TRANSFORMING CARE FOR THE FUTURE Quarter 2 Report. Discover Design Deliver. Vanessa Gardener, Director of Transformation
|
|
- Darren Fletcher
- 5 years ago
- Views:
Transcription
1 TRANSFORMING CARE FOR THE FUTURE Report Vanessa Gardener, Director of Transformation Discover Design Deliver
2 Contents Overview Review Review of of Quarter Quarter 1 2 Contents Overview 3 Review of Progress against Commitments /16 at a Glance 5 Progress on Setting CMFT Outpatient Standards 6 Progress on Maximising Elective Activity 7 Progress on Optimising Non-Elective Activity 8 Engaging our Staff 9 Progress against our Key Metrics 11 for Q
3 Overview The Transformation Strategy was approved by the Trust Board in September 2014 and a 3 year plan produced. The 2015/16 Plan and Commitments was approved in May 2015 setting out how we will organise and deliver our transformation programme and management capability, in the context of delivering Transforming Care for the Future. The aim of our transformation strategy is to ensure we: Reach the top decile for quality - clinical outcomes, safety, patient experience, staff engagement and operational efficiency measures. Build upon and strengthen what is already in place but also carry out work across divisions and hospitals Build the capability of clinical leaders and also develop a robust change leader programme whereby staff at all grades and professions can be skilled up in transformation essentials Make better use of existing resources and teams support improvement by building a virtual team we have a change and innovation team in informatics, the quality improvement team in nursing, the OD&T team within HR; we need to ensure we all work closely together to offer support to the clinical teams and divisions in a coherent way Co-ordinate projects to ensure lessons are shared - the organisation is large and therefore it becomes more important to share across the organisation and also sharing examples of good practice internationally and nationally. The Transforming Care for the Future Programme objectives for the next 2 years are: 1. To create the right culture to deliver change through embedding the values and behaviors through distributed leadership 2. Give staff clear improvement methodology and build skills 3. Implement a governance process / PMO to ensure some rigour to the work and expectations. A PMO governance process is the backbone to successful project and programme management and ensures change occurs and is managed in a logical and controlled way. 4. Contribute through transformation circa 11m efficiency savings 3
4 Review of Delivery against commitments Workstream Commitment Progress Outpatients Eye Hospital & Altrincham early adopter Understand themes and agree priorities Elective Gap analysis against elective/theatre standards Gynaecology early adopter of preassessment model Agree ideal LOS with HPB and Upper GI teams Non-Elective Medium term Ambulatory Care Strategy Developed Complete CDT 30,60,90 day action plan Agree 24/7 capacity management model 7 day Services Engagement Session Support Divisions in Developing Options Culture change Capability Building Transform together learning event Roll out of distributed leadership by working with the surgical division leadership team to develop team surgery Explore development of Shelford Transformation Network Approach agreed with the Eye Hospital on transforming a clinic pod. Themes from Trust baseline assessment collated and presented to the Strategic Transformation Board in August Shared learning event took place in September 2015 for Divisions to share good practice. Gap analysis against theatre standards developed with the MRI and RMCH theatre teams. This is being rolled out across the other theatre teams during October, with presentations of the results planned in December Gynaecology have piloted and then implemented the new pre-operative assessment model, risk stratifying patients into low, medium and high risk categories. This approach can now be rolled out and surgery is the next Division. Ideal LoS has been agreed across one key pathway in each surgery sub-specialty. Improvement plans are being finalised by the end of October The Trust has completed the 12 month ambulatory care network programme and was awarded a certificate for the team who carried out the Most Effective Stakeholder Engagement and Involvement. The renewed focus has been on implementing the Community Assessment Unit, combined the ambulatory care function with urgent care access for GPs. This commenced on 1 October The majority of the complex discharge service action plan has completed. A shared learning event took place on 1 October with colleagues from Salford and Pennine Trusts to agree actions for the final outstanding actions relating to workforce and further process efficiencies. A proposal for 24/7 capacity management across the MRI has been produced and agreed in principle. A proof of concept is planned during the Embedding the SAFER standards week 12 October The engagement session took place on 3 July 2015,opened by the Chairman with over 100 attendees. plans have now been produced for review by the 7 day working group during Q3. The second Transform Together event took place on 24 September K has been secured from charitable funds to encourage staff to think innovatively and carry out small changes that have big impacts for patients. OD&T and transformation are working with the new Surgical leadership team to ensure that the culture is understood and they are supported to develop Team Surgery. The inaugural Director of Transformation Shelford Network took place on 18 September. As a result Guys and St Thomas are visiting in November and UCL, Sheffield, Oxford and ourselves are working together on successful approaches to theatre improvement 4
