LOTHIAN HEALTH BOARD. Edinburgh Community Health Partnership Sub Committee Meeting 16 th April 2009
|
|
- Amos Barker
- 5 years ago
- Views:
Transcription
1 LOTHIAN HEALTH BOARD Edinburgh Community Health Partnership Sub Committee Meeting 16 th April 2009 Clinical Director (Dr Carl Bickler Clinical Lead SE LHP) CLINICAL REPORT 1 Purpose of the Report The purpose of this report is to update the Sub Committee of clinical developments within the CHP and to update it on clinical governance issues that either arise within the CHP area or, if they arise elsewhere, could be of interest to the CHP. It is also to update the CHP Sub Committee on clinical governance activity and the progress made in the Edinburgh CHP Quality Improvement Team and its Quality Improvement Programme. SUMMARY An update on recent critical incident findings. A report on Datix reporting in included. A report on HAI activity is included. A report on recent Handwashing audits is included. An update on the Keep Well extension plan. An update on the HMIe inspection. An update on GPs and hand hygiene. 2 Recommendations The Edinburgh CHP Committee is invited to:- 2.1 Note that the two critical incident investigations involving the loss of patient information have been fully investigated and recommendations have been agreed. 2.2 Note and discuss the enclosed Datix reporting activity. (appendix 1)
2 2.3 Note and discuss the enclosed HAI activity data. (appendix 2) 2.4 Note and discuss the enclosed Hand hygiene audit findings. (appendix 3) 2.5 Note the update on the Keep Well extension plan. 2.6 Note the recent discussions around GPs and hand hygiene. 3 Updates from previous Clinical Report 3.1 Critical Incident Missing Family in Need (FIN) Record It was reported in the last clinical report (11/12/08) that a FIN record disappeared whilst in transit between 2 health service sites in Edinburgh and that a critical incident review group was established, a Root Cause Analysis (RCA) commissioned and a report with recommendations produced The recommendation to purchase secure envopaks and a handheld electronic tracking system for the safe transfer of all community health records has been agreed by the Quality Improvement Team Leadership Group (QITLG) The ECHP General Manager will ask the members of the Finance and Performance Group to adopt these recommendations across the four CH(C)Ps and identify the means to fund the proposal The report along with the agreed recommendations will be taken to the Healthcare Governance and Risk Management Committee via the Director of Public Health in the near future. 3.2 Critical Incident Initial Referral Document (IRD) It was reported in the last clinical report (11/12/08) that a child protection IRD was found in the Leith area of Edinburgh and that a critical incident review group was established, a Root Cause Analysis commissioned and a report with recommendations produced The recommendations will be taken to the next QITLG meeting for approval The report along with the agreed recommendations will be taken to the Healthcare Governance and Risk Management Committee via the Director of Public Health in the near future The report will also be taken through other groups within the CHP to enable a full discussion of the findings. 2
3 4. Datix Incident Reports 4.1 The enclosed report (appendix 1) is the first Datix incident report produced for the QIT. 4.2 The main incident categories reported; falls, violence and aggression, Medication incidents, sharps, medical devices / equipment and data protection have been agreed by the QITLG It should be noted that as this is the first report of this kind since the implementation of Datix in the CHP in November 2008, it is therefore not possible to set a benchmark for data comparison The levels reported have been reviewed by heads of service at the QIT meeting and are not considered unusually high and no remedial action has been recommended. 5. HAI 5.1 At the time of writing this report there are no abnormal reports in the incidence of recorded HAI rates in the CHP A copy of the HAI report for the quality improvement team is enclosed as an appendix. (appendix 2) 5.2 Non MRSA / C diff HAI Issues During this reporting period there was an outbreak of a viral gastro enteritis type illness at Findlay House. No causative organism was isolated Two wards were closed during the outbreak and terminal cleans were carried out prior to reopening. 6. Hand Hygiene Audits 6.1 The enclosed hand hygiene audit report (appendix 3) reports on the findings of the hand hygiene audits carried out over a three month period in some of the patient areas in the CHP. 6.2 The audits were undertaken by the infection control nurse (ICN) using the NHS Lothian hand hygiene audit tool and a national audit tool. 6.3 The observations vary between the two audit tools used; the NHS Lothian tool measured a compliance rate of 23% - 70 % and the national tool measured 55% - 90% compliance. 6.4 The ICN plans to complete hand hygiene audits in all in-patient areas in the future. 3
4 6.5 Action plans will be developed in all audited areas to maintain and improve compliance. 6.6 Non compliance will be recorded on Datix 6.7 The audit results will be forwarded to the Clinical Effectiveness team for collation. 7. Extension and Expansion of Keep Well 7.1 The CHP have received a further 1m of funding to extend the Keep Well pilot until The extension period will see a continuation of many of the activities undertaken during the first phase and will focus on engaging with those patients yet to accept or decline a health check as well as offering the service to patients (registered with participating practices) reaching 45 years during the extension. In addition, the extension will see: more targeted community based engagement work, including the roll out of doorstep engagement; the expansion of the health check to include high level anxiety and depression screening questions, a carers status question, and prompts regarding eligibility for bowel, cervical and breast screening. Work will also be undertaken to enhance and expand the outreach worker service in an effort to make it accessible by more adults living within deprived communities All practices who participated in the initial pilot have committed to continuing participation during the extension phase. 