CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/07/2013 to 30/09/2013

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/07/2013 to 30/09/2013"

Transcription

1 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 1/7/213 to 3/9/213

2

3 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 1. Introduction On a quarterly basis, aggregation of Complaints, Litigation, Incidents, PALS and Safeguarding referrals reported on our Risk Management System (Safeguard), is completed to determine the corporate themes and key issues. The purpose of this paper is to report the Quarter 2 213/14 position on aggregated CLIPS, identify themes and action being taken and to recommend any further remedial work that may be required. 2. Executive Summary As in previous quarters, the categories of adverse event most likely to arise across all CLIPS are those involving diagnosis and inadequate care/treatment. The latter show a trend associated with delays in treatment, capacity and transfer arrangements. As in the previous quarter, there are trends across most CLIPS in Accident and Emergency, Trauma and Orthopaedics and General Surgery. In addition, Imaging services also features across incidents and informal complaints, although unlike Q1, there are no new claims. The notable increase in complaints received relating to AMU in the previous quarters has persisted into Q2. Pressure Ulcers categorised as severity 2, or 3 have been identified in lower numbers compared to the previous quarter. However, there were 4 category 4 pressure ulcers compared with 3 and 2 in the respective 2 previous quarters. Wounds, transfer and equipment related incidents are the most frequently reported incident. The increase is due mainly to incident reports being made of staff being unable to obtain falls prevention equipment of low rise beds and alarms. Falls continue to be reported in high numbers, occurring most frequently in MLTC. However, the overall numbers continue to reduce, with an 18% decrease from the last quarter. There was one fall resulting in catastrophic harm. There have been 36 Serious Incidents reported compared with the previous quarter when there were 28. There were no National Never Events. There was one complaints alleging major harm has been caused by inadequate treatment compared with 5 in the previous quarter. There has been one new claim with the potential for resulting in a significant compensation award. A range of improvement work-streams continue to be implemented, particularly in relation to pressure ulcers, falls, documentation, nutritional care, intravenous fluids and fluid balance. 3. CLIP Totals Total numbers of New Formal Complaints, Clinical Negligence Claims, Incidents and Informal Complaints Date Range Formal Complaints Informal Complaints Incidents Clinical Negligence From 1/7/213 to 3/9/ Corporate Themes Corporate Theme Formal Complaint Informal Complaint Incidents Clinical Negligence Claims Other Admission/Discharge/Transfer Communication & Attitude Diagnosis Equipment Health Records Page 3 of 21

4 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) Inadequate Care /Treatment Infection Control 66 Manual Handling 9 Medication Errors Patient Falls Pressure Ulcers 82 Staff/Visitor Accident 68 Staffing Violence & Aggression Page 4 of 21

5 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) During Q2 213/14, the trend picture was similar to Q1 213/14 with themes across all CLIPS including: - Diagnosis issues - Inadequate Care/Treatment - Communication failure - Admission/Discharge and Transfer The category of adverse event most likely to arise across all CLIPS is inadequate care/treatment. During Q2 there were 34 issues reported compared to 317 in Q1. There are a range of issues arising from CLIPS involving inadequate care and treatment Inadequate nursing or medical care Delay in providing care or treatment Inadequate vital signs monitoring. Diagnosis issues continue to feature in all CLIPS, however whilst there has been a notable increase of 5% within incident reporting, there has been a similar percentage reduction for diagnosis related claims during this Q2. There has been an increase in complaints and incidents involving: - Admission, Discharge and Transfer - Staffing The following table details the Corporate themes by Division. It should be noted that these figures are influenced by the higher levels of incident reporting in MLTC and WCCSS. Further discussion is contained in the sections on individual CLIPS. Page 5 of 21

6 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 5. Corporate Themes by Division Womens, Childrens and Clinical Support Services Surgery Medicine and Long Term Conditions Estates and Facilities Other Admission/Discharge/Transfer Communication & Attitude Diagnosis Equipment Health Records Inadequate Care /Treatment Infection Control Manual Handling 3 6 Medication Errors Patient Falls Pressure Ulcers 3 79 Staff/Visitor Accident Staffing Violence & Aggression Incident by Category Type Total Clinical Incident 216 Maternity Managed Event 22 Violence & Aggression 15 Non Clinical Incident 133 Report An Accident/Near Miss A 94 Security Incidents - Security 1 Page 6 of 21