5 at a Glance July Director of Transformation accepted onto the Founding Cohort of the Q Initiative run by the Health Foundation through the Academic Health Sciences Network 7 day services event Ratification of the Elective Standards Workshop to develop a theatre dashboard Presentation at Change Leadership Summit hosted by the HSJ on 13 July 4 day Improvement Practitioner course attended by 20 staff including consultants August Planning for hosting the Network event Poster developed for Ambulatory care event Work commenced on elective standards data collection tool developed with MRI and RMCH teams September 2015/16 Hosted the 3 rd Hospital Transformation Network with over 70 participants across 30 organisations on 11 September 2015 Shelford Transformation Network first meeting took place on 18 September nd Transform Together event on 24 September 2015; winning project: integrated rotational programme between acute and community services for Band 5 nurses developed with Bolton University Transform Together charitable fund launched for small projects creating big improvements for patients 8 September saw CMFT Ambulatory Care team present at the final Ambulatory Care Network event Shared learning event on outpatient improvement plans for all Divisions Ratification of the MRI / Trafford Urgent Care Strategy at TMB on 28 September 5
6 Outpatients Elective Non-Elective 7 Day Services Creating Culture for Change Building Capability Progress on Setting the CMFT Outpatient Standards Following the baseline assessments in June 2015, there were some excellent examples of good practice shared across all Divisions through a shared learning event held on 2 September 2015: Bespoke customer service training for administration and phlebotomy staff described by a number of Divisions Roll out of the virtual clinic models at Trafford and within Specialised Medicine Display of information for patients by AHP service based on what patients wanted Offer of choice to patients in Surgery Clinic Greeting Guide in DMACs Quality Box in Nuclear Medicine 1 question and each patient has a token to slot in 1-5 how they felt. Robust cancellation / leave processes across Trafford and Eye/Dental Quality forum and patient listening events in the Eye hospital Hello my name is campaigns in Eye/Dental/Trafford Key take home message for patients in Eye / Dental Patient pagers in the Eye hospital Bookwise hotelling system for clinic rooms in RMCH The common themes for improvement across most Divisions resulting patient experience tracker feedback are:- Limited information is provided to patients about what to expect prior to clinic Staff are not routinely explaining why there is a delay in clinic and how long the wait will be Cleanliness of Outpatient Areas is an issue Explanation of medication and results is not clear Availability of health records is an issue Clinic typing and reporting turnaround around times is too long in some areas Patients do not feel staff are present to help guide patients through their clinic journey Patients do not know who to contact if worried The Trust wide transformation programme has been updated to reflect these findings. In addition working with HR and OD, 2 engagement sessions have been held with Outpatient administrative & clerical staff who volunteered to co-design the work streams. 6
7 Outpatients Progress on Maximising Elective Activity Elective Non-Elective 7 Day Services Creating Culture for Change Building Capability During the Elective standards were ratified by the Quality Committee. The Transformation Team worked during August 2015 with the MRI and RMCH theatre teams to develop a self assessment template. This has now been rolled out to all other Hospitals for completion by November Work has continued with Gynaecology in developing a new pre-operative assessment model whereby high risk patients are seen by a consultant anaesthetist, medium risk by a pre-operative assessment nurse and low risk patients complete a screening tool. Example of the Transformation KPI Dashboard A pilot has been undertaken to test the screening tool for identifying the low / medium risk patients and the new consultant anaesthetic clinic will be set up in November 2015 for high risk patients. We are now working with the surgical division to roll out this model. A workshop was held on 8 th July with the aim of creating a consistent Theatre Dashboard to be used across all Divisions. Divisions identified priority areas for measurement and agreed on definitions in order to ensure each area is collecting the same data. This has been signed off by the Medical Director and is being rolled out across the Trust from October
8 Outpatients Elective Non-Elective 7 Day Services Creating Culture for Change Building Capability Progress on Optimising the Non Elective Pathway Planning took place in Q2 for Embedding the SAFER Standards week in October 2015 following the success of the Perfect Week in February The week of 12 October was chosen two main reasons: we have failed the A&E four hour standard during Q3 for the past two years and know that there is an influx in activity during October following the start of term at Universities in September. Therefore by focusing on fully embedding the SAFER standards and across every ward and department during a week in October we could reenergize staff and be proactive in responding to a predicted increase in demand SAFER KEY SUCCESSES Senior Review 80% of patients received a board/ward round by 10am 6% improvement in average length of time patients spent in A&E Assessment More patients were seen in the Community Assessment Unit Increase in the number of beds available on AMU and ESTU in the morning to help admissions EDD set on admission improved by 38% within DMACs and 16% in Surgery Every Division saw an improvement number of patients who were compliant with antibiotics, VTE prophylaxis, falls, pressure ulcers and nutrition from a baseline of 82% compliant, improving to 91% compliant Improvement in response for specialty review Flow Inreach by Specialised Medicine in AMU reduced outliers from 15 to 0 by the end of the week 17% increase in number of portable x-rays being carried out within 20 mins from request 91% of ED patients seen within 20 mins of request for x-ray Reduction in clinical cancellations on the day of surgery Critical Care go ahead pilot improved start times of theatres Early Discharge Reduction in patients with a length of stay (LOS) over 14 Days 100% increase in use of the discharge lounge 41% of patients were discharged by 10am from Specialist Medicine wards Increase of 3% more discharges from previous week Regular Review Improved response times in Surgery to urgent bleeps, all under 1hr Daily review of patients with LOS >5days with support from Social Care and CDT undertaken through Bronze Rooms and enabled the discharge of 20 longer length of stay patients 8