7.2 NHS Lothian has also received additional national funding to expand Keep Well activities to other geographical areas and population groups. As a result a number of different initiatives are planned and will commence during 09/ A Keep Well pilot will be established in West Lothian CHCP. It is anticipated the pilot will be developed in a way which incorporates lessons and knowledge from the Edinburgh pilot A small team will be established to work specifically with Gypsy/Traveller communities (across Lothian). It should be noted due to the very low average life expectancy among this population group the eligibility for Keep Well health check is to be lowered to 35 years An ethnic minority health team will be established to work with general practices to support enhanced engagement with ethnic minority patients in an effort to support enhanced health improvement interventions and management of long term conditions Scottish Prisons Service has received funding to provide Keep Well health checks for long term prisoners, NHS Lothian will seek to complement this by establishing a team focused on supporting prison leavers to address their health 4
5 and wellbeing needs and access associated mainstream services. It is anticipated funding will initially allow these initiatives to run for 2-3 years. 8. HMIe Child Protection Inspection 8.1 Background In response to the Edinburgh HMIe Inspection report (Sept 07), The Edinburgh Child Protection Committee (ECPC) and Quality assurance Sub Group produced an action plan which was submitted to the Scottish Government in January Simultaneously the City of Edinburgh Council and partners developed a performance management framework and balanced scorecard. This tool was developed further with all statutory partners in A Follow-Through Interim Inspection took place in June 2008 and the final report was published in September The report highlighted some areas of insufficient improvement Since the report was published many of the issues have been addressed and a wide range of improvements reported. 8.2 Next Steps A full inspection by HMIe to review Edinburgh progress in relation to the Framework for Standards for Quality Indicators will take place in June Preparation for this inspection is ongoing and is led by the ECPC Quality Assurance Sub Group HMIe have recently revised the Child Protection Inspection format and new guidance will be issued in April Sally Lee, former Chief Nurse and newly appointed Child Health Commissioner will continue to lead on the health preparation for the inspection supported by Ailene Preston, Public Health Team Manager. 9. GPs and Hand Hygiene 9.1 In October 2008 a lay member of the Control of Infection Committee (CIC) raised concerns that recent observations during GP home visits showed a lack of hand washing before examining patients. 9.2 Dr McKay, Clinical Director subsequently raised this observation locally with the ECHP Clinical Leads and the GP Sub Committee. 9.3 The ECHP Clinical Leads have attempted to raise the profile of this issue at local GP rep meetings. 5
6 9.4 The GP Sub Committee have advised GPs to follow good practice when visiting patients at home. 9.5 The lack of evidence relating to this issue has been noted and it has been agreed to wait for Health Protection Scotland to issue guidance before commenting further. Author: Dr Carl Bickler Date: 2nd April
7 LOTHIAN HEALTH BOARD Edinburgh CHP Quality Improvement Team 27 th February 2009 Dr Ian McKay Clinical Director 1 Purpose of the Report INCIDENT REPORTING 01/10/08 31/12/ The purpose of this report is to update the Quality Improvement Team (QIT) on incident activity across the Edinburgh Community Health Partnership (ECHP) and decide if any action required. 2 Recommendations The QIT is invited to: 2.1 Note the current level of incident activity. 3 Background 3.1 DATIX is an intranet web based searchable database used to store medication incidents, critical incidents and complaints. 3.2 The QIT Administrator will produce a quarterly report on incident activity which will be analysed by the Clinical Director and Chief Nurse before being presented to the QIT. 4 Reporting Templates The 6 main incident categories; Falls, Violence and Aggression, Medication Incidents, Medical Devices / Equipment, Sharps and Data Protection have been agreed: Falls Location Type of fall Number of patient falls Number of staff falls
8 4.1.2 Violence and Aggression Location Type of abuse Violence towards staff Violence towards patients Full analysis of reported incidents of sexual abuse Medication Incidents The Associate Director of Pharmacy will lead on the analysis of medication incidents and report these to the QIT and QITLG Sharps Location Patient injuries Staff injuries Severity of injury Administration of anti retroviral prophylaxis Medical Devices and Equipment A full analysis will be completed on each incident Data Protection A full analysis will be completed on each incident. 5 Incident Reports 5.1 Falls The total number of falls reported was The number of staff falls recorded was The number of patient falls recorded was The exact locations of the incidents were recorded as follows: 2
9 Location Number of incidents Astley Ainslie Hospital 124 Conan Doyle Centre 1 Corstorphine Hospital 7 Ellen's Glen House 4 Ferryfield House 19 Findlay House 31 Gracemount Medical Centre 3 Leith Community Treatment Centre 3 Liberton 12 McLeod Street 1 Muirhouse Medical Group 1 Royal Edinburgh Hospital 29 Sighthill Health Centre 1 Springwell House 2 Stockbridge Health Centre 1 Total The type of falls was recoded as follows: 5.2 Violence and Aggression The total number of V&A incidents recorded was The number of incidents against staff was The number of incidents against patients was The exact locations of the incidents were recorded as follows: 3
