THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT
|
|
- Harry Sanders
- 6 years ago
- Views:
Transcription
1 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 the numbers of pressure ulcers that develop in the Trust or to limit the depth of damage when these ulcers are unavoidable due to the patient being very sick. This paper describes the progress that has been made to reduce harm through a range of Trust-wide interventions led by the Tissue Viability Team. It also describes the ongoing development of the Tissue Viability Team and some of their achievements. MAIN ACHIEVEMENTS: The Tissue Viability Team has: Launched a high profile Time2Turn campaign of zero tolerance to pressure ulcers Developed teaching aids, care plans and assessment tools to assist wards develop their practice to achieve regular turning regime for their patients Enabled the Trust to achieve the target set for to reduce the numbers of pressure ulcers by 25%, as measured by Safety Thermometer, and sustain that level for a period of six months (meeting the CQUIN targets and securing income of 675,000) Assisted the wards to achieve harm free days, ranging from 30 days to over 200 pressure ulcer free days Doubled output in terms of patients reviews and relentless staff training to empower staff to look after their patients in line with the Chief Nursing Officers 6C s i.e. courage, compassion, communication, care, competence and commitment. The importance of this work has been recognised by the Trust who are investing in the development of this team to ensure this harm reduction is continued, in order to further enhance patient care and support the achievement of this year s CQUIN target RECOMMENDATION To (i) note the content of this report (ii) comment accordingly. Helen Lamont Nursing & Patient Services Director Frances Blackburn Head of Nursing - Freeman Hospital Fania Pagnamenta Nurse Consultant (Tissue Viability) 17 th June 2014
2
3 THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST DEVELOPING TISSUE VIABILITY 1. INTRODUCTION Tissue Viability posts started to emerge in the 1980s in order to manage the use of therapy beds and to ensure effective utilisation. From these early posts, the roles have developed to encompass wound care and offering expert advice to clinicians of all specialties. In the Trust, the Tissue Viability service leads: the management of pressure ulcer prevention and management the management of complex wounds therapy mattress provision and technological wound care products the establishment of the Wound Care Formulary the provision of a menu of tissue viability education for all health professions allied to nursing Tissue Viability is a Trust-wide corporate Patient Services function provided by autonomous Nurse Specialists working without direct medical supervision across acute and community settings. The Service also provides strategic leadership for a number of local, regional and national initiatives, currently their time is focused on the prevention of pressure ulcers, with therapy mattress allocation, leading the Time2Turn Campaign (a Trust developed initiative); developing and circulating educational material; monitoring pressure ulcer development; target key areas; reviewing and undertaking Root Cause Analysis and ensure Action Plans are followed. 2. THE TRUST POSITION The Nurse Consultant leads the team across Acute and Community Services. The remit of the Service is to provide expert advice to all clinical teams (acute and community) for patients with complex wound healing needs. The Nurse Consultant is supported by two Nurse Specialists in Community and two Nurse Specialists, and one Band 3 HCA in Acute. The team is supported by one Administrative Assistant, who works part-time. Funding for the second Nurse specialist in Acute has recently been supported by the Executive Team. 3. DEVELOPING TISSUE VIABILITY 3.1 Ward/Community Teams Development In Tissue Viability the approach is one of staff empowerment through education in theory and in practice. They teach and enable staff to take care of their own patient s wounds. This empowering strategy is essential to maintain skill and 1
4 knowledge across such a large organisation Trust, where 50% of all patients have a wound (surgical wounds, leg ulcers, pressure ulcers, skin laceration and such). 4. DEVELOPING TISSUE VIABILITY PRACTICE 4.1 Pressure Ulcers Pressure ulcers are very high on the national political agenda as the Chief Nursing Officer and NHS Medical Director have identified them as a key quality issue for the NHS. The National Patient Safety Agency (NPSA) is urging NHS organisations to work towards preventing all pressure ulcers. Quarterly board papers have been presented to illustrate the Trust s commitment to eliminate all Trust-acquired pressure ulcers. The Tissue Viability Team is key to assisting wards and department to reduce the numbers of pressure ulcers that develop in the Trust or to limit the depth of damage when these ulcers are unavoidable due to the patient being very sick. Time2Turn Campaign In January 2013 Tissue Viability launched a new campaign, Time2Turn, to encourage staff to turn patients rigorously, as