SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST. Cancelled Operations
|
|
- Bernadette Lamb
- 5 years ago
- Views:
Transcription
1 SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Cancelled Operations Report to: Trust Board September 2009 Report from: Sponsoring Executive: Sponsoring Divisional Director: Dee Parker Deputy Head of Performance and Capacity Management Andrew Asquith Head of Performance and Capacity Management Steve McManus, Chief Operating Officer Aim of Report/ To report cancelled operations performance, the impact on national Principle Topic: core standards, annual health check and FT scores set by Monitor, action plans to improve performance within each Division, and Trust improvement trajectories. Review History to date: Draft reviewed by Trust Executive Committee July 2009 Assurance Framework Strategic Objective Ref: Trust Board July 2009 S.O. 1 Hospital of Choice, S. O. 6 One of the best regarded public organisations, S.O 7 Sustainable Financial Position Recommendation(s): 1. To agree the actions being taken by Divisional Management Teams and the Trust Improvement Trajectory 2. To monitor improvement at Trust Board, TEC, Divisional Boards, Divisional Performance Reviews and Delivery Group 1. Strategic context: Cancelled Operations have a significant impact upon patient s perceptions of the care they receive, and may influence decisions by patients regarding the hospital they choose to be referred to. Cancelled Operations may result in poor utilisation of resources, such as staffed operating theatres or hospital beds. National Contracts require NHS Trusts who are unable to rebook patients for a date within 28 days of their cancellation to fund the treatment at a time and place (e.g. private hospital) chosen by the patient. Cancelled Operation measures are included in the frameworks used by external organisations to make assessments, and publish their judgements, regarding the capability and performance of SUHT. Such organisations include the Care Quality Commission, DH, Monitor, and Primary Care Trusts. 2. Staff, Patient and Public Involvement: This matter has been assessed for potential impact on personal data and privacy: Yes, no impact This matter has been assessed in relation to Equality & Diversity: Yes, no impact 3. Specific Detail: This report focuses on Cancelled Operations where the intended operations are elective rather than nonelective operations, and where cancellation takes place at the last minute i.e. Cancellation is communicated to the patient on or after their day of admission, and where the reason for cancellation is not the clinical condition of the patient. This is the scope of the national performance regime for cancelled operations. Postponements when the patient remains an admission are not included. Cancellation of non-elective operations, or earlier cancellation of elective operations, are also important, however last minute cancellations have a particularly profound impact upon patients because of the physical, emotional and social preparations that may take place for the event. 1
2 Performance to end August 2009 is as follows: Cancelled operations: % elective operations cancelled on day of admission % cancellations not readmitted within 28 days Target Month Quarter to Date Year to Date Forecast Year End Jun-09 Jul-09 Aug-09 <0.8% 1.4% A 1.4% A 1.3% A A 1.3% 1.5% 1.4% <5% 1.6% G 5.7% A 13.6% A A 3.2% 9.0% 1.6% Performance trends over two years (monthly results) are illustrated below: Cancelled operations as a % of FFCEs 3% 2% 1% 0% Mar-10 Feb-10 Jan-10 Dec-09 Nov-09 Oct-09 Sep-09 Aug-09 Jul-09 Jun-09 May-09 Apr-09 Mar-09 Feb-09 Jan-09 Dec-08 Nov-08 Oct-08 Sep-08 Aug-08 Jul-08 Jun-08 May-08 Apr-08 Mar-08 Feb-08 Jan-08 Dec-07 Nov-07 Oct-07 Sep-07 Aug-07 Jul-07 Jun-07 May-07 Apr-07 Cancelled ops as % FFCEs by month Predicted % w ith 10 Canc ops Predicted % w ith 30 Canc ops Predicted % w ith 60 Canc ops Target 2
