Annual Report and Financial Accounts 2010/11


Quality Report 2010/11


2. Priorities for Improvement and Statements of Assurance on the Quality of Services Provided


2010/11 Quality Objectives


In line with the Trust’s vision: “Putting patients first while striving to deliver the best quality healthcare”, the Trust Board agreed a comprehensive set of strategic goals and objectives for 2010/11. The key goals for quality were:


l To offer patient centered services through the provision of high quality, responsive, accessible, safe, effective and timely care.


l To promote and improve the quality of life of our patients.


l To strive towards excellence in the services and care we provide.


l To work collaboratively with partner organisations to improve the health of local people.


Progress against Quality Improvement Plans for 2010/11


During 2009/10 the Trust made considerable progress with the development of a number of quality initiatives. These plans were identified in the Trust’s Quality Report for 2009/10 and carried forward into 2010/11 as part of an overall quality improvement programme which had the full commitment of the Board.


Progress made against the quality objectives set for 2010/11 are set out below:


Performance against national priorities 2009/10


Action Plan for 2010/11 as set out in 09/10 Quality Report


Patient Experience


Implement programme of real time monitoring focusing on the 5 priority questions from the National Survey methodology and internal Trust consultation exercise.


Progress against objective in 10/11


Quality reporting of real time patient monitoring to the Trust Marketing Committee and Board of Directors. Patient surveys included in annual quality objectives and contract quality indicators. Internal patient survey card results - patients participated in 10/11. 62% of respondents saying that they rated the hospital as “excellent” (graded 10/10).


Patient Safety


Continue to participate in South West SHA Patient Safety Programme and present monthly data to Board of Directors. Programme aims are to reduce hospital mortality by 15% by 2015 and adverse events by 30% by 2015.


To formalise walkabouts to include NPSA methodology and ensure structured discussion and action for patient safety.


Further revision to Modified Early Warning System (MEWs) policy and procedures to ensure effective and timely response to trigger events.


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Participation ongoing. Use of Global Trigger Tool to identify actual and potential adverse events undertaken monthly and learning points reported to the Clinical Governance & Risk Committee.


Executive team walkabouts include patient safety although not formally recorded. Executive Team walkabouts at night initiated in year.


MEWS policy updated, routine audit and reporting in place.


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