9 Outpatients Elective Non-Elective 7 Day Services Creating Culture for Change Building Capability Supporting 7 Day Services In June we planned and supported an engagement session for 7 day services. The event was designed to engage with Clinical Teams and develop a shared understanding of the vision for 7 Day Services. Divisions shared their assessments against the 10 standards and established top priority areas. Each Division used a framework to develop and assess their plans. It provided the opportunity for Divisions to work collaboratively and support each other. All Divisions presented their priority areas at the engagement session and worked up one plan. Since the engagement session the following timeline is being followed:- End of August all plans developed on priority areas. Shared with Divisions in September at 7 Day Implementation Group Reviewed by Panel during November 2015 Divisions ensuring plans are aligned to the annual business plans during November 9
10 Outpatients Elective Non-Elective 7 Day Services Engaging our staff The Transformation/OD teams undertook 8 events in Q2 engaging with over 300 staff: 7 Day Services Creating a theatre dashboard Improvement Practitioner course Outpatient Shared Learning Event Ambulatory Care Network Meeting 3 rd Hospital Transformation Network Shelford Transformation Network Transform Together Shared A selection of feedback: In July 2015, the Charitable Funds Committee approved 50K from charitable funds to encourage staff to think innovatively and carry out small changes that have big impacts for patients. This has now been launched across the Trust. Creating Culture for Change Building Capability 10
11 Review of Q2 Key Metrics LoS The MRI capacity plan has been refreshed at the end of Q1 and plans are on track. A trajectory is in place linked to the capacity plan. LoS continues on a downward trajectory. Each MRI Divisions plans are being monitored through the Capacity and Efficiency fortnightly meeting. 11
12 Review of Q2 Key Metrics Theatre Utilisation Following the workshop to develop a consistent theatre data set the measurement for theatre utilisation has been updated. The Elective programme is gathering pace and an improvement in utilisation has been seen in Q2. 12
13 Outpatients Priorities for Quarter 3 OUR Q3 COMMITMENTS, WE WILL:- Elective Non-Elective 7 Day Services Creating Culture for Change Building Capability OUTPATIENTS Work with divisions to improve on baseline Work with the nursing team to develop an accreditation tool ELECTIVE Gen Surgery Action Plan fully implemented Agree ideal LOS for top HRG for each surgical specialty and agree enhanced recovery pathways Urology and Non-Endovascular teams Carry out a rapid improvement project in surgery to increase elective activity and improve theatre starts NON-ELECTIVE Implement 24/7 capacity management model for MRI Implementation plan for each of the 6 strategic priorities from the MRI /Trafford Urgent Care Strategy 7 DAY SERVICES Development of Options CREATING CULTURE FOR CHANGE Transform together learning event BUILDING CAPABILITY Develop a mentoring scheme for those involved in change management Co-produce and run courses with AQuA on quality improvement techniques 13
14 Progress against the Commitments are as follows: SURGERY In the Wards Group, the ERAS+ project is well underway. The project has been planned at a high level and engagement started across the specialties. Each specialty now has an outline plan to introduce ERAS+ within its area working on one main pathway initially for early introduction (to prove the principle and get building blocks in place). After this first pathway, the specialties will work through the remaining procedures starting with the level three complex patients. This is a significant project for the division and is expected to provide important improvements in patient safety, experience and efficiency (length of stay). The Outpatient Group workstream is working through its current projects and a pilot in community based TWoCs (trial without catheter) is expected to start in Oct/Nov. The Theatre Group are planning for a rapid improvement event / perfect theatre week in late November. This event will concentrate on pushing forward improvements and implementation of the recently ratified elective standards. The Non-elective Group continues to work on the combined ACU with Medicine and review improved pathways for non-specific acute abdominal pain. SPECIALIST MEDICINE Continuing to track the detailed specialty plans for additional productivity in daycase and elective inpatient throughput in the latter half of the year Working with DMACS to develop and implement plans for In-reach to AMU/Outliers (to be established to run the Embedding Safer Standards Week in October). AKI nurses continuing with the roll out of AKI education and information sharing across the trust Roll out of Text Reminders for appointments across the Division Reviewing ambulatory care models Bed flow team now covering weekends. Work commenced on planning for Catheter Lab perfect week (will be held in December) utilising feedback from Boston Scientific review Assessment and mapping of Out-patient areas against CMFT standards. Working group developed. and Directorate meetings set-up DMAC Care of the Elderly Community Assessment Unit opened (in part) to receive patients on 1 October Discharge lounge relocated to ward 30 area as part of the CAU Geriatricians job planning in line with new model of service In reach speciality flag on AMU - 6 week audit undertaken - outcomes will inform the progression of flag to follow patient through hospital Ward 2 Trafford now operating as an Intermediate care/transitional Care Unit 14
