THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Minutes of the Board of Directors Meeting held on 17 th December Part A: Public Session
|
|
- Maximilian Underwood
- 5 years ago
- Views:
Transcription
1 Agenda item A3 THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Minutes of the Board of Directors Meeting held on 17 th December 2014 Part A: Public Session Present: Mr K W Smith Chairman Professor P H Baylis Non-Executive Director Dr B C Dobson Non-Executive Director Mrs A Dragone Finance Director Sir Leonard Fenwick Chief Executive Ms S Kler Non-Executive Director Mrs H Lamont Nursing & Patient Services Director Mrs H A Parker Non-Executive Director Mrs L Robson Business and Development Director Mr D Stout Non-Executive Director Mr E Weir Non-Executive Director Mr A R Welch Medical Director In Attendance: Mr S R Reed Mrs A O Brien Trust Secretary Director - Quality & Effectiveness (minute ref. 14/165(ii) only) 14/161 Apologies for Absence No apologies were received on this occasion. 14/162 Declarations of Interest Mr Weir declared an interest in all matters pertaining to Newcastle City Council. 14/163 Minutes of the Meeting held on 26 th November 2014 These were agreed to be a correct record. 14/164 Strategic Items i) Report of the Chief Executive Sir Leonard spoke of a number of topics of current interest. The Chancellor of the Exchequer had recently visited the Campus for Ageing & Vitality and Sir Leonard had taken the opportunity to press the case for sustaining NHS Foundation Trust freedoms. The current service pressures were multi-factorial, including the challenges for the North East Ambulance Service and in primary care. Caseload within the Trust included increasing numbers of older patients with long lengths of stay and who were often difficult to discharge due to their social circumstances. In this regard, the Trust 1
2 was scoping community opportunities, including short-term placements in care homes. In relation to Ebola virus, a number of external bodies were now interfering. There had been problems with the media recently. The identified isolation cubicles had been upgraded in just four weeks and two Trexler tents were being brought in to commission. Sir Leonard advised Directors that he had recently participated in a BBC documentary about PFI schemes in the NHS. The broadcast date was not yet known. Achievement of national performance objectives was proving more and more challenging, given the increasing volume of emergency care activity across the Trust. In this respect, the Great North Trauma & Emergency Centre had received extensive media coverage in week commencing 8 th December The BBC had however chosen to broadcast coverage of James Cook Hospital, Middlesbrough. As ever, the Executive Team had been monitoring the financial stability of the Trust. A formal submission had been made to NHS England in response to the Children s Heart Disease Standards and Service Specifications. Co-location of heart surgery services with other paediatric care was being pushed by NHS England. There had been no mention in the specifications of external devices and bridge to transplant. A Risk Summit held by the Area Team had been briefed on the poor behaviour of the review team during its visit to Newcastle. The Executive Team had been focusing on improvements in staff recruitment, particularly nurses, given the national issues of a wave of impending retirements of older staff and a shortfall in the numbers of students undertaking nurse training. The Team was also much exercised about the continuing legal dispute over the closing phases of the Transforming Newcastle Hospitals investment programme. It was pleasing to note that planning permission had been received for the proposed Children s Cardiothoracic Services building. A business was now in preparation. Attention was drawn to a number of key impact documents received from government and regulators. Attention was drawn in particular to the Department of Health guidance on the use of surplus land, which did appear to be a thinly veiled attempt at seizing some of these assets. The Trust was currently holding three sites for health and social care development. It was noted that the General Medical Council had announced a national programme of check visits in relation to Undermining and Bullying and one such visit had been scheduled for Women s Services at the Royal Victoria Infirmary. With regard to the Care Contact Time guidance issued by NHS England, Mrs Lamont commented that it was not clear as yet as to what constituted direct contact time. Nursing Directors in the Shelford Group were discussing this. The Chancellor s Autumn Statement was highlighted, given the number of commitments made in relation to NHS funding. It was noted that the NHS Trust 2
