Item E1 - Bart s Health Quality Indicators

Size: px
Start display at page:

Download "Item E1 - Bart s Health Quality Indicators"

Transcription

1 Item E1 - Bart s Health Quality Indicators 1.0 Purpose 1.1 The purpose of this report is to provide the CCG Board with an update on quality matters across pertaining to our main local Provider organisations. 1.2 This report will cover an update on the following areas: Serious incidents Mixed Sex Accommodation MRSA Friends and Family Test C.Difficile Amber Alerts Venous thromboembolism (VTE) 2.0 Serious Incidents 2.1 Number of incidents reported Barts Health has reported 259 incidents since April to August For the same period last year the Trust reported 176. The increase in the number of reported incidents should be seen in good light, as the increase in reporting suggests a better safety culture within the Trust. The Trust reported 4 never events since April to August All never events related to retained swabs with one incidents occurring at Newham site. 2.2 Current reporting period The Trust reported 50 incidents in August 2013, which is an increase in the number of incidents reported in the same period last year (43). Of the 50 reported incidents, 10 incidents were reported at the Newham site. 1

2 No never events reported in August M a j o r i t y ( 4 6 % ) o f the incidents are reported as Grade 3 Pressure Ulcer, with a slightly higher number of Pressure Ulcers present on admission, and the remainder acquired at the Trust. The Trust has a large number of Serious Incident investigation reports overdue, as of the 31 st July 2013 the Trust had 88 cases overdue. 2.3 Action by the Trust Following the development of a Serious Incident management improvement plan the Trust has reduced the number of overdue cases, and as at the 31 st August, the Trust now has 39 overdue cases. As a result of the improvement plan the ECAM CAG has seen a significant decrease in the number of overdue cases. In early July the CAG had over 70 cases overdue, and currently (as at week ending 30 th August) now have 9 overdue cases. 2.4 Action by the CCG/CSU Monthly reports of over overdue cases are provided to the Quality Team by the CSU. The CCG continue to monitor the implementation of the plan at monthly Clinical Quality Review Meetings (CQRM). 2.5 Incident reporting by exception There has been an outbreak of Klebsiella at the Neonatal Intensive Care Unit (NICU) at the Newham site, which resulted in the ward being closed. The Trust stated that any babies born at Newham requiring admission are being accepted, but any referred in from outside the Trust are not. The unit is currently closed to external admissions. The decision to admit internal babies was made in conjunction with Public Health England, who is involved in the weekly outbreak meetings. 2

3 The NICU falls under specialised commissioning, therefore NHS England is taking the lead commissioner role regarding this incident. The CCG and the CSU would be kept informed and updated. The case is still under investigation. 3.0 Mixed Sex Accommodation 3.1 Number of breaches reported Barts Health has reported 217 breaches from April to August Royal London site owning majority (64%) of the breaches. 3.2 Current reporting period In August the Trust reported 40 breaches. Of the 40 breaches, 3 of which occurred at the Newham site. 3.3 Action by the Trust Implementation and embedding of the mixed sex accommodation plan. Key areas of focus include: Embedding the escalation process to monitor compliance with the policy and ensure all breaches are accurately reported. Reduction of out of hours transfers from ACCU when nurse specials are not available. Trust internal bi weekly meetings/conference calls to review progress Audit of MSA breaches to increase awareness of issues Establish Trust wide critical care board Increase nursing staff with ability to care for patients with tracheotomy Review single sex bay arrangements in High Dependency Unit. Regular feedback to staff re breaches and required actions 3.4 Actions by CSU/CCG 3

4 The CCG and CSU continue to monitor implementation of action plan through the CQRM meetings. The impact of the change in the guidance for elimination of mixed sex accommodation will be monitored. 4.0 Venous thromboembolism (VTE) 4.1 VTE Compliance Barts Health has been achieving the national CQUIN target of 95% since April Current reporting month The most recent reporting month (July) the Trust has achieved with 96.5% of patients risk assessed for VTE. The Newham site achieved 98.9% compliance with patients risk assessed. 4

5 4.3 Action by the Trust The Trust is monitoring the monthly performance against the CQUIN target, which also includes completion of root cause analysis of all cases of VTE. 4.4 Actions by CSU/CCG The CCG and CSU continue to monitor this at the CQRM and through CQUIN compliance. 5 MRSA 5.2 Number of MRSA reported Barts Health has reported 3 MRSA cases since April 2013, 1 in May and 2 in June. Newham site had no MRSA cases, with the 3 cases occurring at Royal London (2) and Whipps Cross (1). For the same period last year (April to July ), 7 MRSA cases were reported. There is zero tolerance around MRSA. 5.3 Current reporting month No MRSA cases reported in July Action by Trust Barts health have developed an infection control strategy and associated action plan, which incorporates all the key areas of learning identified through the post infection review process undertaken for all cases. The plan has been approved at the Trust infection control committee and is being embedded within each CAG to operationalise. 5.5 Action by CSU/CCG MRSA cases are monitored via daily health care associated (HCAI) reports from Barts Health. 5

