THE IPSWICH HOSPITAL NHS TRUST REPORT FOR HEALTHCARE GOVERNANCE COMMITTEE

Transcription

1 Agenda Item Meeting Date THE IPSWICH HOSPITAL NHS TRUST REPORT FOR HEALTHCARE GOVERNANCE COMMITTEE Report Title Trust Board Lead Minutes and Action Log of the Patient Experience Group meeting held on 2 June 2011 Siobhan Jordan Director of Nursing and Quality Report Author Siobhan Jordan Director of Nursing and Quality Action/Decision Required The Committee is being asked to: 1. Note the contents of the minutes summarised as: Updates given: Implementation of the National Dementia Strategy, Caring for Carers, Meridian Patient Experience Rolling Action Plan Lavenham Ward Lindsey Mazur Approval/information on the following: Approval Draft PEG Annual Report and workplan. Information Joint Action in Musculoskeletal Services report, Meridian Q4 report, March Quality Account Relevance to Strategy & Business Plan & Board Assurance Framework Link to NHS Constitution Strong partnership with the rest of the NHS, local authorities and our community at large Involvement (directly or through representatives) in planning healthcare services Involvement in proposals for changes to services and the way services are operated Relevance to Care Quality Commission Section and Outcome or Other Legislation Legal Implications CQC Outcome 1 - Respecting and involving people who use services 1

2 Summary of Trust Management Team Discussion/Conclusions Governance Process Board Sub-Committee or Group which will Oversee Actions Arising Minutes of PEG meetings sent to Healthcare Governance Committee. PEG membership has staff and public representation. PEG is chaired by Director of Nursing and Quality, who is also a member of Healthcare Governance Committee and the Ipswich Hospital User Group (IHUG) Healthcare Governance Committee 2

3 THE IPSWICH HOSPITAL NHS TRUST Patient Experience Group Notes of the meeting held on 2 June 2011 at 1530 Present: Cath Gorman (CG) Associate Director of Nursing, Quality & Compliance Higson (Shg) Patient Experience Lead Berni Arnold (BH) Ward Clerk, Lavenham Ward Sandra Hack (SHa) HCA, Critical Care Unit Watson (SW) Ward Matron, Capel Ward (rep Caroline Driver) Pauline Entwistle (PEnt) RN, Critical Care Beverley Rudland PALS and Bereavement Manager Jo Moore (JM) Ward Clerk, Debenham Ward Sandra Gillingham (SG) SRN, Needham Ward Viv Barker (VB) Head Matron, BU3 CR Patient Representative TG Patient Representative GN Patient Representative TR Patient Representative Apologies: Siobhan Jordan, Julie Sadler, Karen Wolfe, Caroline Driver, Hazel Byford, Mr James Pitt In attendance: Lindsey Mazur, Ward Matron, Lavenham (agenda item 11/31) Item 11/29 Welcome and Apologies Action 11/30 Minutes from last meeting/action Log (7 April 2011) 11/15 (11/02) change wording from elderly wards to wards for older people. The minutes of the last meeting were approved and agreed as a true record. Action Log: Appropriate signage in car park near to Hunnitots Nursery TG raised this issue - awaiting sign. SHg informed members that Tracey Milne Travel Plan Coordinator, is currently looking at all aspects of car parking on the site and SHg agreed to contact Tracey regarding this asking her to speak to TG direct. Members will be updated. Pens for laminated surfaces it was agreed that these should be purchased by the individual business unit. Remove from log. Hook or bar fitted at main reception desks for walking sticks Jeff Calver from Estates is investigating SHg will contact Jeff for update. Source unwanted audio books it was agreed that a broadcast would be sent out. Remove from log. Draft annual report and workplan see agenda item 11/41. Copy of actions from Caring for Carers environmental audit this will 3

4 be sent to PEG for information once formulated. DVD available for teenagers when coming into hospital Bindy Price had previously confirmed that there is no DVD available specific to teenagers. Members agreed that this is something that should be taken forward by the group GN and PEnt are happy to do this. Bindy would be contacted for her input/advice in the first instance. Pam 11/31 Patient Experience Ward Reporting Lavenham, Lindsey Mazur Lindsey gave her report, copy attached to these minutes. BH added to Lindsey s report by reading out a compliment recently received from a very grateful patient. Lavenham - J 2011 meeting 11/32 Update on the implementation of the National Dementia Strategy (standing item) Julie Sadler Julie was unable to attend today s meeting but had provided an update for members. 11/33 Meridian Reporting updates (standing item) All members had been sent a copy of the latest report. Discussions will take place at the next meeting and a decision made as to what information and which areas members would like to focus on. A schedule will then be prepared and agreed to provide assurance, as per the group s Terms of Reference. ALL GN reported that, at times, he receives high numbers of anecdotal comments when conducting the Meridian patient surveys using the electronic tablets. SHg suggested that he sends a copy of all comments received to the Patient Experience Office who will ensure that they are passed to the appropriate departments. 11/34 Caring for Carers (standing item) Carers Week is June. A portacabin (donated FOC from a local company) will be delivered to the hospital site (near to the Garrett Anderson building) on Friday 10 June, fitted out for use as a carers kitchen. It will be manned during Carers Week by Suffolk Family Carers and volunteers. Visiting times have been extended from 3pm through to 8pm. This change will be monitored. 11/35 CQC report in press 26 May 2011 Cath Cath referred to the recent CQC report in the media and encouraged members to read the full report on the CQC website. Work had already been put in place on Haughley to address some of the identified issues and concerns and work is continuing. An action plan has been submitted to the CQC and we are expecting them to undertake a further unannounced inspection within the next four weeks. The inspection can take place at any time and in any area/s of the hospital. Staff 4