3 28 day breaches as a % of cancelled operations 60.00% 55.00% 50.00% 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% Mar-10 Feb-10 Jan-10 Dec-09 Nov-09 Oct-09 Sep-09 Aug-09 Jul-09 Jun-09 May-09 Apr-09 Mar-09 Feb-09 Jan-09 Dec-08 Nov-08 Oct-08 Sep-08 Aug-08 Jul-08 Jun-08 May-08 Apr-08 Mar-08 Feb-08 Jan-08 Dec-07 Nov-07 Oct-07 Sep-07 Aug-07 Jul-07 Jun-07 May-07 Apr-07 Breaches as a % of cancelled ops by month Predicted % w ith 5 breaches Predicted % w ith 10 breaches Target Predicted % w ith 15 breaches It can be seen that difficulty meeting these performance targets has been persistent despite previous improvement plans and initiatives. Since presentation of a previous report to Trust Executive Committee and Trust Board improvements have been achieved in the rebook target however. Analysis by Care Group and Cancellation Reason is provided at Appendix A. 5. Target maximum levels 5.1 Cancellations Analysis of elective activity levels during Q1 09/10 indicates that for Divisions to achieve the targeted maximum of 0.8% cancellation in relation to their elective activity, these would need to be reduced as follows: Target monthly maximum Q1 monthly average Division Division Division Day Rebook To achieve a maximum of 5% failure to rebook, such failures will be reduced to 2 per month across the Trust. 3
4 6. The Improvement trajectories which will be delivered by implementation of the divisional improvement plans and against which progress will be monitored are as follows: 6.1 Cancellations Trustwide cancellations trajectory No. of cancellations Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Months Actual Improvement Trajectory Target Maximum day rebooking target Trustwide breaches trajectory No. of breaches Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Months Actual Improvement Trajectory Target Maximum Extracts from Divisional Improvement Plans are provided at Appendix B. 4
5 Appendix A A.1 Performance by Care Group 2009/10 1/4/09 31/8/09: Total Count of Month for inclusion as Cancellation Surgery Cardiothoracic Orthopaedics Ophthalmology Child Health Care Group Cardiothoracic Child Health Neurosciences Obs and Gynae Ophthalmology Orthopaedics Surgery Obs and Gynae Neurosciences A.2 Top 6 reasons for cancellation of surgery 2009/10 1/4/09 31/8/09: Count of Month for inclusion as Cancellat TIS - Insufficient time to complete operation Comments TEO - Emergency Op in Theatre TIS - Insufficient time to complete operation TEO - Emergency Op in Theatre The three main reasons for cancellation reported by Care Groups are: Insufficient time to complete operation No bed available Higher priority patient was treated in the slot 5
6 A.3 Main reasons for cancellation reported by Division 1/4/09 31/8/09: Division 1 Division Div 1 Total TIS - Insufficient time to complete operation Count of Month for inclusion as Cancellat AU - Anaesthetist Unavailable HEC - Exceptional Circumstances (eg Major HEF - Equipment Failure HOC - Transferred to other consultant Comments AU - Anaesthetist Unavailable HEC - Exceptional Circumstances (eg Major HEF - Equipment Failure HOC - Transferred to other consultant HTA - Theatre unavailable TEO - Emergency Op in Theatre TEO - Emergency Op in Theatre HTA - Theatre unavailable TIS - Insufficient time to complete operation Division 3 Division Div 3 Total Count of Month for inclusion as Cancellat TIS - Insufficient time to complete operation HEC - Exceptional Circumstances (eg Major TEO - Emergency Op in Theatre Comments HEC - Exceptional Circumstances (eg Major TEO - Emergency Op in Theatre TIS - Insufficient time to complete operation 6
7 Division 4 Division Div 4 Total Count of Month for inclusion as Cancellat AU - Anaesthetist Unavailable Comments AU - Anaesthetist Unavailable TIS - Insufficient time to complete operation TEO - Emergency Op in Theatre HNA - Cons not Available HEC - Exceptional Circumstances (eg Major HEF - Equipment Failure HEC - Exceptional Circumstances (eg Major HEF - Equipment Failure HNA - Cons not Available TEO - Emergency Op in Theatre TIS - Insufficient time to complete operation 7
8 A.4 Impact on the 28 day rebooking target 1/4/09 31/8/09 Data Division Care Group Specialty Count of Count of % not Month for Month for rebooked inclusion as inclusion as within 28 days Cancellation Breach Div 1 Ophthalmology EYE % Ophthalmology Total % Orthopaedics ORT % Orthopaedics Total % Surgery ENT % SUR % URO % Surgery Total % Div 1 Total % Div 3 Child Health PED % PES % PO % Child Health Total % Obs and Gynae GYN % Obs and Gynae Total % Div 3 Total % Div 4 Cardiothoracic CAS % CAY % PAC % THO % VAS % Cardiothoracic Total % Neurosciences MF % NES % ORT % Neurosciences Total % Div 4 Total % Grand Total % It can be seen from the above table that we have been failing (year to date) to meet the target to rebook cancelled patients for a date within 28 days of their cancellation (the threshold for achieving this target is 5%). An improvement has been achieved in the most recent 3 months however. Care groups with the greatest impact upon Trust failure to rebook within 28 days are Surgery, Neurosciences and Cardiothoracic. 8