the best strategy for pressure ulcer prevention is turning patients as often as possible. At times, hourly turns are necessary: this is time-consuming for staff on the ward and a change of ward routine is necessary to embed this practice. Therapy mattresses, heel booties and other equipment are great adjuncts but never replace good turning practices and good skin care. The team designed a new logo and a series of educational documentation, to include turning discs, turning cards, care plans, patient and carer education leaflets and posters: Since its implementation, we have achieved: a) 47.6% reduction in all Trust acquired pressure ulcers: % of all Category III and IV (the deepest kind of damage) % of all Category I, II and moisture lesions (see Appendix One) b) Achieved the CQUIN targets and working towards achieving the targets (a further 25% reduction) with significant financial implications for the Trust. Harm free days In order to support staff and teams in the difficult task to reduce pressure damage, the Tissue Viability team suggested that celebratory cookies were to be presented to those wards achieving harm free days targets. The formal presentation of the cookies as a token of appreciation for all the hard work wards have undertaken has achieved wonderful results, which to date include: 2
5 Ward 19 FH (100 days); Ward 16 RVI (60 days and then 100 days); Ward 44 RVI (60 days); Ward 46 RVI (100 days); Ward 12 FH (100 days); Ward 5 FH (60 days and then 100 days), Ward 13 FH (192 days); Ward 23 RVI (60 days); Ward 42 RVI (100 days); Ward 32 FH (150 days); Ward 5 RVI (100 days); Ward 2 FH (100 days); Ward 18 FH (30 days); Ward 30 RVI (30 days); Ward 15 RVI (100 days); Ward 41 RVI (100 days); Ward 16 FH (100 days)l, Ward 29 FH (100 days); Ward 35 NCCC (30 days); Ward 15 FH (30 days); Ward 20 FH (250 days) and Ward 17 FH (30 days). The criteria for achievement are very high as they include moisture lesions and any grade of pressure damage. Ward 5 FH receiving their cookies for achieving 60 days harm free care 4.2 Staff Education Beside pressure ulcers education, described above, Tissue Viability offers a range of training and clinical skills, such as leg ulcer assessment and management; compression bandages application; topical negative pressure and sharp debridement. Some of these courses are academically validated. 5. OUTPUT 5.1 Community The Community Tissue Viability Service, based at Newcastle Hospitals Community Health, Walkergate Centre offers clinical support to Newcastle Hospitals Community Health, its staff and patients, GP practices, both city hospices, plus the patients from 62 nursing and residential homes across the city. Since January 2014, 278 referrals have been received by the team and 208 patients have been visited. Visits are always undertaken with a member of the 3
6 District Nursing team: as District Nurses are lone workers they need support right where wound care takes place, i.e. in the patient s home. 5.2 Acute Since January 2014, 1506 patients were seen by the acute team, an average of 320 patients per month. Additionally, phone advice is given daily to a number of wards/department which is not quantified. Output has increased exponentially due to the pressures of pressure ulcer prevention, but also high visibility by the Tissue Viability team on wards allows for practice development and staff education and empowerment. Due to the ever expanding size of this organisation, new staff join the Trust and they need to be educated to our high standards of practice. 6. TISSUE VIABILITY TEAM DEVELOPMENT The Tissue Viability Team is a relatively small corporate team accountable to the Nursing and Patient Services Director via Head of Nursing, Freeman Hospital. In order to achieve this work it has been recognised that investment has been required and this has been supported by Trust Executive who have agreed recurrent funding for a Band 7 Nurse Specialist which will ensure the team can be visible across all sites and review patients in a timely manner, provide advice and support to ward. 6.1 Tissue Viability Role Development Tissue Viability roles must be fit for purpose and align with the Trust s strategy and patients ever changing needs. Therefore, the team is supporting the development of their Band 3 Heath Care Assistant to become a Band 4 Assistant Practitioner, by learning on the job and undertaking a Foundation Degree at the University of Teesside. Training will commence in September 2015, after a period of working as a Band 3 to develop core tissue viability skills. This is a new role for the Trust and to our knowledge, a first nationally. The Tissue Viability team is highly skilled, due to the autonomous nature of the role, working amongst all specialities without medical supervision. The Team are all educated to degree level, with the Band 7 at Masters level (or equivalent) and the Nurse Consultant is currently undertaking a Professional Doctorate (due to complete in January 2016). The community team are advanced nurse prescribers. 6.2 Succession Planning As the team is highly skilled and academically trained to an exceptionally high level, and also an aging workforce, talent spotting and succession planning is essential to the Team s future success. The three Band 6s were talent spotted from the link nurse group and following all due process successfully recruited to the team and are now in training. One member of staff is due to commence the Masters in Advanced Wound Healing and Tissue Repair at the University of Cardiff; one has just completed the Clinical Skills course and one has currently been working to develop skills in the business and 4