6 The CQRM will continue to monitor implementation of learning identified through oversight of the infection control strategy and annual work plan. 6 C.Difficile 6.2 Number of C.Difficile reported Barts Health reported 21 C.Difficile cases since April to July For the same period last year the Trust reported 30 C.Difficile cases. The Trust is currently below their trajectory for period April to July Current reporting month Barts Health reported 5 C.Difficile cases in July Action by Trust C.Difficile cases are monitored via daily health care associated (HCAI) reports from Barts Health. The CQRM will continue to monitor implementation of learning identified through oversight of the infection control strategy and annual work plan. 6.5 Action by CSU/CCG The CQRM will continue to monitor implementation of learning identified through oversight of the infection control strategy and annual work plan. 6

7 7 Friends and Family Test (FFT) 7.2 Number of responses (August) Barts Health overall achieved a low response rate of 11.57%, which is below the CQUIN target of 15%. 7

8 In Inpatient Wards the Trust achieved 23.40%. However in A&E, the Trust achieved a low rate of 6.64% which is contributing to the overall low score. Newham site overall achieved a low response rate of 8.6%, with only 4.42% in A&E contributing to the overall low response rate. However achieved a 21.2% response rate in Inpatient Wards. 7.3 Action by Trust An action plan is in place that aims to improve A&E compliance; this is beginning to see results. 7.4 Action by CSU/CCG FFT is monitored at the CQRM, including implementation of the action plan for improvement. Regular participation in the FFT teleconference with NHS England is undertaken to ensure shared learning. 8 Safeguarding 8.2 Safeguarding targets Children s safeguarding training is not being met across the entire Trust. The Trust has a compliance to meet 85% by October August has shown some improvements, however the Trust continues to not achieve the target. 8.3 Current reporting Month Children s For Children the Trust achieved 83% (Level 1), 66% (Level 2) and 75% (Level 3). Improvement in training compared to last month (August 2013), however still under target. Adults For Adults the Trust achieved 76% (Level 1) and 62% (Level 2). Improvement in training compared to last month (July 2013), however still under target. 8.4 Action by Trust The Trust presented a refreshed action plan at the CQRM in July 2013; this incorporates safeguard training within the mandatory training booklet. 8.5 Action by CSU/CCG Implementation of the action plan will be monitored at CQRM. 9 Amber Alerts 9.2 Number of Amber Alerts raised 8

9 A total of 46 Amber Alerts were raised from July (go live date) to August % of the alerts related to the Newham site, and 39% related to Whipps Cross, Royal London and other Barts Health sites. Majority (12%) of the alerts related to Pathology Lab, followed by A&E (8%). The themes related to the alerts were; delay in obtaining results (18%), followed by incomplete discharge summary (10%) and patient incorrectly being informed that they need to be re-referred (10%). 9.3 Action by Trust Of the alerts actioned, majority (24%) related to patient being offered appointment without re-referral required, and 18% related to no error by provider. 9.4 Action by CCG 9

10 The CCG continues to receive and coordinate the alerts received from practices ensuring the alerts are acknowledged and actioned. 10 Update from CQC 10.1 CQC Information Newham The CQC report highlighted that action was needed in the following areas: Staffing (1 compliance action) Supporting workers (2 compliance actions) Royal London Antenatal Care/ Clinic and Maternity inpatient wards were reviewed and the following actions taken: Respecting and involving people (1 compliance action) Care and welfare of people who use services (1 compliance action) Staffing (1 compliance action) Supporting workers (2 compliance actions) Whipps Cross The full CQC inspection report was released in August. This report highlighted the following actions within maternity services: Cleanliness and infection control (1 enforcement action) Safety, availability and suitability of equipment (1 enforcement action) Respecting and involving people who use services (1 compliance action) Care and welfare of people who use services (1 compliance action) Safety and suitability of premises (2 compliance actions) Staffing (2 compliance actions) Assessing and monitoring quality (1 compliance action) Records (2 compliance actions) Within care of the elderly (and A&E) the following issues were raised: Supporting workers (1 enforcement action) Care and welfare of people who use services (2 compliance actions) Meeting nutritional needs (2 compliance actions) Safety, availability and suitability of equipment (1 compliance action) Staffing (1 compliance action) 10.2 Action by Trust 10