5 were saddened with the report findings and are very keen to put the action plan in place, to improve and get it right for all. 11/36 Patient Experience Strategy will collate and feed back at next meeting. Any comments to Pam. 11/37 Review of Terms of Reference Various changes to current Terms of Reference, to agree at next meeting. 11/38 Visitors Charter Copy of this document was sent out with agenda for all for review. PEnt and TG are happy to take this forward on behalf of the group. 11/39 CQUIN Patient Goals overview Covered in report previously sent out to all members. 11/40 National Inpatient Survey This report was sent out to members on 19 April 2011 for information. 11/41 Documents for approval: Draft PEG Annual Report and workplan for Healthcare Governance. Any further comments on this to Pam please by next Wednesday (8 June). 11/42 Documents for information: Raedwald Day Unit report (from last meeting held in April) Joint Action in Musculoskeletal Services report Meridian Q4 report Quality Account for March 2011 Patient and Carer Experience Annual Report (for comment). Members were asked for any further comments to be sent to or Pam by next Wednesday (8 June). 11/43 News to Communication Team Critical Care Adapted gowns with shoulder opening for easier access have proven very successful Trialling pictorial signage for curtains to maintain privacy Looking at shorts for male patients to ensure dignity is maintained 11/44 Any Other Business informed PEG that a Your Views Matter comment card is in the design stages. Members will be kept informed. 11/45 Next meeting Thursday 4 August, , Trust Headquarters Seminar Room 5

6 PEG Ward Reports Ward/Area name: LAVENHAM WARD Ward Matron: LINDSEY MAZUR Lavenham Blue JANET RARITY Lavenham Red Period covered: 1/1/11 to 31/5/11 Date reporting to PEG 2/6/11 Using information from your Rolling Action Plan Complaints/Concerns Total received 9 8 low level 1 medium Total admissions 571 Trends 2 Cancelled procedures 2 lack of follow up relating to surgeon 2 communication 1 long wait for discharge evolve/ medication 1 long wait for a bed pre op and procedure time 1 patient expectation regarding surgeon not met (locum) Ward PEG report template 2010

7 Actions Outcomes Service manager currently examining reasons for cancelled surgery and re evaluating operational policy/bed base in line with theatre capacity. Continual use of elective beds for emergency capacity has hindered patient experience. Lavenham ward operational policy needs urgent revision by service manager? consultants to have own complaints section on datix, eg some complaints have no reference to experience on Lavenham Awaiting business unit review Your Views Matter/Meridian Total received 143 in total 29 Jan 36- Feb 27 March 3 April (change from YVM to Meridian) 48 May Average score Trends Very high standard of quality care Staff kind and considerate Highest score -100% of patients felt welcome to the ward Ward PEG report template 2010

8 Lowest score - 70% of patients felt they were not given adequate information regarding side effects of medication. Actions Outcomes Discussed at ward meetings in detail and followed up with news letter Lavenham Link No ward pharmacist WM to meet lead pharmacist to discuss implications of this lack of service and provide a resolution. Information to be provided for patients and relatives at each bedside to inform to speak to nursing staff if additional information required regarding all prescribed medication to be further discussed with pre assessment Ward matrons have meet with Lead pharmacist, ward will have a pharmacist reinstated from August. Leaflets are apparently available that should be provided for patients in TTA s/ stock to be obtained for Lavenham Ward currently progressing with the productive ward programme, current module The well organised ward. Next plan to have focus session regarding the meal and medication module. All CQC standards discussed. Benchmark Essence of Care No current bench mark in progress Actions Hartfall gowns obtained to improve privacy and dignity for male urology patients with urinary catheters Outcomes Ward PEG report template 2010

9 Total received Compliments 111 Trends High satisfaction of excellent quality nursing care Professionalism Good team dynamics Spacious modern environment with excellent facilities Actions Outcomes Ward PEG report template 2010