OPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview
|
|
- Reginald McGee
- 5 years ago
- Views:
Transcription
1 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 performance in February Staffing: Swindon Community Health Services vacancy levels have decreased from December WTE (15.32%), to January WTE (14.56%). Nursing are the professional group with the highest vacancy rate of WTE (19.67%), with 14 WTE in SwICC. A recruitment event took place on the 24 th February in SwICC however, due to problems with advertising and agreement of the recruitment and retention premia only one candidate attended. A total of 8 student nurses have expressed preference to work in Community Nursing once they qualify in the summer and there are currently only 5 vacancies, so nurses will be offered an opportunity to work within the wards in SwICC until the next vacancy occurs within Community Nursing and will then be automatically shortlisted. A second open day is being organised for May 12 th at the Orbital centre to recruit for the wards within SwICC. HR Systems have finished recalculating Turnover and have confirmed that turnover has decreased since October The January figure has been rechecked and is now 16.33% which although higher than the Trust target is slightly below Wiltshire Health and Care turnover figure which is a useful comparator for a community service. 3.0 Community Nursing 3.1 Operational delivery: Referrals to the Community Nursing service have remained at last year s level with 3,828 year to date. This is a 1.75% increase from 2016/17. 1,655 referrals were for completely new patients to the service with the remainder re-referrals of patients previously on the case load. The average number of patients on daily caseloads has remained steady and also resemble last year. In 2017/18, 1,628 Referrals have been related to patient wound care and together with Pressure Ulcer constitute nearly half (49%) of all community nurse activity. 36% of referrals are for non-specific reasons with an increasing number of people referred for Assessment Advice and Support. This is the first month we have been able to analyse the break down of referrals and so we now need to better understand the care planning 1
2 and case load management requirements of this large number of referrals with non specific reasons. The majority of referrals, 48%, are received from GP Surgeries with 15% coming directly from GWH. 23% of all referrals to community Nursing are for an urgent response within 24 hours and we continue to meet our target of 95%. 3.2 Clinical Service updates Continence Service: There has been a small dip in referrals but the number of new assessments is high at 86. Follow up activity is down significantly from the previous month (318 down from 460). As the service is provided by a team of two, this drop in activity is the impact of annual leave. The data does not reflect the current complexity of the clinical needs of the people accessing the service with increasing numbers of referrals for very vulnerable people requiring an increasing involvement of the continence team in Multidisciplinary meetings and care planning. To better reflect Continence Service clinical activities and developments, the Key Commitments have been revised and now reflects the increasing number of patients requiring support for bowel management End of Life Only 6% of the case load was attributed to patients identified as End of Life which appears lower than expected so a review of care plans is underway to ensure reason for referral and primary needs are appropriately recorded. End of Life patients discharged in February had an average spell of 69 days against a year to date average of 131 days. This is a significant change and is currently being investigated to ensure data accuracy and quality of recording 4.0 Swindon Intermediate Care Centre (SwICC) The SwICC improvement action plan has been revised to address the Key Lines of Enquiry and to underpin the community in-patients compliance assurance framework. The newly appointed Clinical Governance facilitator has worked closely with the Matron and Ward managers to identify the actions required to achieve improvement. Staffing levels within SwICC are of concern with 14WTE band 5 vacancies between the two wards. Discussions are taking place around the introduction of 4 Nursing Associates between the wards and as previously mentioned accommodating student nurses who are waiting for community nursing posts. An open day will be advertised on NHS jobs and within the local newspaper with a recruitment and retention premium and positive comments from staff who work in SwICC about what it is like to work there. The academy will also be used to promote posts as there are many opportunities for staff development currently. The two SwICC Ward Manager posts will be advertised as the secondments for the interim Ward Managers are due to come to an end in the next two months. Continuity of robust leadership is key to build on recent improvement is standards of care and patient flow. 4.1 Patient Flow Occupancy remains high within SwICC with Forest Ward at 99% and Orchard Ward at 98% Occupancy in February National benchmarking is 91% for Community Hospitals as Bed occupancy rates of higher than 85% can increase the risk of harm, including hospital-acquired infections like MRSA and Clostridium difficile, therefore occupancy levels need to be carefully monitored and the recent cases of C-Diff are being reviewed to understand the root causes. Trust patient flow to Orchard ward continued to achieve record levels in February with an average of 3 patients discharged from SwICC every day, against an average of 2.2 in 2017/ of 42 patients (71%) were discharged from Orchard Ward within the target time of 21 days, up from 61% last month.
