1. CNWL Quality Account Priorities
Council of Governors
CNWL Quality Account Priorities
Tues, 22 March 2016

2. Quality Priorities - sources of intelligence
CQC COMPLIANCE
ORGANISATIONAL LEARNING THEMES
QUALITY INSPECTION
QUALITY & PERFORMANCE INDICATORS
PATIENT & CARER FEEDBACK
STAFF FEEDBACK

3. PATIENT & CARER INVOLVEMENT
Key areas of focus
STAFF ENGAGEMENT
PATIENT & CARER INVOLVEMENT

5. What do we want to achieve?
Staff Engagement
What do we want to achieve?
A workforce which feels committed, motivated and valued, to give of their best or go the extra mile for colleagues, patients and carers
Thinks and acts in a positive way about their work, the people they work with and serve
Adopt a supportive, inclusive leadership style
A workforce which demonstrates the Trust’s values
What will we do?
Quarterly leadership road-shows
MDT leadership programmes
Cross-divisional learning walks
Nurse rotation programme
Review staff benefits
Delivery of the staff charter
Equalities and diversity initiatives
Inclusion of Trust values in appraisals
To re-fresh our Staff Engagement Strategy
How will we know?
Staff recommend services to family or friends as a place to work or receive treatment
Staff report good communication between senior management and staff
Staff feel they contribute to improvements
Staff motivation at work
Sickness / Turnover

6. Patient and Carer Involvement What do we want to achieve?
Patients and their families are actively included and consulted on regarding the plan of care or treatment, including medication decisions, which matter to the patient.
Patient and their family are treated with respect and dignity at all times, and are provided with supportive information about the condition and services available, and where appropriate access to support out of hours.
How will we know?
Patients report feeling treated with dignity and respect
Patients report feeling involved in their care or treatment planning
Patients report getting care or treatment that helped them achieve what matters to them
What will we do?
Implemented across services applying a project managed, piloted and staged roll-out approach
Carer’s Council priorities and work-plan
(Carer’s Conference, carer information leaflets, involvement in training)

7. Next step: Drafting the Quality Account for Governor and public consultation (8 April – 9 May) Update: Endorsing the indicator for external audit
QA is audited by KPMG – using 3 indicators
2 x National indicators
CPA 7-day follow up
CRT Gate-keeping
3rd – selected by Council of Governors
Readmission rates selected – per discussion with Governors on 4 March 2016
Rationale: This indicator best suited the rules of indicator auditability: to be able to track data back to the source; does not include judgement or subjectivity (e.g. survey or clinical audit); and data completeness can be tested.
Audit commences in April 2016.