10 Location Number of incidents Astley Ainslie Hospital 42 Corstorphine Hospital 2 Edinburgh Homeless Practice 1 Ellen's Glen House 7 Ferryfield House 4 Findlay House 5 Hermitage Medical Practices 1 Muirhouse Medical Group 1 Off-site other 2 Restalrig Park Medical Centre 1 Royal Edinburgh Hospital 55 Sighthill Health Centre 4 Stockbridge Health Centre 1 Whinpark Medical Centre 1 Total The type of incident was recorded as follows: Type of Incident Total Other 7 Physical abuse 93 Sexual abuse 2 Verbal abuse 25 Total The reported cases of sexual abuse are detailed below: Date of Incident Location Details Action Taken 21/10/2008 Ellens V&A Pt to staff while attending to Pt made Glen personal care. Staff asked pt if they aware that House needed help to get into bed, pt said their yes, as staff was carrying out duties behaviour pt grabbed staff's hair and verbally was abused staff. Staff managed to diffuse unacceptable the situation but pt followed staff as later they made to leave the room, again apologised. grabbed staff and attempted to kiss her. Staff reported incident to team leader. Pt continued to follow staff around for the rest of the night, staff had to lock other pt's doors when attending to their care to prevent V&A entering room. Result No known adverse effect at this time 07/11/08 Robert Ferguson Unit Ward 17 Nursing assistant was assisting patient in the shower. Patient grabbed shower head and was waving it about, when staff tried to retrieve the shower head, patient grabbed out at staff member's breasts. Staff told patient to stop. No known adverse effect at this time 4
11 5.3 Medication Incidents Medication Incidents will be reported under separate cover by the Associate Director of Pharmacy. 5.4 Sharps The total number of sharps incidents reported was The number of reported injuries to staff was The number of reported injuries to patients was of the incidents did not cause injury to staff of patients The exact locations of the incidents were recorded as follows: 5.5 Medical Devices / Equipment A total of 32 incidents were reported under the categories Medical Equipment / Hit by Equipment incidents related to syringe driver malfunction incidents related to accidents relating to beds / chairs / hoists incidents related to staff cars incidents were adhoc incidents and were recorded under other. 5
12 5.6 Data Protection incident was reported under the category of data protection A photocopy of a set of patient s notes was found in the pocket of a laptop used by the Family Planning Service. The patient record had been put in the bag to be taken back to Dean Terrace after the patient has been seen at Howden Family Planning Clinic. The record was discovered 6 months after the appointment. The record was returned to Dean Terrace and filed with the rest of the patients notes. 6 Significant Adverse Events 6.1 Reporting of Injuries, Diseases and Dangerous Occurrences (RIDDOR) October-December incidents were reported to the Health & Safety Executive under RIDDOR 6.2 Incident with a Severity = Death/Major Harm There were no incident reports with actual severity = death. 3 incidents were reported on Datix with actual severity = major, these incidents are highlighted in Table 1. Table 1 Incident Description Outcome Actions as recorded on DATIX 1). Employee fell over when walking from car park to school entrance, put arms out to save herself when she fell. Reported to HSE 2). Patient lost her balance and fell. Incident occurred in the bathroom within the ward. 3). Patient at home fell backwards after getting up from the edge of the bed and reaching into the wardrobe to get his wallet. The DN did not see what happened as she was writing up her notes at the time. Major Harm Attended WGH Minor Injuries - referred to RIE Fracture Clinic. Fracture to left hand Major Harm Major Harm Patient assisted with the full bodied hoist and taken back to the room and made comfortable in her bed. The cut was cleaned and the on-call doctor came in to see her. Fracture to left leg and laceration to face Patient made comfortable, DN called 999 requested an ambulance. GP visit also requested to give analgesia. The patient suffered a fractured left femur and was admitted to hospital. Investigation Status Open Open Open 6
13 7 Actions required 7.1 As levels are not considered to be unusually high and no immediate remedial action is required. 8 Resource Implications 8.1 There is no resource implications associated with this report. Jennifer Evans QI Administrator 19 th February
14 LOTHIAN HEALTH BOARD Edinburgh CHP Quality Improvement Team 27 th February 2009 Dr Ian McKay Clinical Director HEALTHCARE ASSOCIATED INFECTION 1 Purpose of the Report 1.1 The purpose of this report is to update the Quality Improvement Team (QIT) on the current levels and trends of Healthcare Associated Infection (HAI) and any remedial action required as a result of deviations from normal background levels. 2 Recommendations The QIT is invited to: 2.1 Note the current levels and trends of HAI 3 Background 3.1 HAI is a major cause or morbidity and mortality for patients especially those on hospital sites. 3.2 It is generally accepted that HAI can be minimised and indeed eradicated if simple hygiene measures and prudent antimicrobial prescribing policies are adhered to. 3.3 In addition NHS Scotland has set a HEAT target (T5) to reduce MRSA bacteraemia by 30% by The CHP routinely monitors background HAI levels in both its hospital and community sites. It works closely with the NHS Lothian infection control team to minimise the risk of HAI and to implement policies, procedures and guidelines. 3.5 NHS Scotland and NHS Lothian routinely monitor levels of MRSA bacteraemia and Clostridium difficile isolates. These levels are reported locally and nationally and can be benchmarked against other health board areas and internally between operating divisions and CHPs.