7 financial side of the role to achieve and maintain a cost-effective use of wound dressings at ward level. 7. SUMMARY Tissue Viability is a vibrant and expanding team that responds to the needs of patients, carers and staff as well as being astute in understanding the national and regional political agenda. Flexible and innovative, the team is not afraid of embracing new ways of working to maximise output. The team is well supported by Patient Services Senior Nursing Team, and also by the Executive Team when additional support is required. 8. RECOMMENDATION To i) receive the briefing and note the content and ii) comment accordingly. Helen Lamont Nursing & Patient Services Director Fania Pagnamenta Nurse Consultant (Tissue Viability) Frances Blackburn Head of Nursing Freeman Hospital 17 th June
8 Appendix One PRESSURE DAMAGE NUMBERS BY CATEGORY Cat III 3 Cat IV Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Table 1 a) Cat III and Cat IV demonstrating a significant reduction Cat II ML Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Table 3 c) Cat II and Moisture Lesion demonstrating a consistent reduction 6
TRUST BOARD 22 December Nursing, Quality & Patient Experience Directorate. TISSUE VIABILITY Update and Ambition
TRUST BOARD 22 December 26 Nursing, Quality & Patient Experience Directorate TISSUE VIABILITY Update and Ambition Executive Summary The aim of the Tissue Viability Service is to provide specialist assessment
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 informationPortfolio of Learning Opportunities: TISSUE VIABILTY PLACEMENT
Portfolio of Learning Opportunities: TISSUE VIABILTY PLACEMENT Information for Students Welcome to the placement. We hope that your placement will not only be educational, but enjoyable. During your placement
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 24 June 2013 Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public or Private:
More informationBoard Sponsor: Helen Blanchard, Director of Nursing and Midwifery Michaela Arrowsmith Lead Tissue Viability Nurse Specialist Appendices None
Report to: Public Board of Directors Agenda item: 6 Date of Meeting: 26 July 207 Title of Report: Annual Tissue Viability Report 206/7 Status: To Note Board Sponsor: Helen Blanchard, Director of Nursing
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Agenda item A5(iii) PROVIDING CLINICAL ASSURANCE: CLINICAL ASSURANCE TOOLKIT (CAT), NURSE STAFFING, FRIENDS & FAMILY TEST (FFT) A SUMMARY REPORT EXECUTIVE
More informationTrust Board meeting: Wednesday 8 th May2013 TB
Trust Board meeting: Wednesday 8 th May2013 Title Pressure Ulcer Prevention Report Status History A paper for information N/A Board Lead(s) Mrs Elaine Strachan-Hall, Chief Nurse Key purpose Strategy Assurance
More informationPRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH The aim of this report is to provide NHS Borders Board with a thematic review of:-
Appendix-15-35 Borders NHS Board PRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH 15 Aim The aim of this report is to provide NHS Borders Board with a thematic review of:- Avoidable hospital developed
More informationENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report
ENCLOSURE: J Date of Trust Board 29 February 2012 Title of Report Purpose of Report Abstract Pressure Ulcer Clinical Improvement Programme This paper provides a progress report on our work in support of
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST DELIVERING HARM FREE CARE FALLS AND PRESSURE DAMAGE UPDATE
Agenda item 7(v) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST DELIVERING HARM FREE CARE FALLS AND PRESSURE DAMAGE UPDATE Patient Stories The use of patient stories can be very effective in communicating
More informationBOARD MEETING. Document is for: (indicate with an x) Assurance x Information Decision. Executive Summary
Document Title: Presenter: Author: Contact details for further information: BOARD MEETING Review of Pressure Ulcer Prevalence across DCHS services March June 2012 Kath Henderson, Chief Nurse Michelle O
More informationJOB DESCRIPTION. Deputy Director of Nursing - Tissue Viability. Director of Nursing. Tissue Viability Support Tissue Viability Nurse
JOB DESCRIPTION Job Title: Reporting to (title): Tissue Viability Nurse Specialist Deputy Director of Nursing - Tissue Viability Professionally Accountable to (title): Responsible for Supervising (if appropriate):
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date 19 th December 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient
More information4. Risk (Threats or opportunities, link to a risk on the Risk Register, Board Assurance Framework etc) None.