15 ST MARYS Maternity Transformation Programme Perfect week took place as planned. The numbers of additional shifts covered did not reached the levels required to test the running of improved processes in all areas, so the extra staff available were focused on the post-natal wards to facilitate more timely discharge of patients and on extending the opening hours of the antenatal assessment unit to try and ease the pressure on the main triage unit. All the findings from the week are now being gathering into a report due to be completed by the end of October. Gynaecology Quality Improvement Programme The trial of having a designated Theatre Leader supported by a consistent theatre team commenced in Theatre 41. The purpose of the trial is to see whether the efficiency of the theatre improves if there is consistency with the staff operating within it. The trial of a pre-operative questionnaire to identify low risk patient also continued, with a second revision being developed following the feedback received from the first version. Newborn Services Quality Improvement Programme All work streams now have identified Consultant leads. Some of the work streams are now up and running and have started to list all the issues which they intend to tackle. The programme team have been going through a prioritisation with these lists to identify which issues will be focused on first. TRAFFORD Non Elective & Ambulatory Care: Participation in Perfect Week to continue to embed SAFER standards. Site assessment completed in preparation for transfer to electronic PSAG boards. Agreement that issue of discharge letters to family members needs to be managed through Length of Stay meetings. Discharge Team restructure- unsuccessful recruitment to Band 7 Discharge Team post. Re-advertised, closing date next week. Current non-elective workstreams to combine with Change Board led by Jon Simpson. Looking at AMU, Ambulatory Care, workforce, teams, integration and wards. Laura Foster supporting the Divisions in this work. Outpatients: Progress made with plans to address gaps in Outpatient Quality standards. Robust OPD performance monitoring established. Outpatient staff allocated responsibility each shift for offering patients the opportunity to complete the Patient Experience Tracker to improve feedback. Successful recruitment to Band 7 for Altrincham. Band 7 now permanently in place for main OPD. Trial of partial booking in diabetes clinic continues. To be evaluated after 3 months. SHINE assessments of the OPD environment undertaken with Estates and Facilities from 9/10/2015. Review of domestic provision in progress. Monthly QCR processes fully implemented and results fed back to staff. Theatre Transformation: Orthopaedic Team continue to work with Four Eyes Consulting who are working with the ward, theatres and scheduling team to review processes and suggest improvements to theatre and ward productivity. Over the last few weeks they have been meeting staff, attending meetings, doing ward and theatre 15 observations to get a better understanding of current systems and processes.
16 REH & DENTAL Perfect Week Programme Theatre Launch of the improvement programme, commitment from new clinical champions secured Macular Kanban system has been tested and electronic version development completed Macular baseline metrics/kpis agreed and measurements complete and being compiled for analysis Macular week commenced and in progress Outpatients - Agreement to scope possibility of Outpatient Perfect Week (meeting re-scheduled) as well as experience based design Theatre Scheduling (Theo) Identified potential to leap forward with Dental s uptake of Theo, requiring more developments to allow in-clinic listing Showcase of Theo to clinical team rescheduled Commitment from eye hospital scheduling project lead secured to trial Theo Outpatients Process mapping of electronic clinic outcome form in oculoplastics completed Use of Choose and Book discussed and pilot agreed and admin processes process mapped #Hello my name is campaign launched Pathways Various discussions in sub-specialties to generate vision statements which consolidate the clinical pathways with a view to scaling up Organisational Development REH Away Day held on 7th October extremely positive feedback and been asked to repeat RMCH V2A continues throughout RMCH with Wave 6 entering week 7 of 12. Theatre Transformation programme continues with new reporting tool instigated and piloting of new reporting suite to commence which hopefully will help with scheduling. Out Patient project has been placed on hold until CSU has gained understanding of OP. To recommence the project November which should have allowed those concerned to have a more in-depth understanding of the service. 16