15 4 Edinburgh CHP HAI levels 4.1 MRSA Bacteraemia NHS Lothian MRSA rates NHS Lothian MRSA Rates Jan 08 - Jan % 57.0% 50.0% 40.0% 30.0% 29.0% 20.0% 10.0% 2.0% 4.0% 1.0% 1.3% 3.3% 2.4% 0.0% CHP Managed Site 5. Roodlands 2. Liberton 6. RVH 3. RHSC 7. SJH 4. RIE 8. WGH MRSA Bacteraemia trends comparing RIE and Edinburgh CHP 12 RIE / Edinburgh CHP MRSA Episodes Jan 08 - Jan Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 ECHP 2 RIE
16 4.1.3 Edinburgh CHP MRSA Bacteraemias MRSA Episodes CHP Managed Sites Jan 08 - Jan AAH - Mears Ward AAH - East Pavilion B 4.2 Clostridium difficile (c diff) NHS Lothian C. diff rates NHS Lothian C diff Episodes Jan 08 - Jan 09 No. of Cases EDINBURGH CHP MANAGED SITES 11 TIPPETHILL HOSPITAL 2 EDINBURGH CHP GENERAL PRACTICES 12 - WGH 3 - EAST LOTHIAN GENERAL PRACTICES 13 - HERMANDFLAT 4 MID LOTHIAN GENERAL PRACTICES 14 - LIBERTON 5 WEST LOTHIAN GENERAL PRACTICES 15 LOANHEAD HOSPITAL 6 RIE 16 LOCATION NOT GIVEN 7 ROODLANDS 17 - REH 8 RVH 18 - RHSC 9 St JOHNS 19 - EDENHALL 10 - HOSPICES 3
17 4.2.2 RIE and ECHP C. diff Rates RIE / Edinburgh CHP (inc GP Practices) C diff Episodes Jan 08 - Jan Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 ECHP RIE C.diff episodes in ECHP Managed Sites Cdiff Episodes CHP Managed Hospital Site Jan 08 - Jan AAH Sites Ellens Glen House Findlay House Ferryfield House Liberton - Lanfine 4
18 4.2.4 C diff Episodes across Edinburgh and Mid, East and West Lothian managed sites. C diff Episodes CH(C)P Managed Sites Jan 08 - Jan EL CHP Managed Site ECHP Managed Sites Mid Lothian Managed Sites West Lothian Managed Sites C. diff Episodes recorded in ECHP General Practices C diff Episodes ECHP Jan 08 - Jan North East North West South Central South East 11 South West 5
19 4.2.6 C. diff trends across ECHP General Practices C diff Episodes LHP General Practice Jan 08 - Jan Series1 Series2 Series3 2 0 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Series4 Series5 Series6 5 Non MRSA / C.diff HAI issues 5.1 There has been an outbreak of a viral gastro enteritis type illness at Findlay House. No causative organism has been isolated. 5.2 Both Prospect Band and Fillyside wards have been affected. 5.3 Fillyside had 4 cases and closed on 01/01/09 and reopened 05/01/ Prospect Bank had 12 cases and closed on 02/01/09 and reopened on 12/01/ Terminal cleans were carried out in both wards prior to reopening. 6 Actions required 6.1 Immediate action was taken to prevent the spread of infection in Findlay House with the wards closed to new admissions and cleaned as above. 6.2 It should be noted that this happened at a time when there was increasing pressure on acute hospital beds. 6.3 Closure to admissions, cleaning and reopening followed best practice and control of infection was of paramount importance. 6
20 7 Resource Implications 7.1 There is no resource implications associated with this report. Jennifer Evans QI Administrator 24 th February
21 LOTHIAN HEALTH BOARD Edinburgh CHP Performance Management Sub Group 18 th March 2009 Audrey Pringle Infection Control Nurse HAND HYGIENE AUDITS 1 Purpose of the Report 1.1 The purpose of this report is to update the Performance Management Sub Group (PMSG) on the current position within Astley Ainslie Hospital 1.2 The paper will also discuss the NHS Lothian HAI Audit Tool and the NHS Scotland Hand Hygiene Audit Tool, from which the Hand Hygiene Audit is results are compiled. 2 Recommendations The PMSG is invited to: Note the current position with regards to hand Hygiene and consider how best to facilitate the rolling out of the HAI Audit Tool The group are also invited to consider how hand hygiene compliance within the community setting could be monitored. 3 Background 3.1 Over the past three months, Hand Hygiene audits have been undertaken within some of the in-patient areas. More audits are planned for the forthcoming moths. 3.2 Audits have been undertaken by Audrey Pringle using the NHS Lothian Hand Hygiene Audit Tool. Audits have also been undertaken by Ann McQueen, Hand Hygiene Co-ordinator for NHS Lothian, using the National Audit Tool. 3.3 These audits produce different results, as they measure compliance differently. It is generally felt that the NHS Lothian Tool is far more detailed and more robust
