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, Annex 1<br />
The Chair asked SS to ensure timeframes for looking for alternative solutions to the IT<br />
issues is agreed so that progress can be made if the initial recommendations cannot be<br />
implemented. Further update regarding these timeframes <strong>and</strong> evidence of imbedded<br />
actions to be discussed at the Safe Care Group in six months’ time.<br />
SS<br />
11. RCOG Report on Patterns of Maternity Care in English <strong>Hospitals</strong><br />
SS presented the RCOG report to the Committee <strong>and</strong> explained this is the first issue of<br />
the report. Although the first report for all <strong>Trust</strong>s has been anonomised this will be<br />
changed for future reports so that results can be compared <strong>and</strong> used for bench marking.<br />
The following key points were highlighted –<br />
• 11 areas of practice were chosen for the review <strong>and</strong> there were 19 relevant criteria<br />
• The <strong>Trust</strong> was performing above the mean in 17 of these criteria<br />
• Format of data clarified. Both lower <strong>and</strong> higher scores can be positive results<br />
• The key issues related to the disparity in management of a patient on the same care<br />
pathway. These pathways have been refined <strong>and</strong> clear st<strong>and</strong>ards have been put in<br />
place therefore improvements should be reflected within future reports<br />
• Areas of disparity that have been addressed will be audited to ensure the changes<br />
have been imbedded<br />
• The <strong>Trust</strong>’s caesarean section rate is consistently 4-5% lower than the national<br />
average however, research that is now available suggests that if a midwifery lead unit<br />
was available this could be improved even further as patients who deliver in an<br />
obstetric led unit are four times more likely to undergo a caesarean section<br />
AM asked how this information triangulates with other data that is available. SS<br />
explained that when the data is reviewed in line with best practice set by other<br />
organisations it helps clarify how the <strong>Trust</strong> should be performing. For example 2.1% of<br />
patients who deliver at Derriford Hospital suffer a third or fourth degree tear however,<br />
best practice suggests that a rate below 4% could demonstrate that these tears are not<br />
being identified <strong>and</strong> therefore patients are not receiving the adequate treatment.<br />
The Committee noted the content of the report.<br />
12. Health Records Action Plan<br />
AB presented the Health Records Update Report to the Committee <strong>and</strong> highlighted the<br />
following key points –<br />
• Meeting held with AM <strong>and</strong> he has now been identified as the clinical lead for records<br />
• Letter sent to all service line leads explaining their responsibilities including the need<br />
for annual case note training <strong>and</strong> audits<br />
• A new working group has been established to discuss how improvements can be<br />
made to the paper records<br />
• A presentation regarding electronic notes was presented to the MEC <strong>and</strong> a significant<br />
amount of support has been offered. Currently awaiting approval of funding before<br />
this can be progressed any further<br />
• Significant progress has been made in relation to the transportation of notes.<br />
Maternity have not yet identified a space where blue boxes can be delivered <strong>and</strong><br />
stored however, if this not agreed by the end of June 2013 all notes will be delivered<br />
to the level 3 storage room<br />
• MAU looking to use a fixed storage space for notes on the ward as opposed to<br />
lockable trolleys due to space issues. Lynher ward have also opted to store notes in<br />
lockable office<br />
S&Q Draft Minutes June 13 Page 6 of 7