Report to: Management Board Agenda item: 12 Date of Meeting: 22 July 2015 Title of Report: Annual Tissue Viability Report 2014/15 Status: To Note Board Sponsor: Helen Blanchard, Director of Nursing and
More informationEliminating Avoidable Pressure Ulcers. Professor Gerard Stansby
Eliminating Avoidable Pressure Ulcers Professor Gerard Stansby gerard.stansby@nuth.nhs.uk Why is this important? Important patient safety issue Pressure ulcers can be prevented (?All) Pressure ulcers are
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Code of Practice for Wound Care Company Representatives and Staff with whom they interact
The Newcastle upon Tyne Hospitals NHS Foundation Trust Code of Practice for Wound Care Company Representatives and Staff with whom they interact Version No.: 1.1 Effective From: 8 th January 2015 Expiry
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital Report for: Royal Wolverhampton NHS Trust January 2016 The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent
More informationRoot Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted.
Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. What is this for? This root cause analysis (RCA) tool is used when a patient acquires
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST HEALTHCARE ASSOCIATED INFECTIONS (HCAI)
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST HEALTHCARE ASSOCIATED INFECTIONS (HCAI) Agenda item A4(i) EXECUTIVE SUMMARY The paper highlights the increasingly challenging HCAI targets for the
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 informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date September 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient Services
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationIQC/2013/48 Improvement and Quality Committee October 2013
Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7. Optional to use, detail for local determination
More informationColumbus Regional Hospital Pressure Ulcer Prevention
Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Meeting Title Trust Board Date July 2017 Report Title Patient Experience Agenda Item A4 Lead Director Nursing & Patient
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Clinical Assurance Toolkit (CAT) Strategy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Clinical Assurance Toolkit (CAT) Strategy Effective: January 2014 Review: January 2015 1. Introduction The Trust s Nursing and Midwifery Strategy,
More informationEliminating Avoidable Pressure Ulcers
Eliminating Avoidable Pressure Ulcers Jackie Stephen-Haynes Professor & Consultant Nurse in Tissue Viability ICO Conference Centre, London November 3 rd 2014 Aims and Objectives Introduction Reducing pressure
More informationBoard of Director s Meeting
Board of Director s Meeting Meeting Date: 15 November 212 Agenda item: 6.1 Title: Purpose: Summary: Recommendation: Author: Presented by: QUALITY AND PATIENT SAFETY ASSURANCE COMMITTEE To provide an exception
More informationRBCH Actions to meet CQC Essential Standards
RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity
More informationASPIRE. Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST
ASPIRE Allied Health Professions Supporting and Promoting Improvement, Rehabilitation and Enabling Others ADVANCED PRACTICE SPECIALIST GENERALIST ENABLING OTHERS AHP Strategy 2017 2021 CONTENTS Introduction
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationPutting patients at the heart of everything we do
Putting patients at the heart of everything we do Nursing, Midwifery, Allied Health Professionals (NMAHP) Research Strategy Tomorrow s health is in our hands today 2015-2020 Introduction The Trust s vision
More informationTissue Viability Referral Pathway. April 2017
Tissue Viability Referral Pathway V4 April 2017 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust Pressure Ulcer and Moisture Lesion Prevention and Treatment Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Pressure Ulcer and Moisture Lesion Prevention and Treatment Policy Version No: 1.2 Effective from: 27 December 2017 Expiry Date 01 August 2020 Date
More informationElaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing
Report to: Board of Directors Date of Meeting: 26 th October 2016 Report Title: Inpatient Falls Report Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): For information x Discussion
More informationOverview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy
Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital
More informationStop the Pressure Moving Forward. Susan Bowler Professional Advisor Stop the Pressure
Stop the Pressure Moving Forward Susan Bowler Professional Advisor Stop the Pressure Pressure ulcers : a costly and avoidable harm In the NHS in England from April 2014 to the end of March 2015 25,000
More informationService Transformation Report. Resource and Performance
SUMMARY REPORT Meeting Date: 31 May 2018 Agenda Item: 9.1 Enclosure Number: 9 Meeting: Trust Board (Part 1) Title: Author: Accountable Director: Other meetings presented to or previously agreed at: Service
More informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More informationSutton Homes of Care Vanguard Programme
Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team
More informationWound Care and. February Lymphoedema Service
Wound Care and February 2016 Lymphoedema Service Contents Introduction... 2 About the service... 2 Service provision... 2 Advice, education and training... 4 Service locations and hours of operation...