17 Outpatients Elective Non-Elective 7 Day Services Culture Change & Capability Building Q1 Virtual clinic blueprint Baseline Assessment against standards Develop & ratify elective/theatre standards Perfect elective week in Eye & Dental theatres Implementation of CMFT SAFER Standards Perfect Egress week Baseline for outlier management agreed approach going forward Workshop for developing urgent care strategy for MRI/TGH Perfect Week Cardiology Agree and finalise capacity plan Engagement Session Development of Transformation leaders programme Development with others a framework for change for CMFT for staff Q2 Eye Hospital & Altrincham early adopter Understand themes and agree priorities Gap analysis against elective/theatre standards Gynaecology early adopter of pre-assessment model Agree ideal LOS with HPB and Upper GI teams Medium term Ambulatory Care Strategy Developed Complete CDT 30,60,90 day action plan Agree 24/7 capacity management model Engagement Session Support Divisions in Developing Options Transform together learning event Roll out of distributed leadership by working with the surgical division leadership team to develop team surgery Explore development of Shelford Transformation Network Q3 Work with divisions to improve on baseline Develop Accreditation tool Gen Surgery Plan Fully Implemented (30,60,90 Day) Development of Pathways with Clinical Agree ideal LOS with Urology and Non-Endovascular teams Implement 24/7 capacity management model for MRI Implementation plan for outputs from Urgent Care Strategy workshop Development of Options Transform together learning event We will develop a mentoring scheme for those involved in change management Q4 Increase in virtual models Hold Theatre Think Tank workshop Implementation plan for Ambulatory Care Transform together learning event repeat the cultural survey in relation to change during 2015/16 to see how things have changed Through out 2015/16 we will have Baseline assessment for each division against the CMFT standards Eye hospital & Altrincham will be exemplar sites Improved Patient experience Efficient care and effective processes for pre-operative assessment, theatre listing and enhanced recovery. Agreed and implemented CMFT theatre standards Improve theatre utilisation from 72.5% to 79.4% (Theatre Benchmarking Network mean) Embed achievements seen in perfect week Reduce LOS across the MRI from 6 days to 5.5 days (Shelford mean) Run a Perfect Egress Week and Perfect Week in the Heart Centre Implemented 24/7 capacity /site management for the MRI Have hosted a number of engagement sessions with staff and stakeholders to develop options for scaling up services Developed with others a framework for change for CMFT for staff Introduced quarterly transform together 17
CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Report of: Chief Nurse - Cheryl Lenney Paper prepared by: Debra Armstrong, Deputy Director of Nursing (Quality) Janice Streets. Head of Quality
More informationEXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning
EXECUTIVE SUMMARY D REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY 2018 Subject Supporting TEG Member Author Status 1 A review of progress against Corporate Objectives 2017/18 and planned Corporate Objectives
More informationRTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning
RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationAneurin Bevan Health Board. Improving Theatre Performance
Aneurin Bevan Health Board Improving Theatre Performance 1 Introduction This report provides an overview on actions being taken to improve theatre performance within the Health Board. The report provides
More informationImproving the quality and safety of patient care through your workforce. Listening into Action (LiA) Briefing Pack
Improving the quality and safety of patient care through your workforce Listening into Action (LiA) Briefing Pack Game-changer leaders Listening into Action (LiA) has been a truly fundamental element of
More informationThe Manchester Model
The Manchester Model Dr Mark Holland Consultant Physician in Acute Medicine versus Miss Clare Mason Consultant General & Colorectal Surgeon Conflicts of Interest None Mash-Up High End Healthy Dialogue
More informationPerformance Improvement Bulletin
SPECIAL DELIVERY UNIT/ NATIONAL TREATMENT PURCHASE FUND Issue No.1 08/12 Performance Improvement Bulletin Featured Work underway - Maximum Waiting Time Targets 2 Case Study No. 1 Galway & Roscommon University
More informationAgenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome:
TRUST BOARD Date of Meeting: Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: For noting For information For decision Title of Report: Update on Clinical Strategy Aims: To brief Trust Board
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More 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 informationReport of the Care Quality Commission. May 2017
Report of the Care Quality Commission May 2017 1. Purpose 1.1 The purpose of this report is to formally confirm the findings of the Care Quality Commission (CQC) following its inspection in October 2016;
More informationKey Objectives To communicate business continuity planning over this period that is in line with Board continuity plans and enables the Board:
Golden Jubilee Foundation Winter Plan 2016/2017 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This plan
More informationNHS GRAMPIAN. Grampian Clinical Strategy - Planned Care
NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which
More informationQuality Improvement Strategy 2017/ /21
Quality Improvement Strategy 2017/18-2020/21 Contents Section Title Page Number Foreword from Chair and Chief Executive 2 Section 1 Introduction What does Quality mean to us? What do we want to achieve
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
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 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 informationQuality Strategy and Improvement Plan
Quality Strategy and Improvement Plan 2015-2018 STRATEGY DOCUMENT DETAILS Status: FINAL Originating Date: October 2015 Date Ratified: Next Review Date: April 2018 Accountable Director: Strategy Authors:
More informationcorporate management plan
corporate management plan 2012-2013 2 Contents 1. Introduction 2. Overview of the Trust 3. Our purpose, values and core objectives 4. Safety & Quality Corporate Objectives 5. Modernisation Corporate Objectives
More informationTransformation Programme Progress Report
Transformation Programme Progress Report Q1 April to June 2011 Author: Ben Emly (Head of Transformation) 1 Transformation Programme Progress Report Q1 2011/12 Summary: This report lays out the progress
More informationQuality Improvement Scorecard June 2017
Mortality: HSMR Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Performance remained below target in February. Mortality: HSMR (weekday) vs.
