Throughout 2014/2015 we have made good progress; progress which has ..... Quality is only achieved if all three of these
Warrington and Halton Hospitals NHS Foundation Trust
Quality Account 2014-2015
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Contents Quality Account Part 1 - Statement of quality from the Chief Executive
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Part 2 - Improvement priorities & Statement of Assurance 2.1 Improvement priorities 2.2 Statements of Assurance from the Board 2.3 Core Quality Indicators 2014/2015
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Part 3 - Trust overview of quality 3.1 Introduction – Patient Safety, Clinical Effectiveness & Patient Experience 3.2 Patient Safety 3.3 Clinical Effectiveness 3.4 Patient Experience 3.5 Hello my name is…would you like a drink? 3.6 Sign up to Safety 3.7 Lorenzo Electronic Patient Record System 3.8 Staffing Levels 3.9 Speak out Safely 3.10 Performance against key national priorities 3.11 Governor’s visits 3.12 Training & Appraisal 3.13 Quality Report request for External Assurance 3.14 Quality report amendment post submission for 3rd party commentary
Part 4 – Statements 4.1 Statement from Warrington Clinical Commissioning Group 4.2 Statement from Halton Clinical Commissioning Group 4.3 Statement from the Halton Health Policy Performance Board 4.4 Statement from HealthWatch Warrington 4.5 Statement from Warrington Health and Wellbeing OSC 4.6 Statement from HealthWatch Halton 4.7 Statement from the Trust’s Council of Governors
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Annex: Statement of directors’ responsibilities in respect of the quality report 137 Independent Auditor’s Limited Assurance Report
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Appendix – Glossary
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Quality is our number one priority. Our quality report sets out how we have performed against the targets we set last year and what we will achieve in the coming year.
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1. Statement of Quality from the Chief Executive Warrington and Halton Hospitals NHS Foundation Trust is dedicated to creating tomorrow’s healthcare today firstly by the provision of high quality care and clinical excellence which puts the patient at the centre of everything we do and secondly by ensuring we are in the best possible position to respond to the challenges facing the NHS and delivering what our population needs from their NHS.
Mel Pickup, chief executive
This five year vision for the future of our hospitals and our way forward has been established to ensure that we become the most clinically and financially successful integrated healthcare provider in the mid-Mersey region. We have also launched our new Quality Strategy which focuses on three core components: delivering a safe organisation; a clinically effective organisation; and an excellent quality of experience for our patients. The purpose of this strategy is to provide assurance that national and local clinical and quality requirements have been identified and processes and systems are in place to implement and monitor quality within the trust. The Forget Me Not ward opened at the hospital at the end of May 2014 and the feedback has been excellent from patients, visitors and staff alike. The ward features a number of innovative design features including its own mock bus stop, lounge area with traditional looking fireplace, quiet room with a 1960s style TV and a special dementia garden area. We welcome this opportunity of demonstrating through our Quality Report to patients, their families and the wider public the relentless focus that the trust has on continuously improving the quality of our services. Throughout 2014/2015 we have made good progress; progress which has largely been achieved as a result of the hard work, commitment and dedication of every single member of staff. We have continued to see and treat an increasing number of patients with more complex needs on both an elective and non-elective basis. However as more people attend, more people are required to care for them. This in turn has created significant financial and operational pressure for the trust and thus impacted upon our ability to deliver the full £11.9m savings plan.
Throughout 2014/2015 we have made good progress and have had a relentless focus on improvement.
The trust has been in contact with Monitor – the regulator for Foundation Trusts – on a regular basis to ensure that they are fully aware of the increasing challenges and levels of risk faced by us. The trust has reforecast its financial plan, and we have informed Monitor of a revised forecast of a potential full year deficit of £5.88m. The trust welcomes the announcement that Monitor has opened an investigation to look into our financial position after declaring a larger than expected deficit plan for the current financial year. Monitor released figures in quarter three last year that showed that 31 of the 38 trusts across the country of comparable size to this trust are in deficit this financial year. The regulator’s investigation will seek to understand why our finances have changed and the plan to improve them. It will also examine how we are working with other local NHS bodies to address the problems. Clearly, 2014-2015 has been a challenging year for the trust but we have worked hard to ensure that the patients we support get the right care, when they need it, at the right time on the most suitable site. Reducing the incidence of pressure ulcers continued as an improvement priority for 2014/2015
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and the trust achieved all stated measures and is pleased to report a 41% reduction in grade 2 pressure ulcers and a slight reduction in grade 3 pressure ulcers from 6 cases in 2013/14 to 5 cases in 2014/15 with zero incidence of grade 4 pressure ulcers. Our intention is to eradicate the incidence of pressure ulcers so the trust will continue to monitor this important area of care as a quality indicator for 2015/2016. During 2014/2015 the trust also identified pressure ulcers as a Sign up to Safety goal. Sign up to Safety aims to deliver harm free care for every patient, every time, everywhere. It champions openness and honesty and supports everyone to improve the safety of patients. Sign up to Safety’s three year objective is to reduce avoidable harm by 50% and save 6,000 lives across the NHS. The trust articulated an objective to achieve a 30% reduction in all grades of pressure ulcers by 2017. The trust is pleased to report that it has met this sign up to safety objective for pressure ulcers by the end of year one with a 39.83% reduction in all pressure ulcers.
We’re pleased to report a 39.83% reduction in all forms of pressure ulcers this year.
During 2014/2015 we also established an improvement priority to reduce a reduction for falls resulting in moderate - catastrophic harm by 10% which equates to