7 6.2 Incidents by Category & Actual Harm Moderate No Minor Major Death Near Harm Miss - Near Miss 1 - No Harm 2 - Minor 3 - Moderate 4 - Major 5 - Death Admission Antimicrobial 1 Attitude Blood/fluid Administration Breach In Policy/procedure Burns/Scalds 4 C-Difficile Clinical Care/assessment/treat Communication Consent 3 Contact With Hazardous Substan 2 1 Cuts & Abrasions 6 Data Protection - Security Bre Diagnosis Discharge Discriminatory Abuse 2 1 Environment Equipment Fire Or False Alarm 1 1 Food Stuff Contamination 1 Fraud 1 Health Records Hit By Falling/moving Object 1 9 Impact With Stationary Object Infection Control Investigations Lost Property Manual Handling Medical Emergencies & Cardiac Medication Error Needles And Sharps Non-Compliance Operative Procedures Patient Fall Pregnancy & Birth (Managed) Pregnancy/birth 1 3 Pressure Ulcers Radiation (Patients & Public) Page 7 of 21

8 Referrals Security Breach - Physical Sec Security Related Incidents 1 Slips/trips/falls (Staff And V Specimen Handling Staffing Theft Transfer Unauthorised Access To It Syst 2 1 Unauthorised Access To Pt Reco 1 Unexpected Death Vandalism 2 Violence/aggression Wounds Most frequently reported incidents include Admission/Discharge/Transfer Falls Staffing Equipment Communication Incidents causing moderate to catastrophic harm are more likely to involve: Inadequate patient care/treatment The most frequently reported incident in this category relates predominately to capacity and transfer of care between wards. These incidents continue to be monitored by the Divisions. Pressure ulcers Pressure ulcer incidence is monitored closely across the organisation and remedial action progress considered in a monthly report to the Board. Last quarter, incidence of category 2 pressure ulcers showed a significant improvement, from 66 in Q1 213/14 to 49 in Q2. The more serious ulcers are developing in lower numbers in hospital, overall the numbers are similar. It should be noted that this report includes category 1 pressure ulcers which are not included in the monthly performance and quality reports. During Q1, these incidents decreased from 42 in Q1 to 18 in Q2 (57% reduction). Patient Falls Patient falls incidence is subject to close monitoring across the organisation, with remedial action considered by the Board on a monthly basis. Last quarter, there was a significant improvement in the total number of falls reported (2% reduction on Q1), in addition falls causing actual harm decreased by 5%. Staffing issues Staffing issues are most frequently reported by Delivery Suite. 2 incidents were reported as causing minor or moderate harm, compared with 17 in the previous quarter. Admission, discharge and transfer Admission - delays in providing a bed for specifically surgical and gynaecological specialities Discharge - delays in receiving medication and non-timely completion of electronic dicharges Transfer - Theatres reported an increased number of incidents relating to lack of post-operative surgical beds. Unexpected death There were 7 incidents relating to unexpected deaths. 6 cases were obstetric incidents and have been investigated through the Perinatal Mortality and Morbidity forum. The remaining case was an adult death which has undergone a Serious Incident Investigation. Page 8 of 21

