Mortality and harm reduction in Welsh Ambulance Services NHS Trust
|
|
- Barry Price
- 5 years ago
- Views:
Transcription
1 25 th November 2010 Mortality and harm reduction in Welsh Ambulance Services NHS Trust Insert name of presentation on Master Slide
2 Introduction First ambulance service in the world to take part in 1000 Lives Campaign Organisational commitment to reducing avoidable harm Development of an Ambulance Patient Safety Prompt Tool (APSPT) & other measures Interest expressed by New Zealand and Scottish Ambulance Services and University of Manchester Involvement with 1000 Lives continues to spread throughout Trust with Executive leads for each work area
3 Driver diagram Management of Acute Coronary Syndrome Interventions Percutaneous Infusion Pre Hospital Thrombolysis Utilise Ambulance Patient Safety Prompt Tool (APSPT) Improve: Pain scores Peak Expiratory Flow O2 administration Reducing Harm and Measuring Effectiveness Improve Infection Control Improve Clinical Communication Target vehicle cleanliness Spread structured handover via SBAR Turnaround at A&E Domestic abuse handover Leadership Walkrounds Patient Stories Medicines Management Reducing Falls in Intermediate Care Warfarin awareness Green bag Campaign Spread access to Naloxone Falls Pathways
4 Management of ACS (Acute Coronary Syndrome) Percutaneous Infusion (PCI) Where pathways exist, patients identified as suitable are transferred directly for PCI. The Trust continues to collaborate with Cardiac Networks and Health Boards in the development of a primary PCI model.
5 Ambulance Patient Safety Prompt Tool (ASPST) Data collected from 150 records/month per region (3) over 6 month period to identify top three triggers for potential harm. Findings identified: 1. Pain: Complaints of pain in narrative but no pain score recorded 2. PEFR: Salbutamol administered but no peak expiry flow taken (PEFR) 3. O2: No oxygen therapy administered and: Any significant trauma GCS below 15 or O2 sats below 94%
6 Baseline data showing selected triggers x3 Pain PEFR O2
7 Implementing Changes (APSPT) 1. Pain Encourage and educate staff to record pain scores through education (posters, pain management material on stations) 2. PEFR Encourage and educate staff to take Peak Expiratory Flow (PEF) readings through education (annual CPD course) 3. O2 - Encourage and educate staff to administer oxygen, where clinically appropriate through education (annual CPD course)
8 Ambulance Patient Safety Prompt Tool Audit Results A random audit of 150 Patient Records per Region (3) was undertaken following awareness/education sessions. Over a 5 month period: The recording of Pain Scores improved by 10% The recording of PEFR readings improved by 33% Oxygen administration rate remained unchanged.
9 Next steps Review Trigger Tool data collection strategy to ensure timely data collection Encourage local ownership by identification of Champions in each Region Enhance spread throughout localities
10 Improve Clinical Communication - SBAR SBAR now a component of Paramedic CPD training SBAR prompt cards used by staff Snapshot audits of the utilisation of SBAR for handovers at identified Accident & Emergency Departments commenced. Findings shared with locality managers to inform practice Plans to introduce SBAR into telephone triage service within one clinical contact centre, PDSA developed and baseline data currently being collected. Plan to spread to all clinical contact centres.
11 SBAR PROMPT CARD
12 Leadership Target - Patient story presented at every Trust Board meeting: compliance with target 100%. Patient Safety paper presented to each Trust Board Meeting. Target 2 Executive Walkrounds completed each month: compliance with target to October %.
13 Medicines Management Warfarin Pilot From 1 st March 1st June 2010 callers accessing the service with an information need or medicines enquiry, and identified as taking Warfarin, were offered written information regarding Warfarin and best practice (n = 13). A follow up questionnaire was sent to identify whether the information increased patients existing knowledge. 46% of respondents indicated that the Warfarin Information Sheet increased their existing knowledge. Interest from health focus groups and GP s suggested that the initiative should be widened within the Trust and also piloted within a General Practice.