3 33 of 34 patients (97%) were discharged from Forest non-stroke beds within the target time of 36 days 5.4% of bed days were lost as the result of delayed discharges The national average is 13% 87% Discharge directly home or where they once resided National average is 61% 4.2 Older Persons Pathway We continue to make progress and during the Five Day No Delay project, SCHS conducted a trial on TOPSSU with a community matron visiting each day to review the patients with the TOPSSU consultant. This will assist in raising the profile and skill set of community matrons and trial a proactive medical and matron decision-making in discharge planning. Work has commenced in the community to include the Rockwood Frailty Tool within the therapy and nursing assessment with plans to share frailty scores across the older persons pathway Delayed transfers of Care: The number of days attributable to delayed transfers of care decreased significantly in February 45 from 155 in January. This is the lowest figure for over two years. 44% were attributed to social care delays which have increased from January which was 33% - this is mainly down to one OOA patient. However, this is good progress and evidence of the improved whole system working and in particular between SCHS and Swindon Borough Counci. In 2017/18, the majority of delays (475 days, 23%) have been due to E. Awaiting care package in own home. In the last quarter, 25% of delays have been due to G: Patient or Family Choice there is an escalation process to be followed to support wards with difficult conversation (further work is needed at ward level) and this trend continues with 14 days being attributable in February. This month, 9 delayed days came from out of area (Oxfordshire) with a patient awaiting assessment. Complex stroke patient discharges accounted for 35 days (78%) The area of focus for the following months is to analyse the readmissions directly to GWH to SWICC and SWICC discharges to community readmitted to GWH. 5.0 Specialist Teams 5.1 Stroke Pathway Our key commitment is to ensure a reduction in % of transfers >24 hours when deemed medically stable for management at SWICC from Falcon and we are establishing Systems to monitor this effectively in partnership with Unscheduled Care Colleagues. 93% of transfers to Forest happen on the day medically stable to transfer. The flow onwards has also much improved and is reflected in the overall discharges for SWICC. 80% of transfers from Falcon Ward take place before 17:00 and 39% of strokes were discharged from Forest before 12:00 supporting the availability of an acute Stroke bed In January and February, 20 admissions (61%) to SwiCC had received new patient assessments within 24 hours in line with SSNAP Guidelines. 4 patients had stayed for longer than 31 days with the average length of stay among those discharged being 38 days. The longest stay of any stroke patient discharged in February was 113 days At the end of February, none of the stroke patients still in SwICC had stayed for over 31 days and 10 stroke patients were discharged to their usual place of residence. The Community Stroke Therapists completed 144 face to face contacts with SwICC patients in February, equating to 7.2 sessions per day. 17 patients were discharged from the Acute ward to the Swindon Community stroke team with 69% of the referrals seen within 24 hours with an average wait of 3 days.this reflects the gap in service provision due to the absence of seven day working. Since January additional therapy cover was provided over the weekend period with a total increase of 90 hours. The additional resource resulted in 3 weekend discharges from Falcon, 23 initial new patient assessments and 20 rehabilitation sessions. This will contribute to an improvement in SSNAP performance and demonstrates added value 3
4 from seven day working. The enhanced service has been funded from winter monies and will stop at end of March. There is a system wide stroke Improvement programme and in future we expect to report jointly with Unscheduled care on the stroke performance and so work is currently underway with informatics colleagues to combine SystemOne and Medway data to produce a whole pathway performance report 5.2 Podiatry Referrals can still be made to Podiatry via the E-referral service and through letters direct to the service. Podiatry continues to refine the process working closely with choose and book team as and when issues occur: Podiatry waiting times Month MSK Community Triage Total MSK week waits Jan March Community week waits Whilst the numbers of patients waiting remains high, the level of referrals into the service, (those triaged weekly are increasing). The waiting times for community assessment have decreased from 20 weeks in January to 8 weeks. MSK has reduced from 23 weeks to 15 weeks in February. Lost Appointments due to DNA Our MSK patients have fed back in Patients Comments picker cards that they would like text alerts. Our MSK caseload has some of our highest DNA rates and it is also the service with the