Norfolk Community Health and Care Sign up to Safety Improvement Year 1 Plan

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1 Norfolk Community Health and Care Sign up to Safety Improvement Year 1 Plan

2 Our Vision Norfolk Community Health and Care NHS Trust (NCH&C) vision is to improve the quality of people s lives, in their homes and community by providing the best in integrated health and social care. We often sum this up as looking after you locally The principles of the Sign up to Safety Campaign are linked to the organisation's Quality Improvement Strategy 2014/16. The purpose of the Quality Improvement Strategy is to set out the Trust s vision and approach to safety and quality, over the next two years, in order to contribute to the Trust s strategic objectives. It supports NCH&C as a provider of high quality healthcare that is safe, effective, caring, responsive, well-led and above all patient focused. It also describes how the Trust works to sustain consistent compliance with national standards for the NHS as defined by the Care Quality Commission (CQC) and delivers against relevant national quality standards as defined by the National Institute of Health & Clinical Excellence (NICE).

3 Quality Improvement Strategy The key drivers of the Quality Improvement Strategy are: The organisation s Quality Goals Quality Improvement Initiatives ie preventative programme Commissioning for Quality and Innovation (CQuIN) indicators The four harms: Pressure Ulcers Injurious falls Catheter-acquired urinary tract infections (CAUTI) Venous Thrombo-embolism (VTE) These schemes form the basis of our Signup to Safety Pledges which will be monitored by the Quality Leads meeting and provide assurance to the Board via the Quality and Risk Assurance Committee.

4 Sign up to Safety Pledges: 1. NHS England pledge: Putting safety first: Commit to reduce avoidable harm in the by half and make public our locally developed goals and plans. NCH&C Pledge: We will continue to reduce the number of patients who are harmed within our care. 2. NHS England pledge: Continually learning: Make our organisation more resilient to risks, by acting on the feedback from patients and staff and by constantly measuring and monitoring how safe our services are (NHS England). NCH&C Pledge: We will actively learn from our complaints and incidents.

5 Sign up to Safety Pledges 3. NHS England pledge: Being honest: Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong NCH&C Pledge: We will support staff to implement our Duty of Candour policy

6 Sign up to Safety Pledges: 4. NHS England pledge: Collaborating: Take a lead role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use NCH&C Pledge: We will involve patients and service users in service re-design. 5. NHS England pledge: Being supportive: Help our people understand why things go wrong and how to put them right. Give them the time and support to improve and celebrate progress NCH&C Pledge: We will develop a bespoke clinical leadership programme to support our ward managers and services leads.

7 Pledge 1:Putting safety first: We will continue to reduce the number of patients who are harmed in our care How: We will reduce the main cause of harm to patients in NCH&C 1a) We will reduce the harm caused by Grade 3 and 4 Pressure Ulcers by: To review the effectiveness of Waterlow or alternative tool Reviewing staff responsibilities for assessing pressure area care and timing of interventions Reviewing the training package to ensure consistent assessment and treatment of pressure ulcers. Revising the Pressure Ulcer Management policy 1b) We will reduce the harm caused by injurious falls by: Developing the falls reporting and validation process to provide benchmarking figures for year 2 (2016/17). Review the falls RCAs and Datix questions to be able to decide if the falls were avoidable or unavoidable. Review the Falls management procedures and policy.

8 Pledge 2. Continually learning: We will actively learn from our complaints and incidents. How: We will ensure we have a robust process in place to learn from our complaints and incidents to improve the quality of care.

9 Pledge 3: Being Honest We will support our staff to implement the Duty of Candour How: We will ensure that patients (carers/relatives) are aware when things have gone wrong in relation to their care and treatment and provide a explanation and an apology.

10 Pledge 4: Collaborating We will involve patients and service users in service re-design How: We will lead, deliver and formal review specific involvement projects in line with requirements for NCH&C transformation and wider service change, ensuring Complaints and Service re-design are used to identify priority areas. We will develop a patient experience and involvement toolkit for services to use at a local level We will maintain, review and share a patient involvement in service redesign database ensuring good practice models are replicated

11 Pledge 5: Being Supportive We will develop a bespoke care leadership programme to support our ward managers and service leads. How: Following a study with trusts the TDA identified key areas of development for our ward managers and key service leads. We will develop a bespoke training and support package for our staff with a view to developing leadership by 2016.

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