14 Medicines Management Warfarin Pilot The Warfarin Information Sheet has been reviewed by the Trust s Partners in Healthcare network readers panel and amendments made following feedback. The information sheet has been sent to the all Wales Medicines Strategy Group for endorsement and the all Wales Prescribing Advisory Group for information. Next Steps Widen the inclusion criteria for all patients identified as taking Warfarin who contact the Trust. Pilot the information sheet within an identified GP practice with support from the Community Health Council.
15
16 Insert name of presentation on Master Slide
17 Reducing Falls in Intermediate Care Older people who fall account for approximately 10% of all 999 calls to the Many patients transported to A&E are subsequently discharged without further intervention There is a risk that patients managed at home, without referral into a falls pathway, may re-access the Trust following subsequent falls. The National Service Framework (NSF) for Older People and evidence offered by the National Institute for Health and Clinical Excellence (NICE) suggest that many of the elderly fallers attended to by WAST should be referred to alternative care pathways.
18 Reducing Falls in Intermediate Care The Trust currently refers into Falls Referral Pathways in: Anglesey Cardiff & Vale Carmarthenshire Powys Wrexham Swansea (from Dec2010) Conwy & Denbighshire Anglesey (from Jan 2011) Flintshire Neath Port Talbot A clinical audit of patient referrals into falls pathways is in progress
19 Contact Information Chris Powell Nursing Practice & Clinical Practice Lead/1000 Lives Plus Key Contact Tel:
Improving 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 informationIMPROVING UNSCHEDULED CARE IN WALES - UPDATE
AGENDA ITEM No. 10 MEETING : TRUST BOARD DATE : 22 APRIL 2009 REPORT OF : CLINICAL DIRECTORATE Contact : Grayham McLean, Unscheduled Care Lead Officer Tel: 01792 562900 Email: grayham.mclean@ambulance.wales.nhs.uk
More informationExecutive Summary. Unified Assessment Community of Practice Baseline Self Assessment 2007
Unified Assessment Baseline Self Assessment Audit Tool Analysis of Responses Executive Summary Community of Practice (CoP) methodology sits within the concept of organisational knowledge management and
More informationNon Executive Director. Named Professional for Safeguarding and Welfare of Children. Interim Chief Executive Officer
WELSH AMBULANCE SERVICES NHS TRUST Minutes of a meeting of the Clinical Governance Committee of the Welsh Ambulance Services NHS Trust held on 13 May 2010 at HQ, St Asaph, Vantage Point House, Cwmbran
More information106,717 people accessed mental health. 192,192 access A&E. 1,011,942 patient contacts with community staff. 2,245,439 patient contacts
Employs 15,285 2,245,439 patient contacts 192,192 Assisted 91,360 Dispensed 13,598,605 prescription items** 38,107 1,011,942 patient contacts with Across 11 clusters, 540,850 people are registered with
More informationA guide for compiling a Statement of Purpose. under the Regulation and Inspection of Social Care (Wales) Act 2016
A guide for compiling a Statement of Purpose under the Regulation and Inspection of Social Care (Wales) Act 2016 January 2018 Mae r ddogfen yma hefyd ar gael yn Gymraeg. This document is also available
More informationSpecialised Services Service Specification. Adult Congenital Heart Disease
Specialised Services Service Specification Adult Congenital Heart Disease Document Author: Executive Lead: Approved by: Issue Date: Review Date: Document No: Specialised Planner Director of Planning Insert
More information14 May Armed Forces Covenant Framework for Wales
14 May 2015 Armed Forces Covenant Framework for Wales Armed Forces Covenant Framework Background The first duty of the UK Government is the defence of the realm. The Armed Forces fulfill that responsibility
More informationSafety in Mental Health Collaborative
NHS Tayside Safety in Mental Health Collaborative Improving Safety in Mental Health Programme Aims supported by an Improvement Advisor: Dr Noeleen Devaney Support 4 UK organisations to: reduce harm improving
More informationSAFEGUARDING CHILDREN SUPERVISION POLICY
SAFEGUARDING CHILDREN SUPERVISION POLICY Approved by Safeguarding Committee Submitted by: Head of Safeguarding Children Approved on: 6 th December 2010 Review Date: December 2013 Version: 2.0 Index Page
More informationTogether for Health A Delivery Plan for the Critically Ill
Together for Health A Delivery Plan for the Critically Ill 2013-2016 March 2015 Approved at CPG Board 25 th March 2015 1. BACKGROUND AND CONTEXT Together for Health a Delivery Plan for the Critically Ill
More informationAdult Mental Health Services Follow up Report. 7 July
Adult Mental Health Services Follow up Report 7 July 2011 www.wao.gov.uk In relation to the Welsh Assembly Government and NHS bodies, I have prepared this report for presentation to the National Assembly
More informationNHS Waiting Times: follow-up report. 28 June 2006
NHS Waiting Times: follow-up report 28 June 2006 Contents Summary 3 Recommendations 4 Part 1. The NHS in Wales has made considerable progress in tackling long waiting times 5 There have been substantial
More informationThe management of chronic conditions by NHS Wales. 4 December
The management of chronic conditions by NHS Wales 4 December 2008 www.wao.gov.uk I have prepared this report for presentation to the National Assembly under the Government of Wales Acts 1998 and 2006.