longest waits. As a result of this feedback and our desire to improve performance the Podiatry Lead is working with the SystmOne team to investigate the possibility of introducing text alerts. This is something that SystmOne could support but currently it is not part of the Swindon community Licence agreement. Diabetic Foot Care Pathway A communication has recently gone out in the GP bulletin to up-date GPs on the Diabetic Foot Pathway. Foot attack clinics and follow up appointments are now being held at GWH for these high risk complex patients. Root cause analysis of those who have gone through to amputation will re-start with the first meeting scheduled for 20 th March 2018 TVN collaboration The Podiatry Head of service and TVN Lead meet on a Monday morning to discuss many shared patients. TVN lead has also been invited to join the monthly MDfT clinic and will attend the first one in March. Following the move out of Moredon, it is hoped that the TVN service will be co-located alongside podiatry in Swindon and West Swindon health Centre which will support improved communication with the teams and improved outcomes for patients. Recruitment Following successful Band 5 interviews held on 14 th March, we were able to offer the posts to 2 final year podiatry students, they are due to graduate in July and will be offered bank band 3 posts prior to graduating. The interviews for the second Band 7 were also successful and the new member of staff is due to start on 9th April. 5.3 Community Equipment Services Wheelchair Service: The waiting List for this service has increased which subsequently has resulted in an increase in the active caseload. The over 18 week wait is expected due to the current short term staffing reduction due to maternity leave. Replacement cover has been resolved and there is a recovery plan in place to address the backlog. Equipment Service Deliveries 4
5 The community equipment service delivers and manages the delivery, collection and maintenance of equipment essential to enable people to live independently safely. The national standard for community equipment services is for 97% of items to be delivered within 7 Days to support both patients being discharged home and people remaining in their homes. In January, SCES stores achieved a 96.8% rate. During the winter the service has increased delivery and collection slots to enable more same day, next day and three day deliveries in support of hospital discharges and admission avoidance. Reporting on the performance of this service is limited as they are dependent on a legacy system managed by SBC. Funding of this service is via a pooled budget between SBC, CCG and GWH with collective oversight through a Community Equipment Board. The board have commissioned a service review as there has been a lack of strategic direction or investment in recent years. 6.0 Due Diligence update In when GWH took caretaking responsibility for Swindon Community Services detailed service reviews were undertaken and a due diligence report provided to Trust Board. The due diligence process identified five clinical service areas as high risk (Red) and in need of a prioritised approach to improve clinical quality and financial stability : Podiatry, CIVT, SwICC, Community Nursing and COPD After a twelve month sustained improvement period. These Five high risk services are more stable with clear and realistic development plans CIVT Progress The CIVT service has a senior nurse leader CIVT service is now supported by the urgent nursing team providing greater resilience in the community Financial review has identified resource to recruit additional staff and it is expected to have 3.6 wte in post by June 2018 Service will relocate to SwICC and co-locate with the hospital OPAT team to provide greater resilience to discharge pathway Work has begun with secondary care colleagues to strengthen the IV Pathways to ensure increased capacity by Winter The new Pharmacy lead for SCHS is working with the Assoc Director of Nursing to clarify the local Cellulitis pathway Service will be re-launched to local GPs to provide a robust and reliable alternative to secondary care referrals or ED attendances for lower limb cellulites Podiatry Progress A new Head of Podiatry is in post overseeing secondary and community podiatric services 2wte Band 7 specialist podiatrists have been appointed with additional Band 5s recruited to commence summer 2018 which will complete recruitment Foot attack clinic now in place managing high risk diabetic foot problems Waiting lists reducing with greater visibility and tighter monitoring Actively listening to patient feedback Working closely with CCG and Primary care to build confidence in clinical pathways SwICC 5
