Issue - meetings

Tracey McErlain-Burns, Chief Nurse, to present

Tracey McErlain-Burns, Chief Nurse, gave a half yearly update on the Quality Account.

2014/15 Quality Objectives

-          Safe – Harm Free Care

·           The aim across the NHS was to get a 95% harm free care position.  The national average across all England, including hospitals those which did not necessarily provide Community Care was currently 94%.  The Trust had set itself a stretched target of 96%

·           This time last year the Trust’s position of harm free care was a little over 90%

·           In November and October the Trust had exceeded 95%

o    Safe – Mortality – Deliver a 4 point reduction in HSMR

·           It was believed that the Trust would be able to achieve the target and would be demonstrated at year end with a revision of the SHMI (Summary Hospital Level Mortality Indicator)

·           It would be a recommendation that the Priority be carried forward into 2015/16 as it was the original suggestion that it be a 3-5 years long term Strategy

Zero avoidable Pressure Ulcers Grade 204

·           Primary focus on preventing avoidable pressure ulcers particularly in those patients living in their homes within the community

·           Still some progress to make within the Community

·           94% rate in hospital

-          Reliable – Achieve all national waiting time targets

A&E

·           Quarter 3 target had not been reached (see Minute No. 78), therefore, the year end position in relation to the emergency 4 hours target could not be met

-          Caring and Reliable – Friends and Family

·           Looked to increase the net promoter score for Maternity Services, Inpatients and A&E

·           The Test had been rolled out to all Services including Outpatients, Paediatrics and GPs

·           Current focus to drive the Test and get a representative view of Services, target 75%

2015/16

-          The 2013 inpatient survey had been reviewed and would be repeated.  The 2013 results along with the Friends and Family Test and complaints had generated a number of issues which had been considered by the Quality Assurance Committee.  The Committee had recommended that the Trust look at improving the position and the number of patients whose condition acutely changed and the Trust needed to ensure that that acute change was picked up to prevent further deterioration whilst on the Wards

-          Missed or delayed diagnosis.  There was a national prerogative that the Trust ought to consider its rates of missed or delayed diagnosis.  The Trust had signed up to the National Patient Safety website and made a pledge to improve patient safety and ensuring patients did not deteriorate in its care and did not delay or misdiagnose

-          Discharge management and improving the care of patients with Dementia

-          Complaints management – both Louise and Tracey managed the process very closely and read every complaint that was received with Louise signing all the responses.  However, it was acknowledged that the process was not as effective as it could and there would be some quality improvement priorities set

Infection Control

-          MRSA – there had been no cases during 2014/15.  The  ...  view the full minutes text for item 79