Enclosure LCPB. A presentation to: Locala Community Partnerships Board. Quality Update. Tina Quinn, Director of Quality May 2016

Transcription

1 Enclosure LCPB A presentation to: Locala Community Partnerships Board Quality Update Tina Quinn, Director of Quality May 2016

2 Included in this update: 1. Stories from Business Units 2. Complaint summaries 3. Update from Quality Team 4. CQC related activities 5. Update from Medicines Management Team 6. Safeguarding Update

3 Planned: Podiatric Surgery I was recommended to use this hospital by one of the professionals at Dewsbury Health Centre & thought initially I might not due to travelling time. I'm so glad I followed her advice. This wonderful community hospital is an absolute gem. Every member of staff from Michelle on reception. the wonderful ladies who took care of me both pre & post op (Tracey/Debbie & Alison hope I have recalled your names correctly) Were all fabulous. Every aspect of the procedure was explained with clarity in terms easily understandable. Their care & ability to put me at ease was exceptional. Consultant Podiatric Surgeon oversaw the op with Mr Jagger (hope I got this right) holding the scalpel. These guys are the business, professional but still providing re-assurance & care. 6 weeks down the line &healing perfectly. Cannot recommend the whole team highly enough.

4 Integrated Childrens I had a panel meeting with the young person and his mother who were both present at the meeting. Both the young person and particularly his mother mentioned your name whom we have had no contact with until just recently. She stated how valuable your services were for young people and how your advice helped the young person maintain some form of stability during his current order. She praised the amount of support he received from the YOT particularly mentioning your name and wanted to tell you how appreciative she was for all the help and support and guidance which was being given to the young person. The panellists commented that we at the YOT were heroes that don't necessarily get mentioned or recognised which was a pleasure to hear that we are making real differences with our young people. The review panel usually takes around minutes, however we had a discussion in excess of 1 hour.

5 Complaint Summaries Integrated Adults Brief Patient s garments became soiled whilst an inpatient on Maple Ward. Garments were then placed into a patient laundry bag and this has subsequently gone missing to general laundry, where they will be irretrievable Outcome Full verbal apology given to patient and her Daughter at the time of the incident. Redress currently being considered for approval so that Patient s garments can be replaced.

6 Complaint Summaries Integrated Children Brief Complaint letter received detailing how Complainant feels our Health Visitors were negligent in not picking up on Complainant s Son s XXYY syndrome. Outcome On review by Medical Advisor and the HV team, Son s XXYY syndrome is so rare, and the symptoms he was expressing throughout his visits odd but in line with behaviour of a young child that it would be highly unlikely that any Health Professional would have picked up on it at this early stage in his life.

7 Complaint Summaries Planned Adults Brief Complainant dissatisfied with having to take a day off work to visit the Moorfields Dermatology clinic for a lump/growth removing, only to be told that the clinic was unable to perform the procedure despite being referred by the Doctor the Complainant saw at their previous appointment at the clinic. Outcome The referring Doctor did not appreciate that the Doctor at Moorfields was part of a specialist skin cancer MDT in Bradford, but not in Calderdale, and therefore not permitted to carry out the procedure at Moorfields. This has been discussed with the team and everyone has been made fully aware of the position. In addition we are developing our pathways with the local hospital to be able to provide community based low-risk cancer work.

8 Complaint Summaries Health and Wellbeing Brief Patient unhappy as they have attended the KISH clinic at Princess Royal a number of times close to the advertised opening time and has been told they are unable to see him as there are no slots left. Was also angry that the information displayed on the website for the clinic times was incorrect. Outcome The information displayed was correct but potentially misleading as patients have been looking at the telephone service hours on the website, this has now been made clearer so that it can not be confused. Staffing levels and issues experienced with the integration of the Sexual Health Service and GUM service explained to the Complainant, and they were assured that the situation would improve in the near future.

9 Updates from the quality team Serious Insulin incident currently joint RCA with Mid Yorks and conduct investigation within Locala. Early issue around computer usage which is being addressed. Park and Calder fridge incident also under investigation and in the process of informing affected individuals. Work started to address incident backlog and putting in place a more robust process going forward. (Project plan has been written) SystmOne support being strengthened - 2 new people to support more focus at looking at the quality of templates and records Incidents in SPoC there have been about 36. Jackie and Rachel are now aware but not sure how you want to handle this one.

10 Updates from the quality team Incidents in SPoC there have been 39 in total but from a quality perspective there is a clear trend downwards... Month Number January February March April May None have resulted in patient harm.

11 CQC Related Activities Meeting held with CQC to consider the number of locations that we have registered still no outcome from CQC regarding this CQC/Provider Relationship meeting due to be held Inspection due at Whitehouse Centre preparations for this completed. Visit to Navigo Social Enterprise in Grimsby providing mental health services lots of learning that can be used within Locala Continue to raise awareness throughout Locala ahead of full inspection due to take place before the end of Senior management self assessment re 5 KLOEs almost complete. Business Units about to undertake self assessments.