9 Wounds Transfer Staffing Patient Violence/aggression Communication Clinical Equipment Medication Health Pressure Breach Investigations Infection Admission Discharge Data Non-Compliance Diagnosis Slips/trips/falls Operative Referrals Needles Specimen Blood/fluid Lost Attitude Radiation Environment Impact Hit Unexpected C-Difficile Manual Theft Medical Cuts Burns/Scalds Pregnancy/birth Consent Contact Discriminatory Fire Vandalism Antimicrobial Food Fraud Security Unauthorised By Or Property & Protection Stuff Falling/moving Records Handling Abrasions False Emergencies With Control Related And Breach Ulcers Procedures (Patients Policy/procedure Contamination Administration & Error Death Stationary Sharps Hazardous Birth Alarm Access Abuse (Staff - Incidents Security Physical & And To & It Wounds Transfer Staffing Patient Violence/aggression Communication Clinical Equipment Medication Health Pressure Breach Investigations Infection Admission Discharge Data Non-Compliance Diagnosis Slips/trips/falls Operative Referrals Needles Specimen Blood/fluid Lost Attitude Radiation Environment Impact Hit Unexpected C-Difficile Manual Theft Medical Cuts Burns/Scalds Pregnancy/birth Consent Contact Discriminatory Fire Vandalism Antimicrobial Food Fraud Security Unauthorised By Or Property Protection & Stuff Falling/moving Records Handling Abrasions False With Control Breach And Related Ulcers (Patients & Error Death Sharps Birth Alarm (Staff - Wounds Transfer Staffing Patient Violence/aggr Communicati Clinical Equipment Medication Health Pressure Breach Investigations Infection Admission Discharge Data Non-Complia Diagnosis Slips/trips/falls Operative Referrals Needles Specimen Blood/fluid Lost Attitude Radiation Environment Impact Hit Unexpected C-Difficile Manual Theft Medical Cuts Burns/Scalds Pregnancy/bir Consent Contact Discriminatory Fire Vandalism Antimicrobial Food Fraud Security Unauthorised By Or Property & Stuff False Fall With And & Incidents by Division and Category (Top Ten) 6.4 Incidents by Actual Harm and Division By Division, incidents have occurred in the following proportions: Division Q2 (213/14) Q1 (213/14) MLTC 43% 49% WCCSS 31% 28% SURGERY 25% 21% COMMERCIAL.6%.2% CORPORATE.4%.7% Historically, MLTC has consistently reported the highest number of incidents each month, equating to approximately half of all incidents, however during this quarter there has been a reduction from 49% to 43%. Surgery incident reporting has increased steadily over the previous 2 quarters, following successful promotional campaigns. The Division reporting incidents that are causing the most harm to patients is MLTC, this being influenced by the incidence of pressure ulcers, falls and other wounds. Other than these incidents: - Falls are more frequently reported in MLTC - Staffing issues are reported more frequently in WCCSS and MLTC - Equipment issues more frequently reported in MLTC and surgery - Medication errors were most frequently reported in MLTC

10 6.5 Incidents by Ward/Department - As in previous quarters, Ward 27 (Delivery Suite) continues to report the most incidents. This is mainly attributable to the numbers of incidents reported where an unavoidable complication of pregnancy occurred, but was managed according to protocol or guidance. Delivery Suite also report high numbers of staffing issues. - Theatres continue to report transfer incidents at increased levels relating to lack of beds for patients' recovering from surgical procedures. - Accident & Emergency most frequently report clinical care, treatment and assessment incidents, a continuing trend from Q1. - Patient's Own Home incidents have increased this quarter with approximate 5% of incidents being attributed to wounds identified on admission to hospital. - Imaging department continues to feature in the top 1 for the third quarter with increased reporting in relation to patients' delays for investigative procedures due to lack of portering staff. - Ward 3 has increased reporting levels relating to patient falls and decolonisation issues. - Ward 12 trend predominantly relates to lack of low rise beds. - Ward 16 continue to report wounds, falls and equipment incidents. - Ward 15 reports patient falls and equipment related issues. - Ward 14 main trends are wounds and patient falls.

