1. Quality Accounts 2012-2013; moving forward together Barbara Carr, Assistant Director of Nursing, Quality and Public and Patient Involvement September 2012

2. Quality accounts 2012/13 Published and available on NHS Choices website Report on community and hospital provision Consultation with key stakeholders Third party narratives

3. 2012/13 Quality Account 3 key priorities Patient Safety Effectiveness of care Experience

4. Consultation Patients & staff Governors Health scrutiny committees LINks Commissioner Other stakeholders

5. 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

7. Telehealth EWS

8. The Patient Voice

12. CQC Quality Risk Profile

13. 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 Green1062086 2 (R18) Consent to care and treatmentHigh Green 505 4 (R9) Care and welfare of people who use servicesLow NeutralLow Green18220162 5 (R14) Meeting nutritional needsLow Neutral 21615 6 (R24) Cooperating with other providersHigh GreenLow Green11110 7 (R11) Safeguarding people who use services from abuse Insufficient Data 101 8 (R12) Cleanliness and infection controlLow NeutralHigh Green63459 9 (R13) Management of medicinesLow Neutral 140 10 (R15) Safety and suitability of premisesLow GreenLow Neutral46244 11 (R16) Safety, availability and suitability of equipmentLow Neutral 13112 (R21) Requirements relating to workersLow Green 505 13 (R22) StaffingLow Green 300 14 (R23) Supporting staffLow Green 620 16 (R10) Assessing and monitoring the quality of service provisionLow Green 400 17 (R19) ComplaintsLow Green 808 21 (R20) RecordsLow Green 660 November 2011data

14. Anticipated 2013/14 timescales April final draft* available for comment Early May deadline for response to draft * Data to end March will be included

15. Lessons from last year Use of ‘you said, we did’ worked well Easy-read version received well Anything else?

16. Next year’s priorities

17. 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

18. Safety Effectiveness Patient experience Your priorities

19. Quality account and annual report; consultation We aim to consult widely – once all suggestions received, we will feed back priorities for 2013/14