3 Development Authority had been called to account by the Public Accounts Committee in relation to the 0.5 billion of additional funding provided to in essence bail out failing Trusts. ii) Publication of the Dalton Review A summary was received of Examining new options and opportunities for providers of NHS care - The Dalton Review which had been published by the Department of Health on 5 th December Overall, it did not appear to contain anything new. The Review stated that it is not only currently challenged providers who should strategically consider their future alongside that of their wider health economy partners. The NHS Five Year Forward View signposts the need for new models of care to respond to the challenges faced by the NHS. Even the best providers will struggle to meet the challenges of the future without looking outside traditional organisational boundaries and considering how their form could better support new clinical models and ways of working. The organisational forms considered in the Review had different characteristics, benefits and barriers. The review acknowledged that many were already being used in the NHS. It was clear that there should be no national blueprint or one size fits all solution. Accordingly, the Review did not seek to impose wholesale change. Seven different organisational forms were identified in the Review, with the full report setting out an evaluation of the purpose, benefits and risks of each model in greater depth, alongside examples of where these models are already in operation within acute, mental health and community based sectors. Mrs Robson noted the proposal that the distilled recipes for success were to be planted elsewhere and this seemed improbable on a number of counts. A new kitemark, beyond Foundation Trust status, was cited to enable commissioners to identify organisations with the capability and greatest likelihood of successfully spreading their systems into organisations that were in persistent difficulty. The Chairman wondered whether the Review would survive post-election. It was highlighted that the Trust did many of the things cited in the report but under different banners. There might however be some funding opportunities, which could be picked up via the 2015/16 Plan. In the context of the models described, Sir Leonard advised of the Sherwood Forest Hospitals NHS Foundation Trust buddying arrangements falling away, as that Trust had now sought different and more hands on support than Newcastle had wished to provide. to receive the briefing. 3
4 14/165 Safety, Quality and Performance i) Healthcare Associated Infections Mrs Lamont introduced the report for November For Clostridium difficile, the year-to-date total had reached 55, with five cases reported in November. Eight cases of C. difficile had been successfully appealed so far this year (including four in November) and a further five had been submitted to the Appeals Panel. These appeals had brought the running total below the trajectory to the year-end target of no more than 80 cases. A further, third, case of MRSA bacteraemia (national target = 0) had been reported in recent days and a rapid review was being undertaken. The Trust was one of four surge sites in England that would deal with suspected and confirmed Ebola patients when and if the need arose. A great deal of work had been undertaken and was continuing, in order to prepare for the potential admission of these patients. Facilities on Ward 19 RVI (the Infectious Diseases Unit) were having Estates work carried out in order to accommodate Ebola patients. Staff training on the wearing and use of specialised personal protective equipment (PPE) was ongoing. As new national guidance emerged, this was being incorporated into Trust guidance, which was available for staff on the intranet. The Medical Director had recently circulated a letter to all staff, advising of the work across the Trust and reassuring staff regarding potential risks, and the Trust s approach to ensuring that staff safety was paramount. Tuesday 18 th November 2014 had been European Antibiotic Awareness Day, with Newcastle Hospitals once again using the date to raise awareness and highlight best practice in antibiotic prescribing and use. Professor Baylis commented on the excellent record overall in infection prevention and control across the Trust and especially in comparison with the position of, say, five years ago. to receive the report and note the content. ii) Quality Report Mrs O Brien, Director of Quality and Effectiveness, was in attendance and presented the report for November Patient Falls, needlestick and sharps injuries and higher-graded pressure ulcers had all declined in number compared with the previous month. One higher graded pressure ulcer acquired by a patient in the community had been reviewed using the Serious Incident Review approach. There had been no never events in the period reported, for the fifth consecutive month. 4
5 Mr Welch advised Directors that the new criteria for what constituted never events would inevitably drive an increase in the number of cases reported but dilute their significance. Mrs O Brien was to consider reporting any cases against both the current and new lists, in order for the Board to see what impact the changes had made. Dr Dobson enquired about the incorrect laboratory result and how laboratories were accredited. In this instance, a national laboratory in Glasgow had issued an incorrect analysis, which had affected a patient s treatment plan. However, clinical staff had identified the error before any potential harm could arise. to receive the report and note the content. iii) Providing Clinical Assurance (Clinical Assurance Toolkit) Mrs Lamont presented the latest results for the Clinical Assurance Toolkit (CAT), which provided assurance of the care given to patients. It was based upon selfassessment by the Ward Sister/Charge Nurse (or equivalent), as well as environmental cleanliness checks by the Matrons (in the acute setting). The Matron checks were peer reviewed quarterly and the next peer review would be conducted in January As previously reported, CAT scores had dropped from 97% to 95% following changes to the question set in October 2014, which had been expected based on experience of previous question changes. The November CAT data had not been available, due to the timing of the December Board meeting. With regard to the Friends & Family