6 Recruitment remains a challenge but there is new leadership team and staffing levels have been maintained through bank and non premium agency Mandatory training and appraisal levels are significantly improved Clarification on Patient pathways and dedicated patient flow team have improved discharge and transfers with an average transfer rate of 3 patients per day however there is more to do in terms of improving stroke rehabilitation and integrating the older persons pathway across the system New equipment such as beds and hoists have been ordered and arrangements are now in place with the equipment library team to provide support going forward The contract with Carillion will transfer to Serco and has yet to be finalised and there are on-going problems with NHS Property Services in relation to the building heating, Fire Safety Good progress with the Compliance Assurance Framework in line with KLOE. Community Nursing Strong clinical leadership with Deputy Head of Nursing, Band7s and Band 6 Recruitment remains strong but need to work on retention strategy No concerns regarding missed visits as data quality now reliable and effective systems and processes in place Complaints have dropped significantly and no current outstanding complaints or concerns More proactive case management and case finding due to strong leadership and coordinated management Significant improvement in relationship and confidence with Primary care COPD and Oxygen Service Team leader in post Development of shared skills in ll team members to create greater resilience Appointment of a band 4 assistant practitioner adding additional capacity and efficiency On discharge, patients have long term support and self-management plans to maintain health and well-being and service now offer open door policy to enable patients to access support againat any time in the future Careful monitoring of caseload ensures any non-elective admissions are followed up to support timely discharge 6
Shetland NHS Board. Board Paper 2017/28
Board Paper 2017/28 Shetland NHS Board Meeting: Paper Title: Shetland NHS Board Capacity and resilience planning - managing safe and effective care across hospital and community services Date: 11 th June
More informationIntensive Psychiatric Care Units
NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We
More informationRoyal 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 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 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 informationNewham 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 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 19 th December 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient
More informationMain body of report Integrating health and care services in Norfolk and Waveney
Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of
More informationWestminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More informationOur community nursing roles
Our community nursing roles Community Nursing Services provide nursing care to house-bound patients within the community. Our aim is to help patients to remain healthy and independent for as long as possible,
More informationMarginal Rate Emergency Threshold. Executive Summary
Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director
More informationDate 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 informationPerformance 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 informationPlan for investment of retained marginal rate payment for emergency admissions in Gloucestershire
Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire 1. Purpose of document This document summarises and explains how Gloucestershire CCG has used the funds
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationQuality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013
Quality Assurance Framework Powys thb provided and commissioned services Quality and Safety Committee November 2013 1 Background Together for Health vision for NHS Wales 6 domains of quality Effectiveness
More informationTrust Board Meeting: Wednesday 12 March 2014 TB Peer Review Programme Implementation Update
Trust Board Meeting: Wednesday 12 March 2014 Title Peer Review Programme Implementation Update Status History For discussion Papers providing updates on the process and outcomes of the Peer Review Programme
More informationYou said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18
Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community
More informationPortsmouth Hospitals NHS Trust Winter/Surg Plan 2013/14. pg. 1
Portsmouth Hospitals NHS Trust Winter/Surg Plan 2013/14 pg. 1 Introduction The purpose of this winter/surg plan is to ensure that Portsmouth Hospitals NHS Trust (PHT) is prepared and co-ordinated to respond
More 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 informationNewham 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 informationSeven day hospital services: case study. South Warwickshire NHS Foundation Trust
Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationRTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning
RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within
More informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More informationOverall rating for this trust Good. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective?