More informationDeprivation of Liberty Safeguards. Annual Monitoring Report for Health and Social Care
Deprivation of Liberty Safeguards Annual Monitoring Report for Health and Social Care 2016-17 This report is also available in Welsh. If you would like a copy in an alternative language or format, please
More informationRegulation and Inspection of Social Care (Wales) Act 2016 Re-registration guidance for providers
Regulation and Inspection of Social Care (Wales) Act 2016 Re-registration guidance for providers October 2017 Mae r ddogfen yma hefyd ar gael yn Gymraeg. This document is also available in Welsh. Crown
More informationNHS Wales Delivery Framework 2011/12 1
1. Introduction NHS Wales Delivery Framework for 2011/12 NHS Wales has made significant improvements in targeted performance areas over recent years. This must continue and be associated with a greater
More informationStoryboard submission
Storyboard submission Follow the detailed instructions in this template for writing a description of your storyboard. Type your information in each section below and save this completed storyboard document
More informationTitle of the Health Board Report
AGENDA ITEM 3.2 Title of the Health Board Report IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead:
More informationAction in Mental Health
Action in Mental Health National Programme for Innovations in Adult Mental Health Final Report 2004 2006 National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb
More informationAnalysis Method Notice. Category A Ambulance 8 Minute Response Times
AM Notice: AM 2014/03 Date of Issue: 29/04/2014 Analysis Method Notice Category A Ambulance 8 Minute Response Times This notice describes an Analysis Method that has been developed for use in the production
More informationINVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT Betsi Cadwaladr University Local Health Board
INVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT 1993 Betsi Cadwaladr University Local Health Board Background The main aim of the Welsh Language Commissioner, an independent role created in accordance
More informationCLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart
CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationREPORT 1 PLANNED CARE
REPORT 1 PLANNED CARE Contents Planned care vision c-3 Definition - Planned Care c-3 Current planned care services c-4 What patients say about current planned care services c-7 Vision c-8 Principles c-9
More informationQuality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013
Quality Assurance Framework Powys thb provided and commissioned services Quality and Safety Committee November 2013 1 Background Together for Health vision for NHS Wales 6 domains of quality Effectiveness
More informationArts Grants for Organisations. Criw Celf. Developing Talent in the Visual and Applied Arts for young people of school age
Arts Grants for Organisations Criw Celf Developing Talent in the Visual and Applied Arts for young people of school age Arts Council of Wales November 2016 The Arts Council of Wales is committed to making
More informationEMERGENCY PRESSURES ESCALATION PROCEDURES
OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL
More informationMedical and Clinical Services Directorate Clinical Strategy
www.ambulance.wales.nhs.uk Medical and Clinical Services Clinical Strategy Unique reference No: Version: 1.4 Title of author: Medical and Clinical Services No of Pages: 11 Implementation date: Next review
More informationHEALTH CARE PROFESSIONAL (HCP) ADMISSIONS
HEALTH CARE PROFESSIONAL (HCP) ADMISSIONS Information Booklet Contents Page No Content 1 Index 2 Introduction What is a HCP Admission? 3 Booking Transport Who is authorised to book HCP Admissions? Who
More informationStoryboard submission
Storyboard submission Follow the detailed instructions in this template for writing a description of your storyboard. Type your information in each section below and save this completed storyboard document
More informationStroke Delivery Plan. March 2015 Refresh. Cardiff and Vale University Health Board
Stroke Delivery Plan 2015 16 March 2015 Refresh Cardiff and Vale University Health Board 1 This delivery plan sets out the high level strategy for stroke care. The implementation of the plan will be progressed
More information1.6 NHS Wales organisations and ADSS Cymru to work to raise the profile of the importance of Welsh language service provision at national events.
