July The CQC Findings. Getting to Good and Outstanding. WECCG: Presentation to Trust Board
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2 July 2018 The CQC Findings Getting to Good and Outstanding WECCG: Presentation to Trust Board Professor Nancy Fontaine, Deputy Chief Executive and Chief Nurse
3 Contents What have we been up to? 1. We have improved our CQC rating 2. Refreshed visitor areas and main entrance 3. Planning for a new hospital 4. Question and Answer Session
4 Contents What have we been up to? 1. We have improved our CQC rating 2. Refreshed visitor areas and main entrance 3. Planning for a new hospital 4. Question and Answer Session
5 CQC ratings for Trust as a whole Trust ratings in March 2018 We are out of special measures. Recommended by CQC and approved by NHS Improvement. Well done, congratulations and thank you all very much. Trust ratings in October 2016
6 CQC ratings for Trust at Service Level Service ratings in March 2018 Service ratings in October 2016
7 CQC ratings for Trust at Service Level CQC ratings October 2016 March 2018 Inadequate % 0 0.0% Requires Improvement % % Good % % Outstanding 2 5.0% 2 5.0% N/A 1 2.5% 1 2.5% TOTAL October 2016 March 2018 Inadequate Requires Improvement Good Outstanding N/A
8 Quotes from Ted Baker, CQC s Chief Inspector of Hospitals Our return to PAHT showed significant improvement had taken place Our inspectors found dedicated staff at the trust who had worked hard to ensure improvements were made They also witnessed a number of areas of outstanding care, particularly in the children and young people s service The trust s staff and leadership should be proud of their achievements so far and they know what they must do to ensure any remaining improvements are made
9 Key headlines Good / improved Compassionate, caring and kind staff Good incident reporting and learning from incidents Individual patient needs taken in to account Clear understanding of current challenges Committed to improving services Problematic / of concern Medical records not always complete Mandatory training levels not achieved Appraisal rate Nursing staffing levels Patient flow (ED; discharges)
10 Statutory Mandatory Training / Appraisal (7/7/18) Compliance for Core 8 Topics: 87% Adult and Paediatric Life Support: 68% Paediatric Immediate Life Support: 80% Equality and Diversity: 92% Fire: 89% Infection Control: Level 1: 93% Level 2: 71% Moving and Handling: Level 1: 92% Level 2: 82% Safeguarding Adults: Level 1: 94% Level 2: 84% Safeguarding Children: Level 1: 94% Level 2: 87% Level 3: 72% Values, Standards and Behaviour: 95% Additional Training Topics Information Governance: 87% Prevent: 77% Appraisal: Medical Staff: 92% All staff (except doctors) 76%:
11 Action Plan Quarter 2 Weekly Quality Compliance Inspections Quality Assurance preparation of clinical leaders & managers: June 2018 First Leadership conference : 9 July 2018 Quality Compliance Improvements shared within the Trust CQC Engagement Event and Focus Groups: 24 July 2018 with Diagnostics and Outpatients First System Improvement Board: 25 July 2018 CCG colleagues have agreed to test assurance against our Quality Compliance Improvement Plan Pilot of CQCAssure Planned Executive and NED visits to clinical areas September 2018 and onwards Event in a Tent: Our Amazing People September 2018 Rollout of CQCAssure
12 Contents What have we been up to? 1. We have improved our CQC rating 2. Refreshed visitor areas and main entrance 3. Planning for a new hospital 4. Question and Answer Session
13 Front door: The main entrance was in urgent need of refurbishment,
14 The new corridor area: A new light and airy space has been created, staff and patients have commented positively with evidence of impacts on retention.
15 Retail outlets: Helps us keep staff and encourages patients to get up and out and families don t have to go far to get what they need either.
16 Restoring pride: We want patients, their families and carers to feel confidence in the environment and organisation. Refreshing the corridors reminds everyone what we stand for.
17 Lighter, brighter: A better environment for all
18 Contents What have we been up to? 1. We have improved our CQC rating 2. Refreshed visitor areas and main entrance 3. Planning for a new hospital 4. Question and Answer Session
19 Our values Respectful Caring Responsible Committed We treat others as we would want to be treated We always put patients first We always say what we are going to do We strive to be the best ourselves
20
21 Quality First Quality First Quality First team Quality improvement at the Princess Alexandra Hospital Trust Quality First Improvement Partnership Putting quality first will be our approach in everything we do as we strive for outstanding healthcare for our local community Lance McCarthy, CEO
22 Out of special measures Good Outstanding Year years 4 5 years 6 10 years Improving patient safety as per National Benchmarking Reduce unwarranted clinical variation Innovate outstanding care models focussed around the patient Compliance against statutory training and appraisals with development conversations High quality development opportunities available to all staff New system roles, system wide workforce planning and development Achievement of all National performance targets Improved flow and reduced length of stay Increasing our market share of elective activity ED estate works completed and second maternity theatre opens OBC completed and submitted for new hospital FBC completed and submitted for new hospital Achieving 2017/18 control total and delivering efficiency plans Reducing financial deficit of the hospital Moving to clinical outcome-based contracting
23 CQC Findings: Getting to Good and Outstanding Providing outstanding integrated healthcare and a first choice for patients locally Sustainable workforce, proud of PAHT Well-networked and sustainable services operating as part of a system First class clinical facilities new hospital (2025) Financial sustainability across the local health system
24
25 Contents What have we been up to? 1. We have improved our CQC rating 2. Refreshed visitor areas and main entrance 3. Planning for a new hospital 4. Question and Answer Session
26
27 Thank you
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