Test results and feedback, these continued to demonstrate the Trust s favourable performance in relation to the percentage of patients who would recommend the Trust. Low response rates in the Emergency Department were of concern, however, particularly as they were linked to CQUIN payments for 2014/15. The payments were linked to response rates rather than outcomes. Commissioners would not accept a compromise target. Mr Welch commented that the sample sizes were small and Clinical Commissioning Groups ignored the content of the feedback received. However, there were some indications of an improving position. Directors were aware that the focus of the CAT report varied each month as a particular aspect of practice is reviewed. This month the practices and documentation relating to maternity checks had been reviewed (using October s data) had had demonstrated a high level of compliance. In line with the revised CAT Strategy, the escalation of red scores to the Board took place in the second month of occurrence. A detailed report on these areas was presented on the private side of the Agenda. to receive the briefing and note the current position. 5
6 iv) Nurse Staffing Monthly Report 14/166 Finance Mrs Lamont presented the monthly report, which included Nursing and Midwifery staffing data as follows: a. Planned and actual staffing and average fill rates for all Inpatient areas within the Trust, with the numbers broken down between hours of Registered Nursing/Midwifery and Care staff, and between day and night shift. b. Information regarding the Care Summary and one week summary of the Safer Nursing Care Tool (SNCT) data collection, which was undertaken each month within the Trust. c. Discussion of staffing indicators, including turnover rates and vacancies. d. Identification of and discussion about any trends and development of levels and tolerance. Due to the early Board meeting in December, at the time of writing, data relating to staffing had been incomplete and validation was ongoing and hence cautious interpretation was required. It was highlighted that the Care Summary was proving to be very useful at ward level. The Nurse Staffing Review Phase II was due to report early in the New Year. In relation to recruitment, it was noted that a Senior Nurse was embedded in the HR department, to take a particular focus on Nurse and Midwife appointments. A national report had recently been published on overseas recruitment of nurses and the Trust was planning a targeted recruitment exercise in the Philippines. Dr Dobson commented on the Recruitment & Retention plan, which did not appear to include much on retention. A working group was addressing this. An attrition report would be available from January 2015 but the early evidence suggested that this was not as significant as expected. Sir Leonard spoke of the scope to do more with Northumbria University on the characteristics as much as qualifications of students entering the Nursing course. Mrs Lamont commented that attrition was reducing but a percentage of Nursing students studying in Newcastle were from outside of the region and did not always stay in Newcastle. Matrons from the Trust were now engaged in the student selection process. to receive the briefing and note the current position. i) Month 8 Finance Report Mrs Dragone presented the financial position as at 30 th November 2014 but highlighted that this was based on activity to the end of October In terms of Income & Expenditure, a surplus of 5.9 million had been delivered. 6
7 Cash holdings stood at million but capital expenditure was slipping against Plan. The Capital Management Group was to review this, with a view to rephrasing of schemes. The Continuity of Services ratio stood at 3 (on a four point scale), which was good for a Trust with a large PFI scheme to take into account. In terms of activity, October had been the busiest month ever and hence the increase in income. It was forecast that the Trust would deliver a surplus at the year-end but emerging commissioner affordability issues made it challenging to predict the exact scale at this time. 14/167 Items to Receive To receive the briefing and note the current position. i) King s Fund Review of CQC - Well-led Boards A summary was received of a report published by the King s Fund in December 2014 which focused on how Boards could review their position in relation to the well-led domain included within the CQC inspection regime. ii) CQC Intelligent Monitoring Report November 2014 A summary overview of the Trust position in the four reports published since October 2013 was received. In the draft December 2014 report the Trust was positioned in risk band 6 (the least risky). Three indicators had been highlighted as a risk: In-hospital mortality - Trauma and Orthopaedic conditions SSNAP domain 2 - overall team-centred rating score for key stroke unit indicator and composite indicator A&E waiting times more than 4 hours (01-Jul-14 to 30-Sep-14). The A&E waiting time risk had then been removed between the publication of the draft version and the final version, due to an error in the CQC s calculations used to derive the A&E indicator. In the report published on the CQC site on 3 rd December 2014 the Trust position had altered to a band 5, where five indicators had been highlighted as a risk: In-hospital mortality - Trauma and Orthopaedic conditions SSNAP domain 2 - overall team-centred rating score for key stroke unit indicator A&E Survey Q7: From the time you first arrived at the A&E Department, how long did you wait before being examined by a doctor or nurse? (01-Jan 2014 to 31-March 2014) A&E Survey Q22: If you were feeling distressed while you were in the A&E Department, did a member of staff help to reassure you? (01-Jan 2014 to 31-March 2014) 7