Appendix 2 Reporting back on progress of More than just words... 2016-17: Health (action points which need to be achieved by March 2017) Name of the establishment: Welsh Ambulance Services NHS Trust Strategic
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Great North Air Ambulance Service The Imperial Centre, Grange
More informationTwo years to make a difference in Welsh Healthcare
Two years to make a difference in Welsh Healthcare 2008-2010 1000 Lives Campaign reaches aim of saving 1,000 lives The Campaign is estimating that 1,199 additional lives have been saved by NHS staff in
More informationSTEP 1: STEP 2: STEP 3: STEP 4: STEP 5: Version: 1.0 Document Reference: 7716
Welsh Ambulance Services NHS Trust National Collaborative Commissioning: Quality and Delivery Framework Ambulance Quality Indicators: October - December 2017 STEP 1: STEP 2: STEP 3: STEP 4: STEP 5: AQI
More informationNHS Pathways and Directory of Services
NHS Pathways and Directory of Services Core Narrative Purpose The NHS Pathways and the Directory of Services core narrative has been designed to support NHS communications leads and/or project managers
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS NHS NORTH OF TYNE URGENT CARE STRATEGY
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS Agenda item 5(iv) Paper B NHS NORTH OF TYNE URGENT CARE STRATEGY Report Purpose: Decision / Approval Discussion Information Brief
More informationRadiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015
Radiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015 1. Purpose of report To provide assurance to the QSE sub-committee of the Radiology CPG s commitment to quality,
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 informationMinor Oral Surgery Service Reconfiguration
Minor Oral Surgery Service Reconfiguration 1 Introduction The purpose of this report is to inform the Board on the status of the Minor Oral Surgery Service Reconfiguration programme and request approval
More informationPrescription for Rural Health 2011
Foreword Prescription for Rural Health is the Welsh NHS Confederation s contribution to the debate on health in rural Wales. This document has been published alongside Prescription for Health 2011, which
More informationStakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change
Influence Stakeholder Mapping Analysis Exercise for Hywel Dda Our Big NHS Change 50+ Forums Advisory Groups (Stakeholder Reference Group, Health Professionals Forum, Partnership Forum) Affected staff(wider
More informationUsing results-based accountability (RBA) to drive improvements in the management of long-term conditions
Using results-based accountability (RBA) to drive improvements in the management of long-term conditions Ruth Jordan Senior Service Improvement Manager Cardiff and Vale University Health Board Chronic
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 informationHALTON CQUINs March 2017
HALTON CQUINs 2016-17 March 2017 All CQUINs on track and green except flu which is red. The uptake of flu vaccine CQUIN target of 75%was not met. Borough Halton National CQUIN1a Introduction of health
More informationNational Collaborative Commissioning: Quality & Delivery Framework
Frequently Asked Questions National Collaborative Commissioning: Quality & Delivery Framework Emergency Ambulance Services PREFACE Emergency Ambulance Services have a critical role to play in the provision
More informationcc: Emergency Ambulance Services Committee Members EMERGENCY AMBULANCE SERVICES COMMITTEE ANNUAL GOVERNANCE STATEMENT 2015/16
EASC Agenda Item 4.5 Appendix 1 To: Mrs Allison Williams, Chief Executive, Cwm Taf University Health Board cc: Emergency Ambulance Services Committee Members EMERGENCY AMBULANCE SERVICES COMMITTEE ANNUAL
More informationBwrdd Iechyd Prifysgol Betsi Cadwaladr University Health Board
Thursday 25 th November 2010 Liberty Stadium / Optic Technium Bwrdd Iechyd Prifysgol Betsi Cadwaladr University Health Board Betsi Cadwaladr University Health Board Ysbyty Glan Clwyd Ysbyty Gwynedd Ysbyty
More informationCardiff & Vale of Glamorgan Community Health Council
MONITORING VISIT REPORT Service/ward monitored: Date/time: Monitoring team: UHB/Trust staff: Purpose of visit Brief description of area visited: Cardiff East Ambulance Station 14 th January 2015 2.00pm
More informationThe Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for
The Mental Health (Wales) Measure 2010 Part 1 Scheme Local Primary Mental Health Support Services for BETSI CADWALADR UNIVERSITY HEALTH BOARD ANGLESEY COUNTY COUNCIL GWYNEDD COUNCIL CONWY COUNTY BOROUGH
More informationA Regional Collaborative Committee (RCC) makes recommendations to the Welsh Government on Supporting People spending in their region.
