Trust Board papers November 2012 - Barking Havering and ...

Performance Report
September 2012
Performance Indicators - Exception Report
1. Introduction
This report provides the Board with an overview of mitigating actions identified by the Business
Units to improve performance such that it brings it back into line with target. Finance and Human
Resources performance are subject to separate reports to the Trust Board.
2. Patient Safety and Quality
MRSA bacteraemia –.2 MRSA bacteraemia were reported this month, both of which were found
to be deep seated infections related to septic arthritis. One patient had this in multiple sites and
for the other patient only in the shoulder. On investigation some clinical practice issues were
identified which are now being addressed.
The New Director of Infection Prevention and Control is now in post. There is a change of focus
to infection prevention and the current action plan is being reviewed to identify the high impact
actions, one of which is ANTT.
ANTT has been introduced across the Trust and to date 60% of Matrons and 72% of senior
sisters have achieved Train the Trainer competencies. These staff will now roll out the training
across the wards. New hand washing campaigns and training programmes introduced. Training
for doctors has commenced for FY1/2s, Consultants and is being planned for staff grades.
Clostridium difficile infection – There were 7 cases of infection reported during September,
none of the patients acquiring the infection occurred as a result of cross contamination. No
primary cause was identified for the infection on Heather ward but the ward has been required to
produce an action plan to address the issues highlighted by the Infection Control team
investigation of the infection. The Infection Control Committee will monitor the ward’s progress
against this action plan.
MRSA screening – Elective
A number of actions have been identified to improve performance to ensure delivery of this
standard. These include:
• A review of the pathway for
patients who go straight to a
procedure without attending a preadmission
clinic to ensure that
these patients are swabbed prior to
admission. This pathway will be
implemented from October and so
will improve performance during
December 2012 and reported to
the Board in January 2013.
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