8 A&E Survey Q30: Do you think the hospital staff did everything they could to help control your pain? (01-Jan 2014 to 31-March 2014). The Trust had been disappointed that the final version of the Intelligent Monitoring Report published on 3 rd December 2014 included additional indicators which had affected the Trust s banding. The indicators that were identified as a risk in the draft report were followed up with the CQC and the Trust was currently reviewing the results and developing an action plan. The Trust was committed to reducing risk and would continue to scrutinise data to ensure that not only was it prepared for the CQC inspections thoroughly but that the information represented the Trust fairly and accurately. It was becoming increasingly difficult to accurately predict the likelihood of additional risks as the indicators grew in number and complexity. iii) CQC Complaints Matter report A summary of the report was received, which described how complaints and concerns fitted into the CQC s new regulatory model, placing concerns and complaints and feedback at the heart of quality regulation, and presented an overview of the findings on the state of complaints handling in Hospitals, GP Practices, Mental Health Services, Community Health Services and Adult Social Care Services. The report built on the work detailed in earlier reports including the Francis and Clwyd-Hart reports and explained how complaints and concerns were to be embedded into the CQC s new regulatory model with two aims: To improve how the CQC used the intelligence from concerns and complaints to better understand the quality of care being provided by providers. To consider how well providers handled complaints and concerns, and to encourage improvement. It was important to note that the CQC, Parliamentary and Health Service Ombudsman (PHSO) and Healthwatch England had recently set out similar universal expectations of good complaints handling and also how this was to be used in inspection visits to review performance of each Trust. Whistleblowing in respect of concerns raised by staff was encouraged, especially reviewing the processes in place to handle victimisation or bullying. There was to be increasing improvement in data available to enable comparison of the wide variation in the way complaints were handled by different Trusts. The CQC was seeking a shift to a listening culture that encouraged and embraced complaints and concerns as opportunities to improve the quality of care for patients, and the CQC would treat numbers and rates of complaints high or low as indicators to prompt potential further investigations. CQC, PHSO and Healthwatch wanted Trusts to put people who used services at the heart of their work, and to check this they would use five questions to monitor the quality and safety of services: 8
9 - Are they safe? - Are they effective? - Are they caring? - Are they responsive to people s needs? - Are they well led? Following inspection, Trusts would now be awarded ratings on a four point scale: Outstanding there is active review of complaints and how they are managed and responded to, and improvements are made as a result across the services. Good it is easy for people to complain or raise a concern and they are treated compassionately when they do so. Requires improvement people do not find it easy to complain or raise concerns, or are worried about raising concerns or complaining. When they do, a slow or unsatisfactory response is received. Inadequate there is a defensive attitude to complaints and a lack of transparency in how they are handled. People s concerns and complaints do not lead to improvements in the quality of care. Trusts would be asked to complete a self-assessment report on Complaint Handling prior to a CQC inspection, covering: Leadership: identifying who is responsible for complaints at the Trust, including the Executive and Non-Executive leads, as well as the individual with day-to-day responsibility and the total number of staff dedicated to complaints. Governance: describing the Trust s governance arrangements for complaints; how often they are discussed at Board level; what committees review the handling of complaints and compliments, and any themes within them. Awareness: describing how patients and relatives were made aware of how they can raise concerns or make formal complaints, and the processes in place to resolve complaints before they become formal. Timeliness: What are the local standards for providing a response to complaints (timeliness) and how well is the Trust achieving this? Are there any areas that struggle to achieve the standards? Learning: How does the Trust disseminate learning from complaints? Can the Trust point to any changes made as a result of learning from complaints? Evaluation: How does the Trust ascertain whether or not complainants are satisfied with the complaints process and the outcome? On the site visit the intention of the CQC was to gather evidence of how well the Trust handled complaints. Relating to the concerns raised by staff (whistleblowing), the CQC would be assessing the leadership and culture of the organisation in more depth than previously attempted, especially staff confidence to raise concerns. Finally, the report acknowledged that there were wide variations in the way complaints are handled by the provider organisations, and that there was a need 9