22 that the National Tool. The NHS Lothian Hand Hygiene Audit Tool is the preferred tool for auditing Hand Hygiene across NHS Lothian. 3.4 The main differences between the tools are: The National Tool has 20 observations and the Lothian Tool has 30 observations The National Tool is a once only snap shot. The Lothian Tool is planned to be undertaken on a monthly basis, by clinical staff and the observations carried out over the month The National Tool scores on Opportunities Taken only. The Lothian Tool scores on Opportunities Taken, Technique and Bare Below the Elbows. 4 Edinburgh CHP HAND HYGIENE AUDITS 4.1 National Tool Results (in percentage) from wards on AAH site audited using National Hand Hygiene Campaign Audit Tool. 100% 80% 60% 40% 20% 0% Mears MBA MBB EPA EPB McCallum CB1 CB2 Sutherland Miles 2
23 4.2 NHS Lothian HAI Audit Tool Results (in percentage) from wards on AAH site audited using NHS Lothian HAI Audit Tool. 80% 60% 40% 20% 0% Mears MBA MBB McCallum CB2 Sutherland Miles Actions required 6.1 Completion of audits by ICN, to provide baseline audits for all in-patient areas. 6.2 Introduction of HAI Audit Tool across Edinburgh CHP in-patient areas. 6.3 Updated tool to be issued 1 st April 2009, to comply with Scottish Governments Zero Tolerance position with regard to hand hygiene. This will include the removal of the amber status and increase the compliance to 95%, across all disciplines. 6.4 Action plans to be developed by audited areas. Infection Control Nurses are available to offer support with any educational or training issues that may be identified. 6.5 Non-compliance will be recorded on Datix. 6.6 Results will be forwarded to Clinical Effectiveness for collation, ICN and Line Manager. Resource Implications The resource implications for the introduction of this tool would be considered to be mostly concerned with time management issues, as data collection and input will be required to be undertaken. 3
24 7.1.2 Additional PC access may be required. Audrey Pringle Infection Control Nurse 17 th March
Influence 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 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 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 informationST ROQUE BOARD ROOM, ASTLEY AINSLIE HOSPITAL
PAPER 5.1 NHS LOTHIAN HEALTHCARE GOVERNANCE AND RISK MANAGEMENT COMMITTEE DRAFT v2 MINUTES OF MEETING of PRIMARY AND COMMUNITY SERVICES HEALTHCARE GOVERNANCE and RISK MANAGEMENT OPERATIONAL GROUP DATE:
More informationHealthcare quality lessons from the best small country in the world
Healthcare quality lessons from the best small country in the world Scotland and Canada Scotland 5.5 Million people Scottish Politics Scottish Politics Devolution - 1997 Scottish National Party minority
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 informationThe aim of this report is to provide the Borders NHS Board with an overview of progress in the areas of Safe, Effective and Person Centred Care.
Borders NHS Board CLINICAL GOVERNANCE AND QUALITY REPORT Aim The aim of this report is to provide the Borders NHS Board with an overview of progress in the areas of Safe, Effective and Person Centred Care.