What is the purpose of a Regional Collaborative Committee? A Regional Collaborative Committee (RCC) makes recommendations to the Welsh Government on Supporting People spending in their region. The RCC
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 informationSCHEDULE 2 THE SERVICES Service Specifications
SCHEDULE 2 THE SERVICES Service Specifications Service Specification No Service ParaDoc Commissioner City and Hackney CCG Commissioner Lead Leah Herridge Provider CHUHSE Provider Lead Date of Review September
More informationLLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010
SITUATION LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010 The Cycle One SBAR report detailed the solutions which had
More informationNational Audit Office Audit Programme
National Audit Office Audit Programme Emergency Care in England Strategic Health Authority Emergency Care Lead Questionnaire Name of Organisation: Name of respondent: Job title: Other roles/responsibilities:
More informationClinical Decision Support (CDS) in Primary Care: Getting Evidence into Frontline Practice
Clinical Decision Support (CDS) in Primary Care: Getting Evidence into Frontline Practice SCIMP Conference 21 st September 2016 Dr Paul Miller, Chair of SCIMP and of Primary Care CDS Project Board Dr Ann
More informationAddressing ambulance handover delays: actions for local accident and emergency delivery boards
Addressing ambulance handover delays: actions for local accident and emergency delivery boards Published by NHS England and NHS Improvement November 2017 Contents Foreword... 2 Actions to be taken now,
More informationBOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016
Borders NHS Board BOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016 Aim This report aims to provide the Board with an overview of progress in the areas of: Patient Safety Clinical Effectiveness
More informationAneurin Bevan University Health Board Stroke Services Redesign Programme
Aneurin Bevan University Health Board Services Redesign Programme 1 Introduction This report aims to update the Health Board on progress with the Services Redesign Programme of work which commenced in
More informationThe Hospital Transfer Pathway. The Red Bag Initiative: Guide to Implementation
` The Hospital Transfer Pathway The Red Bag Initiative: Guide to Implementation Foreword The Health Innovation Network, the Academic Health Science Network for South London is working with Boroughs across
More informationCorporate slide master. Frank Atherton Chief Medical Officer October 2017
Corporate slide master Prudent With guidelines Healthcare for corporate presentations in Wales Frank Atherton Chief Medical Officer October 2017 communication CITIZENS National Assembly for Wales Welsh
More informationBuilding Partnerships and Reducing Demand through Telemedicine
Building Partnerships and Reducing Demand through Telemedicine Alex Blake TANP Digital Care Airedale NHS Foundation Trust Telemedicine Right care, right place, right time What is telemedicine? How does
More informationGuidelines for the appointment of. General Practitioners with Special Interests in the Delivery of Clinical Services. Respiratory Medicine
Guidelines for the appointment of General Practitioners with Special Interests in the Delivery of Clinical Services Respiratory Medicine April 2003 Respiratory Medicine This General Practitioner with a
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More informationIntegrated heart failure service working across the hospital and the community
Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has
More informationPrime Ministers Challenge Fund
Prime Ministers Challenge Fund GP Recruitment - Information Pack GDoc Ltd Eastgate House, 121-131 Eastgate Street, Gloucester, GL1 1PX www.gdoc.org.uk Contents The Opportunity and Introduction 1 Background