More informationThe new CQC approach to hospital inspection. Ann Ford Head of Hospital Inspection (North West) June 2014
The new CQC approach to hospital inspection Ann Ford Head of Hospital Inspection (North West) June 2014 1 Our purpose and role Our purpose We make sure health and social care services provide people with
More informationOutpatient Services Improvement September 2010
Service Improvement Team Outpatient Services Improvement September 2010 SUMMARY The purpose of this report is to give an update on the service improvement project within the outpatient department. BACKGROUND
More informationDELIVERING THE LONDON QUALITY STANDARDS AND 7 DAY SERVICES
Enclosure I DELIVERING THE LONDON QUALITY STANDARDS AND 7 DAY SERVICES Trust Board Meeting Item: 13 Date: 25 th May 2016 Purpose of the Report: Enclosure: I To update the Board on the Trust s current performance
More informationAMP Health and Social Care Professional Implementation Group Update
AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation
More informationChanging for the Better 5 Year Strategic Plan
Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section
More informationPresentation to the Care Quality Commission. Dr. Lucy Moore, CEO 15 September 2015
Presentation to the Care Quality Commission Dr. Lucy Moore, CEO 15 September 2015 Our Improvement Journey- Key Messages We have Board, Executive and Divisional leadership teams now in place with serious
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST BOARD OF DIRECTORS. Emergency Department Progress Report
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST Date of meeting: 27 June Title / Subject: Status Purpose: Report of: Prepared by: BOARD OF DIRECTORS Public To update the Board of actions being
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 informationNHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care
NHS GRAMPIAN Local Delivery Plan - Section 2 Elective Care Board Meeting 01/12/2016 Open Session Item 7 1. Actions Recommended The NHS Board is asked to: Consider the context in which planning for future
More informationAintree University Hospital NHS Foundation Trust Corporate Strategy
Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital
More informationConsultation Paper. Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network
Consultation Paper Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network Issued: April 2016 TABLE OF CONTENTS TABLE OF CONTENTS 2 1. INTRODUCTION 3 2. PURPOSE
More informationPaper 14. Trust Board DECISION NOTE. Recommendation
Paper 14 Recommendation DECISION NOTE Reporting to: Trust Board is asked to note the: Trust Board Positive engagement of our senior staff in ALT training The step change in the activity of the KPO kaizen
More informationDeveloping out of hospital care: Update on community hubs pilot April 2017 August 2017
Developing out of hospital care: Update on community hubs pilot April 2017 August 2017 Contents Heading 1 Executive summary 3 2 Developing out of hospital care: what we have done 5 3 How have we improved
More informationReport to the Board of Directors 2016/17
Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board
More informationSWLCC Update. Update December 2015
SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West
More informationSummary two year operating plan 2017/18
One Trust - serving our local communities Summary two year operating plan 2017/18 & 2018/19 www.lewishamandgreenwich.nhs.uk Summary two year operating plan: 2017/18 and 2018/19 1. Introduction This summary
More informationCENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST. Cheryl Lenney, Chief Nurse
CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Agenda Item 9.4 Report of: Cheryl Lenney, Chief Nurse Paper prepared by: Dawn Pike, Director of Nursing Anne Marie Varney Head of Nursing (Workforce)
More informationSummarise the Impact of the Health Board Report Equality and diversity
AGENDA ITEM 4.1 Health Board Report INTEGRATED PERFORMANCE DASHBOARD Executive Lead: Director of Planning and Performance Author: Assistant Director of Performance and Information Contact Details for further
More informationUpdate on NHS Central London CCG QIPP schemes
Update on NHS Central London CCG QIPP schemes NHS Central London CCG has identified circa 11m for QIPP during 2013/14. Commissioning Intentions approved by the governing body included transformational
More informationNorth West London Accident and Emergency Performance Report for the winter of 2016/17. North West London Joint Health Overview and Scrutiny Committee
North West London Accident and Emergency Performance Report for the winter of 2016/17 North West London Joint Health Overview and Scrutiny Committee 20 April 2017 1 This paper will summarise the performance
More informationYou said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18
Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community
More informationJoint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse
TRUST BOARD IN PUBLIC REPORT TITLE: Date: 28 March 2013 Agenda Item: 2.4 Joint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse EXECUTIVE SPONSOR: Dr. Des Holden, Medical Director
More informationWELCOME TO THE COUNCIL OF GOVERNORS. Wednesday, 14 th February 2018
WELCOME TO THE COUNCIL OF GOVERNORS Wednesday, 14 th February 2018 JULIA BRIDGEWATER Group Chief Operating Officer Manchester University NHS Foundation Trust Urgent & Emergency Care: 17/18 Winter Pressures
More informationPlease find below our questionnaire completed with the information we hold.
September 2011 Please find attached a FOI request requesting information on the Trust s compliance of VTE prevention policies with national VTE best practice and policy. I would be grateful if the most
More informationPATIENT AND SERVICE USER EXPERIENCE STRATEGY
PATIENT AND SERVICE USER EXPERIENCE STRATEGY APRIL 2017 TO MARCH 2020 Date 24 March 2017 Version Final Version Previously considered by The Patient Experience Group version 0.1 draft The Executive Management
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationMain body of report Integrating health and care services in Norfolk and Waveney
Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of
More informationCENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Report of: Paper prepared by: Gill Heaton -Director of Patient Services/Chief Nurse - Assistant Director of Nursing Date of paper: February
More informationNHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 19 DECEMBER 2017
Part 1 X Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 19 DECEMBER 2017 Title of report Purpose of the report and key highlights Directorate Update - Nursing The report updates the Governing
More informationQuality Improvement Scorecard March 2018
Mortality: HSMR Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Performance further improved in October. November data not yet available. Mortality:
More informationYour Care, Your Future
Your Care, Your Future Update report for partner Boards April 2016 Introduction The following paper has been prepared for the Board members of all Your Care, Your Future partner organisations: NHS Herts
More informationWorkforce Plan Update
U N I V E R S I T Y H O S P I T A L S O F L E I C E S T E R N H S T R U S T P A G E 1 O F 2 Author: Louise Gallagher Sponsor: Louise Tibbert Date: 7 April 2016 Trust Board paper J Executive Summary Context
More informationRBCH Actions to meet CQC Essential Standards
RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity
More informationThe PCT Guide to Applying the 10 High Impact Changes
The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk
More informationHip fracture Quality Improvement Programme. Update on progress one year on
Hip fracture Quality Improvement Programme Update on progress one year on Mike Reed on behalf HIPQIP Steering Group March 2011 Introduction Hip fracture is a common condition in a frail and elderly group.