More informationPublic Services Reform (Scotland) Bill. Scottish Independent Hospitals Association
Public Services Reform (Scotland) Bill Scottish Independent Hospitals Association The following submission is presented to the Health and Sport Committee of the Scottish Government as an outline of the
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 informationNHS Highland Infection Prevention & Control Annual Work Plan End of Year
NHS Highland Board 5 April Item 5.7 NHS Highland & Control Annual Work Plan End of Year Update for COIC Prepared by Catherine Stokoe and Jonty Mills (as of 01/03/) Objective Activity Time Scale Lead Officer
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 informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with the
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 informationIntegrated Performance Report
Integrated Performance Report M12 March 2015 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Alsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An Associated
More 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 informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force by Health Protection
More informationRuth McCarthy, Associate Director Clinical Governance/IP&C
Trust Board Meeting: 25 April 28 Title: Executive Summary: Items for discussion: Clinical Governance/Infection Prevention and Control Report - April 28 The Clinical Governance Report April 28 comprises:
More informationInfection Prevention. & Control. Report
Infection Prevention & Control Report April 2012 March 2013 Author Joanne Raper, Infection Prevention & Control Nurse Manager Page 1 of 10 1.0 Purpose of the Paper The purpose of this report is to provide
More informationEvaluation of NHS111 pilot sites. Second Interim Report
Evaluation of NHS111 pilot sites Second Interim Report Janette Turner Claire Ginn Emma Knowles Alicia O Cathain Craig Irwin Lindsey Blank Joanne Coster October 2011 This is an independent report commissioned
More informationWOLVERHAMPTON CLINICAL COMMISSIONING GROUP. Corporate Parenting Board. Date of Meeting: 23 rd Feb Agenda item: ( 7 )
WOLVERHAMPTON CLINICAL COMMISSIONING GROUP Corporate Parenting Board Agenda Item No. 7 Health Services for Looked After Children Annual Report September 2014 -August 2015 Date of Meeting: 23 rd Feb 2016.
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force by Health Protection
More informationNHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran
NHS Ayrshire & Arran Adverse Event Management: Review of Documentation Supplementary Information Requested by NHS Ayrshire & Arran April 2013 Background In February 2012, the Scottish Information Commissioner
More 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 informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationSPA Board Meeting Date and Time 29 April 2015, Corn Exchange, Edinburgh Police Scotland Health & Safety Report Item Number 8
Meeting SPA Board Meeting Date and Time 29 April 2015, 12.30 15.30 Location Corn Exchange, Edinburgh Title of Paper Police Scotland Health & Safety Report Item Number 8 Presented By Mr John Gillies Recommendation
More informationMRSA: National developments, Progress, Challenges and Targets
MRSA: National developments, Progress, Challenges and Targets Professor Brian Duerden Inspector of Microbiology and Infection Control, Department of Health, London The MRSA challenge - 2007 Bacteraemia
More informationIntegrated Performance Report
Integrated Performance Report M06 September 2014 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An
More 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 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 informationPERFORMANCE IMPROVEMENT REPORT
PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT
Agenda item A5(iv) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT EXECUTIVE SUMMARY The Tissue Viability Team assists wards and departments to reduce
More informationInfection Prevention and Control Strategy (NHSCT/11/379)
Infection Prevention and Control Strategy (NHSCT/11/379) September 2010 September 2010 Contents Page No. 1. Foreword 1 2. Introduction 2-3 3. Key Principles 4-5 4. Objectives 6-13 5. Organisational Arrangements
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 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 informationIntegrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018
6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee
More 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 informationCase Study BACKGROUND. Recovering Ambulance Linen. Larry J Haddad, CLLM Textile Management Consultant. Midwest Region
Title: Facility: Author: Recovering Ambulance Linen Midwest Region Larry J Haddad, CLLM Textile Management Consultant Midwest Region BACKGROUND A 294-bed, not-for-profit community hospital in the Midwest
More informationInspection Report. Royal Infirmary of Edinburgh. NHS Lothian 18 and 19 January February 2010
Inspection Report Royal Infirmary of Edinburgh NHS Lothian 18 and 19 January 2010 2 February 2010 qüé=eé~äíüå~êé=båîáêçåãéåí=fåëééåíçê~íé=áë=~=é~êí=çñ=kep=nì~äáíó=fãéêçîéãéåí=påçíä~åç= The Healthcare Environment
More informationProgress Report on C.Diff Action Plan
NHS GREATER GLASGOW AND CLYDE NHS Board Meeting 16 December 2008 Paper No. 08/55 Board Medical Director Progress Report on C.Diff Action Plan Recommendation The NHS Board is asked to receive this further
More informationEDINBURGH CHP HEALTH & SAFETY COMMITTEE Paper
EDINBURGH CHP HEALTH & SAFETY COMMITTEE Paper 5.2.3. Minutes of the meeting held on Wednesday 14 September 2011 in the Boardroom, St Roque, Astley Ainslie Hospital. Present: Robert Aitken Acting General
More informationThe safety of every patient we care for is our number one priority
HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally
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 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 informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Your Questions Answered Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force
