Performance (month 9, December 2013)
• ED Performance against the 4 hour target was maintained in December for the 8th month in a row.
• 18 weeks delivery remains in excess of expected standards but performance was not achieved in T&O.
• Cancer access: With the exception of Breast Symptomatic, all Cancer indicators were achieved.
• Patient safety indicators continued to show expected levels of performance.
• The latest HSMR data and SHMI data both show overall trust mortality is lower than expected.
• The Trust had one MRSA bloodstream infection cases in December. C-Diff is 1 case below trajectory with 22 cases YTD.
• Maternity indicators continue to show positive performance.
This month we learnt our Emergency Department was the top performer compared to all of the hospitals in Surrey and Sussex during the period of October, November and December, and tenth best in the country.
Several new appointments in the department will also have a positive impact on our emergency care. We welcomed our eighth consultant to the ED and we have a number of new consultants in Elderly Care and Acute Medicine including a new Stroke Consultant and another Community Geriatrician.
Next Hot Topic Event – Caring for the Elderly
Come and hear from our consultants and lead nurses about how we care for elderly patients and patients with dementia and our plans for improving services. All welcome – GPs, patients and the general public. No need to book. February 27, East Surrey Hospital Post Graduate Education Centre. Refreshments at 5.30pm, talk at 6pm followed by a question and answer session. For more information contact Eloise.Clarke@sash.nhs.uk
Urology Consultant Awarded OBE
Professor Abhay Rane became an OBE last month in recognition of his pioneering work at East Surrey Hospital in developing laparoscopic surgery. Professor Rane performed keyhole surgery through the belly button for the first time in Europe at the hospital in 2007. The trust has a history of supporting innovation, and since Abhay developed his technique he has been encouraged by our management team to help mentor and train other surgeons across the country.
Patient Information Leaflets for New Medicines for Inpatients
While we know that all medicines come with a patient information leaflet in every pack, we wanted to do more and David Heller, our Chief Pharmacist, and his team have been searching for a suitable product to help us do this. The team are now using MaPPs, which has a brief summary for over 5,000 drugs. Each one covers what the drug does, it’s uses, most common side effects and any key contraindications or cautions, all in very simple to use patient friendly language.
Our pharmacists and nurses are now producing a customised leaflet for every inpatient with a new medicine and a nurse goes through the leaflet with the patient. Each new medicine is described consecutively on the same leaflet. The leaflets have been very well received by patients, nurses and the pharmacy staff.
Smart Phone App
The antibiotic smartphone App “Microguide” is now up and running. The app provides the Trust’s antimicrobial guidelines and we’re pleased to say that a lot of staff have already downloaded it and there have been hundreds of users so far. In fact the developers tell us that our uptake has been quicker than other trusts they have worked with.
The new app coincides with our move to further reduce the use of co-amoxiclav in the Trust with a lot of patients moving to the narrower spectrum agent temocillin.
Developing Excellent Standards in Ward Rounds
East Surrey Hospital is leading the way on developing an excellent standard in ward rounds. Dr Chris Bruce, core medical trainee, has been given an honorary title by Brighton and Sussex Medical School in recognition of the ward round simulation training that he designed and delivers for the Trust – he is now an Honorary Teaching Fellow.
Dr Bruce’s simulation is also going ahead as a regional training programme across Brighton, Worthing and Chichester trusts, promoting our patient focussed safe ward rounds across a wide area.
Foundation Trust Update
We are more than half way through our consultation period and would welcome your feedback. Please also encourage your patients to sign-up to become a member so they can help influence decisions. www.sash.nhs.uk/ft
For more details contact: Val.Thompson@sash.nhs.uk