11 Full action plans have been provided by the Trust to the CQC and CCG/CSU which highlight how the compliance actions and enforcement actions will be met. This also looks at the monitoring of implementation. Clinical Fridays (senior team visits to the clinical areas) at the Trust are being focussed on the key elements of the warning notices received. CCG representation will also be participating in these days Action by CSU/CCG The CSU/CCGs have met with the CQC to review outcomes and agree next steps. There has been attendance at the Clinical Fridays by a CCG Quality Lead. A quality assurance visit has been carried out to the affected services at Whipps Cross and a further quality assurance visit is to be carried out. Action plans will be reviewed and monitored at CQRM. The CQC has identified 18 NHS Trusts representing the variation of care in hospitals in England. These will be the first hospitals to test the new CQC inspection regime. Barts Health will be part of this first wave of inspections as they are considered a high risk rated Trust by the CQC. Barts are carrying out internal inspections prior to these visits, CCG representation will be part of the inspections. 11 Update from Barts Health CQRM The quality leads from CCG s have maintained a focus and prioritised on the CQRM agenda, the large number of complaints and incidents that were overdue. 11

12 11.1 Barts Health ECAM CAG As at week ending 7 th July ECAM had 46 overdue incidents. As at week ending 7 th July ECAM had 62 overdue complaints Current update As a result of the quality leads focus on the issue, ECAM CAG at Bart Health has made a significant improvement in their number of overdue incidents and complaints. As at the 30th August 2013, ECAM has only 9 overdue incidents. As at the 30 th August 2013, ECAM has 0 overdue complaints Action by Trust The Trust has put several actions in place around management, process, ownership and education. The actions by Barts Health have seen a significant improvement in ECAM Action by CSU/CCG The CCG with the CSU will continue to maintain the focus on overdue cases. 12

13 ELFT - Mental Health 1.0 Purpose 1.1 The purpose of this report is to provide the CCG Board with an update on quality matters across pertaining to our main local Provider organisations. Areas of priority: Serious Incidents Service User Led Audit Areas where the Trust has no significant concern: Safeguarding Adults CQC Update 2.0 Serious Incidents 2.1 Number of incidents reported East London Foundation Trust (ELFT) has reported 24 incidents from April to August For the same period last year the Trust reported 21. There has been a small increase this year compared to last year. The Trust has reported no never events from April to August Current reporting month The Trust reported 1 incident in August Which is a slight decrease compared to last year with 2 incidents. The 1 incident reported related to sub-optimal care of deteriorating patient. The Trust as at 31 st July 2013 has 9 cases overdue. 2.3 Action by the Trust 13

14 ELFT continues to report low numbers of SIs each month, reporting only one in August this is not out of line with reporting levels in August The only incident reported in August is that of a suboptimal care of the deteriorating patient, the incident was declared in response to an inpatient on a mental health ward, who was admitted to Newham General ITU following a diagnosis of diabetic ketosis; hence an investigation in to the physical health care of the inpatient will take place. ELFT has done much work to improve the physical health care provided to its mental health patients, and this is the first incident of this type reported by the Trust this year (2013/14). 2.4 Action by the CCG/CSU The number of overdue reports has not changed significantly over the course of the past four months. The CSU will meet with the Trust to discuss incident management processes. A new serious incident review and feedback process is being developed, whereby boroughbased CQRMs will receive incident feedback, depending on the borough where the incident occurred. The process is currently being finalised following a meeting between the CSU and CCGs on 19th September. At that meeting, the CCGs agreed to close 26 legacy incidents following a thematic workshop and subsequent receipt of evidence from the Trust. 3 Service User Led Audit 3.1 Issue The Trust was rated red on standards relating to the Trusts welcome pack and the provision of practical information. 3.2 Action by the Trust The Trust reported that this was largely related to the Welcome pack and they were about to undertake some qualitative work to understand why. 3.3 Action by CCG/CSU The CSU and CCG will receive feedback from the qualitative work through the CQRM and performance meetings. 4 Safeguarding Adults 4.1 Safeguarding Audit A safeguarding adults audit is currently underway by London Borough of Newham which will investigate the procedural pathway surrounding ELFT response to safeguarding adult queries. 14

15 4.2 Action by the Trust An action plan will follow, which will include awareness raising over and above statutory training for each team/service, this will commence in the autumn which will be a joint initiative by London Borough of Newham and Trust Senior Staff. 4.3 Action by the CCG/CSU The CCG will ensure at CQRMs and performance meetings that the Trust ensures that staff have a fundamental understanding of the safeguarding process and procedure. 5 CQC Update 5.1 CQC Information There was an unannounced visit at the Trust Mental Healthcare for Older Persons Directorate on the 15 th and 16 th July The CQC measured the following standards: Respecting and involving people who use services Care and welfare of people who use services Cooperating with other providers Staffing Assessing and monitoring the quality of service provision Records 5.2 Result of the inspection The CQC report shows that the Trust has met all 6 standards. The results of the CQC are as follows: Respecting and involving people who use services People's views and experiences were taken into account in the way the service was provided and delivered in relation to their care. Care and welfare of people who use services People experienced care, treatment and support that met their needs and protected their rights. Cooperating with other providers People's health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others. Staffing There was enough qualified, skilled and experienced staff to meet people's needs. Assessing and monitoring the quality of service provision 15