10 for a more open culture where concerns were welcomed and learning from complaints was demonstrated. In this regard the CQC would take action on services that did not take complaints seriously and all future inspection reports on Trusts would include a description of how their complaints and concerns were handled. Ms Kler advised that many of the areas in Complaints Matter were already being addressed by the Complaints Panel and Patient Relations Team. to exclude members of the press and public in accordance with the Health Services Act 2006 (Schedule 7 Section 18(E)) (as amended by the Health and Social Care Act 2012) and in view of publicity being prejudicial to the public interest. The next scheduled meeting would be held at 12.45pm on Wednesday, 28 th January
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Agenda item A5(iii) PROVIDING CLINICAL ASSURANCE: CLINICAL ASSURANCE TOOLKIT (CAT), NURSE STAFFING, FRIENDS & FAMILY TEST (FFT) A SUMMARY REPORT EXECUTIVE
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Minutes of the Board of Directors Meeting held on 26 th January Part A: Public Session
Agenda Item: A3 THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Minutes of the Board of Directors Meeting held on 26 th January 2017 Part A: Public Session Present: Mr K W Smith (Chair) Chairman
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Minutes of the Board of Directors Meeting held on 23 rd February Part A: Public Session
Agenda Item: A3 THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Minutes of the Board of Directors Meeting held on 23 rd February 2017 Part A: Public Session Present: Mr K W Smith (Chair) Chairman
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Minutes of the Board of Directors Meeting held on 22 nd June Part A: Public Session
Agenda Item: A3 THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Minutes of the Board of Directors Meeting held on 22 nd June 2017 Part A: Public Session Present: Mr K W Smith (Chair) Chairman Mrs
More informationNational Inpatient Survey. Director of Nursing and Quality
Reporting to: Title Sponsoring Director Trust Board National Inpatient Survey Director of Nursing and Quality Paper 6 Author(s) Sarah Bloomfield, Director of Nursing and Quality, Sally Allen, Clinical
More informationOur Achievements. CQC Inspection 2016
Our Achievements CQC Inspection 2016 Issued February 2017 HOW FAR WE VE COME SAFE Last year, we set out our achievements in a document for staff and patients. It was extremely well received, and as a result,
More informationSUMMARY OF INDICATOR CHANGES FOR VERSION 3 INTELLIGENT MONITORING REPORTS Acute and Specialist NHS Trusts 23 June Final Draft, Subject to Change
Never Event incidence Yes: 01 May 2013-30 Apr 2014 Incidence of Clostridium difficile (C.difficile) Incidence of Meticillin-resistant Staphylococcus aureus (MRSA) Dr Foster Intelligence: Mortality rates
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Minutes of the Board of Directors Meeting held on 27 th July Part A: Public Session
Agenda Item: A3 THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Minutes of the Board of Directors Meeting held on 27 th July 2017 Part A: Public Session Present: Mr K W Smith (Chair) Chairman Mrs
More informationCare Quality Commission (CQC) Inspection Briefing
Care Quality Commission (CQC) Inspection Briefing The CQC exists to make sure hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective,
More informationNHS and independent ambulance services
How CQC regulates: NHS and independent ambulance services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We
More information21 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 informationWOLVERHAMPTON 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 informationSupporting all NHS Trusts to achieve NHS Foundation Trust status by April Ipswich Hospital NHS Trust NHS East of England Department of Health
TFA document Supporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014 Tripartite Formal Agreement between: Ipswich Hospital NHS Trust NHS East of England Department of Health Introduction
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Clinical Assurance Toolkit (CAT) Strategy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Clinical Assurance Toolkit (CAT) Strategy Effective: January 2014 Review: January 2015 1. Introduction The Trust s Nursing and Midwifery Strategy,
More informationAssociate 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 informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date September 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient Services
More informationTitle of report Freedom to Speak Up Guardian (FSUG) Trust Board in public
Title of report Freedom to Speak Up Guardian (FSUG) Trust Board in public Date: Thursday 26 th July 2018 Agenda item: 6.2 Executive sponsor Report author(s) Report discussed previously: (name of subcommittee/group
More informationItem E1 - Bart s Health Quality Indicators
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.
More informationBOARD PAPER - NHS ENGLAND
Paper NHSE130904 BOARD PAPER - NHS ENGLAND Title: Implementing the Recommendations of the Government s Response to the Francis Report and its Winterbourne Review Report Clearance: Bill McCarthy, National
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 informationAgenda item: 5 EAST AND NORTH HERTFORDSHIRE NHS TRUST
Agenda item: 5 EAST AND NORTH HERTFORDSHIRE NHS TRUST Minutes of the Trust Board meeting held in public on Wednesday 25 th February 2009 at 2.00 pm in Rooms 2 and 3 at Hertford County Hospital DRAFT Present:
More informationHow do you demonstrate effectiveness?
