1. Our ambition to deliver great care to more people
Quality Framework &
Quality Improvement Priorities 2019/20
Our ambition to deliver great care to more people
Jackie Ardley, Chief Nurse

2. Quality Matters
Our patients, and communities are at the heart of everything we do, and our ambition is to care for more people in, or close to, their homes. Our focus on delivering high quality, great care will help us achieve this. Great care is about high quality standards; standards which improve the experience for patients and staff. These combined will help us continue to innovate, and shape our future care plans. So, high quality standards begin with you, our staff. It is thinking about quality every day, and using your ideas, and experience to help create and deliver the quality improvements that will deliver our ambition. This is our quality framework which will help guide and support you to continue to provide high quality, great care.

3. It Begins with our Story: Making A Difference
At Solent NHS Trust we all share an ambitious vision, to make a difference by keeping more people healthy, safe and independent in, or close to their own homes. People, values and culture drive us. The best people, doing their best work, in pursuit of our vision. People dedicated to giving great care to our service users, and great value to our partners. We aspire to be the partner of choice for other service providers. With them we will reach even more people, and care for them through even more stages of their lives. Ultimately it is the people we care for who will tell us if we are successful, and who will help shape our future care.
This is the Solent story
It has encapsulated everything that is important in our vision, mission and strategy into a text designed to be more human, and more engaging for staff
We have stated in our keeping people safe and well at home that our ambition is to keep ‘more’ people there. A small word that turns our vision / mission into a destination, and a call to action for our work
We have articulated the importance of our partnerships both in terms of our value to them and also their value in helping us keep more people safe and well at home
Importantly, we have said that it is our services users who will tell us if we are succeeding and whose feedback will help shape our ongoing and future care. This opens us the opportunity to review our patient experience and feedback work to find better ways to use this in the execution of our vision and strategy

4. It’s Delivered by You and The Difference you all Make
Sally Griffin Children’s Asthma Nurse, Southampton “I make a difference by supporting children and their families in all aspects of asthma management through offering advice, support and education. Empowering children and young people to manage their condition safely, aims to reduce hospital admissions, promote better quality of life, and produce better health outcomes. In addition to carrying out home visits and telephone support, I use social media to communicate relevant public health advice and health tips to service users, which keeps children and young people engaged, and informed, about the safe management of their condition”
This is just one story but a story that embodies the story of Solent
It is a story about making a difference, about delivering our vision to keep more people safe and well at home
It is a story about innovation. The application of social media to better engage a group of service users on their terms
It is a story about quality care, and quality outcomes
And it is the story of a member of staff who is living our values and culture

5. SEE2 - Our Quality Framework
Is as simple as
Safety is paramount
Effectiveness is measured
Experiences of patients and staff guide us
SEE our formula for great care!
Safe
Effective
Experience
Great Care

6. Quality Goals and Priorities
Each year the Trust sets its annual objectives and this includes agreeing our shared priorities for quality improvement.
Our priorities are linked to our story, which sets out who we are and why we exist; and to our business plans. Our priorities set out our ambitions to help us deliver our vision in relation to quality
These are based on feedback from staff, patients and our stakeholders and from findings from our quality surveillance, local and national priorities
We set out our quality priorities in our Business Plans and our Annual Quality Account which is published on the NHS Choices website
Our clinical services devise their own plans and initiative's to help us achieve our priorities and we check how we are doing against these priorities throughout the year

7. Quality Improvement Priorities 2019/20
Safe
Improve dressings in Portsmouth (Adults Portsmouth)
Improve use of NEWS2 ( Adults Portsmouth)
Red & Green Days at RSH ( Adults Southampton)
COPD and PR Audit (Adults Southampton)
Identify children at risk of childhood sexual exploitation (Children’s)
Improve young peoples access to their health care plan (Children’s)
Align general anaesthetic pathways on the Isle of Wight with Hampshire (Dental)
Introduce intraoral radiography into Dental GA sessions (Dental)
Improvement physical health monitoring (Mental Health)
Introduce high dose antipsychotic treatment monitoring (Mental Health)
Develop multi-chair podiatry clinics (Primary Care)
Rationalise podiatry clinic locations (Primary Care)
Implement patient safety QA process ( Sexual Health)
Ensure 95% of U18 patients have a risk assessment (Sexual Health)
Deliver the Learning Disability Strategy (Trust-wide)
Effective
Pilot LTC Hub (APS)
Pilot Leg Ulcer Hub ( APS)
Improve pain management on Snowden Ward (Adults Southampton)
Women’s Health Project (Adults Southampton)
Develop career pathway for ACPs (Children’s)
Improve pathway for your people with depression (Children’s)
Introduce inhalation sedation options for patient on the Isle of Wight (Dental)
Enble rehab patients to achieve their recovery goals (Mental Health)
Reduce Did Not Attend rates in A2i service (Mental Health)
Improve psychology input into OPMH inpatient wards (Mental Health)
Increase patient and public engagement to improve outcomes (Primary Care)
Review workflow management across all services (Primary Care)
Improve treatment pathways for non-complex chlamydia (Sexual Health)
Develop online platform for partner notification (Sexual Health)
Experience
Pilot intermediate care practitioner role in PRRT(Adults Portsmouth)
Reduce discharge delays in Jubilee House (Adults Portsmouth)
Develop remote consultation services (Children’s)
Improve client involvement in their treatment plans (Children’s)
Introduce oral health care training packages for nursing and residential care homes (Dental)
Develop Accessible Information Champions (Dental)
Improve care planning in community services (Mental Health)
Improve carer engagement in OPMH wards (Mental Health)
Transform Solent GP Surgery (Primary Care)
Develop digital platforms (Primary Care)
Develop patient portal (Sexual Health)
Improvement referral pathway between Sexual Assault Referral Centre and Sexual Health Services
Ensure all staff understand their responsibilities for Duty of Candour (Trust-wide)
Ensure all staff are aware of and know how to access our Freedom to Speak Up Guardians (Trust-wide)
Support our staff to maintain their on-going health and well-being (Trust-wide)

8. Quality throughout the organisation
Their feedback guides us
Patients
Staff
Teams
Service or function
Executives
Trust Board
Are empowered to innovate
Collaborate and share ideas and experience
Sets quality goals
Leads, review and assess
Seek assurance, review, monitor

9. Partnerships
Today’s health care is complex and many of our patients are also cared for and supported by other organisations. To provide truly Great Care, we need to make sure care we provide is joined-up with the care provided by other; as we deliver this Framework we will work closely with them to provide a seamless service.

10. CQC Inspection – November 2018 (Report published Feb 2019)
All services inspected rated as “Good” and the Trust is rated “Good” overall
The care we give is “Outstanding”:
“staff were kind, caring and treated patients with dignity and respect, and patients spoke of the positive care they received from staff.”
“staff involved patients, and those close to them, in decisions about their care and treatment.” 
Where we will improve:
Medicines Management in Mental Health
Access to psychological therapies in older peoples mental health wards
Duty of Candour
Freedom to Speak Up
These are included in our quality improvement priorities

11. Thank You