16 The provider had an effective system to regularly assess and monitor the quality of service that people receive. Records People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained. 5.3 Action by CCG/CSU The CCG and CSU will ensure that Trust continues and maintains the positive results following the CQC inspection. 16

17 ELFT - Community Health Newham 1.0 Purpose 1.1 The purpose of this report is to provide the CCG Board with an update on quality matters across pertaining to our main local Provider organisations. Areas of priority: Serious Incidents Areas where the trust has no significant concern: Audit CQUIN Amber Alerts CQC 2.0 Serious Incident 2.1 Number of incidents reported Community Health Newham (CHN) has reported 16 incidents from April to August For the same period last year the Trust reported 11. There has been a small increase this year compared to last year. Community Health Newham has reported no never events. 2.2 Current reporting month CHN reported 3 incidents in August For the same period last year the Trust reported none. All 3 incidents related to Unexpected Death of Community patients. All 3 cases are homicides. 17

18 All three were known to community health services because they either had children or were receiving child services. Two of the deaths are being investigated as Domestic Homicide Reviews, and ELFT are participating in the reviews. The third case involves a child, who was also referred to CAMHS, and was allegedly stabbed to death by an unknown person initially the case was thought not to require a Serious Incident review, but the Local Safeguarding Children s Board has subsequently decided to undertake a Cross Borough Learning Review. 2.3 Action by the Trust Community Health Services continue to report low numbers of SIs each month, reporting only three in August, however, this is an increase over August 2012, when none were reported. No Pressure Ulcer incidents were reported in August, but that does not mean none occurred. There tends to be a delay between when Pressure Ulcers are identified and reported at the Trust. ELFT does not report pressure ulcers identified on first contact, i.e. already present when the patient first came into contact with ELFT services. 2.4 Action by CSU/CCG The number of overdue reports has not changed significantly over the course of the past four months. The CSU safety manager will meet with the Trust to discuss the incident management processes. 3.0 Audit 3.1 Clinical Audit The Trust reported 100% compliance with VTE assessments The Trust audited their Phlebotomy service for waiting times, the national guidance is 6 minutes patient facing time per blood test. The Trust audit data showed that all centres perform consistently above the level. The Phlebotomy service received 3 complaints from August 12 to March All complaints have been investigated and none of which are upheld. The audit also consisted of Patient Satisfaction Survey, of the responses received 88% were positive responses, 3% were negative responses, and 9% where not applicable. 3.2 Action by Trust To report on audits and provide more detailed outcome reporting. 3.3 Action by CCG/CSU The CCG with the CSU are to review the detailed outcome reporting once report is submitted. 18

19 4.0 CQUIN 4.1 CQUIN status The Community Health Newham CQUINs have been signed off in September. The CQUINs are as follows: - Improving the Experience of Patients - Promoting effective Cardiac Rehabilitation - Promoting effective Self Care and Management of Long Term Conditions - Enhancing GP Communication - Improving End of Life Care 4.2 Action by Trust The Trust will report on this from quarter Action by CCG/CSU To monitor CQUINs as of quarter 2. 5 Amber Alerts 5.1 Number of Amber Alerts reported Since July (go live date), a total of 7 amber alerts were reported relating to Community Health. Majority of the alerts were categorised as District Nursing not arriving timely, followed by Attitude of staff, Patient inappropriately asked to call the GP for home visit, Patient not offered an urgent appointment and poor response and communication. Majority of the alerts belonged to District Nursing Service, followed by Diabetic Education, Community Matron and Foot Health Services. 19

20 5.2 Action by the Trust Of the alerts actioned, the outcomes of the actions were; appropriately actioned by provider, no error from provider and education and training of staff. 5.3 Action by CCG The CCG continues to receive and coordinate the alerts received from practices ensuring the alerts are acknowledged and actioned. 6 CQC 6.1 CQC Information There was an unannounced visit at the Trust Community Health Services on the 15 th and 16 th July The CQC measured the following standards: Respecting and involving people who use services Care and welfare of people who use services Cooperating with other providers Staffing Assessing and monitoring the quality of service provision Records 6.2 Result of the inspection The CQC report shows that the Trust has met all 6 standards. The results of the CQC are as follows: Respecting and involving people who use services People's views and experiences were taken into account in the way the service was provided and delivered in relation to their care. Care and welfare of people who use services People experienced care, treatment and support that met their needs and protected their rights. Cooperating with other providers People's health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others. Staffing There was enough qualified, skilled and experienced staff to meet people's needs. Assessing and monitoring the quality of service provision The provider had an effective system to regularly assess and monitor the quality of service that people receive. Records People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained. 6.3 Action by CCG/CSU 20

21 The CCG and CSU will ensure that Trust continues and maintains the positive results following the CQC inspection. 7 Recommendation The Board are asked to note this report. 21

