Agenda and supporting papers - Plymouth Hospitals NHS Trust
Agenda and supporting papers - Plymouth Hospitals NHS Trust
Agenda and supporting papers - Plymouth Hospitals NHS Trust
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Item 15<br />
SUMMARY REPORT<br />
<strong>Trust</strong> Board 5 July 2013<br />
Subject<br />
Prepared by<br />
Approved by<br />
Presented by<br />
Safety <strong>and</strong> Quality Committee Chair’s Report<br />
Dr Mike D Williams, Safety & Quality Committee Chair<br />
Dr Mike D Williams, Safety & Quality Committee Chair<br />
Dr Mike D Williams, Safety & Quality Committee Chair<br />
Purpose<br />
This report highlights key issues considered at the Safety <strong>and</strong> Quality<br />
Meeting on the 17 June 2013 to provide assurance to the <strong>Trust</strong> Board that<br />
safety <strong>and</strong> quality governance arrangements are in place.<br />
Corporate Objectives<br />
Decision<br />
Approval<br />
Information<br />
Assurance<br />
Quality Care Inspired People Healthy Organisation Innovate & Collaborate<br />
•<br />
Executive Summary<br />
The main issues discussed at the meeting were:<br />
•<br />
•<br />
1. Theatre Safety<br />
Following the CQC communication about Theatre safety, the committee received<br />
assurance from the Chief Executive <strong>and</strong> Director of Nursing that the Theatre Safety<br />
Improvement Plan had been subject to rigorous external review by the <strong>Trust</strong><br />
Development Authority. Further actions are in h<strong>and</strong> to ensure the implementation of the<br />
plan, particularly around the scheduling of theatre lists.<br />
2. Outpatient backlog<br />
The Committee considered a report detailing the work done to risk assess the outpatient<br />
backlog in ophthalmology. Further actions have now been requested to ensure that a<br />
similar risk assessment is undertaken for other specialties. It is apparent that there is<br />
insufficient capacity in a number of specialties to meet both the current dem<strong>and</strong> <strong>and</strong><br />
eliminate the backlog of patients. The risks associated with this situation need to be<br />
considered by the <strong>Trust</strong> Board in partnership with commissioners.<br />
3. Maternity services<br />
The Committee received assurance from the Royal College of Obstetricians <strong>and</strong><br />
Gynaecologists’ Report on patterns of maternity care in English hospitals.<br />
4. Mortality data<br />
The Committee took assurance from the hospital st<strong>and</strong>ardised mortality ratio, which<br />
provides data about hospital mortality, that the current rate remains at around 20% less<br />
than it could be expected. Similarly, the Committee received assurances from the<br />
hospital mortality indicator, which provides data on deaths up to 30 days following<br />
hospitalisation, that the rate is around 7% less than could be expected. However, the<br />
Committee requested that consideration be given as to how to reduce further the<br />
mortality rate, especially for patients admitted over the weekend.<br />
5. Serious incident W33081/W33105 – action plan report<br />
The Committee considered a range of issues resulting from this report. The general<br />
learning point was made about the necessity for the terms of reference for serious