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

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