Our Passion, Your Care. Quality Account 2017/18 the Ipswich Hospital NHS Trust—Quality Account 2017/18
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Our Passion, Your Care. Quality Account 2017/18 The Ipswich Hospital NHS Trust—Quality Account 2017/18 Contents Part 1 - Statement on quality Chief Executive’s commentary .................................................................. .3 Who was involved in the Trust services ………...…………………………………………………………4 development of our Quality Account? Part 2 - Priorities for improvement and statements of assurance The Trust consulted with the 2017/18 quality improvement priorities ................................................. .6 following in the development of Patient Safety Priority: To continue to develop services to support its Quality Account and the patients who are elderly and frail ............................................................... .6 content within: Clinical Effectiveness Priority: To continue to improve our care to our commissioners, Ipswich those at the end of their life and support patients who have limited and East Suffolk Clinical treatment options ...................................................................................... .7 Commissioning Group; Patient Experience Priority: To avoid delays in transfers of care of a patient from hospital or community beds to other care environments ... .8 Suffolk Health & Wellbeing Patient Experience Priority: To continue to expand our dementia- Board; friendly environment ................................................................................. .9 Healthwatch Suffolk; and Patient Experience Priority: Work with clinical partners to identify staff, volunteers, carers and the most appropriate service for children and young people needing members of the public. unplanned medical advice or care ............................................................ 10 Quality improvement priorities for 2018/19 ........................................... 11 The Ipswich Hospital NHS Trust Provided and sub-contracted services ...................................................... 14 would like to thank those who Participation in clinical audit ...................................................................... 15 contributed to the development Participation in clinical research ................................................................ 21 and publication of this Quality Account. Monitoring quality ...................................................................................... 23 How healthcare is regulated ...................................................................... 25 Statements relating to the quality of relevant health services provided .. 27 NHS number and General Medical Practice Code validity ........................ 27 Information Governance Toolkit attainment levels .................................... 27 Clinical coding ........................................................................................... 27 Data quality ............................................................................................... 27 Core Quality Indicators ........................................................................... 28 Part 3 - Other information Patient safety ........................................................................................... .35 Infection prevention and control ................................................................ .35 Prevention and treatment of pressure ulcers ............................................ .38 Learning from Incidents, SIRIs and Never Events .................................... .40 Prevention of patient falls .......................................................................... .42 Clinical effectiveness .............................................................................. .44 Emergency Care ...................................................................................... .44 Summary Hospital-level Mortality Indicator (SHMI) ................................... .45 Review of Hospital deaths ......................................................................... .48 Patient experience .................................................................................. .49 Improving the patient and carer experience .............................................. .49 Measuring and reporting the patient experience ....................................... .56 Patient and public involvement, community engagement and patient feedback .................................................................................................... .62 Learning from complaints ......................................................................... .67 Patient-Led Assessment of the Care Environment (PLACE) ..................... .70 Workforce ................................................................................................ .74 Education and training for staff .................................................................. .83 Statements from key stakeholders ........................................................ .88 Our front cover shows team Statement of assurance from the Board of Directors .......................... .90 members from the Reactive Glossary ................................................................................................... .91 Emergency Assessment Appendix A - Limited Assurance Report ............................................... .92 Community Team (REACT). How to provide feedback on the Quality Account ...................................... .95 2 The Ipswich Hospital NHS Trust—Quality Account 2017/18 Part 1 - Statement on quality Chief Executive’s commentary This is our account to you about the quality of services provided by The Ipswich Hospital NHS Trust in 2017/18. It looks back at our performance over the last year and gives details of our priorities for improvement in 2018/19. What matters to patients is the care provide seamless services giving Improvement, the new Trust will be and compassion they receive in professionals opportunities to work called the East Suffolk and North those moments when they most collaboratively while sharing good Essex NHS Foundation Trust. need it. There are hundreds of practice and avoiding duplication. Further information about our people who work behind the partnership with Colchester can be scenes to make sure that happens I continue to lead the local found at every day, making sure our Sustainability and Transformation www.colchesteripswich.org buildings are safe and warm, and Plan (STP) for Suffolk and North that care is delivered in the right East Essex. Over time, this will The Trust is registered without place at the right time. People deliver the significant changes conditions by the Care Quality making sure our systems and needed to allow the system to Commission (CQC) from 1 April processes work, and that patients manage the increasing demand. 2010 when the current system of are kept informed about their The ambition of the STP process is regulation became law. The CQC care. People who often go to align services and resources so visited the Trust between August unnoticed but who are as important that by working differently, we will and October 2017, and awarded to the patients as the clinician in find a way to manage the the Trust an overall rating of front of them. increasing demand on health and ‘Good’. More details on our care services. We will work inspection can be found on pages This year has been one in which together to improve safety and 25 and 26. we have seen the organisation quality of care, and use technology continue to deliver good to save patients and carers I remain grateful to our many performance despite some journeys to hospital when they can partners for their contributions to significant challenges. Our staff be seen more conveniently closer the services we manage. We have once again demonstrated to home. could not deliver the high quality of tremendous effort, motivation and care of which we are rightly proud energy to ensure we achieve our After many months of work we without the support of health, ambitions, and I thank them all for developed a business case which social care and voluntary their hard work. reviewed the various options organisations throughout the town available to Ipswich and and county. We remain an innovative forward- Colchester hospitals in the thinking organisation, always future. The recommendation was To the best of my knowledge, looking for ways to improve our that we form a single combined the information contained in this services. In October 2017 we organisation with fully integrated Quality Account is accurate. commenced a seven-year contract clinical services. In August 2017 for NHS community services, which we held a meeting in public of the means we can continue to focus on boards of The Ipswich Hospital patients in their home areas and at NHS Trust and Colchester Hospital the same time tackle rising University NHS Foundation Trust demands on doctors, nurses and to discuss how to take forward our health professionals’ time. We partnership and hear the views of have established an alliance in our community. Since then, we Nick Hulme Ipswich and east Suffolk have held a number of meetings Chief Executive comprising Ipswich Hospital NHS with local communities and staff Trust, Norfolk and Suffolk NHS giving people the opportunity to Foundation Trust, Suffolk County ask questions and raise any Council and the GP concerns about the merger they Federation. The community may have. The full business case services contract is the first (FBC) was considered by both important step for our health and Trust Boards at a joint Board social