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report Item K1 September 2013 Prepared on 30/09/2013 by Support team GREEN Finance and Activity Millions AMBER RED Headlines M5 Financial position M4 activity data The QIPP net savings

More information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity

More information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report March 2013 Prepared on 18/03/13 by Commissioning Support team Finance and Activity Millions Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Newham Headlines March 2013 Feb-12 Apr-12 Jun-12

More information

Performance and Delivery/ Chief Nurse

Performance and Delivery/ Chief Nurse Governing Body 26th May 2017 Quality and Performance Report 22nd May 2017 Author: Other contributors: Executive Lead Audience Eileen Clark - Acting Director of Clinical Performance and Delivery/ Chief

More information

QUALITY STRATEGY

QUALITY STRATEGY NHS Nene and NHS Corby Clinical Commissioning Groups QUALITY STRATEGY 2017-2021 Approved: By the Joint Quality Committee on 11 April 2017 Ratified: By the NHS Corby Clinical Commissioning Group on 25 April

More information

Quality Framework Healthier, Happier, Longer

Quality Framework Healthier, Happier, Longer Quality Framework 2015-2016 Healthier, Happier, Longer Telford & Wrekin Clinical Commissioning Group (CCG) makes quality everyone s business. Our working processes are designed to ensure we all have the

More information

Status: Information Discussion Assurance Approval. Claire Gorzanski, Head of Clinical Effectiveness

Status: 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 information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Spire Wellesley Hospital Eastern Avenue, Southend-on-Sea, SS2

More information

Integrated Performance Report

Integrated 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 information

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary

More information

COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP

COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality

More information

Richard Wilson, Quality Insight and Intelligence Director

Richard Wilson, Quality Insight and Intelligence Director To: Board For meeting: 24 May 2018 Agenda item: 8 Report by: Richard Wilson, Quality Insight and Intelligence Director Report on: Quality Dashboard Purpose 1. This paper highlights the key observations

More information

The safety of every patient we care for is our number one priority

The safety of every patient we care for is our number one priority HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally

More information

Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care.

Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Associated Policies Being Open and Duty of Candour policy CG10 Clinical incident / near-miss

More information

QUALITY REPORT. Part A Patient Experience

QUALITY 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 information

NHS Ashford Clinical Commissioning Group. Integrated Performance Report. November 2013

NHS Ashford Clinical Commissioning Group. Integrated Performance Report. November 2013 NHS Ashford Clinical Commissioning Group Integrated Performance Report November 2013 Page 1 Contents Executive Summary... 6 Assurance Framework Overview... 10 Are local people getting good quality care?...

More information

Overall rating for this trust Good. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective?

Overall 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 information

Worcestershire Acute Hospitals NHS Trust

Worcestershire Acute Hospitals NHS Trust Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Quality Report Charles Hastings Way Worcester WR5 1DD Tel: 01905 763333 Website: www.worcsacute.nhs.uk Date of inspection visit: 12,

More information

Nottingham University Hospitals Emergency Department Quality Issues Related to Performance

Nottingham University Hospitals Emergency Department Quality Issues Related to Performance RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.

More information

Report of the Care Quality Commission. May 2017

Report 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 information

WOLVERHAMPTON CLINICAL COMMISSIONING GROUP QUALITY & SAFETY COMMITTEE

WOLVERHAMPTON CLINICAL COMMISSIONING GROUP QUALITY & SAFETY COMMITTEE Wolverhampton Clinical Commissioning Group WOLVERHAMPTON CLINICAL COMMISSIONING GROUP QUALITY & SAFETY COMMITTEE Minutes of the Quality and Safety Committee Meeting held on Tuesday 12 th May 2015 Commencing

More information

Vision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15

Vision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15 Bedfordshire Clinical Commissioning Group Quality Strategy 2014-2016 Contents SECTION 1: Vision 3 1.1 Vision for Quality 3 1.2 What is Quality? 3 1.3 The NHS Outcomes Framework 3 1.4 Other National Drivers

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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 information

NHS Newham CCG Board Part I. 14 June :30pm 3:30pm. Committee Rooms, Unex Tower, 5 Station Street, Stratford, London, E15 1DA

NHS Newham CCG Board Part I. 14 June :30pm 3:30pm. Committee Rooms, Unex Tower, 5 Station Street, Stratford, London, E15 1DA NHS Newham CCG Board Part I 14 June 2017 1:30pm 3:30pm Committee Rooms, Unex Tower, 5 Station Street, Stratford, London, E15 1DA 1 NCCG Board Part I 14 June 2017 1:30pm 3:30pm Committee Rooms, Unex Tower,

More information

TRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality

TRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Bristol Ambulance EMS Jacwyn House, 1 Kings Park Avenue, St

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

Strategic Risk Report 12 September 2016

Strategic Risk Report 12 September 2016 Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over