More informationCardiac Rehabilitation Baseline Review and Strategy development. Rose Batten Nurse Clinical Lead Sue Wilshere Network Manager SEWCN
Cardiac Rehabilitation Baseline Review and Strategy development Rose Batten Nurse Clinical Lead Sue Wilshere Network Manager SEWCN 1 Cardiac Disease NSF Std 6 Everyone with established coronary heart disease
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 informationINFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD DEVELOPMENT PROPOSAL FOR NEW OR CHANGED INFORMATION STANDARD
INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD DEVELOPMENT PROPOSAL FOR NEW OR CHANGED INFORMATION STANDARD Emergency Ambulance to A&E Handover Monitoring Information February 2008 DRAFT
More informationNorth Wales Clinical Strategy for Adult Mental Health
North Wales Clinical Strategy for Adult Mental Health How can we improve the quality of our current care for people with mental health needs in North Wales? 90 Day Cycle First Stage Interim Report March
More informationQuality Indicators for Primary Care Out-of-Hours Services. July Evidence
Quality Indicators for Primary Care Out-of-Hours Services July 2012 Evidence Healthcare Improvement Scotland is committed to equality. We have assessed these quality indicators for likely impact on equality
More informationDeveloping. National Service Frameworks
Developing National Service Frameworks A guide for policy colleagues developing National Service Frameworks for Healthcare services in Wales 1 Background 1. National Service Frameworks (NSF) were originally
More informationPRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) PROTOCOL
PRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) PROTOCOL EXTRACT FOR USE BY NORTH WEST AMBULANCE SERVICE PARAMEDICS Revised April 2013 Liverpool Heart and Chest Hospital Aintree University Hospital Countess
More informationAppendix 10a SBAR REPORT MARCH 2010 FREE TO LEAD FREE TO CARE, EMPOWERING WARD SISTER / CHARGE NURSE SITUATION
SBAR REPORT MARCH 2010 FREE TO LEAD FREE TO CARE, EMPOWERING WARD SISTER / CHARGE NURSE SITUATION The purpose of this report is to inform the Board members of the current position and progress of Cwm Taf
More informationWELSH AMBULANCE SERVICES NHS TRUST
APPENDIX DRAFT WELSH AMBULANCE SERVICES NHS TRUST MINUTES OF THE OPEN MEETING OF THE QUALITY, SAFETY AND GOVERNANCE COMMITTEE HELD ON TUESDAY 10 MAY 2011 AT VANTAGE POINT HOUSE, BOARD ROOM, HQ, ST ASAPH
More informationCollaborative Working to reduce hospital admissions. Dr Firdaus Adenwalla Annette Davies Beth Griffiths
Collaborative Working to reduce hospital admissions Dr Firdaus Adenwalla Annette Davies Beth Griffiths Ageing population A third of babies born in the UK in 2013 are expected to live to be a 100. (Office
More informationWAITING TIMES 1. PURPOSE
Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE
More informationANNEX 1 SHORT CASE STUDIES OF NEW MODELS OF PRIMARY CARE (published in Primary Care Plan)
ANNEX 1 SHORT CASE STUDIES OF NEW MODELS OF PRIMARY CARE (published in Primary Care Plan) Integrated Gower Team (IGT), Abertawe Bro Morgannwg University Health Board (ABMU) Due to a long history of little
More informationPatient Pathway Guidelines:
Welsh Ambulance Services NHS Trust: Patient Pathway Guidelines: For Fallers, Resolved Hypoglycaemia and Resolved Epileptic Seizures aged 18 years and over Version 1.7 DOCUMENT CONTROL SHEET Document Version
More informationEfficiency Review of The Welsh Ambulance Services NHS Trust
Efficiency Review of The Welsh Ambulance Services NHS Trust Undertaken by Lightfoot Solutions in association with Lis Nixon Associates And Baker Tilly on behalf of Health Commission Wales and The Welsh
More information2. This year the LDP has three elements, which are underpinned by finance and workforce planning.