9 Appendix B Divisional Improvement Plans include the following: Division 1 Reinforcement of the requirement that any potential cancellation is escalated to the care group management team prior to a decision being taken to ensure that all possible solutions are implemented to prevent cancellation. All patients will be appropriately pre assessed before being admitted following the agreed protocol (nurse, nurse and doctor, nurse and anaesthetic) Patients with a specific condition which affects their surgery will be flagged (diabetes warfarin, latex allergy etc) All specialist kit requirements to be identified at outpatient, or at latest pre assessment All operating lists to be given 72 hours before operating date to ensure kit can be ordered and HDU beds can be requested All listed patients will be phoned to check whether they have any condition not flagged on the card All listed patients will be phoned immediately prior to admission reinforce the need to wash with antimicrobial preparation (Reduction in cancellations 10 per month) Orthopaedics will ensure 2 slots retained per week for rebooks (Particular focus on specialties where capacity is scarce and demand is greatest) (No breaches of this standard expected as a result) Surgical Care group will also introduce retained slots for rebooks. Division 3 Ensure that when a date within 28days is offered and parents decline this date for their child this is recorded on PAS and reviewed by the Care Group management team (Reduction in rebooking breaches by 2 per quarter) Introduce firebreaks to urology lists supported by commencement of additional Consultant post. Use emergency theatre lists as appropriate. (Reduction in rebooking breaches by 2 per quarter) Weekly assessment in advance to ensure that theatre lists and bed availability are correctly aligned to avoid bed related cancellation at the last minute. Identify the 28 day breach patients on the weekly TCI list so that the Bed Manager knows which patients to prioritise from a 'target perspective'. (Reduction in both cancellations and rebooking breaches by 2 per quarter) Improve theatre management and utilisation of time to avoid cancellations due to over-run of lists (Reduction in cancellations by 2 per quarter) 9
10 Division 4 Scheduling of more carefully constructed cardiac theatre lists (in terms of number and complexity of cases) to ensure that unachievable lists are not planned Multidisciplinary planning of theatre schedules All Cancelations are reviewed weekly by the Matrons, Operations Manager and Project lead and monthly by a multi professional team Seek to postpone patients when appropriate, keeping them in hospital and operating at the earliest opportunity, rather than discharging and rebooking for a later date Pilot two additional evening attendances per week, to provide for postponed elective cases or undertake non elective cases if no postponements have occurred. Patients on all lists will be prioritised and this documented, supported by a nominated cancellation co-ordinator. This will result in quicker decision making and thus fewer patients will be cancelled when issues do occur. Operational Managers were appointed at start of July to provide more robust operational management which will include prevention of the causes of cancellation / ensuring rebooking Improve availability of Neuro Intensive Care beds by eliminating delays in discharge for the unit, through care pathway review, audit of delays, role of internal bed manager, study of ortho spinal activity Improve ward bed availability through reducing pre-operative LOS in both emergency and elective, review policy for transfer to other hospitals following treatment, review of all patients over 7 days stay systematically Additional cardiac intensive care capacity - Level 2 now open, Level 3 October 2009 Use of new heart and lung machines by end July, will resolve delays and cancellations caused by the current equipment Review on call rota for Anaesthetists to avoid cancellations due to non-availability of the scheduled anaesthetist. 10
Reducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove.
