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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CQC Update Report<br />
<strong>2012</strong><br />
acceptable <strong>and</strong> unacceptable<br />
practice.<br />
Consultants are carrying out an<br />
analysis of team working <strong>and</strong><br />
practice in women’s services<br />
LEADERSHIP<br />
LEADERSHIP<br />
22. Develop a culture of whole<br />
systems working across all<br />
divisions to reduce ‘silo’<br />
working <strong>and</strong> the combative<br />
nature of bed management.<br />
24. Explore how to improve its<br />
communications both internally<br />
<strong>and</strong> externally so that<br />
perceptions of poor<br />
communication can be reduced.<br />
Weekly operations meeting, with<br />
directorate managers, is now in<br />
place; multidisciplinary working<br />
being pursued as part of RESET<br />
project. New bed management<br />
structures is in place, with all<br />
divisions <strong>and</strong> specialities<br />
attending; Matrons working<br />
together to ensure effective<br />
discharge process.<br />
Internally, significant staff<br />
engagement is underway;<br />
externally, meetings have taken<br />
place with LINks <strong>and</strong> Improving<br />
Patient Experience Group (IPEG);<br />
stakeholder briefings being<br />
disseminated; stakeholder event<br />
with commissioners, CQC, LINks,<br />
IPEG <strong>and</strong> local authorities took<br />
place in May.<br />
Some feedback to CQC suggests<br />
there are further improvements<br />
that could be made, particularly in<br />
terms of engagement with MPs.<br />
There has been significant progress in a <strong>Trust</strong>‐wide response to<br />
patient pathways. Initially focussing on Emergency admissions<br />
<strong>and</strong> pathways<br />
Daily Bed <strong>and</strong> Site team meetings held (0830;1200;1500) to<br />
ensure patient flow <strong>and</strong> effective discharge management, Issue<br />
Log kept daily <strong>and</strong> updated at each meeting. Performance tracker<br />
updated daily for the current week. Senior representatives<br />
available from all divisions, escalation protocols allow for this to<br />
be supplemented by executive input, community <strong>and</strong> LAS<br />
representatives<br />
Ward sponsor programme in place to support escalation <strong>and</strong><br />
discharge management. Intensive support is provided by the<br />
Service Transformation Team, <strong>and</strong> QFI.<br />
Performance Meetings weekly with CDs <strong>and</strong> CEO, Dir. of<br />
Transformation.<br />
Daily multidisciplinary JONAH meetings, complex discharge<br />
meetings, cross buffer meeting <strong>and</strong> Top 25 delays all support this.<br />
Dorothy Hosein<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
This is now monitored via normal <strong>Trust</strong> Operations. Imogen Shilito MET<br />
BUSINESS<br />
AS USUAL<br />
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