Directorate for Health Performance and Delivery NHSScotland Chief Operating Officer John Connaghan T: 0131-244 3480 E: john.connaghan@scotland.gsi.gov.uk John Burns Chief Executive NHS Ayrshire and Arran
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 informationPan Wales Strategy Development Bank of Wales Plc
Pan Wales Strategy Development Bank of Wales Plc September 2017 Contents 1. Introduction... 3 1.1 Pan Wales strategy... 3 2. Current organisation and locations... 4 3. Location strategy for the Development
More informationDRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service
DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service Executive summary: The Cornwall Sustainability and Transformation Plan known as Shaping our Future will describe a new model of
More informationBirmingham Adult Mental Health Services Locality Network Brief. April 2014 update. Commissioning 2014 /15
Birmingham Adult Mental Health Services Locality Network Brief April 2014 update Commissioning 2014 /15 Negotiations with providers of mental health services are continue, with the status as of April as
More informationReducing Mortality and Harm in ABMU Local Health Board
10 th June 2011 Reducing Mortality and Harm in ABMU Local Health Board Insert name of presentation on Master Slide Programme Driver Diagram Aims/Outcome Measure Reduce Mortality Reduce RAMI to
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 informationREVIEW AND UPDATE OF THE COMMITTEE WORK PROGRAMME
AGENDA ITEM 3.1 14 June 2013 REVIEW AND UPDATE OF THE COMMITTEE WORK PROGRAMME Executive Lead: Committee Chair Author: Assistant Director of Patient Safety & Quality Contact Details for further information:
More informationEMRTS Cymru Overview
EMRTS Cymru Overview (Published 07/04/16) 1 Who are we? The Emergency Medical Retrieval and Transfer Service (EMRTS Cymru) is an exciting new service that provides consultantdelivered pre-hospital critical
More informationManagement of surge and escalation in critical care services: standard operating procedure for adult respiratory extra corporeal membrane oxygenation
Management of surge and escalation in critical care services: standard operating procedure for adult respiratory extra corporeal membrane oxygenation 1 NHS England INFORMATION READER BOX Directorate Medical
More informationSouth Powys Cluster Plan
South Powys Cluster Plan 2016-17 The Cluster Network Development Domain with the Quality & Outcomes Framework supports medical practices to work collaboratively to: Understand local health needs and priorities
More informationGynaecology Services Escalation Policy
Gynaecology Services Escalation Policy Author: Women & Child Health Specialty: Gynaecology Date Approved: 18 th September 2013 Approved by: W&CH Quality & Safety Committee Date for Review: August 2016
More informationWRU EXTERNAL FUNDING GUIDE
WRU EXTERNAL FUNDING GUIDE Aggregates Levy Sustainability Fund for Wales Administered by WAG, this is a fund for communities within a certain radius of an operating quarry. The quarry must be linked to
More informationAll Wales induction framework for health and social care: Progress log seven
All Wales induction framework for health and social care: Progress log seven Health and Safety in health and social care December 2017 All Wales Induction Framework for Health and Social Care workbook
More informationIMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE
AGENDA ITEM 3.3 9 September 2014 IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead: Chief Executive
More informationSeven Day Services Clinical Standards September 2017
Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared
More informationDischarge Planning Cardiff and Vale University Health Board
Discharge Planning Cardiff and Vale University Health Board Date issued: December 2017 Document reference: 166A2017-18 This document has been prepared as part of work performed in accordance with statutory
More informationThese slides are to explain why the Trust is adopting the National Early Warning Score which is being adopted across all sectors of health care in
These slides are to explain why the Trust is adopting the National Early Warning Score which is being adopted across all sectors of health care in the UK and beyond. 1 The first EWS was devised in 1997
More informationPre-hospital emergency care key performance indicators for emergency response times
Pre-hospital emergency care key performance indicators for emergency response times Item Type Report Authors (HIQA) Publisher (HIQA) Download date 05/09/2018 21:43:37 Link to Item http://hdl.handle.net/10147/324297
More information