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST NHS SAFETY THERMOMETER
Agenda item A5(vi) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST NHS SAFETY THERMOMETER EXECUTIVE SUMMARY The NHS Safety Thermometer is a point of care survey, which is a local improvement tool
More information2016 Safeguarding Data Report THE NATIONAL SAFEGUARDING OFFICE
2016 Safeguarding Data Report THE NATIONAL SAFEGUARDING OFFICE 1 Contents Overview... 2 2016 Safeguarding Returns... 4 Safeguarding Concerns by Age Category... 7 Safeguarding concerns by Gender/Age...
More informationQuality summary report:
Quality summary report: Tissue Viability CLCH Quality Report Jan Dec 2011 Service exact name Tissue Viability St. Charles Centre for Health and Wellbeing Exmoor Street London London W10 6DZ No. beds [N/A]
More informationAyrshire and Arran NHS Board
Paper 6 Ayrshire and Arran NHS Board Monday 11 December 2017 SPSP Update: Acute Adult Programme Author: Laura Harvey, QI Lead for Acute Services, Person Centred & Customer Care Sponsoring Director: Liz
More informationBOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013
Borders NHS Board BOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013 Aim The aim of this report is to provide the Board with an overview of progress in the areas of: Patient Safety Person Centred Health
More informationStop the Pressure: an update from NHS England. Susan Bowler, Professional Advisor NHS England
Stop the Pressure: an update from NHS England Susan Bowler, Professional Advisor NHS England Pressure Ulcer information at a glance There were 2101 recorded Pressure Ulcers in April 2013 There were 1189
More informationSafeguarding Adults. Annual Report
APPENDIX I Safeguarding Adults Annual Report 2009 2010 Authors Neil Boyland Sue Leathers 1. Definition All persons have the right to live their lives free from violence and abuse. This right is underpinned
More informationPROCEDURE FOR SUPERVISION AND PRECEPTORSHIP FOR PROVIDER SERVICES
PROCEDURE FOR SUPERVISION AND PRECEPTORSHIP FOR PROVIDER SERVICES First Issued Issue Version One Purpose of Issue/Description of Change To promote competent and safe practice through staff supervision
More informationREQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13
2012/13 SSOTP CQUIN INDICATOR TARGETS INDICATOR REQUIREMENT 1. Patient Experience Milestone 1 (15th working day of April 2012) Identify a minimum of 4 theme areas which are considered to have caused concern
More informationAnn Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence
Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Background Outline Innovative strategies to develop
More informationAchieving Consensus in Pressure Ulcer Reporting
Achieving Consensus in Pressure Ulcer Reporting Tina Chambers Chair of Tissue Viability Society 2013-2015 Co-Chair TVS Pressure Ulcer Reporting Group Purpose of Document This document is for all organisations
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 informationIssue 5: January 2015
A trial to evaluate an extended rehabilitation service for stroke patients EXTRAS News Issue 5: January 2015 Happy New Year from the EXTRAS co-ordinating centre! Here is some more EXTRAS news to share.
More informationDocument Author: Tissue Viability Nurse Date 15/02/2017
Guideline Title: Ref No: 1820 Version: 2 Document Author: Tissue Viability Nurse Date 15/02/2017 Ratified by: Care and Clinical Policies Group Date: 15/02/2017 Review date: 10 March 2019 Links to policies:
More informationTissue Viability Education Plan th November 2018 Worcester Rugby Club D
Tissue Viability ducation Plan 2018 County Tissue Viability Team ducation Meetings These meetings are for County Tissue Viability Team Members To determine and implement the strategy within Tissue Viability
More informationNorthumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting
Agenda item 7 iv) Northumberland, Tyne and Wear NHS Foundation Trust Meeting Date: 22 February 2017 Board of Directors Meeting Title and Author of Paper: Safer Staffing Quarter 3 Report (October December,
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 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 informationEDS 2. Making sure that everyone counts Initial Self-Assessment
EDS 2 Making sure that everyone counts Initial Self-Assessment Equality Delivery System for the NHS EDS2 Summary Report Implementation of the Equality Delivery System EDS2 is a requirement on both NHS
More informationCOVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP
COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality
More informationIssue 4: October 2014
A trial to evaluate an extended rehabilitation service for stroke patients EXTRAS News Issue 4: October 2014 What has been happening since our last newsletter in March 2014.? 1. New study centres Four
More informationNational Trends Winter 2016
National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn
More informationStaff compliance with the utilisation of SKIN bundle documentation
Staff compliance with the utilisation of SKIN bundle documentation Carol Bridge Nursing Student Joy Whitlock Cardiff and Vale University Health Board Dr Aled Jones Cardiff University Reason for the project
More informationA collaborative approach to Specialist Palliative Care and the difference this is making in Dudley
A collaborative approach to Specialist Palliative Care and the difference this is making in Dudley Dr Joanne Bowen, Dudley Foundation Trust Nicole Woodyatt, Macmillan Cancer Support The Midhurst Macmillan
More informationSafeguarding Vulnerable Adults Annual Report
