The SAFER Bundle Supported by #Red2Green Our Journey
|
|
- Amy Garrett
- 6 years ago
- Views:
Transcription
1 University Hospitals of North Midlands (UHNM) Background The SAFER Bundle Supported by #Red2Green Our Journey At UHNM, we started our SAFER implementation journey in November We had previously introduced the SAFER Patient Flow Bundle some years ago and more recently our Exemplar Ward Programme based on the SAFER Bundle. Method As a health system widely understood to be under significant pressure, and with support from ECIST and an investment in PwC manpower and resources we opted for a big bang implementation. The PwC Perform management change system was used, it focused on visual management and supported implementation of SAFER and the red 2 green day tool, simultaneously across 17 inpatient, adult medical wards. Launch Event A launch event was held in November 2016 for the Medical Division. Delegates included, Sisters and Charge Nurses, Discharge Facilitators, Directorate Managers, nursing staff, Senior Pharmacists and therapists. Speakers from the UHNM Executive Team and ECIP described the goals and rationale for implementing SAFER and delegates were encouraged to describe where improvements could be made in their areas. Our Approach All wards were assigned a member of the project team to support their journey. Visual management tools were introduced and in the majority of cases a simple white board was used to record all necessary information. The ECIP Rapid Improvement Guides were used as a benchmark to develop a best practice approach where required. MDT Board Rounds In most areas board rounds were already well established but within the first phase of the roll out key essential board round criteria were agreed and implemented. These included; Attendance by representatives of the MDT A regular 9am start and 20 minute duration Consultant/SPR led EDDs established and reviewed Prioritisation of patients for the ward round (sick, home, other) Board round actions identified, allocated and tracked
2 University Hospitals of North Midlands (UHNM) The SAFER Bundle Supported by #Red2Green Our Journey Visual Management The white boards track all actions and record each patient s red/green day status. The actions are allocated to specific owners providing clarity on who is doing what. This creates a single point of reference for all the ward staff. Early discharges and admissions from emergency portals before 10am are identified and celebrated. All members of the MDT are encouraged to update the boards when actions are completed. Afternoon Huddles and Red2Green Status Afternoon huddles/board rounds give the ward team the opportunity to ensure all of the day s tasks have been completed and delays escalated in accordance with the Trust s internal professional standards. The red/green status of each patient is reviewed and for those cases where the patient's day remains red, the reason for the delay is reported and collated centrally at 3pm.
3 UHNM SAFER & Red to Green Reporting Figure 1 To support effectiveness and sustainability, a simple suite of reports were developed and used to sustain the implementation of the SAFER bundle. Two reports are produced daily and sent to the Divisional Management Team and Operations. Key elements of the bundle, which include the early pull of patients, board round effectiveness and early discharges are reported. Red and green day data is also captured to allow the Trust to target unnecessary delays. The morning data is submitted by ward staff before 10am. Figure 1 shows the data summary which is used to inform the morning bed meetings in medicine. This highlights successes which are acknowledged, and issues with flow and capacity to be addressed. Figure 2 The daily 11:30 bed meetings are central to the success of SAFER red2green in Medicine. The meetings are attended by senior nurses from all medical wards and emergency portals and the risk associated with high demand within the ED is shared across the Division. The daily, afternoon report, shown in Figure 2, gives a summary of the conversion of red to green days, the numbers of internal & external delays and the top 10 reasons for red days. Information on patient delays is no longer hearsay but supported by relevant reported information.
4 UHNM SAFER & Red to Green Reporting Figure 3 Weekly Reporting A weekly report brings together information on Board Round effectiveness (am reporting) and more importantly the aggregated reasons for patient delays (pm reporting). We can see clearly what our biggest causes of internal and external delays are. Determining what these are have led to focus groups and workshops during the initial 12 week project; internal and external service providers have worked closely with Trust staff to work through problems and develop solutions. There is improved understanding by Trust staff as well as external staff and a lot of myth busting has taken place. Communication within departments/wards/staff groups and externally has improved considerably and there is a general feeling of co-operative working and inclusion is reported.
