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

• Training competencies are being reviewed for all roles in the department to ensure that all staff have clear responsibilities and competencies to undertake that role.
This work is being led by the Clinical Nurse Director with support from the Matrons.
2. Implemented Acute Medicine Unit Actions
• Additional senior consultant cover is provided to further support the General Medicine junior on call team in ED and to support the team to look at alternatives to
admissions.
• Re-launch to the Trust of the Ambulatory Care / Virtual Ward referral route is being completed
• Continued focus on Category B discharges
• GP calls diverted to KGH daily
3. Implemented General Medicine Actions
• Care of Elderly in reach senior consultant cover is provided within the Acute Medicine Unit to further support the Care of Elderly admissions and expedite discharges.
• 7 day Cardiology rota implemented
4. ED Quality Improvements:
• Patient information leaflet explaining the process of the ED is being drafted which will include a feedback section. This will enable direct feedback to the staff that
cared for the patient.
• Trend information on complaints is being collated to further support feedback to all staff
• Customer service competency checklist is being developed to provide staff with additional training to support improvements in communication skills
5. Enablers to support fundamental changes:
5.1 Estates at QH
• Improvements in the RAT area at QH to be operational by mid-November will improve and sustain the ambulance handover performance times and provide rapid
assessment and treatment for all patients including walk in patients.
• Expediting the redesign of the ‘Majors’ area as per the new designs would facilitate further improvements in the flow in majors in conjunction with the new RAT model
and ensure an improved patients experience.
• Expediting the expansion of the Resuscitation Room is crucial to ensure that the ED critical care capacity matches the current demand, therefore enabling the staff to
provide improved quality or care and ensure patients receive appropriate care in a timely fashion.
• Expediting the redesign of the UCC / minors area would enhance the current service improvements in patient flow.
5.2 Reconfiguration
• Closure of KGH to acute admissions would enable 7 day working for Acute and General Medicine
5.3 Organisation Development
• There has been a high turnover of ED nurse staffing over the last 12 months (45%) a clear recruitment and retention plan is underway and recruitment has improved.
• It is difficult to recruit medical staff to ED therefore in order to avoid agency staff higher salaries should be available to complete with local organisations.
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