Reducing Elective Waits: Delivering 18 week pathways for patients Programme Director NHS Elect Caroline Dove What I will cover 1. Why 18 Weeks is different 2. Where are we now 3. New models of delivery
More informationSheffield Teaching Hospitals NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust @seamlesssurgery Seamless Surgery Team Sheffield Teaching Hospitals NHS Foundation Trust July 2017 PROUD TO MAKE A DIFFERENCE PROUD TO MAKE A DIFFERENCE
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:
More informationRTT Recovery Planning and Trajectory Development: A Cambridge Tale
RTT Recovery Planning and Trajectory Development: A Cambridge Tale Linda Clarke Head of Operational Performance Addenbrooke s Hospital I Rosie Hospital Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep
More informationSummarise the Impact of the Health Board Report Equality and diversity
AGENDA ITEM 4.1 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact Details for further
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services
More informationNHS Electronic Referrals Service. Paper Switch Off an update Digital Health Webinar 4 May 2018
NHS Electronic Referrals Service Paper Switch Off an update Digital Health Webinar 4 May 2018 Aims of Session Introductions and refresh of Paper Switch Off Sharon Wilson Implementation manager NHS Digital
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 December 2013 Lead Director (Acute Services Division) Board Paper No 13/60 Recommendation: WAITING TIMES AND ACCESS TARGETS The NHS Board is asked to note progress against
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S REPORT. BOARD OF DIRECTORS 21 st March 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST I CHIEF EXECUTIVE S REPORT BOARD OF DIRECTORS 21 st 212 1. PERFORMANCE In overall terms, the Trust continues to perform well against both regulatory and
More informationAgenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome:
TRUST BOARD Date of Meeting: Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: For noting For information For decision Title of Report: Update on Clinical Strategy Aims: To brief Trust Board
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationPerformance Improvement Bulletin
SPECIAL DELIVERY UNIT/ NATIONAL TREATMENT PURCHASE FUND Issue No.1 08/12 Performance Improvement Bulletin Featured Work underway - Maximum Waiting Time Targets 2 Case Study No. 1 Galway & Roscommon University
More informationSafe Nurse Staffing Levels. June 2017
Safe Nurse Staffing Levels Executive Summary June 2017 The purpose of this report is: 1. To provide an assurance with regard to the management of safe nursing and midwifery staffing for the month of June
More informationWEST HAMPSHIRE PERFORMANCE REPORT. Based on performance data available as at 11 th January 2018
WEST HAMPSHIRE PERFORMANCE REPORT Based on performance data available as at 11 th January 2018 1 CCG Quality and Performance Executive Summary Introduction: The purpose of this report is to provide an
More information1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN
More informationSafer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report
To: Board of Directors Date of Meeting: 26 th July 20 Title Safer Nursing and Midwifery Staffing Responsible Executive Director Nicola Ranger, Chief Nurse Prepared by Helen O Dell, Deputy Chief Nurse Workforce
More informationSection 1 - Key Performance Indicators
Clinical Quality Report Month 6 2016/17 period ending 30th September 2016 Section 1 - Key Performance Indicators 1.1 NHS Improvement; Risk Assessment Framework Clostridium difficile Indicator M6 2 YTD
More informationPredicting the Unpredictable. Andrea Rindt Maternity Services Manager
Predicting the Unpredictable Andrea Rindt Maternity Services Manager Who we are in 2013? Approximately 2000 births per year 6 bed birth suite 28 post natal beds all single rooms Maternity @ Home Service
More informationNorthern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention
Northern Health - Acute Services Evidence Based Practice Venous Thromboembolism Prevention (VTE) Jeannette Kamar Christine Lamotte, Liam Carter Improving Patient Safety Preventing and Managing Venous Thromboembolism
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationAppendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations
No. Domain CQC Recommendation Lead Operational Lead Current Status 1 Appendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations Wording in long
More informationAneurin Bevan Health Board. Improving Theatre Performance
Aneurin Bevan Health Board Improving Theatre Performance 1 Introduction This report provides an overview on actions being taken to improve theatre performance within the Health Board. The report provides
More information1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy
More informationNational Waiting List Management Protocol
National Waiting List Management Protocol A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures January 2014 an ciste náisiúnta um cheannach cóireála
More informationNHS performance statistics
NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationPre-operative Assessment
