For March 2013 the Trust is rated as “Performing” for its Quality of Services.
Significant points of note regarding performance include:
- Following a 14% increase in attendances to the Emergency Department in month as compared to the previous month, the Trust underachieved (94%) against the four hour standard of 95%.
- There were no incidences of MRSA and one incidence of C-Diff during March resulting in C-Diff being 18 cases below the straight line YTD trajectory and MRSA on target.
- RTT performance continued as expected with the 90% admitted, 95% non-admitted and 92% incompletes measures all being achieved in aggregate.
- Delayed Transfers of Care continued to be below the 3.5% standard – this is likely to be addressed in 2013/14 following changes.
This month (April) is the first of the new NHS. For us this means having a closer working relationship with our GP-colleagues and working with you to provide more services outside of a hospital location. We have a commitment to deliver a reduction in non-elective (emergency) admissions in partnership with the whole health system. This reduction is a shared commitment as our ongoing financial plan is based on non-elective activity being increasingly dealt with out of hospital when appropriate.
We already have a track record in delivering ‘joined-up’ care with our GPs for some conditions. Dr Edward Cetti (Consultant Respiratory Physician) and Shona Ioakim (Specialist Respiratory Nurse) have joined forces with Dr Elango Vijaykumar (Lead Respiratory GP for 19 practices in East Surrey) and the practice nurses in each surgery in the management of patients with COPD (Chronic Obstructive Pulmonary Disease, which includes chronic bronchitis and emphysema. COPD is mainly caused by smoking and kills around 23,000 people a year making it the UK’s fifth biggest killer disease). This partnership was formed to bring expertise and experience to patients with COPD and helping standardise care according to the national COPD strategy. All 19 practices embraced this and hundreds of COPD patients had their diagnosis and treatment reviewed. As a result COPD patients’ admissions to hospital became significantly shorter and less frequent. If you would like more information, please contact email@example.com.
Dr Ben Mearns, Clinical Lead for Acute Medicine, and Angela Stevenson, Associate Director for Medicine, have been working on ambulatory care pathways aimed at providing early access to consultant led decision making for assessment and diagnosis, observation and any necessary intervention. The pathways will mean a shorter hospital stay, if at all, and treatment for patients in the comfort of their own home supported by their GP and community provider. If you would like more information, please contact firstname.lastname@example.org.
CQC Inspection Report
Quick summary of the initial findings from the unannounced inspections on the 26 and 27 February 2013.
- Respecting and involving people who use these services: met this standard
- Consent to care and treatment: met this standard
- Care and welfare of people who use services: met this standard
- Meeting nutritional needs: met this standard
- Safeguarding people who use services from abuse: met this standard
- Cleanliness and infection control: met this standard
- Management of medicines: met this standard
- Staffing: met this standard
- Assessing and monitoring the quality of service provision: met this standard
National Inpatient Survey
Figures released by the Care Quality Commission (CQC) show that performance at East Surrey Hospital has improved across many areas and that patient confidence in the doctors and nurses has grown.
The CQC sent the questionnaire covering a range of topics including food, hospital cleanliness and standards of treatment, to inpatients treated at the hospital in August 2012. Based on patient responses the hospital received scores out of 10 for each question. The hospital scored 9 for room and ward cleanliness and 9.6 for patient privacy during treatment.
Last year we were ranked in the bottom 20% of trusts for 6 out of ten categories. This year we are ranked with the majority (60%) of trusts which reflects the on-going hard work and commitment of the staff across the hospital and trust.
National websites such as “NHS Choices” and “Patient Opinion” allow patients to publicly comment on care that they received within the NHS. Our Trust embraces openness and since November SASH has also been continuously monitoring patient feedback though it’s “Your Care Matters” survey. Every month we get the latest results from this survey. Importantly this shows us that we are maintaining the standards highlighted in the CQC survey and helps us target areas that we need to continue working on.
‘Your care matters’ allows patients to answer questions specific to the ward on which they stayed and about their care, as well as the government’s mandatory Friends and Family Question.
Patients are also asked to nominate staff who have gone “above and beyond”. Ward managers are instantly alerted to these comments and the staff mentioned are recognised and thanked for their work. To date 60 per cent of respondents say that staff have gone above and beyond their expectations.
Research and Development
Research is a rapidly growing area within the NHS and plays an important role in the improvement of patient care at Surrey and Susses Healthcare NHS Trust.
