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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4<br />
Single Sex Accommodation<br />
Breaches<br />
Number 39 34 14 17 21 30 30 21 10 12 19 13<br />
These occurred within the High Dependency Unit (9),<br />
Intensive Therapy Unit (3), <strong>and</strong> Coronary Care Unit (1) at<br />
Queen’s Hospital. All of the breaches occurred due to<br />
delays in the transfer out of patients who had been<br />
‘stepped down’ to general care. This was due to constraints<br />
on the availability of suitable beds for ‘step down’ due to<br />
patient flow delays across the organisation. A root cause<br />
analysis on all patients who breach will commence on the<br />
1st October <strong>2012</strong>.The Deputy Director of Nursing during<br />
September r<strong>and</strong>omly spoke to a number of patients who<br />
breached during September <strong>and</strong> they confirmed that the<br />
reason for the breach was explained to them <strong>and</strong> that their<br />
privacy <strong>and</strong> dignity was maintained during this period of<br />
their care.<br />
5<br />
Open Serious Incidents Requiring<br />
Investigation (SIRI)<br />
Number 320 318 274 274 274 270 216 105 91 68 46 35<br />
6 "Never Events" in month Number 0 1 0 0 0 0 0 0 0 0 0 0<br />
7 CQC Conditions or Warning Notices Number 3 3 3 3 2 2 2 2 2 2 2 2<br />
8<br />
Open Central Alert System (CAS)<br />
Alerts<br />
Number 0 0 0 0 0 0 0 0 0 0 0 0<br />
<strong>Trust</strong>‐wide action plan in place that captures all<br />
outst<strong>and</strong>ing CQC requirements that has been<br />
comprehensively shared with the SHA <strong>and</strong> local<br />
Commissioners, is being implemented with <strong>Trust</strong> <strong>Board</strong> <strong>and</strong><br />
is subjected to external monitoring.<br />
9<br />
10<br />
RED rated areas on your maternity<br />
dashboard?<br />
Falls resulting in severe injury or<br />
death<br />
Number 16 13 10 6 7 5 8 10 9 7 5<br />
Number 4 1 1 1 3 3 3 2 8 2 3 0<br />
11 Grade 3 or 4 pressure ulcers Number 12 5 8 11 6 5 5 4 6 5 2 1<br />
one grade 3 pressure ulcer occurred in Sept 12. The trust is<br />
now focussing on reducing the number of grade 2 PU by<br />
50%<br />
12<br />
100% compliance with WHO<br />
surgical checklist<br />
Y/N n y y n y y<br />
13 Formal complaints received Number 85 111 78 121 120 128 101 98 85 100 85 67<br />
14<br />
Agency as a % of Employee Benefit<br />
Expenditure<br />
% 5.3 6.5 4.7 5.3 4.8 4.65<br />
15 Sickness absence rate % 5.46 5.13 6 5.15 5.81 4.41 4.29 4.51 4 4.59 4.68 4.88<br />
16<br />
Consultants which, at their last<br />
appraisal, had fully completed their<br />
previous years PDP<br />
% this data is not collected