5 UHNM SAFER & Red to Green Successes 12 Hour Trolley Breaches A symptom of the pressure the Trust was experiencing was that UHNM reported a significant number of 12 hour trolley breaches between October 2016 and January Since our SAFER Red2Green initiative this has fallen dramatically to zero 12 hour breaches in February and one in March. Compare and Contrast a Snapshot of Medicine Performance between 2016 & 2017 Site Matron Sit Rep, 09:30, 9 th March 2016 and /03/2016, 09:30 09/03/2017, 09:30 Attendees to now; 100 Attendees to now; 90 Patients in department; 95 Patients in department; 57 Resus capacity; 0 Resus capacity; 4 CDU capacity; 0 CDU capacity; 4 Patients in corridor; 20 Patients in corridor; 0 Medical DTA s; 21 Medical DTA s; 3, plans in place to move Site Matron s Sit Rep Following the end of the support from the PwC team on the 3 rd March 2017, staff were reporting a reduction in the pressures in the ED. To validate this a snap shot of the same date and time comparing the Site Matron s sit rep showed a startling difference in the pressures on the ED. The Medical Division in particular shows real improvement. Pre 10:00 moves; nil, nil planned Pre 10:00 moves; 10 moved by 09:25 Medical Outliers; 15 Medical Outliers; 2 Escalation capacity; open and full AMU; full Triage; full Escalation capacity; closed AMU; full, moving to accommodate DTA s Triage; empty
6 Hearts & Minds at UHNM It s OK to Ask Campaign UHNM Deconditioning Campaign UHNM Deconditioning Campaign Our own geriatrician Dr Arora and his team won an Academy of Fabulous Stuff award in January this year with their deconditioning campaign, which includes end pj paralysis. End PJ Paralysis Campaign On March 31 st, many of our staff (including senior management) wore their pyjamas for the day to raise awareness of the national campaign to encourage patients to get up and get dressed. Dressing into their own clothes helps patients to regain a sense of normality whilst in hospital.
7 Impact & Outcomes Quality Improvements Standardised, MDT Board Rounds Focus on early in the day discharge and pull from assessment units Medical ward rounds prioritised by the board rounds Clinical criteria for discharge form trialled Red and green days implemented for all patients Today s actions completed today A revised morning bed meeting which is now effective, succinct and offers a supportive forum for senior nurses to share their concerns on capacity and staffing Meet the SAFER & R2G Team in the Medical Division In February 2016, the Medical Division introduced the SAFER & R2G Team. All clinicians by background, the Team bring with them skills and knowledge of site management, management of patient flow and community healthcare. Medical Division Staff at the Daily 11:30 Bed Meetings Next Steps Follow us on Twitter NHS UHNM-Red2Green@UHNM_Red2Green Rolling out a bespoke project in Surgical and Specialised Divisions Developing divisional and corporate highlight reports for executive and external reporting Discharge checklist being trialled A revised Ward Information System (WIS) under development to report red2green which will provide live information on effectiveness and delays
Targets, flow, exit block, stranded patients, red2green. What s any of this got to do with good patient care?