Safeguarding Vulnerable Adults Annual Report 2014-2015 Author: Margaret Jolley, Head of Adult Safegaurding & Vulnerable Adults 1 Contents Executive Summary 3 Introduction 3 Responsibilities 3 Reporting
More informationAnnual Quality Account 2015/2016
Annual Quality Account 2015/2016 Summary Quality at CityCare Everyone at CityCare is passionate and committed to ensuring our patients receive the best care at all times and we continue to build on the
More informationA new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust
A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust Sally Roberts - Director of Governance, Quality & Safety. Walsall CCG Katie Welborn Advanced Nurse Practitioner- Walsall Healthcare
More informationTRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality
TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,
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 informationA Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust
A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust Health Visiting Local Picture Population of approx 21,000 under 5s 10 Health Visitor Teams across the borough New model of
More informationTRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013
TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 1. EXECUTIVE SUMMARY As reported to the Board last month, the reporting on safety and quality to the Trust Board has changed. Each month a summary
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 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 informationQuality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement
Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary
More informationAndrea Croft RGN Lead Advanced Nurse Practitioner Anticoagulation. Welsh Nurse Director Thrombosis UK
Andrea Croft RGN Lead Advanced Nurse Practitioner Anticoagulation Welsh Nurse Director Thrombosis UK Background Venous Thromboembolism (VTE), the collective term for deep vein thrombosis (DVT) and pulmonary
More informationHomeFirst. Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future.
Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future. HomeFirst I felt I was looked after at home much better than I would have
More informationImproving Care, Delivering Quality Reducing mortality & harm in Welsh Ambulance Services NHS Trust
National Learning Session - 10 th June 2011 Improving Care, Delivering Quality Reducing mortality & harm in Insert name of presentation on Master Slide Reducing Mortality & Harm in the Welsh Ambulance
More informationMortality Report Learning from Deaths. Quarter
Mortality Report Learning from Deaths Quarter 3 2017 Introduction In December 2016 the CQC report Learning, Candour and accountability: A review of the way NHS Trusts review and investigate the deaths
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 informationAssociate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
APPENDIX 5 BOARD OF DIRECTORS 18 JUNE 2014 Report to: Report from: Subject: Board of Directors Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
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 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 informationLearning from Deaths; Mortality Review Policy
Learning from Deaths; Mortality Review Policy Version: 4.0 New or Replacement: Replacement Policy number: CESC/2012/066 (Version 4) Document author(s): Executive Sponsor: Non-Executive Sponsor: Title 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 informationImproving patient outcomes: NHS England's workstream for the lower limb
Improving patient outcomes: NHS England's workstream for the lower limb KEY WORDS Chronic wounds Leading Change Adding Value Lower limb Framework NHS Data on chronic wounds and how it affects people who
More informationIntegrated Quality Report
Integrated Quality Report Data provided by Patient Services and the Clinical Governance and Risk Department June 2018 Included this month: Health-care Associated Infections Patient Falls Pressure Ulcers
More informationOct-15 As above CK/JG. Aug/Sep TU Reps
Action Log Recommendations in Order of Priority for Remedial Action 1 A1 It is recommended that the Health and Safety Policy be reviewed. 1a A1 The Health and Safety Policy should be dated and signed by
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 informationPrime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014
Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014 Current Referral Route options - Information 1. Horizon Health Choices Horizon Musculoskeletal Triage & Treatment Chronic
More informationNottingham University Hospitals Emergency Department Quality Issues Related to Performance
RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.
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 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 informationAn investigation into Lower Leg Ulceration in Northern Ireland
An investigation into Lower Leg Ulceration in Northern Ireland March 13 Contents Foreword List of Tables List of Figures Page number iii iv v-vi Introduction to Audit 1 Aim 2 Objectives 2 Audit Methodology
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 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 informationIain Patterson. Associate Workforce Director Homerton University Hospital NHS Foundation Trust
Iain Patterson Associate Workforce Director Homerton University Hospital NHS Foundation Trust Who we are? Who we are? North East London Sector 3,800 staff spread across Hackney and beyond c. 3,000 acute
More information