More informationLearning from adverse events. Learning and improvement summary
Learning from adverse events Learning and improvement summary November 2014 Healthcare Improvement Scotland 2014 Published November 2014 You can copy or reproduce the information in this document for use
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 informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 September 2016 Publication date 6 December 2016 An Official Statistics Publication for Scotland
More informationREPORT SUMMARY SHEET
Quality care for you, with you REPORT SUMMARY SHEET Meeting: Date: Title: Lead Director: Corporate Objective: Purpose: High level context: Trust Board 27 th October 2016 Infection Prevention and Control
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More informationIntensive Psychiatric Care Units
NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We
More informationNHS Lothian Briefing Submission. Scottish Parliament Health and Sport Committee
NHS Lothian Briefing Submission Scottish Parliament Health and Sport Committee Page 1 of 33 Contents 1. NHS Lothian Strategic Context 1.1 NHS Lothian Strategic Plan 2014-2024 1.2 Lothian Hospitals Plan
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:
More informationCLINICAL AND CARE GOVERNANCE STRATEGY
CLINICAL AND CARE GOVERNANCE STRATEGY Clinical and Care Governance is the corporate responsibility for the quality of care Date: April 2016 2020 Next Formal Review: April 2020 Draft version: April 2016
More informationReport by Liz McClurg, Infection Control Manager on behalf of Heidi May, Board Nurse Director & Executive Lead, Infection Prevention & Control
INFECTION PREVENTION & CONTROL ANNUAL WORK PLAN (2013 2014) Highland NHS Board 4 June 2013 Item 5.5(c) Report by Liz McClurg, Infection Control Manager on behalf of Heidi May, Board Nurse Director & Executive
More informationHEI self-assessment. Completing the self-assessment - Guidance to NHS boards
HEI self-assessment Completing the self-assessment - Guidance to NHS boards INTRODUCTION This document should be read in conjunction Healthcare Improvement Scotland healthcare associated infection (HAI)
More informationPublic health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36
Healthcare-associated infections: prevention ention and control Public health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36 NICE 2017. All rights reserved. Subject to Notice of rights
More informationEnsuring quality outcomes
Annual integrated report 20 64 Ensuring quality outcomes Over the past five years we have built an integrated quality management system that drives quality improvement across all Netcare divisions. More
More informationREPORT SUMMARY SHEET
REPORT SUMMARY SHEET Meeting: Trust Board 27 th November 2014 Date: Title: Environmental Cleanliness Annual Report 2013/14 Lead Director: Corporate Objectives: Purpose: Director of Acute Services Provide
More informationScottish Ambulance Service. Feedback, Comments, Concerns and Complaints. Annual Report
Scottish Ambulance Service Feedback, Comments, Concerns and Complaints Annual Report 2015-16 Contents 1. Introduction 3 2. Encouraging and Gathering Feedback 4 3. Complaints Handling and Organisational
More informationCLYDE MUIRSHIEL PARK AUTHORITY
CLYDE MUIRSHIEL PARK AUTHORITY Report to Joint Committee On 4 December 2015 Report By Regional Park Manager SUBJECT QUARTERLY HEALTH AND SAFETY REPORT 1.0 Purpose of Report 1.1 To inform members of the
More informationApologies for absence were received from Mrs P Murray; Cllr I Whyte; Mr R Burley; Dr I Mckay; Ms L Campbell; Mr D Bolton; Mr J Forrest
LOTHIAN NHS BOARD PAPER 17 HEALTHCARE GOVERNANCE & RISK MANAGEMENT COMMITTEE Minutes of the Meeting of the Healthcare Governance and Risk Management Committee held at 9.00am on Tuesday 17 th April 2007
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 informationNHS Borders Feedback and Complaints Annual Report
NHS Borders Feedback and Complaints Annual Report 2016-17 1 Introduction NHS Borders Feedback and Complaints Annual Report 2016-17 is a summary of the feedback provided by the complaints, comments, concerns
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 informationDate: 7 October 2015
Item 8.2 Meeting: Trust Board Public Meeting Date: 7 October 2015 Title of Paper: Quarterly Trust Health and Safety Report April to June 2015. Key Issues: Two RIDDOR (Reporting of Injuries, Diseases and
More informationApril Clinical Governance Corporate Report Narrative
April 14 - Clinical Governance Corporate Report Narrative ITEM 7B Narrative has been provided where there is something of note in relation to a specific metric; this could be positive improvement, decline
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 informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:
More informationEquality & Rights Action Plan
Equality & Rights Action Plan 2013-17 This document outlines the actions we will take to work towards our Equality & Rights Outcomes. Outcomes not processes An outcome is an end result, for example having
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S REPORT. BOARD OF DIRECTORS 21 st March 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST I CHIEF EXECUTIVE S REPORT BOARD OF DIRECTORS 21 st 212 1. PERFORMANCE In overall terms, the Trust continues to perform well against both regulatory and
More informationNHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services
NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the
More informationAdverse Incident Management. Mid Highland Community Health Partnership. Report for Governance Committee
Adverse Incident Management Mid Highland Community Health Partnership Report for Governance Committee Introduction There are two ways risk in its broadest sense can be managed. Firstly, the proactive approach.