Barnsley Hospital NHS Foundation Trust Inspection report Gawber Road Barnsley South Yorkshire S75 2EP Tel: 01226 730000 www.barnsleyhospital.nhs.uk Date of inspection visit: 17 to 19 October, 15 to 17
More 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 informationHome ward. Integrated intermediate care service
Ealing Home ward Integrated intermediate care service Extra support for people to recover from illness or injury and remain well at home, without unnecessary stays in hospital. Home ward Ealing is a service
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More informationDeveloping out of hospital care: Update on community hubs pilot April 2017 August 2017
Developing out of hospital care: Update on community hubs pilot April 2017 August 2017 Contents Heading 1 Executive summary 3 2 Developing out of hospital care: what we have done 5 3 How have we improved
More informationAppendix 1. Quality Update Report for Salford CCG Open Board. Salford Royal, Oaklands and other providers of clinical services November 2013
Appendix 1 Quality Update Report for Salford CCG Open Board. Salford Royal, Oaklands and other providers of clinical services November 201 Contents Purpose of Paper... Ошибка! Закладка не определена. Greater
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 informationYour Care, Your Future
Your Care, Your Future Update report for partner Boards April 2016 Introduction The following paper has been prepared for the Board members of all Your Care, Your Future partner organisations: NHS Herts
More informationJOB DESCRIPTION. Deputy Director of Nursing - Tissue Viability. Director of Nursing. Tissue Viability Support Tissue Viability Nurse
JOB DESCRIPTION Job Title: Reporting to (title): Tissue Viability Nurse Specialist Deputy Director of Nursing - Tissue Viability Professionally Accountable to (title): Responsible for Supervising (if appropriate):
More informationIntegrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018
6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee
More informationCLOSTRIDIUM DIFFICILE ACTION PLAN
CLOSTRIDIUM DIFFICILE ACTION PLAN Action plan to address the rise in cases of Clostridium difficile (C.diff) at Sheffield Teaching Hospitals NHS Foundation Trust ACTION KEY MILESTONES PERSON RESPONSIBLE
More informationCommunity Services Quality Update Report. Melissa Laskey, AD Commissioning Jackie Bene, Chief Executive, Bolton FT (action plan)
NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 10 Date of Meeting: 23 rd October 2015 TITLE OF REPORT: AUTHOR: PRESENTED BY: Community Services Quality Update Report Melissa
More informationCommunity Health Services in Bristol Community Learning Disabilities Team
Community Health Services in Bristol 2014 Community Learning Disabilities Team This provides specialist community based services for adults with learning difficulties and help to promote equal access to
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 24 JULY 2017
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 24 JULY 2017 Subject Monthly Staffing Report June 2017 Supporting TEG Member Professor
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 informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing August 2017 (July 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing August 2017 (July 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author: Workforce
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT
9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report
More informationStrategic KPI Report Performance to December 2017
Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A
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 informationQUALITY REPORT. Part A Patient Experience
QUALITY REPORT Part A Patient Experience 1 Number of complaints Complaints and Patient Advice and Liaison Report 40 Total number of complaints received 30 20 10 Number of complaints received Trendline
More informationBSUH 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 informationNHS 111 Clinical Governance Information Pack
NHS 111 Clinical Governance Information Pack This pack is designed to help you develop your local NHS 111 clinical governance framework and explain how it fits in to the wider context. It takes you through
More informationNovember 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 informationNewham 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 informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:
More informationBOARD OF DIRECTORS A G E N D A
BOARD OF DIRECTORS A meeting of the Board of Directors will take place on Thursday, 25 September 2014 at 9.30 am in Lecture Hall 1, The Academy, Great Western Hospital, Swindon A G E N D A Our Vision Working
More informationSouth Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust
South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 22 FEBRUARY 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS C 22 FEBRUARY 2012 Subject: Supporting : Author: Status (see footnote): Update on the Clostridium difficile (C.diff)
More 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 informationStrategic Risk Report 1 March 2018
Strategic Report 1 March 2018 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
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 informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services
More informationHillingdon Community Health. Sagar Dhanani Medical Director, Hillingdon Community Health Services
Hillingdon Community Health Sagar Dhanani Medical Director, Hillingdon Community Health Services Make you more aware of HCH Our services / what they do Alternative ways to manage patients Urgent and non
More informationMy Discharge a proactive case management for discharging patients with dementia
Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014
More informationNHS GRAMPIAN. Grampian Clinical Strategy - Planned Care
NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which
More informationRoot Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted.
Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. What is this for? This root cause analysis (RCA) tool is used when a patient acquires
More informationRBCH Actions to meet CQC Essential Standards
RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity
More informationis asked to NOTE the update provided on fragile services.
Recommendation DECISION NOTE (select) Reporting to: The Trust Board is asked to NOTE the update provided on fragile services. Trust Board Date Thursday 27 th July 2017 Paper Title Brief Description Services
More informationDate of Meeting: 29 th June 2016 Report Title: Nursing and Midwifery Staffing Exception Report (for March 2016)
Report to: Board of Directors Date of Meeting: 9 th June 16 Report Title: Nursing and Midwifery Staffing Exception Report (for March 16) Status: For information Discussion Assurance Approval Regulatory
More informationMembers Position Voting Rights Alison Lewis-Smith Chair, Lay member, Quality and Safety
Minutes (confirmed) Subject Quality Committee Date 4 April 2017 Time 10.00am 12.30pm Venue Goodwood Room Chair Alison Lewis-Smith Members Position Voting Rights Alison Lewis-Smith Chair, Lay member, Quality
More informationAgenda 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 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 informationPerformance Evaluation Report Pembrokeshire County Council Social Services
Performance Evaluation Report 2013 14 Pembrokeshire County Council Social Services October 2014 This report sets out the key areas of progress and areas for improvement in Pembrokeshire County Council
More informationNHS FORTH VALLEY Annual Plan Incorporating DRAFT Local Delivery Plan
NHS FORTH VALLEY Annual Plan 2017-18 Incorporating DRAFT Local Delivery Plan 2017-18 NHS Forth Valley Annual Plan 2017-18 (incorporating DRAFT LDP) Page 2 of 66 Contents FOREWORD... 4 1 Introduction...
More informationSERVICE SPECIFICATION
SERVICE SPECIFICATION Service NEIGHBOURHOOD CARE TEAM Lead KAREN RICHARDSON Provider Lead JO EVANS Period 2009/10 1. Purpose 1.1 Aims The aim of the Neighbourhood Care Teams (NCTs) is to provide multi-disciplinary,
More informationGuideline scope Intermediate care - including reablement
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate
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 information04c. Clinical Standards included in the Strategic Outline Care part 1, published in December 216
0c Clinical s included in the Strategic Outline Care part, published in December 6 Clinical standards The following clinical standards were included in the Strategic Outline Case part (SOC), published
More informationDeveloping Integrated Care in Hertfordshire. Chris Badger Operations Director, Older People Hertfordshire County Council
Developing Integrated Care in Hertfordshire Chris Badger Operations Director, Older People Hertfordshire County Council Hertfordshire s Approach A system that delivers the right care and support at the
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER C Hickson, Head of Management Accounts
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER 2013 Date of the meeting 15/01/2014 Author Sponsoring GB member Purpose of report Recommendation Resource
More informationThe Welsh NHS Confederation response to the Health, Social Care and Sport Committee Inquiry into winter preparedness 2016/17.