Targets, flow, exit block, stranded patients, red2green. What s any of this got to do with good patient care? Lee Dowson Divisional Director of Medicine Royal Wolverhampton NHS Trust Clinical Associate
More informationBOARD OF DIRECTORS. Sue Watkinson Chief Operating Officer
Affiliated Teaching Hospital BOARD OF DIRECTORS 28 TH SEPTEMBER 2012 AGENDA ITEM: 11.1 TITLE: INTENSIVE SUPPORT TEAM REPORT PURPOSE: The Board of Directors is presented with the report from the Intensive
More informationFramework for NHS provider and commissioner involvement in: Maximising the appropriate use of care homes
Publications Gateway reference number: 07483 Framework for NHS provider and commissioner involvement in: Maximising the appropriate use of care homes Cohort caring in Therapy-Led Units for inpatients ready/safe
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 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 informationDecember 2015 Edition
December 2015 Edition Glen Burley, ECIP SRO, CEO of South Warwickshire Foundation Trust Welcome to our third edition of the ECIP newsletter. As well as the ECIP systems which are taking part in the programme,
More informationAmbulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals. The Pennine Acute Hospitals NHS Trust
Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals The Pennine Acute Hospitals NHS Trust A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals The Pennine
More informationCUH Project Flow enews October 2017
Issue 1 enews October 2017 Welcome to our first CUH Project Flow enewsletter Ever wanted to know the answers to the following questions: - Where did the interest in Project Flow arise from? - What does
More informationOnline library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion
Online library of Quality, Service Improvement and Redesign tools Discharge planning collaboration trust respect innovation courage compassion Discharge planning What is it? A specific targeted discharge
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 informationGOVERNING BODY MEETING in Public 26 September 2018 Agenda Item 1.5
GOVERNING BODY MEETING in Public 26 September 2018 Agenda Item 1.5 Report Title Chief Officers Report Appendix B Cheshire & Merseyside Winter Plans Review Summary Evaluation Cheshire & Merseyside Winter
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 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 informationKingston Hospital NHS Foundation Trust Length of stay case study. October 2014
Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,
More informationThe Emergency Care Intensive Support Team (ECIST) Driving Improvement along Emergency Care Pathways: A Master Class
The Emergency Care Intensive Support Team (ECIST) Driving Improvement along Emergency Care Pathways: A Master Class WORKSHOP INFORMATION Morning Workshops (Workshops 1-4) Delegates have a choice of two
More informationNHSi June 2016)and integrated business plan completed (submitted to TDA in February 2014) NHSi Plan submitted 2016.
1604 Executive 18/06/2014 1603 Executive 18/06/2014 Finance - Fin. Management 1491 Responsiveness 29/08/2013 ED - Adult Involvement of Service Users 11//2017 Failure to maintain Emergency Department performance
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 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 informationCARE DELIVERY TEAM NURSING GUIDELINES
STANDARDS TO BE MET Team nursing is a model of care which utilises the resources within a nursing team on a shift by shift basis to deliver safe patient care within the clinical unit. The Bay of Plenty
More informationTrust Board Meeting: Wednesday 12 March 2014 TB Peer Review Programme Implementation Update
Trust Board Meeting: Wednesday 12 March 2014 Title Peer Review Programme Implementation Update Status History For discussion Papers providing updates on the process and outcomes of the Peer Review Programme
More informationReview of due diligence undertaken by PWC January 2014
FOI615 FOI request concerning the due diligence undertaken on the acquisition of Oxfordshire Learning Disability Trust (OLDT) and the subsequent review of that due diligence. This response includes details
More informationLondon s Mental Health Discharge Top Tips. LONDON Urgent and Emergency Care Improvement Collaborative
London s Mental Health Discharge Top Tips LONDON Urgent and Emergency Care Improvement Collaborative November 2017 1 Introduction These Top Tips commenced their journey at the Pan London Reducing delays
More informationFrail Elderly Assessment Unit (FEAU)
Frail Elderly Assessment Unit (FEAU) Good Practice in Care of Learning Disability and the Vulnerable Adult Event 10th February 2012 Amanda M A Futers RN Ba(Hons) Nursing Amanda.futers@uhns.nhs.uk Original
More informationDELAYED GASTRO EMPTYING
DELAYED GASTRO EMPTYING Quality Improvement in Patient Discharge Dr Victoria Knott CT1 Context Two, thirty bed combined Gastroenterology wards at Northern General Hospital, Sheffield. There are four medical
More informationCENTRAL 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 informationMonthly Nurse Safer Staffing Report May 2018
Monthly Nurse Safer Staffing Report May 2018 Trust Board June 2018 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation into Mid Staffordshire
More informationThe Royal Wolverhampton NHS Trust
Title: Safe Staffing; Planned Versus Actual Staffing by Ward September 2016 data The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 31 st October 2016 Title: Nursing Workforce Report Executive
More informationPORTSMOUTH HOSPITALS NHS TRUST URGENT CARE QUALITY IMPROVEMENT PLAN. (June 2016)
PORTSMOUTH HOSPITALS NHS TRUST URGENT CARE QUALITY IMPROVEMENT PLAN (June ) TABLE OF CONTENTS FOREWORD FROM THE CHIEF EXECUTIVE... 3 BOARD GOVERNANCE AND ASSURANCE... 5 CULTURE, LEADERSHIP AND STAFF ENGAGEMENT...