How do you demonstrate effectiveness? Demonstrating Effectiveness Conference 25 November 2014 Professor Edward Baker Deputy Chief Inspector Our purpose and role Our purpose We make sure health and social
More informationMeasuring for improvement The new CQC hospital programme. Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013
Measuring for improvement The new CQC hospital programme Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013 1 Our purpose and role Our purpose We make sure health and
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:
More informationHard Truths Public Board 29th September, 2016
Hard Truths Public Board 29th September, 2016 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse/Deputy Chief Executive Heather McClelland
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES
Agenda item A4(i) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES 1. Executive Team Particular attention is drawn to: i) Half year trading positions with actions
More informationNorfolk 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 informationVision 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 informationAiredale General Hospital
Airedale NHS Foundation Trust Airedale General Hospital Quality report Skipton Road, Steeton Keighley BD20 6TD Telephone: 01535 652511 www.airedale-trust.nhs.uk Date of inspection visit: 19-20 and 27 September
More informationAnnual 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 informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet. Nursing & Patient Services Director
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date: 22 nd June 2017 Lead Director National Survey of Inpatients 2016 Nursing & Patient Services Director Agenda Item A5(iv)
More informationRichard 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 informationQUALITY 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 informationQuality 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 informationA summary of: Five years of cerebral palsy claims
A summary of: Five years of cerebral palsy claims A thematic review of NHS Resolution data September 2017 Advise / Resolve / Learn Our report Five years of cerebral palsy claims, provides an in-depth examination
More informationAnnual Members Meeting 27 September Gillian Norton, Chairman
Annual Members Meeting 27 September 2018 Gillian Norton, Chairman Council of Governors update Kathryn Harrison, Lead Governor Celebrating the NHS at 70 A short film Patient story Libby Keating I ve had
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 informationThe safety of every patient we care for is our number one priority
HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally
More informationAnnual Complaints Report 2017/2018
. Annual Complaints Report 2017/2018 CCG Information Reader Box Document Purpose CCG Website Link Title Author For information www.easterncheshireccg.nhs.uk NHS Eastern Cheshire Clinical Commissioning
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 informationSarah Bloomfield, Director of Nursing and Quality
Reporting to: Trust Board - 25 June 2015 Paper 8 Title CQC Inpatient Survey 2014 Published May 2015 Sponsoring Director Author(s) Sarah Bloomfield, Director of Nursing and Quality Graeme Mitchell, Associate
More informationCOVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP
COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality
More informationSAFE STAFFING GUIDELINE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline title SAFE STAFFING GUIDELINE SCOPE 1. Safe staffing for nursing in accident and emergency departments Background 2. The National Institute for
More informationTitle Open and Honest Staffing Report April 2016
Title Open and Honest Staffing Report April 2016 File location WILJ2102 Meeting Board of Directors Date 25 th May 2016 Executive Summary This paper provides a stocktake on the position of South Tyneside
More informationItem STH/284/14. Sheffield Safeguarding Children Board: Child Sexual Exploitation Review
A Minutes of the BOARD OF DIRECTORS held on Wednesday 17 th December, 2014, in the Undergraduate Common Room, Medical Education Centre, Northern General Hospital PRESENT: Sir Andrew Cash Professor H. A.
More informationSafe staffing for nursing in A&E departments. NICE safe staffing guideline Draft for consultation, 16 January to 12 February 2015
Safe staffing for nursing in A&E departments NICE safe staffing guideline Draft for consultation, 16 January to 12 February 2015 Safe staffing for nursing in A&E departments: NICE safe staffing guideline
More informationPrimary Care Quality Assurance Framework (Medical Services)
PCC/15/021 Primary Care Quality Assurance Framework (Medical Services) 1.0 Introduction: From the 1 April 2015 the responsibility for monitoring quality and responding to concerns arising from General
More informationNHS Borders Feedback and Complaints Annual Report
NHS Borders Feedback and Complaints Annual Report 2016-17 1 Introduction NHS Borders Feedback and Complaints Annual Report 2016-17 is a summary of the feedback provided by the complaints, comments, concerns
More informationStakeholder engagement meetings
Stakeholder engagement meetings September 2016 1 Contents Executive Summary 3 Introduction 4 Engagement Methodology 5 Analysis of findings 6 Conclusion 13 Acknowledgements 13 References 13 2 Executive
More informationQuality Account 2016/17 & 2017/18 Quality Priorities
Quality Account 2016/17 & 2017/18 Quality Priorities Trust Board Item: 12 Date: 25 th January 2017 Enclosure: H Purpose of the Report: To provide the Board with the timeline for the creation of the 2016/17
More informationNottingham University Hospitals Emergency Department Quality Issues Related to Performance
RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.
