Ward / Department / Team: Forensic Rehabilitation

Leading Better Care

Sharing Good Practice

NHS Board:

Details of Improvement: What was the particular problem that this case study is about?

Regular clinical audits to monitor clinical effectiveness.

How was this identified?

The introduction of Leading Better Care and the SCN roles and responsibilities.

What were the implemented improvements (what tools/techniques did you use)?

Use of the PDSA Cycle to learn from audit results and expected standard in line with local Clinical Effectiveness Team and NMC Standards. Regular staff meetings, audit reports and results shared with staff group to raise greater awareness of clinical effectiveness. CQI Monitoring Nursing Records Audits Risk Profile Audits Infection Prevention & Control Local Audits/Unannounced Audits

What is the situation now?

Regular auditing of various systems and processes with the results displayed to ensure team awareness, also to show areas of improvement achieved. This is supported by external clinical effectiveness record keeping audit which aids with transparency. . How is the change sustainable?

Timetabled auditing to ensure all staff are aware of the ongoing clinical audits; this aids consistency in record keeping and supports a culture of audit cycle through PDSA.

Measurable outcomes

What are the patient benefits?

Greater involvement in care and recovery goals, results of audits displayed to enable discussion with all stakeholders.

What are the staff benefits?

Greater awareness regarding the importance of the audit cycle, able to see results, focus attention on areas required whilst also gaining positive feedback. What are the organisational benefits?

Implementation of CQI’s appropriate to area, ongoing monitoring of clinical effectiveness. . How did staff feel before the improvement/during the improvement and after the improvement?

Before – unaware of clinical audit results, possible fear of negative inspection/audit results. During – some concerns regarding displaying of results, results displayed in a team format protecting individual public identity. After – Greater awareness of ongoing clinical effectiveness and audit process, staff group keener to take lead roles.

What are the lessons learnt and what would you do differently next time?

Ongoing clinical effectiveness audit process helped galvanise a team after the initial introductory phase. Displaying results also had a positive outcome with staff able to recognise improvements and take pride in results.

What plans are there to spread the improvement?

The PDSA Cycle and audit cycle can be used formally and informally and is a good way of maintaining motivation – to maintain, monitor and improve clinical outcomes. Offer support to other areas re monitoring process.

. Contact information for case study

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