More information

Serious Incident Report Public Board Meeting 28 July 2016

Serious Incident Report Public Board Meeting 28 July 2016 Serious Incident Report Public Board Meeting 28 July 2016 Presented for: Presented by: Author Previous Committees Governance Dr Yvette Oade, Chief Medical Officer Louise Povey, Serious Incidents Investigations

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Crook Log Surgery 19 Crook Log, Bexleyheath, DA6 8DZ Tel: 08444773340

More information

Section 1 - Key Performance Indicators

Section 1 - Key Performance Indicators Clinical Quality Report Month 6 2016/17 period ending 30th September 2016 Section 1 - Key Performance Indicators 1.1 NHS Improvement; Risk Assessment Framework Clostridium difficile Indicator M6 2 YTD

More information

Performance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director

Performance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director Sutton CCG Clinical Commissioning Group Governing Body Date Thursday, 06 September 2018 Document Title Lead Director (Name and Role) Clinical Sponsor (Name and Role) Performance and Quality Report Sean

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Marie Curie Hospice Liverpool Speke Road, Woolton, Liverpool,

More information

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Fiona and Louise Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss

More information

Safeguarding Vulnerable People Annual Report

Safeguarding Vulnerable People Annual Report Safeguarding Vulnerable People Annual Report 2014-2015 1. Purpose of report The purpose of this report is to provide assurance that the Trust is fulfilling its responsibilities to promote the safety and

More information

Operational Focus: Performance

Operational Focus: Performance Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to

More information

TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013

TRUST 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 information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Spire Gatwick Park Hospital Povey Cross Road, Horley, RH6 0BB

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Dr Raja Segar Ramachandram 339 Moor Green Lane, Moseley, Birmingham,

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Queen Elizabeth Medical Centre Edgbaston, Birmingham, B15 2TH

More information

4 Year Patient and Public Involvement Strategy

4 Year Patient and Public Involvement Strategy 4 Year Patient and Public Involvement Strategy 2015-18 Contents Page(s) 1. Introduction - 2. Summary of the patient and public involvement strategy 2015-18 - 3. Definitions of involvement and best practice

More information

Quality Performance Detailed View March 2015 position

Quality Performance Detailed View March 2015 position Page 1 Quality Performance Detailed View March 2015 position Portsmouth Hospitals NHS Trust QAH Hospital Page 2 Quality of Care Key Exceptions to note Quality of Care Executive Summary March performance

More information

Learning from Deaths Policy. This policy applies Trust wide

Learning from Deaths Policy. This policy applies Trust wide Learning from Deaths Policy This policy applies Trust wide Document control page Name of policy Learning from Deaths Policy Names of linked Learning from Deaths Procedure procedures Accountable Medical

More information

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT 1. Date of Governing Body Meeting 16 th November 2017 2. Title of Report: 3. Key Messages: BUPA ceased to be the registered provider of Crawfords Walk Nursing Home in October. The

More information

OPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview

OPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview OPERATIONAL PERFORMANCE REPORT: March 2018 Swindon Community Health Services Overview 1.0 Introduction This overview brings to the attention of committee members the key areas of Community Health Service

More information

REQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13

REQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13 2012/13 SSOTP CQUIN INDICATOR TARGETS INDICATOR REQUIREMENT 1. Patient Experience Milestone 1 (15th working day of April 2012) Identify a minimum of 4 theme areas which are considered to have caused concern

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Dr Fazal Hussain Station Plaza Health Centre, Station Approach,

More information

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Fitzwilliam Hospital Milton Way, South Bretton, Peterborough,

More information

Strategic Risk Report 4 July 2016

Strategic Risk Report 4 July 2016 Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of

More information

Date of publication:june Date of inspection visit:18 March 2014

Date of publication:june Date of inspection visit:18 March 2014 Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Lozells Medical Practice Finch Road Primary Care Centre, Lozells,

More information

Quality Strategy and Improvement Plan

Quality 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 information

2017/ /19. Summary Operational Plan

2017/ /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 information

THE ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST QUALITY ACCOUNTS 2011/12

THE ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST QUALITY ACCOUNTS 2011/12 THE ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST Quality Narrative QUALITY ACCOUNTS 2011/12 (WORKING DRAFT OF CONTENT) 1. Statement from the Chief Executive, and summary of the quality of NHS services

More information

Patient Safety & Clinical Quality Committee Chair s Report. Sue Hayter, Governing Body Registered Nurse Member

Patient Safety & Clinical Quality Committee Chair s Report. Sue Hayter, Governing Body Registered Nurse Member Agenda Item: 10.2 Subject: Presented by: Patient Safety & Clinical Quality Committee Chair s Report Sue Hayter, Governing Body Registered Nurse Member Submitted to: NHS West Norfolk CCG Governing Body,