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 informationNorthern Adelaide Local Health Network. Proposal for the Establishment of a NALHN Central Flow Unit: 11 September B. MacFarlan & C.
Northern Adelaide Local Health Network Proposal for the Establishment of a NALHN Central Flow Unit: 11 September 2015 B. MacFarlan & C. McKenna Table of Contents 1. Background... 3 2. Proposal for the
More informationAMBSCORE in action. Karen Smith AEC Advanced Nurse Practitioner Good Hope Hospital Heart of England NHS Foundation Trust
AMBSCORE in action Karen Smith AEC Advanced Nurse Practitioner Good Hope Hospital Heart of England NHS Foundation Trust Damian Perrin Consultant Physician and Clinical Lead AEC Good Hope Hospital Heart
More information13 th March Ruth Pitman- Jones - Val Rhodes -
Report from the North of England Care Homes Falls Summit North of England Care Homes Falls Summit 13 th March 2018 Author Val Rhodes on behalf of the YHAHSN For more information please contact: Ruth Pitman-
More informationNHS review of winter 2017/18
NHS review of winter 2017/18 September 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that are financially sustainable. Contents 1. Summary...
More informationNHS Greater Glasgow and Clyde Alison Noonan
NHS Board Contact Email NHS Greater Glasgow and Clyde Alison Noonan alison.noonan@ggc.scot.nhs.uk Title Category Background/ context Problem Effective Discharge Planning and the Introduction of Delegated
More informationCCDM Programme Standards
CCDM Programme Standards Standard 1.0 CCDM Governance Standard 1.0 The CCDM governance councils (organisation and ward/unit) ensure that care capacity demand management is planned, coordinated and appropriate
More informationAmbulatory Emergency Care The Logical Way to Go
Ambulatory Emergency Care The Logical Way to Go Ambulatory Emergency Care The Logical Way to Go The Queens Medical Centre (QMC) is part of the Nottingham University Hospitals NHS Trust, one of the largest
More informationSutton Homes of Care Health forum newsletter
Sutton Homes of Care Health forum newsletter Welcome Welcome to the second edition of the Care Home Forum newsletter, following the Forum on 20 November that saw the launch of one of our exciting new Vanguard
More informationA Step-by-Step Guide to Tackling your Challenges
Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service
More informationA mechanism for measuring and improving patient experience on an acute medical unit
A mechanism for measuring and improving patient experience on an acute medical unit This Future Hospital Programme case study comes from Grantham and District Hospital, part of the United Lincolnshire
More informationEMBEDDING A PATIENT SAFETY CULTURE
EMBEDDING A PATIENT SAFETY CULTURE October 2011 Robert J. Bell The NHS (2005) DEPARTMENT OF HEALTH STRATEGIC HEALTH AUTHORITIES PRIMARY CARE TRUSTS ACUTE CARE TRUSTS Manage and integrate primary care for
More informationBetsi Cadwaladr University Health Board. Quality and Safety Committee Item QS12/60.4. Subject:
Betsi Cadwaladr University Health Board Quality and Safety Committee14.6.12 Item QS12/60.4 Subject: Summary or Issues of Significance Wales Ombudsman s Report Section 16 aggregated review: Serious Concerns
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 informationDo Multi Agency Discharge Events (MADEs) and Stranded Patient reviews have an impact?