More informationDelivering Improvement in Practice
v Delivering Improvement in Practice NHS Providers Governance Conference 7 July 2016 Sir Mike Aaronson Chairman, Frimley Health NHS Foundation Trust 2006-2016 Frimley Health FT Comprises: Frimley Park
More informationNorthumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting
Agenda item 7 iv) Northumberland, Tyne and Wear NHS Foundation Trust Meeting Date: 22 February 2017 Board of Directors Meeting Title and Author of Paper: Safer Staffing Quarter 3 Report (October December,
More informationA Case Review Process for NHS Trusts and Foundation Trusts
A Case Review Process for NHS Trusts and Foundation Trusts 1 1. Introduction The Francis Freedom to Speak Up review summarised the need for an independent case review system as a mechanism for external
More informationSupporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014
TFA document Supporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014 Tripartite Formal Agreement between: Hertfordshire Community NHS Trust NHS East of England Department of Health
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD Date of meeting: 25 July 2012 Title / Subject: Status Internal Purpose: The attached paper provides an update of progess made in UHMB
More information102/14(ii) Bridgewater Board Date. Thursday 5 June Agenda item. Safe Staffing April 2014 Review
Bridgewater Board Date Thursday 5 June 2014 Agenda item 102/14(ii) Title Safe Staffing April 2014 Review Sponsoring Director Authors Presented by Purpose Dorian Williams, Executive Nurse/Director of Governance
More informationTRUST 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 informationQuality, Safety & Experience (QSE) Committee. Minutes of the Meeting Held on Wednesday 29 th March 2017 in the Boardroom, Carlton Court, St Asaph
1 Minutes QSE Public 29.3.17 V1.0 Present: Quality, Safety & Experience (QSE) Committee Minutes of the Meeting Held on Wednesday 29 th March 2017 in the Boardroom, Carlton Court, St Asaph Mrs Margaret
More informationAction 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 informationA fresh start for registration. Improving how we register providers of all health and adult social care services
A fresh start for registration Improving how we register providers of all health and adult social care services The Care Quality Commission is the independent regulator of health and adult social care
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationHip fracture Quality Improvement Programme. Update on progress one year on
Hip fracture Quality Improvement Programme Update on progress one year on Mike Reed on behalf HIPQIP Steering Group March 2011 Introduction Hip fracture is a common condition in a frail and elderly group.
More informationQuality 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 informationFOREWORD Introduction from the Chief Executive 2 BACKGROUND 3 OUR TRUST VALUES 4 OUR AIMS FOR QUALITY 5 HOW WE MEASURE QUALITY 16
Contents FOREWORD Introduction from the Chief Executive 2 BACKGROUND 3 OUR TRUST VALUES 4 OUR AIMS FOR QUALITY 5 - Our achievements so far - Our aims for quality 2017 2020 AIM 1: AIM 2: AIM 3: AIM 4: Reducing
More informationHow CQC monitors, inspects and regulates adult social care services
How CQC monitors, inspects and regulates adult social care services November 2017 Contents MONITORING AND INFORMATION SHARING... 3 How we monitor and inspect adult social care services... 3 CQC Insight...
More informationWelcome, Apologies for Absence and Declaration of Board Members Interest
DRAFT Minutes of the of the Royal Cornwall Hospitals NHS Trust held on Thursday 30 March 2017 11.00 13.00 in the Knowledge Spa, Royal Cornwall Hospital Present: Mr Jim McKenna Ms Kathy Byrne Ms Catrin
More informationBOLTON NHS FOUNDATION TRUST. expansion and upgrade of women s and children s units was completed in 2011.
September 2013 BOLTON NHS FOUNDATION TRUST Strategic Direction 2013/14 2018/19 A SUMMARY Introduction Bolton NHS Foundation Trust was formed in 2011 when hospital services merged with the community services
More informationNHS England Complaints Policy
NHS England Complaints Policy 1 NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning Development Finance Human Resources Publications
More informationBARTS AND THE LONDON NHS TRUST TRUST BOARD MEETING
BARTS AND THE LONDON NHS TRUST TRUST BOARD MEETING Minutes of the open meeting of the Trust Board held on Wednesday 26 January 2005 at 11.30am in the Old Library, School of Medicine and Dentistry, Turner
More informationSpecial measures: one year on. A report into progress made at 11 NHS trusts that were put into special measures in July 2013
Special measures: one year on A report into progress made at 11 NHS trusts that were put into special measures in July 2013 August 2014 Contents 1. Summary 2 2. Background 4 The Keogh Review 4 What the
More informationMortality Report Learning from Deaths. Quarter
Mortality Report Learning from Deaths Quarter 3 2017 Introduction In December 2016 the CQC report Learning, Candour and accountability: A review of the way NHS Trusts review and investigate the deaths
More informationTrust Board Meeting: Wednesday 13 May 2015 TB
Trust Board Meeting: Wednesday 13 May 2015 Title Update on Quality Governance Framework Status History For information, discussion and decision This paper has been presented to Quality Committee in April
More informationImplementing NHS Services Seven Days a Week
Implementing NHS Services Seven Days a Week Deborah Williams 7 Day Services Programme Manager NHS England November 2015 NHS Five Year Forward View To reduce variations in when patients receive care, we
