RNOH Quality Priorities - we want your thoughts

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Each year, we publish our Quality Account. This is a report about the quality of services we provide to our patients. The reports are published annually by every healthcare provider - including the independent sector - and are available to the public.

Quality Accounts are an important way for local NHS services to report on quality and show improvements in the services they deliver to local communities and stakeholders.

The quality of the services is measured by looking at patient safety, the effectiveness of treatments that patients receive, and patient feedback about the care provided. The RNOH Quality Account for 2015-2016 is available to read or download.

As well as reviewing our performance against previous year’s quality objectives, Quality Accounts also set out quality priority areas which we will focus on for improvement over the next financial year.

We are currently consulting on our future quality priorities for 2017/18 and welcome your input into this consultation.

As in previous years, the RNOH Executive Team has undertaken an initial review of quality performance during 2016/17 to consider areas where we might wish to focus during 2017/18. A list of potential areas is below:

Priority 1 - Improving length of stay
We will undertake a programme of work that will improve systems for pre-operative assessment and discharge planning which will reduce the length of stay for patients. This is an important quality issue which will ensure that patients are safely discharged following their treatment.

Priority 2- A focus on infection control; implementation of care bundles to reduce e-coli
Great progress has been made within the NHS in the prevention of hospital acquired infections such as MRSA and CDiff. Whilst progress has been made tackling these micro-organisms there has been less progress with other types of infections, in particular e-coli. A national infection control programme will be launched in 2017 which the RNOH will fully participate in. As part of this we will implement and evaluate an evidence based ‘care bundle’ to reduce these infections. A care bundle is set of practices that, when used together, significantly improve patient outcomes.

Priority 3- Reducing request errors
We have identified a quality concern in relation to diagnostic imaging requests at the RNOH. This has the potential to impact the care of round 2,000 patients each year. We will undertake a project to improve the understanding of this complex issue and to identify, implement and evaluate ways to reduce the number of request errors. 

Priority 4- Enhancement of shared learning from incidents and complaints
Where errors occur it is essential that we thoroughly investigate and learn from them. Progress has already been made on this quality priority in 2016/17, and we will continue to focus on this in 2017/18. The focus of improvement for the coming year will be in ensuring in-depth investigation through implementing the recommendations of the Healthcare Safety Investigation Branch (HSIB) and requirements related to the investigation of deaths in hospitals. We will update our incident management system and use the latest software to share learning more widely, undertaking human factors training for key groups of staff.

Priority 5- Development, implementation and evaluation of 5 Local Safety Standards in Invasive Procedures (LocSSIP’s)
Local Safety Standards for Invasive Procedures are a mechanism to ensure consistent application of safety critical interventions for high risk procedures. We are required to develop local procedures based on national best practice examples and this will form a major quality priority for us in 2017/18.

The Trust would like to hear your views and thoughts. Please send any suggestions/comments to qualityinbox@rnoh.nhs.uk by 1st June 2017

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