NHS England NHS Improvement Healthy London Partnership Do Multi Agency Discharge Events (MADEs) and Stranded Patient reviews have an impact? 13 March 2018 This session will cover 1. What are MADEs and
More informationProcess and definitions for the daily situation report web form
Process and definitions for the daily situation report web form November 2017 The daily situation report (sitrep) indicates where there are pressures on the NHS around the country in areas such as breaches
More informationFinal Version Simple Guide to the Care Act and Delayed Transfers of Care (DTOC) SIMPLE GUIDE TO THE CARE ACT AND DELAYED TRANSFERS OF CARE (DTOC)
SIMPLE GUIDE TO THE CARE ACT AND DELAYED TRANSFERS OF CARE (DTOC) 1. UNDERPINNING PRINCIPLES Across the whole system, our common aims are to: Improve services for patients by avoiding situations where,
More informationCUH Looking beyond the hospital for solutions
CUH Looking beyond the hospital for solutions ED More than a hospital department Room with a view. Avilene Casey Executive Performance Improvement Lead (USC) HSE. Length of stay reduction equates to extra
More information2018 Optional Special Interest Groups
2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve
More informationHealthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016
Healthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016 Healthwatch Kent undertook a series of visits to Accident & Emergency Departments in Kent to talk to staff and patients about their
More informationAdult Discharge Policy
Adult Discharge Policy This document is uncontrolled once printed. Please check on the Trust s Intranet site for the most up to date version. Version: 2 Ratified by: Trust Patient Safety and Quality Committee
More informationImproving the prevention, early detection and management of Acute Kidney Injury (AKI) in Wessex
Improving the prevention, early detection and management of Acute Kidney Injury (AKI) in Wessex The case for change AKI is recognised as a major public health and patient safety concern nationally and
More informationExemplar Ward Development Programme Assuring Excellence in Care
Exemplar Ward Development Programme Assuring Excellence in Care The Royal Bolton Hospital has developed an action learning approach to improving patient care and ensuring improving standards both in operational
More informationCASE STUDY The Safer Patients Initiative
CSE STUDY The Safer Patients Initiative Critical care in practice: Royal ree Hospital and the University Hospital of Wales 1. INTRODUCTION In late 4, the Health oundation funded the Institute for Healthcare
More informationSt. Vincent s Hospice
St. Vincent s Hospice Which service area did the work take place in? Primary care/acute/hospice/ etc aim of involving patients /carers? To improve patient / To measure patient satisfaction/ To improve
More informationSeven Day Services Clinical Standards September 2017
Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared
More informationHealthcare Associated Infections Chair Shaun Maher
Healthcare Associated Infections Chair Shaun Maher Topic PVC Prevention & Management, Our Improvement Journey A new concept in auditing Our Improvement Journey in Peripheral Venous Cannulation (PVC) Speaker
More informationEmergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010
Coventry and Warwickshire Emergency Care Network Emergency Care Network Capacity Management and Escalation Plan Action Cards December 2009 December 2010 This aim of this plan is to provide a high level
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 informationPlan for investment of retained marginal rate payment for emergency admissions in Gloucestershire
Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire 1. Purpose of document This document summarises and explains how Gloucestershire CCG has used the funds
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 informationQUALITY IMPROVEMENT PLAN 2017
QUALITY IMPROVEMENT PLAN 2017 Contents Introduction 3 Trust Profile 4 Single Item Quality Surveillance Group meeting 5 CQC Report Findings 2017 6 Trust Board Response 8 Developing a Culture of Continuous
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 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 informationEnsuring timely handover of patient care ambulance to hospital
Ensuring timely handover of patient care ambulance to hospital A guide for the NHS to assist in the timely handover of patient care from the ambulance to accident and emergency, or other hospital ward