More informationPurpose of the Report: Update to the Trust Board on the clinically-led Trauma and Orthopaedic GIRFT review. Information Assurance X
Item 9.4 To: Trust Board From: Mark Brassington Date: 18 th May 2018 Healthcare Standard Title: Trauma and Orthopaedic GIRFT Author: Richard James, General Manager Responsible Director/s: Mark Brassington
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY BOARD OF DIRECTORS 17 MAY Kirsten Major, Deputy Chief Executive
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY BOARD OF DIRECTORS 17 MAY 2017 Subject: Corporate Strategy 2017-2020 and Corporate Objectives for 2017/18. Supporting TEG Member: Authors:
More informationQuality Improvement Scorecard November 2017
Mortality: HSMR Performance remained below target in July Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR
More informationRTT Recovery Planning and Trajectory Development: A Cambridge Tale
RTT Recovery Planning and Trajectory Development: A Cambridge Tale Linda Clarke Head of Operational Performance Addenbrooke s Hospital I Rosie Hospital Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep
More informationPerformance. Improvement in Scheduled Care Waiting List Management TOOLKIT. An Roinn Sláinte DEPARTMENT OF HEALTH. January 2013
Performance TOOLKIT in Scheduled Care January 2013 Patient Toolkit Pathways Performance in Scheduled Care Setting the context and initiating whole systems change for the delivery of scheduled care and
More informationPATIENT EXPERIENCE AND INVOLVEMENT STRATEGY
Affiliated Teaching Hospital PATIENT EXPERIENCE AND INVOLVEMENT STRATEGY 2015 2018 Building on our We Will Together and I Will campaigns FOREWORD Patient Experience is the responsibility of everyone at
More informationCLINICAL SERVICES OVERVIEW
MEDICLINIC ANNUAL REPORT 2017 37 CLINICAL SERVICES OVERVIEW INTRODUCTION Mediclinic provides a wide range of clinical services throughout its operating platforms. The services include acute care inpatient
More informationChief Officer s Report March and April 2018
Purpose This paper provides a summary of the key areas of business led by the Chief Officer in the CWHHE Clinical Commissioning Groups. CWHHE comprises NHS Central London, NHS West London, NHS Hammersmith
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 informationTHE HEALTH SCRUTINY COMMITTEE FOR LINCOLNSHIRE
THE HEALTH SCRUTINY COMMITTEE FOR LINCOLNSHIRE Boston Borough East Lindsey District City of Lincoln Lincolnshire County North Kesteven District South Holland District South Kesteven District West Lindsey
More informationDesignated Position: Clinical Nurse Specialist. Positon Title: Clinical Nurse Specialist Head & Neck
Designated Position: Clinical Nurse Specialist Positon Title: Clinical Nurse Specialist Head & Neck This position is not considered a children s worker under the Vulnerable Children Act 2014 Position Holder's
More informationJames Blythe, Director of Commissioning and Strategy. Agenda item: 09 Attachment: 04
Title of paper: Author: Exec Lead: Community Hospital Services Review Tom Elrick, Urgent Care Programme Lead James Blythe, Director of Commissioning and Strategy Date: 23 rd February 2015 Meeting: Executive
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 informationDraft Version:
1 Annual Operational Plan 2017-2018 Draft Version: 0.08 2017-03-10 2 Contents 1. Foreword 2. Executive Summary 3. Introduction 4. Strategic Overview Our Purpose, Vision and Values Our Strategic Goals responding
More informationQuality Improvement Scorecard December 2017
Mortality: HSMR Performance improved in August Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR (weekend)
More informationMilton Keynes CCG Strategic Plan
Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three
More informationTransforming Clinical Services. Our developing clinical strategy
Transforming Clinical Services Our developing clinical strategy Transforming clinical services A developing clinical strategy for the new Foundation Trust Since 1 April 2011, County Durham and Darlington
More informationAgenda Item: REPORT TO PUBLIC BOARD MEETING 31 May 2012
Agenda Item: 5.1.1 REPORT TO PUBLIC BOARD MEETING 31 May 2012 Title Lead Director Author(s) Purpose Previously considered by Ratification of the Strategy for the Care of Older People Siobhan Jordan, Director
More informationCQUIN Supplement Quality Account
CQUIN Supplement Quality Account 2011-2012 Introduction The CQUIN framework was introduced in April 2009 as a National Framework for locally agreed quality improvement schemes. It enables commissioners
More informationOverall rating for this trust Good. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective?
