A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...
A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ... A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...
Board of Directors Part 114 June 20131. IntroductionGovernor Scrutiny Committee Report 2013The Hospital at NightThe Governor Scrutiny Committee is a committee of the Council of Governorsand is accountable to it. The remit of the committee is to select a topicrelevant to patient care or patient services for scrutiny each year. The topic ischosen to address an issue not covered by formal Trust scrutiny or whereGovernors feel further insight would be helpful to understand overallperformance.2. SummaryThe committee wished to understand better the operation and culture of theRoyal Bournemouth Hospital at night. With a drive to provide services 24-hours a day, seven days a week and the hospital under pressure fromunprecedented levels of admissions, it was felt an appropriate time to look atwhether there were any differences in care offered during the night and duringthe day.The committee decided to take an overview of the Royal BournemouthHospital at night during the month of February and the first two weeks ofMarch 2013. This was a period of very high admissions. Previously, theClinical Site Team had been visited during January to give committeemembers a better understanding of how the hospital worked before startingour research. Nine wards were selected: at least five staff (two Health CareAssistants and three registered nurses) and ten patients from each wereinterviewed using a questionnaire.We would like to thank our fellow governors, Derek Dundas, Doreen Holford,Jayne Baker and Sue Bungey for helping us carry out the research.3. Process3.1 Selection of topicAs is usual practice, the topic ideas were discussed with the Director ofNursing at the beginning of the scrutiny cycle and agreed upon as oneswhich fulfilled useful criteria for the Trust, patients and governors. TheCouncil of Governors was consulted before a final decision was taken bythe committee.1The Hospital at NightQuality/Performance
Board of Directors Part 114 June 20133.2 Initial actionOver two nights in January, the scrutiny committee members spent anevening with the Clinical Site Team (CST) to learn how the hospitaloperates at night, how it is staffed and to visit wards. The CST was veryhelpful and open with us and this insight helped us with our latersurveys. We would like to thank BJ Waltho and her team for their help,as well as the CST.We also met the doctors on duty at night, being present for theirhandover at 11pm. During one of our January visits, one of thecommittee witnessed the pressure the single surgical doctor (F1) in thehospital at night feels when they were found visibly upset and worriedabout coping.4. InvestigationNine wards were selected as representative of the hospital and at least fivestaff and ten patients were interviewed from each using a questionnaire. Thequestionnaires were developed with input from the Director of Nursing.Tabulated results for the questionnaires can be found at Appendices A, B, Cand D.The nine wards visited in this survey were:Ward 1Ward 14Ward 2Ward 15Ward 9Ward 22Ward 24AMUStrokeThe following report has been written in two parts - a patient report and a staff report,each including its own conclusions and recommendations.The Governor Scrutiny Committee is grateful to all staff and patients involved inproviding information and support for this report.2The Hospital at NightQuality/Performance
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Board of Directors Part 114 June 2013<strong>1.</strong> IntroductionGovernor Scrutiny Committee Report 2013The Hospital at NightThe Governor Scrutiny Committee is a committee of the Council of Governorsand is accountable to it. The remit of the committee is to select a topicrelevant to patient care or patient services for scrutiny each year. The topic ischosen to address an issue not covered by formal Trust scrutiny or whereGovernors feel further insight would be helpful to understand overallperformance.2. SummaryThe committee wished to understand better the operation and culture of theRoyal Bournemouth Hospital at night. With a drive to provide services 24-hours a day, seven days a week and the hospital under pressure fromunprecedented levels of admissions, it was felt an appropriate time to look atwhether there were any differences in care offered during the night and duringthe day.The committee decided to take an overview of the Royal BournemouthHospital at night during the month of February and the first two weeks ofMarch 2013. This was a period of very high admissions. Previously, theClinical Site Team had been visited during January to give committeemembers a better understanding of how the hospital worked before startingour research. Nine wards were selected: at least five staff (two Health CareAssistants and three registered nurses) and ten patients from each wereinterviewed using a questionnaire.We would like to thank our fellow governors, Derek Dundas, Doreen Holford,Jayne Baker and Sue Bungey for helping us carry out the research.3. Process3.1 Selection of topicAs is usual practice, the topic ideas were discussed with the Director ofNursing at the beginning of the scrutiny cycle and agreed upon as oneswhich fulfilled useful criteria for the Trust, patients and governors. TheCouncil of Governors was consulted before a final decision was taken bythe committee.1The Hospital at NightQuality/Performance
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