Pre-operative Assessment Optimising Theatre Utilisation Ann-Elizabeth Bourke Suzanne Dunne 12thApril 2013 RCSI Structure of Presentation Development of the Pre-operative Assessment Service Requirements
More informationWaiting Times Report Strategic. Thematic Goals
Strategic Improved Quality of Care Transformation - Prevention & Wellbeing Thematic Goals Waiting Times Report 2016-17 Transformation through Integration Improved Access to Services Improved Value This
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. 2320 RN Vacancy Rates for the Month of January 2013
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Meeting Date: 3 th June 214 Trust Board Report Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:
More informationAmbulatory Care Model
Ambulatory Care Model Hong Kong May 2013 Andrew Stripp Deputy Chief Executive & Chief Operating Officer Outline What is the Alfred Centre? How does it fit into Alfred Health service model Key aspects of
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationIntegrated Performance Report
Integrated Performance Report M06 September 2014 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An
More informationNewham Borough Summary report
Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing August 2017 (July 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing August 2017 (July 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author: Workforce
More informationRTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning
RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within
More informationHard Truths Public Board 29th September, 2016
Hard Truths Public Board 29th September, 2016 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse/Deputy Chief Executive Heather McClelland
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationMonthly Nurse Safer Staffing Report October 2017
Monthly Nurse Safer Staffing Report October 2017 Trust Board November 2017 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation into Mid
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More information2016/17 Activity Report April August/September 2016
Due to a change in national hospital data flows (SUS) and also a delay in processing September 2016 Practice-level finance data, the latest information on hospital activity and spend is still up to August
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationQuality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance
Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance A Whole System Approach to Patient Flow for Scotland Our Quality Improvement Approach Jane Murkin Programme
More informationSOP no: A/003. To be revised in Date: February 2009
PGWC Standard Operating Procedure Category: Operating theatre activity data Recording and reporting of cancellation of elective theatre operations and/or procedures Compiled by: Theatre Efficiencies Task
More informationCare of Critically Ill & Critically Injured Children in the West Midlands
Care of Critically Ill & Critically Injured Children in the West Midlands University Hospitals Coventry & Warwickshire NHS Trust Visit Date: 4 th December 2013 Report Date: April 2014 Images courtesy of
More informationBOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
More informationAuthor: Kelvin Grabham, Associate Director of Performance & Information
Trust Policy Title: Access Policy Author: Kelvin Grabham, Associate Director of Performance & Information Document Lead: Kelvin Grabham, Associate Director of Performance & Information Accepted by: RTT
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department
More informationQuality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals
Quality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals DMC Harper- Hutzel Hospital The DMC is an 8 facility academic medical center Harper-Hutzel is
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:
More informationIntegrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018
6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 21 April 2015 Chief Officer (Acute Services) Board Paper No.15/17 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationNLG(14)098. DATE 25 March Trust Board of Directors Part A. Dr Neil Pease, Director of OD & Workforce. Monthly Staffing Report
DATE 25 March 2014 REPORT FOR Trust Board of Directors Part A REPORT FROM Dr Neil Pease, Director of OD & Workforce CONTACT OFFICER Dr Neil Pease, Director of OD & Workforce SUBJECT Monthly Staffing Report
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationQuality Assurance Accreditation Scheme Assignment Report 2016/17. University Hospitals of Morecambe Bay NHS Foundation Trust
Quality Assurance Accreditation Scheme Assignment Report 2016/17 Contents 1. Introduction 2. Executive Summary 3. Findings, Recommendations and Action Plan Appendix A: Terms of Reference Appendix B: Assurance
More informationBond University Medical Program. Surgery Rotation Clinician Guide
Bond University Medical Program Surgery Rotation Clinician Guide YEAR 5 2018 Introduction Students in the final year of the Bond University Medical Program have 6 rotations to train in a broad array of
More informationStatement 2: Patients/carers are offered verbal and written information on VTE prevention as part of the admission process.
