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 />
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 />
been reviewed; all staff in this area<br />
have personal development plans.<br />
Hourly vital signs checks are<br />
underway <strong>and</strong> monthly spot audits<br />
are being carried out to ensure<br />
staff feel empowered to challenge<br />
poor performance. Patient<br />
satisfaction surveys are in place<br />
<strong>and</strong> staff are reminded of the<br />
importance of challenging poor<br />
practice as a st<strong>and</strong>ing item on A&E<br />
team meetings. Audit results do<br />
not yet support the processes that<br />
have been put in place.<br />
to write who the patients named nurse <strong>and</strong> doctor are.<br />
There will be a feedback area on this leaflet to enable<br />
patients to anonymously write any feedback both positive<br />
<strong>and</strong> negative. This will enable direct feedback to the staff<br />
that cared for the patient. It is hoped that this will provide<br />
more audit results as the feedback mechanism will be<br />
directly accessible for patients.<br />
• Trend information on complaints is being collated to further<br />
support feedback to all staff<br />
• Customer service competency checklist is being developed<br />
to provide staff with additional training to support<br />
improvements in communication skills<br />
• Peer challenge on poor practice remains in place.<br />
EMERGENCY<br />
UNIT<br />
30. Ensure that all staff, both<br />
permanent <strong>and</strong> temporary,<br />
follow hospital policy <strong>and</strong><br />
procedures.<br />
MATERNITY 4. In conjunction with its<br />
commissioners <strong>and</strong> other<br />
partners, identify <strong>and</strong><br />
implement immediate solutions<br />
to deliver safe maternity<br />
services at the <strong>Trust</strong>, especially<br />
at Queen’s Hospital, while<br />
developing plans to secure a<br />
long‐term solution.<br />
As noted, the appraisal process for<br />
emergency department staff has<br />
been reviewed; spot audits of<br />
elective surgical consent have<br />
indicated some issues with<br />
consistency; not all emergency<br />
patients receive all the information<br />
they need about procedures; <strong>and</strong> a<br />
new information leaflet on<br />
anaesthesia risks is being<br />
developed. Performance indicators<br />
are still negative.<br />
Work with NHS London in the<br />
short‐term <strong>and</strong> in the longer term<br />
via Health for NEL, has so far <strong>and</strong><br />
should address the highest risks to<br />
safety for mothers. Improved audit<br />
<strong>and</strong> reporting on c‐sections is in<br />
place. An audit of 1:1 care in<br />
established labour saw the <strong>Trust</strong><br />
achieve 100%. CQC’s inspections<br />
have confirmed that<br />
Some specialities consent elective patients within the outpatients<br />
some on the day of surgery on the ward.<br />
Emergency procedures are generally consented on the ward but<br />
dependant on type of case <strong>and</strong> urgency can be consented in the<br />
ED <strong>and</strong> very rarely in theatre holding bay.<br />
All patients receive an anaesthetic review but again this can vary<br />
due to urgency <strong>and</strong> unconscious patients receive a review but<br />
cannot have a conversation with the anaesthetists <strong>and</strong> are<br />
subject to a ‘Consent Form 4’ being unable to consent.<br />
A consultant Anaesthetist will be preparing a leaflet concerning<br />
Anaesthetic risks.<br />
Pre Admission services are currently under review <strong>and</strong><br />
development.<br />
Work continues in respect of the Health 4 NEL project.<br />
There are regular audits to ensure 1:1 care is maintained <strong>and</strong><br />
these are reported monthly via the performance dashboards.<br />
Geoff<br />
Middleditch<br />
Gill Perry<br />
Wendy<br />
Matthews<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
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