More information

Agenda Item number: 8.1 Enclosure: 3. Discussion. Date reviewed. 22 nd September

Agenda Item number: 8.1 Enclosure: 3. Discussion. Date reviewed. 22 nd September Board meeting date: 27 th October 2011 Agenda Item number: 8.1 Enclosure: 3 Title Quality Report Accountable Director: Authors(name & title): Maggie Bayley, Director of Nursing and Quality Dr Alastair

More information

Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17

Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17 Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17 Author: Candy Gallinagh Designated Nurse for Safeguarding Adults Supported by: Soline Jerram, Director of Clinical Quality & Patient

More information

BSUH INTEGRATED PERFORMANCE REPORT. 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well Led Domain

BSUH INTEGRATED PERFORMANCE REPORT. 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well Led Domain BSUH INTEGRATED PERFORMANCE REPORT 1) Responsive Domain 2) Safe Domain 3) Effective Domain 4) Caring Domain 5) Well ed Domain RESPONSIVE DOMAIN RESPONSIVE DOMAIN Metric Defined by Standard Apr-16 May-16

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Follow up Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Dr Amir Mir Station Plaza Health Centre, Station Approach, Hastings,

More information

Date ratified November Review Date November This Policy supersedes the following document which must now be destroyed:

Date ratified November Review Date November This Policy supersedes the following document which must now be destroyed: Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. First Choice Home Care & Employment Services Limited - Hackney

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Burrows House 12 Derwent Road, Penge, London, SE20 8SW Tel:

More information

Agenda Item number: 9.1. Maggie Bayley, Director of Nursing and Quality

Agenda Item number: 9.1. Maggie Bayley, Director of Nursing and Quality Board meeting date: 15 December, 2011 Agenda Item number: 9.1 Enclosure: 6 Title Quality report Accountable Director: Authors(name & title): Maggie Bayley, Director of Nursing and Quality Maggie Bayley,

More information

Integrated Performance Report

Integrated Performance Report Integrated Performance Report M12 March 2015 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Alsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An Associated

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Blossomfield Complete Dental Care Blossomfield House, 284-286

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You 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 information

Improve, Inspire, Innovate Quality Improvement Plan

Improve, Inspire, Innovate Quality Improvement Plan Improve, Inspire, Innovate Quality Improvement Plan 1 QIP Final version 20170706 Contents Background & Summary Page 3 Who is Responsible? Page 4 How will we communicate our progress to you? Page 4 Chair

More information

TRUST BOARD PART I SEPTEMBER 2011 Agenda Item Number: 145/11 Enclosure Number: (1)

TRUST BOARD PART I SEPTEMBER 2011 Agenda Item Number: 145/11 Enclosure Number: (1) TRUST BOARD PART I SEPTEMBER 2011 Agenda Item Number: 145/11 Enclosure Number: (1) Subject: Prepared by: Sponsored by: Presented by: Purpose of paper Why is this paper going to the Trust Board? Key points

More information

Quality Assurance Committee Annual Report April 2017 March 2018

Quality Assurance Committee Annual Report April 2017 March 2018 Quality Assurance Committee Annual Report April 2017 March 2018 Quality Assurance Committee Annual Report April 2017 March 2018 1. Introduction The role of the quality assurance committee is to provide

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. CARE Fertility (Northampton) Limited 67 The Avenue, Cliftonville,

More information

Board of Director s Meeting

Board of Director s Meeting Board of Director s Meeting Meeting Date: 15 November 212 Agenda item: 6.1 Title: Purpose: Summary: Recommendation: Author: Presented by: QUALITY AND PATIENT SAFETY ASSURANCE COMMITTEE To provide an exception

More information

SCHEDULE 2 THE SERVICES

SCHEDULE 2 THE SERVICES SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7. Optional to use, detail for local determination

More information

November NHS Rushcliffe CCG Assurance Framework

November NHS Rushcliffe CCG Assurance Framework November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015

More information

Waiting Times Report Strategic. Thematic Goals

Waiting Times Report Strategic. Thematic Goals Strategic Improved Quality of Care Transformation - Prevention & Wellbeing Thematic Goals Waiting Times Report 2016-17 Transformation through Integration Improved Access to Services Improved Value This

More information

The operating framework for. the NHS in England 2009/10. Background

The operating framework for. the NHS in England 2009/10. Background the voice of NHS leadership briefing DECEMBER 2008 ISSUE 172 The operating framework for the NHS in England 2009/10 Key points No new national targets. National priorities are the same as last year. but

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. St Blaise 2 St Blaise Avenue, Bromley, Kent, BR1 3DA Tel: 02084601851

More information

The Royal Wolverhampton NHS Trust

The Royal Wolverhampton NHS Trust The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 25th July 2016 Title: Executive Summary: Action Requested: Author: Contact Details: Resource Implications: Equality and Diversity Assessment

More information

Overall rating for this trust. Quality Report. Ratings

Overall rating for this trust. Quality Report. Ratings Worcestershire Acute Hospitals NHS Trust Quality Report Worcestershire Royal Hospital Charles Hastings Way Worcester WR5 1DD Tel: : 01905 763333 Website: www.worcsacute.nhs.uk Date of inspection visit:

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Sussex Health Care Audiology Ltd Dorking Hospital, Horsham Road,

More information

Infection Prevention. & Control. Report

Infection Prevention. & Control. Report Infection Prevention & Control Report April 2012 March 2013 Author Joanne Raper, Infection Prevention & Control Nurse Manager Page 1 of 10 1.0 Purpose of the Paper The purpose of this report is to provide

More information

Report on actions you plan to take to meet CQC essential standards

Report on actions you plan to take to meet CQC essential standards R10.2 Report on actions you plan to take to meet CQC essential standards Please see the covering letter for the date by which you must send your report to us and where to send it. Failure to send a report

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Woodlands Residential Care Wood Lane, Netherley, Liverpool,

More information

Governing Body meeting on 13th September 2018

Governing Body meeting on 13th September 2018 Governing Body meeting on 13th September 2018 Report from the Chair of the Integrated Governance Committee (IGC) Date of Meetings Reported: 9 th August 2018 Key achievements Author: Martin Wilkinson, Chair

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Expectations Pregnancy Ultrasound Studio Rixlade Barns, Abbotsham,

More information

Annual Complaints Report 2014/15

Annual Complaints Report 2014/15 Annual Complaints Report 2014/15 1.0 Introduction This report provides information in regard to complaints and concerns received by The Rotherham NHS Foundation Trust between 01/04/2014 and 31/03/2015.

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Highgate Medical Centre St Patricks Community Centre for Health,

More information

Overall rating for this trust Requires improvement. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective?

Overall rating for this trust Requires improvement. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective? University Hospitals of Leicesterer NHS Trust Inspection report Trust HQ, Level 3 Balmoral Leicester Royal Infirmary Leicester Leicestershire LE1 5WW Tel: 0300 303 1573 www.leicestershospitals.nhs.uk Date

More information

Staffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan

Staffordshire and Stoke on Trent Partnership NHS Trust. Operational Plan Staffordshire and Stoke on Trent Partnership NHS Trust Operational Plan 2016-17 Contents Introducing Staffordshire and Stoke on Trent Partnership NHS Trust... 3 The vision of the health and care system...

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. Sale Moor Dental Practice 15 Marsland Road, Sale, M33 3HP Tel:

More information

Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance

Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance APPENDIX 5 BOARD OF DIRECTORS 18 JUNE 2014 Report to: Report from: Subject: Board of Directors Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance

More information

INFECTION CONTROL SURVEILLANCE POLICY

INFECTION CONTROL SURVEILLANCE POLICY INFECTION CONTROL SURVEILLANCE POLICY Version: 3 Ratified by: Date ratified: July 2016 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Head of Infection

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Follow up Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Mary's Nursing Home Ednaston, Ashbourne, Derby, DE6 3BA Tel:

More information

Whittington Health Quality Strategy

Whittington Health Quality Strategy Whittington Health Quality Strategy 2012-2017 Safe care Effective care Excellent patient experience...caring for you Quality Strategy for Whittington Health Introduction The purpose of this quality strategy

More information

Unannounced Follow-up Inspection Report: Independent Healthcare

Unannounced Follow-up Inspection Report: Independent Healthcare Unannounced Follow-up Inspection Report: Independent Healthcare St Vincent s Hospice St Vincent s Hospice Limited 28 www.healthcareimprovementscotland.org Healthcare Improvement Scotland is committed to

More information

Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016

Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016 Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May RAG Dark green Light green Amber Red White Definition Action complete and assurance gained Action

More information

COMMUNITY AND OLDER PEOPLE S MENTAL HEALTH SERVICE FRAMEWORK FOR:

COMMUNITY AND OLDER PEOPLE S MENTAL HEALTH SERVICE FRAMEWORK FOR: MINDING THE GAP COMMUNITY AND OLDER PEOPLE S MENTAL HEALTH SERVICE FRAMEWORK FOR: GOVERNANCE ASSURANCE AND PERFORMANCE. 1. INTRODUCTION AND CONTEXT Providing, delivering and developing the highest standards

More information

Action required: To agree the process by which Governors will meet with the inspection team.

Action required: To agree the process by which Governors will meet with the inspection team. Airedale NHS Foundation Trust Council of Governors: 28 th January 2016 Title: CQC Inspection Briefing Author: Jane Downes, Company Secretary As you will be aware, the Care Quality Commission ( CQC ) have

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We 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. The Bethlem Royal Hospital Monks Orchard Road, Beckenham, BR3

More information

Enforcement (if provider is not meeting the regulation)

Enforcement (if provider is not meeting the regulation) CARE QUALITY COMMISSION FUNDAMENTAL STANDARDS (from 01 April 2015) *These regulations have prosecutable clauses relating specifically to harm or the risk of harm Regulation The purpose of the regulation

More information