THROMBOSIS GROUP Venous thromboembolism (VTE) is a collective term referring to deep vein thrombosis (DVT) and pulmonary embolism (PE). VTE is defined by the following ICD-10 codes: I80.0-I80.3, I80.8-I80.9,
More informationWinter/Surge Capacity Plan 1 st December 2013 to 31 st March Position as at September 2013
Winter/Surge Capacity Plan 1 st December 2013 to 31 st March 2014 Position as at September 2013 Contents 1. Introduction and background... 3 2. Demand and capacity... 4 2.1. Anticipated bed demand... 4
More informationGoverning Body. TITLE OF REPORT: Performance Report for period ending 31st December 2012
- Governing Body DATE OF MEETING: TITLE OF REPORT: Performance Report for period ending 31st December 2012 KEY MESSAGES: We are responsible for securing improvements in the quality of care and health outcomes.
More informationNHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran
NHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran April 2013 Background In February 2012, the Scottish Information Commissioner
More informationThis paper aims to provide the Board with a clear picture of how Waiting Lists are managed within NHS Borders.
Appendix-2012-45 Borders NHS Board MANAGEMENT OF WAITING TIMES Aim This paper aims to provide the Board with a clear picture of how Waiting Lists are managed within NHS Borders. Background NHS Borders
More informationIntegrated Performance Report August 2017
Integrated Performance Report Contents Section Page High Level Dashboard Balanced scorecard 3 Domain Scorecards and Director Commentaries Operational Performance 4 Quality and Patient Safety 9 Workforce
More informationE - 7 Day Services. David McDonald, Service Improvement Lead, Whole System Patient Flow Improvement Programme
E - 7 Day Services David McDonald, Service Improvement Lead, Whole System Patient Flow Improvement Programme 1 2 Seven day Rehabilitation service at the Golden Jubilee National Hospital Christine Divers
More informationHealth Board Report INTEGRATED PERFORMANCE DASHBOARD
AGENDA ITEM 4.2 27 th January 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact
More informationKey Objectives To communicate business continuity planning over this period that is in line with Board continuity plans and enables the Board:
Golden Jubilee Foundation Winter Plan 2016/2017 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This plan
More informationWorkflow. Optimisation. hereweare.org.uk. hereweare.org.uk
Workflow Optimisation Dr. Paul Deffley & Jaivir Pall Clinical Lead & Commercial Lead About Here Not-for-profit social enterprise Membership organisation (our members are local GPs, Practice Managers, Practice
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationChildren's Hospital Group. Scoliosis Co-Design 10 Point Action Plan 2018/2019
Children's Hospital Group Scoliosis Co-Design 10 Point Action Plan 018/019 July 018 Introduction Summary of 10 Point Plan In May 017 the Children's Hospital Group established a Paediatric Scoliosis Services
More informationIntegrated Performance Report
Integrated Performance Report M12 March 2015 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Alsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An Associated
More informationThe Royal Wolverhampton NHS Trust
Title: Safe Staffing; Planned Versus Actual Staffing by Ward September 2016 data The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 31 st October 2016 Title: Nursing Workforce Report Executive
More informationHealth Board Report INTEGRATED PERFORMANCE DASHBOARD
AGENDA ITEM 4.4 2 nd March 2016 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact
More informationCompliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
More informationThe impact of a flu or norovirus outbreak could have a significant impact on health and social services and could involve:
NHS National Waiting Times Centre Winter Plan 2010/11 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This
More informationNHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 10. Date of Meeting:.24 th March 2017.
NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 10 Date of Meeting:.24 th March 2017. TITLE OF REPORT: CCG Corporate Performance Report AUTHOR: Melissa Laskey Director of Service
More informationCQC Quality Improvement Plan
2018-19 CQC Quality Improvement Plan Date of Submission: 21/03/2018 Chief Executive: Lance McCarthy Chair Alan Burns Navigation Our Patients Our People Our Performance Our Places Key The table below identifies
More informationBond University Medical Program. Haematology Rotation Clinician Guide
Bond University Medical Program Haematology Rotation Clinician Guide YEAR 5 2018 Introduction Students in the final year of the Bond University Medical Program have 6 rotations to train in a broad array
More informationAnnual Complaints Report 2014/15
Annual Complaints Report 2014/15 1.0 Introduction This report provides information in regard to complaints and concerns received by The Rotherham NHS Foundation Trust between 01/04/2014 and 31/03/2015.
More informationRebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO
Rebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO THE MARKET & PHS S POSITION 2 Progressive Health Systems, Inc. (dba Pekin Hospital) Pekin, IL 3 4 5 Nearby
More information7 NON-ELECTIVE SURGERY IN THE NHS
Recommendations Debate whether, in the light of changes to the pattern of junior doctors working, non-essential surgery can take place during extended hours. 7 NON-ELECTIVE SURGERY IN THE NHS Ensure that
More informationNovember NHS Rushcliffe CCG Assurance Framework
November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015
More informationLearning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018
Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 218 Purpose The purpose of this paper is to update the Trust Board on progress with implementing the mandatory
More informationStatus: Information Discussion Assurance Approval
Report to: Trust Board Agenda item: Date of Meeting: July 2017 Report Title: Safe Nurse Staffing 6 Monthly Assurance Report Status: Information Discussion Assurance Approval X x Prepared by: Sarah Dodds,
More informationLeveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationThe PCT Guide to Applying the 10 High Impact Changes. A guide from NatPaCT
The PCT Guide to Applying the 10 High Impact Changes A guide from NatPaCT DH INFORMATION READER BOX Policy HR/Workforce Management Planning Clinical Estates Performance IM&T Finance Partnership Working
More informationBSUH INTEGRATED PERFORMANCE REPORT. 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well Led Domain
BSUH INTEGRATED PERFORMANCE REPORT 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well ed Domain RESPONSIVE DOMAIN RESPONSIVE DOMAIN Metric Defined by Standard Apr-16 May-16
More informationPERSPECTIVES. High Performing Emergency Pathways PERFORMANCE IMPROVEMENT
PERFORMANCE IMPROVEMENT High Performing Emergency Pathways In Spring 2013, as many hospitals emergency departments buckled under the strain of an extended winter, 2020 Delivery began exploring the causes
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010
BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the
More informationEAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST
EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST REPORT TO: BOARD OF DIRECTORS MEETING DATE: 29 JANUARY 2015 SUBJECT: REPORT FROM: PURPOSE: CQC ACTION PLAN CHAIR OF IMPROVEMENT PLAN DELIVERY BOARD Discussion
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT
Agenda item A5(iv) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT EXECUTIVE SUMMARY The Tissue Viability Team assists wards and departments to reduce
More informationTRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS
TRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 def Agenda Item: 10c PURPOSE PREVIOUSLY CONSIDERED BY Objective(s) to which issue relates * Risk Issues (Quality, safety, financial, HR, legal
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 26 th October 2015 Title: Executive Summary HR Report Executive Summary: The report provides an Executive summary on: Nurse Recruitment
More informationAppendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18.
Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18. South Lanarkshire - Whole System Pathway Indicators identified capture key data across the whole H&SC system, primarily based around supporting
More informationBond University Medical Program. Oncology Rotation Clinician Guide
Bond University Medical Program Oncology Rotation Clinician Guide YEAR 5 2018 Introduction Students in the final year of the Bond University Medical Program have 6 rotations to train in a broad array of
More informationPre Assessment Policy. Trust Policy Forum March 2004
Policy No: OP19 Version 1.0 Name of Policy: Pre Assessment Policy Effective From: March 2004 Approved by: Trust Policy Forum March 2004 Next Review Date: March 2005 Reviewed by: This policy supercedes
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT
9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report
More informationHospital Cleanliness Report March 2013
PAPER: SFT3379 Hospital Cleanliness Report March 2013 PURPOSE: To update the Trust Board on the Cleanliness Compliance against national specifications that support the Clean Hospital Agenda MAIN ISSUES:
More informationDocument Management Section (if applicable) Previous policy number NA Previous version
Policy Title Patient Access Policy Version Policy Number 0059 5 number All administrative / clerical / managerial staff Applicable to involved in the administration of patient pathway. All medical and
More information