In the last nine months over 500 patients have been recruited to 34 studies at this Trust. They are supported by more than 60 clinical staff working across a wide range of areas including cardiology, dermatology, oncology, haematology, diabetes, stroke, reproductive health and paediatrics.
The clinical research teams are committed to improving the quality and speed of research and aim to make sure all patients are aware of research that is relevant to them. This in turn leads to an increase in the range of treatment options available to the patients.
Anne Shears, the Trust’s Research and Development manager, said: “We work with the national and local clinical research networks as well as the pharmaceutical industry to identify high quality research studies which have the potential to improve patient care, and then support our doctors and nurses in the management of these studies.”
She added: “We are encouraging our clinicians to consider involvement in trials as part of the patient’s care pathway which should mean we can offer alternative treatments. Where we feel GP’s will be interested in specific studies we plan to run information sessions to showcase our clinical trials.”
For more information please contact email@example.com.
Junior Doctors flying the flag for SASH
Our junior doctors have been flying the flag for SASH with their work around improving patient safety. In particular, Dr Christopher Bruce, CT1 in Medicine, had his guidance called ‘Ward rounds in Medicine’ recently published, and he presented his work to over 200 Medical leaders including Sir Bruce Keogh, Medical Director of the NHS. The guidance highlights the need for structured ward rounds and education and training for all of those taking part in the rounds. Dr Bruce has helped develop simulation training in ward round technique and this year, the simulation session will be taken by all new Foundation year one doctors starting in August.
Acute Medicine’s innovative work on hand held Ultrasound and its benefits for patients and the Trust, was also presented at the conference with Sir Bruce Keogh, and was one of only three oral presentations selected out of 120 applicants. These are two good examples of how we can do things differently to improve our patients’ experience.
Your Care First: our commitment to safety, quality and compassion
The Surrey and Sussex Healthcare NHS Trust Nursing and Midwifery Strategy 2013-2016 Your Care First: our commitment to safety, quality and compassion
We are currently developing our nursing and midwifery strategy to answer the three questions below and demonstrate how as nurses and midwives we deliver positive patient outcomes and experiences that are attributed to nursing and midwifery care.
• What do we do?
• For whom do we do it?
• How do we become the best at it?
We have been running workshops with nursing and midwifery staff to draft our own strategy. It will launch early in May.
Updates in Radiology
In June, the PACS (Picture Archive and Communication system) and RIS (Radiology Information System) are changing to a new system that will help improve the efficiency of radiology reports. Radiology reports will go electronically to patient records and abnormal and critical radiology reports for clinicians will be highlighted within the message centre. The new system will also help our development of the electronic patient record (EPR). These improvements will support timely decision making and benefit patients.
Birth Choices at East Surrey Hospital
Since the introduction of the ‘Birth Choice Clinic’ at the Trust there are less women choosing elective caesareans. The Birth Choices Team (previously known as VBAC) is working to reduce the number of women choosing c-sections.
All mothers-to-be are welcome to attend the Birth Choices Clinic at any gestation to discuss their concerns with mode of delivery. GPs can refer them to the team for a 45 minutes appointment (contact the team on 01737 568711 ext 6712 (ANC).
The VBAC pathway starts as soon as a mother has had a caesarean section. All mothers who have delivered by caesarean section at East Surrey Hospital are de-briefed before discharge by the Birth Choices Team, where they are informed that if there were no complications arising from their Caesarean section, their next birth should be a normal vaginal delivery. And all mothers–to-be who have had one previous Caesarean section are invited to attend an appointment in the Birth Choices Clinic by 24 weeks gestation.
Community midwives are also asked to inform their mothers-to-be of the Birth Choice Clinic at booking.
Contact the team on 01737 568711 ext 6712 (ANC)
Shalini Srivastava (Birth Choices Consultant) firstname.lastname@example.org
Lizzie Hamilton (Birth Choices Lead Midwife) Lizzie.email@example.com
The Trust has launched its brand new website. The new website has a new look and feel to reflect the Trust’s new facilities and improved performance. The new website will give patients the information they need to know more easily, and offer all the data we publish in the essence of openness and transparency in a more accessible format.
To help GPs we have created a GP section where you will find a Service Directory, the Formulary, and an A-Z of Consultants. We hope to develop this section further with feedback from GPs about what you would find useful and interesting. In this section we hope to have links to useful information and CCG sites.
It is a work in progress and we will be continuing to develop the site over the next six months. If you have suggestions or comments for how we can further improve our website for you, please contact Bethan.firstname.lastname@example.org.
You can view the website here