Calderdale and Huddersfield NHS Foundation Trust has a strong track record for delivering high quality and good value patient care. Every year we draw up a list of healthcare areas which we as a healthcare community would like to improve upon. We then ask you, our members, to vote on what you feel our improvement priorities should be ... and 2020 is no exception.
As our members this is your opportunity to let us know your views and we've drawn up a shortlist of options for you under the three headings of Effectiveness, Safety and Experience.
We focus on these priorities and at the end of every year our performance in these areas is measured. The results of our progress are written up into our Quality Account and this Quality Account is published in our annual report.
Here is the list of suggested priorities we would like you to choose from for the coming year. We would like you to select three priorities, one from each of the categories - Effectiveness, Safety and Experience.
Please respond by Wednesday 19 February 2020 to ensure your views are taken into consideration.
Effective: Improve staff handovers to ensure they routinely refer to the psychological and emotional needs of patients, as well as their relatives / carers;
Our mental health influences our physical health. It influences our capability to lead a healthy lifestyle and to manage and recover from physical health conditions, particularly long-term conditions.
Our focus for this quality priority relates to:
- How the Multi-Disciplinary Team will review the handover of patient care between teams of staff so we can ensure that our patients receive high quality, individualised care throughout their hospital stay;
- The focus on handover supports a shared and effective approach to the holistic patient pathway and the identification of risk factors which supports effective signposting and onward referral to specialist services.
Effective: Ward Moves - Reduce the number of patients who have multiple ward moves
Moving patients from one ward to another either for non-clinical reasons or to outlie is shown to have a negative outcome on patients including increasing their length of stay, increasing the risk of readmission and the development of medical complications including healthcare acquired infections and blood clots. This priority is in the interest of both hospitals and patients to ensure that we do not move patients around in an ad-hoc manner to solve bed shortages but we carefully plan this and ensure care is continued.
Our focus for this quality priority is to develop the patient flow team whereby we will:
- aim to review the required departments and staff groups in and outside of the hospital that need to attend the bed meetings;
- The 12-noon bed meeting will include partners in the Community and Social Care alongside the Divisional and Departmental representation;
- Each discipline will be able to share their assessments and interventions to deliver effective and responsive patient care. The aim of this is to ensure that if there is a need to outlie patients it is undertaken in a measured and safe way.
Safe: Falls - Reducing the number of inpatient falls in hospital will improve the patient experience, reduce length of stay and improve patient outcomes with the added benefit of decreasing the cost of caring for our patients – in hospital and in the community.
‘Falls among inpatients are the most frequently reported safety incident in NHS hospitals. 30-50% of falls result in some physical injury and fractures occur in 1-3% of falls. No fall is harmless with psychological sequelae leading to loss of confidence, delays in functional recovery and prolonged hospitalisation’.
The NHS has recognised the importance of falls through its national clinical quality improvement target and has placed the assessment of patients who may fall as a priority.
There are three objectives to the assessment process that we as a Trust need to embed and strengthen; these are lying and standing blood pressure, mobility assessment and medication reviews.
- As a Trust the focus for all the teams is to embed and support the NHS clinical improvement agenda as well as our own quality priority.
Safe: Learning lessons to improve patient experience.
We all want our care to be safe. As a patient you want to feel safe and have a positive experience when you are under the care of the Trust. One of the ways we can try and ensure that what we do is based upon best practice and safety is to learn from when things go wrong.
Our focus for this quality priority is to be more innovative in our approach by developing:
- an interactive Learning Portal which will provide staff with useful learning resources, such as powerful real-life patient experiences to understand the emotional and physical impact;
- a fully illustrated staff guide on how to identify learning and more importantly what to do with it when there has been a problem.
Experience: Space for patients/family and staff to care for patients living with dementia. A space such as a reminiscence room with music, art etc to help distract from being in a different environment.
We know that dementia is a significant challenge and a key priority for the NHS with an estimated 25% of acute beds occupied by people with dementia. We know that when people with dementia come into acute care their length of stay is longer than people without dementia.
Our focus for this quality priority will be to undertake several actions - we aim to scope the requirement for the room through a review of best practice and go see opportunities; consider whether a separate room is required, or if an existing day room can be refurbished to act as a room for:
- social activities
- a quiet space for calming distressed patients/a therapeutic and calming place for patients
- Work with service users to co-design the layout, decoration and furnishing
- Identify opportunities for local fund raising
Experience: Improved resources for distressed relatives/breaking bad news relating to End of Life Care (EOLC) – e.g. relatives’ rooms, relatives' camp beds etc.
Providing compassionate care for our end of life care patients is seen as a high priority for the Trust. When a patient is dying, the care and compassion the relatives receive is critical to how we wish to work and behave.
Currently when breaking bad news to relatives and patients, it can be a struggle to find an appropriate place to hold these conversations. It is often carried out in the ward sister’s office where interruptions can happen.
When the patient is in their last days and hours of life relatives may wish to stay at the bedside next to their loved one. We currently have four camp beds on each hospital site for this eventuality, but this doesn’t always meet the need.
Our focus for this quality priority is to:
- Scope out areas at both Hospitals, for example floors at CRH to find available free rooms that ward areas could use and share;
- Decorate (if needed) and buy comfortable furniture so that they can be used to provide a more comfortable and supportive place to have these discussions.
- Look to purchasing two more glide away beds for relatives to sleep on
Please think about which of the priorities you would like us to focus on, then follow this link to vote: https://www.cht.nhs.uk/about-us/quality-account/
Don't forget, the deadline is Wednesday 19 February.
Thank you for your time and support.