Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
CQC Update Report<br />
<strong>2012</strong><br />
improvements have been made<br />
<strong>and</strong> are so far being sustained<br />
MATERNITY 9. Further improve the<br />
maternity triage process with<br />
the introduction of regular<br />
monitoring <strong>and</strong> learning to<br />
ensure that services improve for<br />
all mothers.<br />
MATERNITY<br />
10. Take appropriate action to<br />
ensure that babies are not<br />
transferred to the neonatal care<br />
unit unnecessarily.<br />
New pathway implemented with<br />
monitoring in place; performance<br />
reported weekly to NHS London;<br />
triage working group in place.<br />
Performance levels need to<br />
improve.<br />
Policy <strong>and</strong> guidelines in place but<br />
being reviewed; <strong>Trust</strong> audit has<br />
recently taken place. Performance<br />
outputs not meeting required<br />
levels.<br />
New pathway implemented 30th July <strong>2012</strong>. However still issues<br />
with middle grade doctor cover, this will be resolved when KGH<br />
closes. Performance continues to be monitored on a monthly<br />
basis<br />
OAU now has appointment system <strong>and</strong> achieves the st<strong>and</strong>ard.<br />
See performance report above<br />
Target moving towards women seen by a doctor within 30<br />
minutes.<br />
Work has been undertaken in HDU to minimalize hypothermic<br />
babies, e.g. skin to skin, bear‐hugger equipment, thermometers<br />
in each bay in HDU however there are some safeguard reports of<br />
environmental issues (cold rooms / non‐functioning thermostats)<br />
which are impacting the temperatures of babies on postnatal<br />
wards. Discussions underway with estates department The latest<br />
audit of all neonatal admissions was undertaken on the 8 th<br />
September <strong>and</strong> revealed no admission due to environmental<br />
conditions or hypothermic neonates.<br />
Averil Archibald<br />
Wendy<br />
Matthews<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
MATERNITY 13. Continue with its<br />
recruitment plans in maternity<br />
services to ensure that it has<br />
suitable numbers of qualified<br />
staff across all service delivery<br />
departments.<br />
Recruitment is on target to deliver<br />
a 1:29 ratio, with higher numbers<br />
of substantive staff in post. CQC<br />
inspections have identified some<br />
concerns around midwifery care<br />
assistant staffing levels. <strong>Trust</strong> has<br />
faced challenges in recruitment<br />
<strong>and</strong> retention, although these are<br />
not particular to this <strong>Trust</strong> alone.<br />
Midwife to birth ratio 1:29 achieve with bank usage, however 26<br />
student midwives qualifying in September to <strong>November</strong> at which<br />
time bank will only be used for maternity leave <strong>and</strong> sickness<br />
HDU nurses available at all times in HDU. Midwives now<br />
undergoing training for management of critical obstetrically ill<br />
women<br />
all vacant MCA posts recruited. Study days for MCA's<br />
implemented as annual m<strong>and</strong>atory training. Competency training<br />
being rolled out.<br />
Proposed boundary changes will ensure that this ratio is<br />
maintained, <strong>and</strong> there are clear plans for the recruitment of<br />
midwives on an on going basis to ensure st<strong>and</strong>ards are<br />
maintained.<br />
Richard Howard<br />
Dele<br />
Olorunshola<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
MATERNITY<br />
Increase the level of training on<br />
the interpretation of CTGs, so<br />
that all staff have undertaken<br />
All midwives were due to have<br />
completed training by end of<br />
March <strong>2012</strong>, although the<br />
JP comments ‐ M12.1 number of SIs coming through with CTG<br />
interpretation issues still. Discussion re management framework<br />
for response discussed with SOM <strong>and</strong> DOM with Risk Manager ‐<br />
Jude Piper<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
Page 13 of 22