Quality Accounts ; moving forward together Barbara Carr, Assistant Director of Nursing, Quality and Public and Patient Involvement September 2012
Quality accounts 2012/13 Published and available on NHS Choices website Report on community and hospital provision Consultation with key stakeholders Third party narratives
2012/13 Quality Account 3 key priorities Patient Safety Effectiveness of care Experience
Consultation Patients & staff Governors Health scrutiny committees LINks Commissioner Other stakeholders
CriteriaAcute service providerCommunity service provider 1. Patient safetyReduce number of patients that die in our hospitals Embed and monitor effectiveness of the early warning score used in the community (telehealth) 2. Effectiveness of carePatient experience surveys Discharge information Roll out use of tough- books 3. Patient experienceDementia screeningCarers diary to be introduced for end of life care in the community 3 Key priorities 2012/13
Telehealth EWS
The Patient Voice
CQC Quality Risk Profile
Outcome Number Outcome Description Previous Risk Estimate Current Risk Estimate Total Number of Items Number of Qualitative Items Number of Quantitative Items 1 (R17) Respecting and involving people who use servicesLow GreenHigh Green (R18) Consent to care and treatmentHigh Green (R9) Care and welfare of people who use servicesLow NeutralLow Green (R14) Meeting nutritional needsLow Neutral (R24) Cooperating with other providersHigh GreenLow Green (R11) Safeguarding people who use services from abuse Insufficient Data (R12) Cleanliness and infection controlLow NeutralHigh Green (R13) Management of medicinesLow Neutral (R15) Safety and suitability of premisesLow GreenLow Neutral (R16) Safety, availability and suitability of equipmentLow Neutral (R21) Requirements relating to workersLow Green (R22) StaffingLow Green (R23) Supporting staffLow Green (R10) Assessing and monitoring the quality of service provisionLow Green (R19) ComplaintsLow Green (R20) RecordsLow Green 660 November 2011data
Anticipated 2013/14 timescales April final draft* available for comment Early May deadline for response to draft * Data to end March will be included
Lessons from last year Use of ‘you said, we did’ worked well Easy-read version received well Anything else?
Next year’s priorities
Mortality –Infection –Falls –Medicine safety –Cardiac arrests –Dementia Effectiveness –Discharge times/processes –Full EAU assessment within 2-hours –Communication/documentation Patient experience –Is care good (compassion/respect/dignity) –Recommendation –Compliments and complaints –Environment –Patient surveys –External reviews (enter and view, PEAT, peer, CQC, commissioner) –Staff surveys Possible priorities
Safety Effectiveness Patient experience Your priorities
Quality account and annual report; consultation We aim to consult widely – once all suggestions received, we will feed back priorities for 2013/14