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

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CQC Update Report<br />

<strong>2012</strong><br />

COMPLAINTS<br />

property as necessary.<br />

76. Continue to develop <strong>and</strong><br />

improve its complaints h<strong>and</strong>ling<br />

systems to ensure that<br />

complaints are responded to<br />

fully <strong>and</strong> in a timely manner.<br />

Infection Control Committee every<br />

other month.<br />

A review of outst<strong>and</strong>ing<br />

Ombudsman complaints has taken<br />

place; a dedicated manager has<br />

been appointed to follow up<br />

compliance with action plans or to<br />

report non‐compliance to the<br />

Director of Nursing. Complaint<br />

numbers <strong>and</strong> trends are reported<br />

to the Quality <strong>and</strong> Safety<br />

Committee. PALS processes have<br />

been reviewed to try to address<br />

patient concerns at an earlier<br />

stage. CQC is aware that the <strong>Trust</strong><br />

has seen a significant increase in<br />

complaint numbers since the<br />

investigation was published last<br />

year; as a result, while the<br />

underpinning systems have been<br />

improved, they are struggling to<br />

cope with an unprecedented surge<br />

in numbers.<br />

Sept <strong>2012</strong> – Interim Complaints <strong>and</strong> PALS manager appointed.<br />

Key priorities identified:<br />

• Weekly review of open complaints <strong>and</strong> associated<br />

timescales<br />

• Weekly look ahead trends <strong>and</strong> priorities<br />

• Working on resolving <strong>and</strong> clearing reactivated<br />

complaints<br />

• Written investigations of all complaints produced <strong>and</strong><br />

ratified in new complaints policy (can we attached the<br />

policy please)<br />

• Produced <strong>and</strong> ratified new complaints policy<br />

• Clarified <strong>and</strong> ratified the complaint h<strong>and</strong>ling procedures<br />

• Core complaint team <strong>and</strong> divisions working jointly<br />

• Monthly briefing paper sent to commissioners<br />

Gary Etheridge<br />

MET<br />

BUSINESS<br />

AS USUAL<br />

COMPLAINTS<br />

77. Develop <strong>and</strong> support staff to<br />

ensure that open<br />

Transparent investigations take<br />

place, that complainants are<br />

involved as necessary <strong>and</strong> that<br />

culturally complaints are seen<br />

as opportunities to learn <strong>and</strong><br />

improve the quality<br />

of care.<br />

NHS London has supported the<br />

<strong>Trust</strong> to undertake a root cause<br />

analysis training campaign for<br />

senior management to ensure the<br />

importance of timely investigation<br />

of complaints is fully understood.<br />

A report of trends <strong>and</strong> themes<br />

aggregated across the <strong>Trust</strong> is<br />

reported every other month,<br />

including identification of trends<br />

<strong>and</strong> hotspots.<br />

• Quarterly patient experience report, which triangulates<br />

all patient experience issues reviewed by <strong>Trust</strong> <strong>Board</strong><br />

• More robust action planning process is under<br />

development. This will enable review <strong>and</strong> trend<br />

identification to implement changes in systems <strong>and</strong><br />

practice<br />

• ‘Learning lessons’ group chaired by Asst Dir. Of Nursing<br />

• Work in progress to review the support material that<br />

Divisions use to investigate complains this will ensure<br />

that we are following best practice.<br />

• Occupational Health support available to staff in the<br />

investigation process<br />

Gary Etheridge<br />

MET<br />

BUSINESS<br />

AS USUAL<br />

COMPLAINTS 78. Ensure that any staff A revised policy has been drafted • The revised policy has been ratified <strong>and</strong> is now in place, Any Gary Etheridge MET<br />

Page 8 of 22

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