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

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‐ EMERGENCY<br />

CARE<br />

SAFETY &<br />

SUITABILITY OF<br />

PREMISES<br />

everyone feels empowered to<br />

challenge episodes of variable<br />

or poor practice, including<br />

regular monitoring of practice<br />

<strong>and</strong> feedback <strong>and</strong> learning<br />

opportunities for staff.<br />

53. Ensure that appropriate<br />

waiting facilities are available<br />

for patients <strong>and</strong> relatives in<br />

the urgent care centre.<br />

staff has been reviewed; all staff in this area have<br />

personal development plans. Hourly vital signs<br />

checks are underway <strong>and</strong> monthly spot audits are<br />

being carried out to ensure staff feel empowered to<br />

challenge poor performance. Patient satisfaction<br />

surveys are in place <strong>and</strong> staff are reminded of the<br />

importance of challenging poor practice as a<br />

st<strong>and</strong>ing item on A&E team meetings. Audit results<br />

do not yet support the processes that have been put<br />

in place.<br />

As above, these waiting facilities are being reviewed<br />

as part of the Health for NEL programme.<br />

leaflet explaining the process of the<br />

ED is being drafted which will have a<br />

section to write who the patients<br />

named nurse <strong>and</strong> doctor are. There<br />

will be a feedback area on this leaflet<br />

to enable patients to anonymously<br />

write any feedback both positive <strong>and</strong><br />

negative. This will enable direct<br />

feedback to the staff that cared for<br />

the patient. It is hoped that this will<br />

provide more audit results as the<br />

feedback mechanism will be directly<br />

accessible for patients.<br />

Trend information on complaints is<br />

being collated to further support<br />

feedback to all staff.<br />

Customer service competency<br />

checklist is being developed to<br />

provide staff with additional training<br />

to support improvements in<br />

communication skills.<br />

Peer challenge on poor practice<br />

remains in place.<br />

The current waiting facilities are<br />

deemed sufficient for the needs of<br />

patients currently.<br />

Investment is currently underway to<br />

extend the Rapid Assessment &<br />

Treatment areas within the<br />

department. This initiative will deliver<br />

shorter waiting times <strong>and</strong> improve<br />

the patient experience. Work is due<br />

to be completed before Christmas.<br />

Patient experience will be measured<br />

via the annual patient surveys, <strong>and</strong> in<br />

house paper <strong>and</strong> electronic solutions.<br />

Director of Nursing<br />

Divisional Manager<br />

(Estates, Facilities &<br />

Capital)<br />

PART MET<br />

RECORDS 80. Improve its systems for The <strong>Trust</strong>’s Medical Records Committee has been re‐ The development of the eH<strong>and</strong>over Chief Operating PART MET<br />

Page 8 |<br />

26-Oct-12

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