Agenda item

-        Department of Health Quality Accounts – A Guide for Scrutiny and Overview Committees (pages 1-10)

 

-        Rotherham Foundation Trust 

presentation by Dr Trisha Bain/Jackie Bird

leaflet and survey attached for consideration prior to meeting (pages 48-49)

 

-        Yorkshire Ambulance Service

presentation by Hester Rowell

draft QA and feedback form attached for consideration prior to meeting (pages 11-47)

 

-        RDaSH – presentation to be given at the meeting

presentation by Deb Wildgoose/Michelle Rhodes/Karen Cvijetic

 

(a)  Rotherham Foundation Trust

The 4 key priorities identified for 2010/11 had been:-

 

-        Reducing the number of deaths

-        Reducing the number of patients who fell whilst in hospital

-        Increasing the number of ‘Inpatient Survey’ questions where you rated them in the top 20%

-        To reduce the number of pressure ulcers acquired in hospital

 

It was proposed that the priorities for 20111/12 be:-

 

-        Medicine Management (i.e. the way drugs were dispensed/managed)

-        A&E reconfiguration and recruitment of staff

-        Reduction in re-admission rates

-        Improved pathway for patients with Chronic Obstructive Pulmonary Disorder

-        Improved pathway for patients with Fractured Neck of Femur

-        Improved pathway for patients at End of Life

-        Improved pathway for patients suffering from Dementia

-        Improved pathway for patients with Diabetes

 

There was a feedback form at the end of the report.  

 

Resolved:-  (1)  That the Panel pass any comments they would wish to make to the Scrutiny Adviser.

 

(2)  That the Chair and Vice-Chair meet outside the meeting to formulate a response to the Foundation Trust on behalf of the Panel.

 

(b)  Yorkshire Ambulance Service

Hester Rowell and Steve Rendi presented the 2010/11 Quality Account highlighting the following:-

 

-        CQC agreed that the Service had met the full requirements for registration with them

-        Improvements in important areas of quality including incident reporting, management of serious untoward incidents, safeguarding vulnerable adults and children and the development of new care pathways

 

(c)  RDaSH

Michelle Rhodes, Karen Cvijetic and Glyn Butcher gave the following powerpoint presentation:-

 

What is a Quality Account

-        Coalition Government White Papers set out the vision of putting Quality at the heart of everything the NHS does

-        Key component of the Quality Framework is the continuing requirement for all providers of NHS Services to publish Quality Accounts

-        This is the opportunity to enable the OSC and LINk to review and supply a statement as to whether ‘the report is a fair reflection’ of RDaSH services

-        2010/11 is the third Quality Account produced by RDaSH

 

2010/11 Performance

-        Monitor

Governance – Green

Finance – 4 (Good)

 

-        Care Quality Commission

Registered with no compliance conditions

 

-        Commissioning for Quality Indicators

Achieved 7 of 7 regional indicators

 

Review of Quality Markers 2010/11

-        3 domains of quality

o       Patient Safety

§         Improved reporting process for Serious Incidents

§         Improved action plans and shared learning from Serious Incidents

§         Environment is monitored to ensure patient safety

§         Patient sensitive information is held securely – through productive ward in in patient services

o       Clinical Effectiveness

§         Physical health check pilot carried out in adult services

§         Environment being improved – modernisation programme includes Rotherham

§         Service modernisation

§         Clinical audits are undertaken and produce action plans to address issues

§         Clinical supervision for clinical staff

o       Patient Experience

§         Patients have access to privacy and are treated with dignity – Essence of Care

§         Information about services and treatment is available to patients

§         Patients and carers are involved in the development of services

§         Feedback (negative/positive) is used to improve the delivery of care – national/ad hoc surveys

 

Process for 2011-

-        Consultation with OSC – presentation/draft Quality Account for comment

-        Engagement with User Carer Partnership Council – regular agenda item/draft Quality Account for comment/development of Quality Markets for 2011/12

-        Engagement with Council of Governors – regular agenda item/draft Quality Account for comment

 

Quality Priorities for 2011/12

-        Established by clinical teams

-        Consultation with User Carer Partnership Council

-        Presented to Trust Quality Council

-        Process of continuous improvement

 

Patient Safety

-        Clinical supervision market stretched to include safeguarding children supervision

-        Serious incident learning stretched to include incidents/serious case reviews

-        Patient sensitive information is held securely – stretched to include productive community/record

 

Clinical Effectiveness

-        Productive principals stretched to include productive community

-        Independent prescribing

-        Development of patient pathways

-        Medicines management

 

Resolved:- (5)  That the Panel submit comments on the Yorkshire Ambulance Service’s 2009-10 Quality Account.