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

• A review of data capture to ensure that all swabs are matched correctly to admissions –
this will be completed in September and therefore will be shown in the performance at the
November Board meeting.
• Training of Admissions Team Leader on data accuracy, which will improve data quality
when patients are added to waiting list and thereby improve coverage of data for MRSA
elective screening; this will be completed in September and therefore will be shown in the
performance at the November Board meeting.
MRSA screening – Emergency. A number of actions have been identified to improve
performance to ensure delivery of the standard for September. These include:
• A change of process in the
Emergency Day Unit (EMDU) to
screen patients who currently do
not qualify for screening was
implemented in September and
will be demonstrated in the data
received at the November Board
Meeting.
• Using the ward board rounds to
check patents have been
screened. The Ward Sponsors
will work with the wards to
ensure that screening takes place.
• Staff to be reminded to write legibly on test requests to ensure that the Lab is able to
identify which patient the swabs have come from. This error will be addressed by the roll
out of order communications for Pathology in December 2012, and will be reflected in the
performance reported to the Board in January 2013.
• Review of the data to ensure patients who do not require screening are excluded from the
data. This will be completed in October and therefore will be shown in the performance at
the November Board.
Number of complaints not yet responded to over 3 months old - The number of complaints
over 3 months old has reduced from 55 last month to 53 this month, this figure includes both new
and reactivated complaints. The Complaints Team continue to agree a closure timescale for a
formal response with each complainant. Extending an agreed response date can now only be
agreed either by an Executive Director or an Associate Director. In order to ensure there is a
clear line of responsibility for responding to complaints during October the complaints handling
process will be re-launched via Associate Directors, who will cascade the procedure down to
General and Services Managers. In addition the Medicine Directorate is piloting a new tracking
process to identify earlier issues which may prevent the timely resolution of a complaint. If
successful the process will be rolled out across the Trust.
Page 2 of 8