Barnsley Hospital NHS Foundation Trust Inspection report Gawber Road Barnsley South Yorkshire S75 2EP Tel: 01226 730000 www.barnsleyhospital.nhs.uk Date of inspection visit: 17 to 19 October, 15 to 17
More informationIntegrated Performance Report August 2017
Integrated Performance Report Contents Section Page High Level Dashboard Balanced scorecard 3 Domain Scorecards and Director Commentaries Operational Performance 4 Quality and Patient Safety 9 Workforce
More informationReport to the Board of Directors 2015/16
Attachment 9 Report to the Board of Directors 2015/16 Date of meeting 18 Subject Report of Prepared by Seven Day Services Medical Director Ashling Rivá, Project Manager Previously considered by Transformation
More informationBoarding Impact on patients, hospitals and healthcare systems
Boarding Impact on patients, hospitals and healthcare systems Dan Beckett Consultant Acute Physician NHSFV National Clinical Lead Whole System Patient Flow Project Scottish Government May 2014 Important
More informationOUR COMMITMENTS TO CARE A STRATEGY FOR NURSES & ALLIED HEALTH PROFESSIONALS
OUR COMMITMENTS TO CARE A STRATEGY FOR NURSES & ALLIED HEALTH PROFESSIONALS Version: 2 Ratified by: Trust Board Date ratified: January 2014 Name of originator/author: Acting Head of Nursing Nursing & AHP
More information5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?
Item Number: 6.3 Governing Body Meeting: 4 February 2016 Report Sponsor Anthony Fitzgerald Director of Strategy and Delivery Report Author Anthony Fitzgerald Director of Strategy and Delivery 1. Title
More informationNational Primary Care Cluster Event ABMU Health Board 13 th October 2016
National Primary Care Cluster Event ABMU Health Board 13 th October 2016 1 National Primary Care Cluster Event - ABMU Health Board Introduction The development of primary and community services is a fundamental
More informationRecommendations of the NH Strategy
Urgent care Newark Hospital should continue to provide sub-acute care1, based on the existing ambulance diversion protocol. Refine the ambulance protocol to include additional sub-acute presentations that
More informationLeicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP)
Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP) UPDATE Toby Sanders, STP Lead 13 September, 2016 What is the STP? Health and care place based plan for Leicester, Leicestershire
More informationNumerator. Denominator Rationale for inclusion
Goal number Goal name Indicator number Indicator name Goal weighting (% of CQUIN scheme Indicator weighting (% of goal Description of indicator Numerator Denominator Rationale for inclusion Data source
More informationDIVISION OF EMERGENCY MEDICINE DEPARTMENT OF ACUTE MEDICINE
DIVISION OF EMERGENCY MEDICINE DEPARTMENT OF ACUTE MEDICINE Ambulatory Care Unit Standard Operational Policy Document Control Reference No: First published: November 2014 Version: 004 Current Version Published:
More informationCentral Manchester University Hospitals NHS Foundation Trust OPERATIONAL PLAN 2016/17
Central Manchester University Hospitals NHS Foundation Trust OPERATIONAL PLAN 2016/17 INDEX Section Pages 1 Introduction 3 2 Approach to Activity Planning 5 3 Approach to Quality Planning 7 4 Approach
More informationReview of Patient Experience of Elective Orthopaedic Services at Manchester Elective Orthopaedics Centre.
Review of Patient Experience of Elective Orthopaedic Services at Manchester Elective Orthopaedics Centre. Report Summary The purpose of the report was to gather views from people using the elective orthopaedic
More informationEstablishing an infection control accreditation programme to control infection
International Journal of Infection Control www.ijic.info ISSN 1996-9783 Establishing an infection control accreditation programme to control infection Julie Parker Sheffield Teaching Hospitals NHS Foundation
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More informationUniversity College London Hospitals NHS Foundation Trust
University College London Hospitals NHS Foundation Trust Members Event Simon Knight, Nina Griffith, planning and performance Jonathan Gardner, strategic development Purpose of this session To give you
More informationTRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013
TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 1. EXECUTIVE SUMMARY As reported to the Board last month, the reporting on safety and quality to the Trust Board has changed. Each month a summary
More informationSeven Day Working: in Practice Clinicians Perspective. Jonathan Vickers Consultant surgeon Dec 2015
Seven Day Working: in Practice Clinicians Perspective Jonathan Vickers Consultant surgeon Dec 2015 Why me? Mr. Hunt argued that hospitals like Salford Royal and Northumbria have instituted seven-day working
More informationSustainable & Accessible Services. Strong Partnerships X X X
SUMMARY REPORT ABM University Health Board Quality and Safety Committee Date of Meeting: 23 rd February 2017 Agenda item: 5.1 Report Title Prepared by Approved and Presented by ABMU Older Persons Assurance
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 informationCCG authorisation Case Study Template. NHS Croydon Clinical Commissioning Group. Patient Navigation (PatNav) 3 of 3
CCG name: Case study title: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Patient Navigation (PatNav) CCG case study number: Does the case study provide core evidence?
More informationUrgent & Emergency Care Strategy Update
RCCG/GB/17/144 Urgent & Emergency Care Strategy Update 1. Introduction The purpose of this paper is to provide assurance on the effective delivery to date of our urgent and emergency care strategy within
More informationAmbulatory Care Model
Ambulatory Care Model Hong Kong May 2013 Andrew Stripp Deputy Chief Executive & Chief Operating Officer Outline What is the Alfred Centre? How does it fit into Alfred Health service model Key aspects of
More information