However, only <strong>83</strong>.8% of symptomatic<br />
breast patients where cancer is not initially<br />
suspected were seen within weeks against<br />
the 93% target. The <strong>Trust</strong> also fell below the<br />
national Cancer 6 day target from GP referral<br />
to treatment and the Cancer 6 day screening<br />
service referral to treatment target. An integrated<br />
cancer performance improvement plan is being<br />
monitored by the <strong>Trust</strong>’s Cancer Committee<br />
and Scheduled Care Group. The plan focuses<br />
on care pathway redesign, enhanced monitoring,<br />
and increased capacity.<br />
The Emergency Care Access Standard requires<br />
at least 98% of patients to be seen, treated,<br />
admitted, transferred or discharged within fours<br />
hours of attendance at an A&E department.<br />
The <strong>Trust</strong> achieved 96.6% in 009/10. This is<br />
a key national target and <strong>Trust</strong> wide and site<br />
based plans to achieve the target have been<br />
developed following recommendations made<br />
by the Department of Health’s Emergency Care<br />
Intensive Support Team (ECIST). As part of this<br />
work North Manchester General Hospital has<br />
introduced fast flow wards on E5 & E6 with<br />
the aim of providing a focused environment<br />
for patients with an expected date of discharge<br />
of less than 7 hours. This commenced<br />
Wednesday 5 May 010. Ward-based Internal<br />
Professional Standards (IPSs) and similar IPS<br />
for gynaecology and radiology have been<br />
produced. These can be viewed on the intranet<br />
and will be displayed on sites.<br />
(permanent) band/salary (i.e. individuals cannot<br />
apply for a promotion at Stage of the<br />
clearing house). Once a vacancy has been<br />
processed through the clearing house, and if<br />
no one applies or is appointed, the vacancy will<br />
be placed on the <strong>Trust</strong> vacancy bulletin<br />
following normal recruitment procedure.<br />
More information: for more details and to<br />
apply for vacancies visit online at<br />
www.jobs.nhs.uk/internal/in/northwest.html<br />
page 10 …To provide the very best care for each patient on every occasion…