Quality Accounts 2012-2013; moving forward together

Barbara Carr, Assistant Director of Nursing, Quality and Public and Patient Involvement

September 2012

Quality accounts 2012/13

• Published and available on NHS Choices website

• Report on community and hospital provision

• Consultation with key stakeholders

• Third party narratives

2012/13 Quality Account• 3 key priorities

• Patient Safety

• Effectiveness of care

• Experience

Consultation

• Patients & staff• Governors• Health scrutiny

committees• LINks• Commissioner• Other stakeholders

Criteria Acute service provider Community service provider

1. Patient safety Reduce 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 care Patient experience surveys

Discharge information

Roll out use of tough-books

3. Patient experience Dementia screening Carers diary to be introduced for end of life care in the community

3 Key priorities 2012/13

Telehealth EWS

The Patient Voice

CQC Quality Risk Profile

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 services Low Green High Green 106 20 86

2 (R18) Consent to care and treatment High Green High Green 5 0 5

4 (R9) Care and welfare of people who use services Low Neutral Low Green 182 20 162

5 (R14) Meeting nutritional needs Low Neutral Low Neutral 21 6 15

6 (R24) Cooperating with other providers High Green Low Green 11 1 10

7 (R11) Safeguarding people who use services from abuse

Insufficient Data

Insufficient Data 1 0 1

8 (R12) Cleanliness and infection control Low Neutral High Green 63 4 59

9 (R13) Management of medicines Low Neutral Low Neutral 14 0 14

10 (R15) Safety and suitability of premises Low Green Low Neutral 46 2 44

11 (R16) Safety, availability and suitability of equipment Low Neutral Low Neutral 13 1 12

12 (R21) Requirements relating to workers Low Green Low Green 5 0 5

13 (R22) Staffing Low Green Low Green 30 0 30

14 (R23) Supporting staff Low Green Low Green 62 0 62

16 (R10) Assessing and monitoring the quality of service provision Low Green Low Green 40 0 40

17 (R19) Complaints Low Green Low Green 8 0 8

21 (R20) Records Low Green Low Green 66 0 66

November 2011data

Anticipated 2013/14 timescales

• April final draft* available for comment

• Early May deadline for response to draft

* Data to end March will be included

Lessons from last year

• Use of ‘you said, we did’ worked well

• Easy-read version received well

Anything else?

Next year’s priorities

• 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

• Safety

• Effectiveness

• Patient experience

Your priorities

Quality account and annual report; consultation

We aim to consult widely – once all suggestions received, we will feed back priorities for 2013/14