Contact: The Welsh NHS Confederation response to the Health, Social Care and Sport Committee Inquiry into winter preparedness 2016/17. Date: 8 September 2016 Nesta Lloyd Jones, Policy and Public Affairs
More informationCare of Adults with Long-Term Conditions Care of Children & Young People with Diabetes
Care of Adults with Long-Term Conditions Care of Children & Young People with Diabetes Worcestershire Health Economy Visit Date: 18 th 22 nd March 2013 Report Date: July 2013 Images courtesy of NHS Photo
More informationCQC INSPECTION. Ann Marr Chief Executive July 2016
CQC INSPECTION Ann Marr Chief Executive July 2016 Introduction to the Trust Acute District General Hospital, with obstetrics and paediatrics, major provider of non-elective services, regional burns and
More informationBoard of Directors Meeting Report 5 December Agenda item 90/17
Board of Directors Meeting Report 5 December 2017 Agenda item 90/17 Title Position Statement - Ophthalmology Sponsoring Director Author(s) Purpose Executive Summary Yvonne Blucher Jane Mulreany Margaret-Ann
More informationReview of Inpatient Nursing Establishment, Capacity and Capability Review
Appendix 2 Review of Inpatient Nursing Establishment, Capacity and Capability Review Mental Health Group September 2015 Review March 2016 Author: Heidi Cater, Head of Nursing, Mental Health Page 1 of 15
More informationAuthor: Kelvin Grabham, Associate Director of Performance & Information
Trust Policy Title: Access Policy Author: Kelvin Grabham, Associate Director of Performance & Information Document Lead: Kelvin Grabham, Associate Director of Performance & Information Accepted by: RTT
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 30 January 2017 Medical Education and Training: Update on Enhanced monitoring status of University Hospital Ayr Medical Department Author: Hugh Neill, Director
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationCommunity Care Statistics : Referrals, Assessments and Packages of Care for Adults, England
Community Care Statistics 2006-07: Referrals, Assessments and Packages of Care for Adults, England 1 Report of the 2006-07 RAP Collection England, 1 April 2006 to 31 March 2007 Editor: Associate Editors:
More informationIntegrated respiratory action network for patients with COPD
Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory
More informationIf you have not heard from us within a month of the closing date you should presume that you have not been shortlisted.
5 th December 2014 JOB VACANCY BULLETIN Locala Community Partnerships are committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all colleagues
More informationNICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74
Intermediate care including reablement NICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationBoard Meeting. Oxfordshire Clinical Commissioning Group. Date of Meeting: 27 July 2017 Paper No: 17/55
Oxfordshire Clinical Commissioning Group Oxfordshire Clinical Commissioning Group Board Meeting Date of Meeting: 27 July 2017 Paper No: 17/55 Title of Paper: Improved Better Care Fund and the Pooled Budgets
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
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 informationCommunity and Mental Health Services High Level Market Research PROSPECTUS
and Mental Health Services High Level Market Research PROSPECTUS February 2014 Supporting people in Dorset to lead healthier lives NHS DORSET CLINICAL COMMISSIONING GROUP PROSPECTUS FOR COMMUNITY AND MENTAL
More informationWe plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Our achievements of 2009/10 l Our plans for 2010/11
We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Our achievements of 2009/10 l Our plans for 2010/11 PAGE 2 WE PLAN. WE ACHIEVE We achieve 2009/10 was another great year
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationNHS Wales Delivery Framework 2011/12 1
1. Introduction NHS Wales Delivery Framework for 2011/12 NHS Wales has made significant improvements in targeted performance areas over recent years. This must continue and be associated with a greater
More informationESHT Our ambition to be outstanding by 2020
ESHT 2020 Our ambition to be outstanding by 2020 June 2018 1 Contents Page 3 Page 4 Page 6 Page 8 Background 2017/18 progress Vision, values and objectives CQC ratings Page 10 What we will have achieved
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
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 informationOverall rating for this location. Quality Report. Ratings. Overall summary. Are services safe? Are services effective? Are services responsive?
John Munroe Hospital Rudyard Quality Report Horton Road Rudyard Leek Staffordshire ST13 8RU ST13 8RU Tel:01538 306244 Website:www.johnmunroehospital.co.uk Date of inspection visit: 11th January 2016 Date
More informationProgress Report on C.Diff Action Plan
NHS GREATER GLASGOW AND CLYDE NHS Board Meeting 16 December 2008 Paper No. 08/55 Board Medical Director Progress Report on C.Diff Action Plan Recommendation The NHS Board is asked to receive this further
More informationTrust Key Performance Indicators
Monthly - February 2007 Patient Experience Length of Stay - Overall A Mortality Rate G Cancelled Operations R Elective A Peri-operative Mortality Rate Cancelled Operations (28 day reschedule) A Non-elective
More informationEXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning
EXECUTIVE SUMMARY D REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY 2018 Subject Supporting TEG Member Author Status 1 A review of progress against Corporate Objectives 2017/18 and planned Corporate Objectives
More information