Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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Performance for September<br />
Emergency Care Pathway Report<br />
Four Hour Maximum wait in ED<br />
In September the <strong>Trust</strong> failed to meet the 95% st<strong>and</strong>ard <strong>and</strong> has deteriorated from August. The <strong>Trust</strong> achieved <strong>Trust</strong> 89.37% with Queens at 85.14 <strong>and</strong> KGH at<br />
95.79%<br />
Ambulance Offload Times<br />
There were 14 black breaches in September all of which occurred during the week beginning 17 th September. Full SI investigations have been done for each patient<br />
<strong>and</strong> in the main these were caused by lack of bed availability during that week.<br />
Urgent Care Workstream<br />
A significant amount of work has been undertaken within the UCC <strong>and</strong> the number of breaches in the UCC in August was 4 this is a significant improvement form the<br />
July figure of 174.<br />
Additional actions are being taken <strong>and</strong> monitored with the Director of Transformation as part of the ongoing action plan for the RESET sustainability programme.<br />
These are:<br />
1. Implemented ED Actions<br />
1.1 Daily Performance Management<br />
• ED breaches are discussed daily with the ED doctors involved to review if alternative management plans could have been taken <strong>and</strong> provide educational feedback to<br />
prevent reoccurrence.<br />
• Specialty breaches have reduced <strong>and</strong> any that occur are fed back to the specialties concerned to discuss with their teams.<br />
• Daily performance information is shared with ED seniors both nursing <strong>and</strong> consultants to identify trends <strong>and</strong> agree actions to prevent reoccurrence.<br />
• Daily peer challenge of decision making at board rounds <strong>and</strong> identifying alternatives to referrals by using alternative care pathways such as ambulatory care / virtual<br />
ward is completed.<br />
• Daily productivity monitoring is completed by consultants <strong>and</strong> performance issues are fedback to juniors<br />
1.2 ED Workforce Actions<br />
• Recruitment of doctor’s ongoing, SHOs <strong>and</strong> middle grades appointed last week.<br />
• Paediatric ED consultant post advertised <strong>and</strong> General ED consultant in progress for advertising.<br />
• Review of Senior Medical Cover on the Weekends has been undertaken <strong>and</strong> additional middle grade shift has been implemented as a trial for Saturday <strong>and</strong> Sunday<br />
• Clinical Nurse Director in post in Emergency Care<br />
• Review of KGH nursing workforce has been undertaken by the Clinical Nurse Director<br />
• Review of Paediatric workforce to be commenced<br />
• Review of RAT nursing workforce to be undertaken<br />
• Competency skillset has been completed for OIC role, training to be developed with a plan to implement by mid-<strong>November</strong><br />
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