More informationMilton Keynes University Hospital NHS Foundation Trust
Milton Keynes University Hospital NHS Foundation Trust Enter and View Review of Staff/ Patient Communication Ward 17 and 18 September 2017 Contents Contents... 2 1 Introduction... 3 1.1 Details of the
More informationReleasing Time to Care The Productive Ward Programme Proposed Implementation Paper March 23rd 2009
Releasing Time to Care The Productive Ward Programme Proposed Implementation Paper March 23rd 2009 1 CONTENTS TABLE PAGE Page 2 Page 3 Page 4 Page 6 CONTENT Contents Page Introduction & Background Benefits
More informationDischarge from hospital
Page 1 of 9 Discharge from hospital for patients, carers and relative Introduction Welcome to our Trust. This leaflet is about planning to leave hospital (also known as discharge from hospital). Please
More informationQuality and Safety Committee. Prevention and Control of Healthcare Acquired Infections performance to February 2012
Betsi Cadwaladr University Health Board Committee Paper 05.04.12 Item QS12/37.5 Name of Committee: Subject: Summary or Issues of Significance National / Local Objectives Addressed: Legislation or Healthcare
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Liverpool Heart & Chest Hospital NHS Foundation Trust Thomas
More informationDignity and Essential Care Follow-Up Inspection (Announced) Cardiff and Vale University Health Board: Ward B6 Trauma and Orthopaedic, University
Dignity and Essential Care Follow-Up Inspection (Announced) Cardiff and Vale University Health Board: Ward B6 Trauma and Orthopaedic, University Hospital of Wales, Cardiff 20 and 21 January 2015 This publication
More informationApproval Discussion Assurance ( )
TRUST BOARD IN PUBLIC Date: 27 th July 2017 Agenda Item: 6.2 REPORT TITLE: 2016 National Staff Survey Update SASH Action Plans Mark Preston EXECUTIVE SPONSOR: Director of Organisational Development & People
More information2017/18 Quality Improvement Plan Improvement Targets and Initiatives
2017/18 Quality Improvement Plan Improvement Targets and Initiatives AIM Measure Change Effective Effective Care for Patients with Sepsis % Eligible Nurses who have Completed the Sepsis Education Bundle
More informationEat, Drink, Move! Supporting people to keep well, in and out of hospital
Eat, Drink, Move! Supporting people to keep well, in and out of hospital Helen Reilly, Therapy Lead and Professional Lead for Dietetics On behalf of HEFT Therapies Team Eat, Drink Move! Simple and transferable
More informationSpotlight on Visual Management
Using Lean for Continuous Improvement Special points of interest: Ministerial Visit Improvement News Silver Cells BICS Academy Celebrating success Forthcoming events Inside this issue: Ministerial visit
More informationAddressing ambulance handover delays: actions for local accident and emergency delivery boards
Addressing ambulance handover delays: actions for local accident and emergency delivery boards Published by NHS England and NHS Improvement November 2017 Contents Foreword... 2 Actions to be taken now,
More informationIntegrated heart failure service working across the hospital and the community
Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has
More informationQuality and Safety Strategy
Quality and Safety Strategy 2017-2020 Vision statement ESHT combines community and hospital services to provide safe, compassionate, and high quality care to improve the health and wellbeing of the people
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 informationIntroducing a 7-day service: the benefits of increased consultant presence
Introducing a 7-day service: the benefits of increased consultant presence This Future Hospital Programme case study comes from Wrightington, Wigan & Leigh NHS Foundation Trust (WWL). Here, Dr Stephen
More informationInpatient Flow Real Time Demand Capacity: Building the System
Inpatient Flow Real Time Demand Capacity: Building the System Roger Resar, MD, Kevin Nolan, and Deb Kaczynski We would like to acknowledge the conceptual contributions of Diane Jacobsen, Marilyn Rudolph,
More informationPortsmouth Hospitals NHS Trust Winter/Surg Plan 2013/14. pg. 1
Portsmouth Hospitals NHS Trust Winter/Surg Plan 2013/14 pg. 1 Introduction The purpose of this winter/surg plan is to ensure that Portsmouth Hospitals NHS Trust (PHT) is prepared and co-ordinated to respond
More informationCQC IMPROVEMENT ACTION PLAN. Page 1 of 86 CQC Improvement Plan (Published 10/8/15)