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 informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 NOVEMBER 2013
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY E REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 NOVEMBER 2013 Subject Supporting TEG Member Author Status Care Quality Commission
More informationFT Keogh Plans. Medway NHS Foundation Trust
FT Keogh Plans Medway NHS Foundation Trust July 2014 KEY Delivered On Track to deliver Some issues narrative disclosure Not on track to deliver Medway - Our improvement plan & our progress What are we
More informationIntegrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee
EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director
More informationSafer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report
To: Board of Directors Date of Meeting: 26 th July 20 Title Safer Nursing and Midwifery Staffing Responsible Executive Director Nicola Ranger, Chief Nurse Prepared by Helen O Dell, Deputy Chief Nurse Workforce
More informationSpecialist mental health services
How CQC regulates: Specialist mental health services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We make
More informationResponse to recommendations made in the Independent review into Liverpool Community Health NHS Trust
To: The Board For meeting on: 22 March 2018 Agenda item: 8 Report by: Ian Dalton, Chief Executive Officer Report on: Response to recommendations made in the Independent review into Liverpool Community
More informationNational Audit Office value for money study on NHS ambulance services
National Audit Office value for money study on NHS ambulance services Robert White 7 February 2017 Introduction (1) Some key facts on the financial environment NHS 1.85bn net deficit of NHS bodies (NHS
More informationSOMERSET PARTNERSHIP NHS FOUNDATION TRUST QUALITY ACCOUNT PRIORITIES 2016/17. Report to the Trust Board 22 March 2016
SOMERSET PARTNERSHIP NHS FOUNDATION TRUST QUALITY ACCOUNT PRIORITIES 2016/17 Report to the Trust Board 22 March 2016 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:
More informationNHS 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 informationDraft Minutes. Agenda Item: 16
Meeting of Bristol Clinical Commissioning Group Quality and Governance Committee Held on 17th December 2013 At 9:00am in Clinical Commissioning Group Meeting Room Agenda Item: 16 Draft Minutes Present:
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS NHS NORTH OF TYNE URGENT CARE STRATEGY
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS Agenda item 5(iv) Paper B NHS NORTH OF TYNE URGENT CARE STRATEGY Report Purpose: Decision / Approval Discussion Information Brief
More informationSolent. NHS Trust. Patient Experience Strategy Ensuring patients are at the forefront of all we do
Solent NHS Trust Patient Experience Strategy 2015-2018 Ensuring patients are at the forefront of all we do Executive Summary Your experience of our services matters to us. This strategy provides national
More informationSt Mary s Birth Centre
University Hospitals of Leicester NHS Trust St Mary s Birth Centre Quality report Thorpe Road Melton Mowbray Leicestershire LE13 1SJ Tel: 0300 303 1573 www.uhl-tr.nhs.uk Date of inspection visit: 13-16
More informationTITLE OF REPORT: Looked After Children Annual Report
NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 13 Date of Meeting:..27 th October 2017.. TITLE OF REPORT: Looked After Children Annual Report 2016-2017 AUTHOR: Christine Dixon,
More informationAintree University Hospital NHS Foundation Trust Corporate Strategy
Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital
More informationCODE OF CONDUCT CODE OF ACCOUNTABILITY IN THE NHS
CODE OF CONDUCT CODE OF ACCOUNTABILITY IN THE NHS CODE OF CONDUCT Public Service Values General Principles Openness and Public Responsibilities Public Service Values in Management Public Business and Private
More informationAssessing Quality of Hospital Services - the importance of national clinical audits
Assessing Quality of Hospital Services - the importance of national clinical audits Professor Sir Mike Richards Chief Inspector of Hospitals November 2015 1 Overview CQC s role and purpose Our approach
More informationHow CQC monitors, inspects and regulates NHS GP practices
How CQC monitors, inspects and regulates NHS GP practices March 2018 Updates to this guidance since October 2017: NEW annual provider information collection (for practices rated as good and outstanding)
More informationComplaints, Compliments and Concerns (CCC) Policy
Complaints, Compliments and Concerns (CCC) Policy Central and North West London NHS Foundation Trust (CNWL) is committed to providing quality NHS services and adopting best practice in listening and responding
More informationThe NHS Constitution
2 The NHS Constitution The NHS belongs to the people. It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot
More informationNorth School of Pharmacy and Medicines Optimisation Strategic Plan
North School of Pharmacy and Medicines Optimisation Strategic Plan 2018-2021 Published 9 February 2018 Professor Christopher Cutts Pharmacy Dean christopher.cutts@hee.nhs.uk HEE North School of Pharmacy
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
More informationLearning 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 informationCOMMISSIONING FOR QUALITY FRAMEWORK
This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version COMMISSIONING FOR QUALITY FRAMEWORK Document Title: Commissioning for Quality Framework
More informationFreedom to Speak Up Review
Freedom to Speak Up Review Consultation on the implementation of the recommendations, principles and actions set out in the report of the Freedom to Speak Up Review Date: June 2015 Ref: 1115 All rights
More information