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

CQC Update Report
2012
challenge episodes of variable
or poor practice, including
regular monitoring of practice
and feedback and learning
opportunities for staff.
been reviewed; all staff in this area
have personal development plans.
Hourly vital signs checks are
underway and monthly spot audits
are being carried out to ensure
staff feel empowered to challenge
poor performance. Patient
satisfaction surveys are in place
and staff are reminded of the
importance of challenging poor
practice as a standing item on A&E
team meetings. Audit results do
not yet support the processes that
have been put in place.
to write who the patients named nurse and doctor are.
There will be a feedback area on this leaflet to enable
patients to anonymously write any feedback both positive
and negative. This will enable direct feedback to the staff
that cared for the patient. It is hoped that this will provide
more audit results as the feedback mechanism will be
directly accessible for patients.
• Trend information on complaints is being collated to further
support feedback to all staff
• Customer service competency checklist is being developed
to provide staff with additional training to support
improvements in communication skills
• Peer challenge on poor practice remains in place.
EMERGENCY
UNIT
30. Ensure that all staff, both
permanent and temporary,
follow hospital policy and
procedures.
MATERNITY 4. In conjunction with its
commissioners and other
partners, identify and
implement immediate solutions
to deliver safe maternity
services at the Trust, especially
at Queen’s Hospital, while
developing plans to secure a
long‐term solution.
As noted, the appraisal process for
emergency department staff has
been reviewed; spot audits of
elective surgical consent have
indicated some issues with
consistency; not all emergency
patients receive all the information
they need about procedures; and a
new information leaflet on
anaesthesia risks is being
developed. Performance indicators
are still negative.
Work with NHS London in the
short‐term and in the longer term
via Health for NEL, has so far and
should address the highest risks to
safety for mothers. Improved audit
and reporting on c‐sections is in
place. An audit of 1:1 care in
established labour saw the Trust
achieve 100%. CQC’s inspections
have confirmed that
Some specialities consent elective patients within the outpatients
some on the day of surgery on the ward.
Emergency procedures are generally consented on the ward but
dependant on type of case and urgency can be consented in the
ED and very rarely in theatre holding bay.
All patients receive an anaesthetic review but again this can vary
due to urgency and unconscious patients receive a review but
cannot have a conversation with the anaesthetists and are
subject to a ‘Consent Form 4’ being unable to consent.
A consultant Anaesthetist will be preparing a leaflet concerning
Anaesthetic risks.
Pre Admission services are currently under review and
development.
Work continues in respect of the Health 4 NEL project.
There are regular audits to ensure 1:1 care is maintained and
these are reported monthly via the performance dashboards.
Geoff
Middleditch
Gill Perry
Wendy
Matthews
MET
BUSINESS
AS USUAL
MET
BUSINESS
AS USUAL
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