CQC IMPROVEMENT ACTION PLAN Page 1 of 86 CQC Improvement Plan (Published 10/8/15) Contents FOREWORD FROM THE CHIEF EXECUTIVE... 3 TRFT INSPECTION RATINGS... 4 AREAS FOR IMPROVEMENT... 5 ACTION PLAN MUST
More informationWhat Next: Action Planning with the CB-NSG and the LD Professional Senate
What Next: Action with the CB-NSG and the LD Professional Senate In this final session of the day, Cally Ward ( Foundation) alongside Crispin Hebron and Sandy Bering (LD Professional Senate) led What Next:
More informationWhat good looks like in the emergency pathway
What good looks like in the emergency pathway @ECISTNetwork @PeteGordon68 I m going to cover Safer Faster Better The evidence Myths What we ve found over 150 engagements Why we need simple rules We recommend
More informationRoyal Devon & Exeter NHS Foundation Trust Operational Capacity and Resilience Plan
Royal Devon & Exeter NHS Foundation Trust Operational Capacity and Resilience Plan 2017-18 Operational Capacity & Resilience Plan 2017/18 Page 1 of 45 Full History Status: Draft or Final To be used in
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 informationDelivering the Five Year Forward View. through Business Intelligence
Delivering the Five Year Forward View through Business Intelligence Introduction The market for analytics has matured significantly in the past five years and, although the health sector in the UK has
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: OP33 Version: 4.0 Name of Policy: Bed Management and Escalation Policy Effective From: 28/09/2015 Date Ratified 17/07/2015 Ratified PQRS Committee Review Date 01/07/2017 Sponsor Director of
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 informationStandard of Care for MTC inpatients
Standard of Care for MTC inpatients The following document is intended to summarise the model of care for patients admitted under the care of the Leeds Major Trauma System. It will outline expected duties
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 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 informationCOUNCIL OF GOVERNORS MEETING. Thursday, 20 April 2017 PERFORMANCE ASSURANCE REPORT. Non-Executive Directors
3.5 COUNCIL OF GOVERNORS MEETING Thursday, 20 April 2017 PERFORMANCE ASSURANCE REPORT Non-Executive Directors PURPOSE OF THE PAPER: The National Health Service Act 2006 (as amended) places a general duty
More informationQuality Assurance Accreditation Scheme Assignment Report 2016/17. University Hospitals of Morecambe Bay NHS Foundation Trust
Quality Assurance Accreditation Scheme Assignment Report 2016/17 Contents 1. Introduction 2. Executive Summary 3. Findings, Recommendations and Action Plan Appendix A: Terms of Reference Appendix B: Assurance
More informationEffective discharge from hospital: multi agency discharge seminar the patient journey November 2017
Effective discharge from hospital: multi agency discharge seminar the patient journey November 2017 Page 1 of 18 Contents 1. Introduction... 3 2. Context - Healthwatch work in 2016... 3 3. Aims of this
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 informationQuality Account London North West University Healthcare NHS Trust
2017-2018 Quality Account London North West University Healthcare NHS Trust QUALITY ACCOUNT 4 PART 1: 6 INTRODUCING OUR QUALITY ACCOUNT 6 Welcome by the Chief Executive 7 Statement of directors responsibilities
More informationQUALITY REPORT. Part A Patient Experience
QUALITY REPORT Part A Patient Experience 1 Number of complaints Complaints and Patient Advice and Liaison Report 40 Total number of complaints received 30 20 10 Number of complaints received Trendline
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting date: 31 January 2007 Agenda item: 9.4
BOARD OF DIRECTORS PAPER COVER SHEET Meeting date: 31 January 2007 Agenda item: 9.4 Title: PARLIAMENT & HEALTH SERVICE OMBUDSMAN RECOMMENDATIONS RE: PATIENT COMPLAINT Purpose: To update the Board on the
More informationWinter/Surge Capacity Plan 1 st December 2013 to 31 st March Position as at September 2013
Winter/Surge Capacity Plan 1 st December 2013 to 31 st March 2014 Position as at September 2013 Contents 1. Introduction and background... 3 2. Demand and capacity... 4 2.1. Anticipated bed demand... 4
More informationThis paper provides an update on the the recent national SPSP conference the programme of work for Tissue Viability Acute Adult Care SPSP
Greater Glasgow and Clyde NHS Board Board Meeting December 2016 Board Paper No. 16/81 Scottish Patient Safety Programme Update 1. Background The Scottish Patient Safety Programme (SPSP) is one of the family
More information