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 informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 22 FEBRUARY 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS C 22 FEBRUARY 2012 Subject: Supporting : Author: Status (see footnote): Update on the Clostridium difficile (C.diff)
More informationPACT Patient experience and Anticipatory Care Planning Team. Dr Eleanor Halloran Consultant Liaison Psychiatrist Edinburgh
PACT Patient experience and Anticipatory Care Planning Team Dr Eleanor Halloran Consultant Liaison Psychiatrist Edinburgh Project proposers Dr David Caesar Dr Carl Bickler Clinical Director GP Clinical
More informationThe aim of this report is to provide the Board with an overview of progress in the areas of:
Appendix--85 Borders NHS Board CLINICAL GOVERNANCE & QUALITY UPDATE Aim The aim of this report is to provide the Board with an overview of progress in the areas of: Patient Safety Programme within NHS
More informationMental Health Services - Delayed Discharges: Update
NHS Greater Glasgow & Clyde NHS Board Meeting Chief Officer, Glasgow City HSCP and Nurse Director October 20 Paper No: /56 Mental Health Services - Delayed Discharges: Update Recommendation:- The NHS Board
More informationInternal Audit. Health and Safety Governance. November Report Assessment
November 2015 Report Assessment G G G A G This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted
More informationREPORT SUMMARY SHEET
Quality care for you, with you REPORT SUMMARY SHEET Meeting: Date: Title: Lead Director: Corporate Objective: Purpose: High level context: Trust Board 29 th September 2016 Infection Prevention and Control
More informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 September 2017 Publication date 12 December 2017 A National Statistics Publication for Scotland
More informationPolicy for the Reporting and Management of Incidents Including Serious Incidents. Version Number: 006
CONTROLLED DOCUMENT Policy for the Reporting and Management of Incidents Including Serious Incidents CATEGORY: CLASSIFICATION: PURPOSE Controlled Number: Document Policy Governance To set out the principles
More informationNational Hand Hygiene NHS Campaign
National Hand Hygiene NHS Campaign Compliance with Hand Hygiene - Audit Report Your Questions Answered Germs. Wash your hands of them Prepared for the Scottish Government Health Directorate HAI Task Force
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationAppendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations
No. Domain CQC Recommendation Lead Operational Lead Current Status 1 Appendix A: University Hospitals Birmingham NHS Foundation Trust Draft Action Plan in Response to CQC Recommendations Wording in long
More 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 informationWRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT
WRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT 2006-2007 Author(s) Gill Harris, Director of Infection Prevention and Control EXECUTIVE
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT
9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report
More informationRoot Cause Analysis Investigation Report. Clostridium Difficile Ian Monro Ward. The Royal National Orthopaedic Hospital
Root Cause Analysis Investigation Report Clostridium Difficile Ian Monro Ward The Royal National Orthopaedic Hospital CONTENTS Incident description and consequences Pre-investigation risk assessment Background
More informationNHS Awards 2013 Endoscopy Unit
NHS Awards 201 Endoscopy Unit 1. Storyboard Title Improving the quality of the patients experience of the endoscopy service: achieving full JAG accreditation in Bronglais District General Hospital utilising
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 21 April 2015 Chief Officer (Acute Services) Board Paper No.15/17 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More 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 informationEastercroft House Nursing Home Care Home Service Adults Airdrie Road Caldercruix Airdrie ML6 8NY Telephone:
Eastercroft House Nursing Home Care Home Service Adults Airdrie Road Caldercruix Airdrie ML6 8NY Telephone: 01236 842205 Inspected by: Alison Iles Arlene Wood Morag McHaffie Type of inspection: Unannounced
More informationMontgomery Place Care Home Service Children and Young People 4 Montgomery Place Kilmarnock KA3 1JB Telephone:
Montgomery Place Care Home Service Children and Young People 4 Montgomery Place Kilmarnock KA3 1JB Telephone: 01563 543926 Inspected by: George Stewart Morag McGill Type of inspection: Unannounced Inspection
More informationStatus: Information Discussion Assurance Approval. Claire Gorzanski, Head of Clinical Effectiveness
Report to: Trust Board Agenda item: Date of Meeting: 2 October 2017 SFT3934 Report Title: Annual quality governance report 2016-2017 Status: Information Discussion Assurance Approval X Prepared by: Executive
More information1. This letter summarises the mairi points discussed and actions arising from the Annual Review and associated meetings in Glasgow on 20 August.
Cabinet Secretary for Health, Wellbeing and Sport ShonaRobisonMSP T: 0300 244 4000 E:scottish.ministers@gov.scot Andrew Robertson OBE Chairman NHS Greater Glasgow and Clyde JB Russell House Gartnavel Royal
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 informationDate of publication:june Date of inspection visit:18 March 2014
Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of
More informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 June 2017 Publication date 5 September 2017 A National Statistics Publication for Scotland
More informationSUBJECT: QUALITY ASSURANCE AND IMPROVEMENT
Meeting of Lanarkshire NHS Board: Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT 1. PURPOSE
More informationNewham Borough Summary report
Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity
More information