Annual Report and Financial Accounts 2010/11


Quality Report 2010/11 Indicator


Effectiveness Preventing people from dying prematurely


Helping people to recover from episodes of ill health or following injury


Quality Improvement Objective 2011/12 l


Monitoring arrangements for 2011/12


Reducing the mortality rate from cardiovascular disease; respiratory disease and liver disease


l l


Maintain high standards of care for stroke patients


Reduce emergency readmissions within 28 days of discharge from hospital


Experience


Ensuring that people have a positive experience of care


l Improve patients


experience of outpatient care (National and local survey results)


l Improve patients


experience of emergency care (National and local survey results)


l l


Implement End of Life Care Strategy and action plan


Implement action plan following National Dementia Care Audit


Safety


Treating and caring for people in a safe environment and protecting them from avoidable harm


l l l


Continue to reduce inpatient falls


Reduce incidence of hospital related VTE


Continue to reduce levels of hospital acquired infections (MRSA, MSSA and C difficile)


l


Measure, monitor and reduce incidence of hospital acquired category 3 and 4 pressure ulcers


l


Comply with NPSA Alerts for Medicines management and prevent medication errors causing severe harm.


l Prevent all Never Events l


Reduce the number of adverse events resulting in severe harm


Monthly monitoring via Mortality Group chaired by Medical Director


Stroke and emergency readmissions monitored monthly by Board of Directors


Implementation of real time monitoring of patient experience, quarterly reporting to Board of Directors and Council of Governors (CoG). Survey reports to Board of Directors and CoG. End of Life care and Dementia care action plan reports to Healthcare Assurance Committee and NHS South West


Quarterly reporting to Healthcare Assurance Committee and Board of Directors


Infection control reports monthly to Health Protection Unit and Board of Directors


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