11 6.6 Serious Incidents 36 incidents were reported as Serious Incidents to the SHA in Q2. These include: Pressure Ulcers 17 cases were reported which is a significant increase compared to the last quarter when 11 cases were reported. Findings from root cause analyses are considered collectively by the Pressure Ulcer Steering Group and themes used to inform improvement work. Infection control incident 3 incidents were reported. Falls 4 cases were reported compared with 3 cases in the previous quarter. Findings from root cause analyses are considered collectively by the Falls Prevention Steering Group and themes used to inform improvement work. In addition, there is an ongoing programme of weekly audits being carried out in order to gain further insight and new improvement initiatives involving falls prevention education, wider availability of low rise beds and increased 'sitter' provision have now been implemented. Delayed diagnosis 3 cases have been reported relating to a misidentification of patient during CT scanning procedure, 2 cases of failure to diagnose thrombo-embolisms. Obstetric cases 3 obstetric cases were reported - 2 intra-uterine deaths and1 unexpected admission to Neonatal Unit Safeguarding 1 case of accessing maternity service using alias identification details. Unexpected Deaths 2 unexpected deaths have been reported- 1 child death following a triage delay within the A&E department and 1 adult death within the Community - awaiting post-mortem results Information Governance 1 incident was reported involving a member of staff who inadvertently mislaid documentation relating to children's health visiting. Failure in follow-up 2 cases were reported, 1 relating to failure to follow-up within Dermatology speciality and 1 failure to follow protocol during inpatient admission.

12 7. Complaints Type Totals Access 1 Admission 4 Appointments 13 Attitude 16 Clinical Care/assessment/treat 88 Communication 29 Diagnosis 14 Discharge 16 Discriminatory Abuse 1 Environment 6 Equipment 1 Food/beverages 1 Health Records 5 Information 7 Lost Property 2 Medication Error 6 Patient Transport 1 Privacy/dignity 4 Referrals 1 Staffing 3 Transfer 1

13 There were 98 letters of complaint received in Q2 (plus 11 conversions from informal to formal, with 215 themes arising. This is a 23% increase on Q1. The departments most frequently involved were: Accident and Emergency Trauma & Orthopaedics Acute Medical Unit (AMU) There has been an increase in complaints related to maternity care. The most frequently occurring themes in formal complaints continue to concern clinical care/assessment and treatment, with an increase from 61 to 85 themes within the complaint letters. Complaints involving clinical care, assessment and treatment are most commonly being received in relation to care given in Accident and Emergency Surgical specialties particularly Trauma & Orthopaedics Specific focus of the complaints was around: Clinical care, assessment and treatment Appointments Lessons Learned MLTC Induction of junior doctors in A&E to include management of hip pain Leaflet to be given to patients/carers to help with communication regarding Swift Discharge Suite when patients are "stepped up" from A & E. Lead nurse for the Swift Discharge Suite to investigate how "step up" transfer of care is recorded on FUSION in liaison with the surgical/medical teams. Surgery To monitor what student nurses are saying to the patients to ensure that information is not conflicting or misguiding. To highlight risks of remaining un-catheterised effectively to patients if they decline to be catheterised; this is especially relevant when staff are sure this is what is needed for the patient to maintain their safety. To ensure that wards have a bladder scan present on the ward. WCCSS Delivery Suite Team will be having a multi-disciplinary team meeting as a direct result of the complaint to look at the events of care to see if we can do things differently for patients, especially around the issues of communication. Discuss with individual midwife the importance of explaining findings and potential outcomes to patients. Also discuss communication with regards to using appropriate terminology so patient's understand Midwives to report all unusual side effects from epidurals to the anaesthetists. Patient Relations Team Developments Complaints Conference held involving patient stories and investigating officer training. Dr Daniel Poulter MP also participated Engagement with the local patient relations network Staff training has started including the Leadership Academy Foundation Programme. Officers are attending patient forums more widely

14 7.2 Formal Complaints by Category and Division Divisionally, formal complaints are received: WCCSS: 13% Surgery: 4% MLTC : 44% Compared to Q1, there is a proportionate increase in Surgery and decrease in WCCSS and MLTC Table 7.3 provides a breakdown of the top 1 areas receiving the most complaints. The Divisional Quality Teams review all complaints to identify action required against themes within theses areas.

15 7.3 Formal Complaints by Ward/Department 7.4 Formal Complaint Response Times Response to complaint times has not reached the agreed standard of 7% within 3 days, remaining at 46% in Q2. Further initiatives have been implemented to address the failure to meet the standard: The Heads of Nursing are trialling new system where a first draft of the complaint response is compiled as part of their investigation The Heads of Nursing are ensuring availability for early meetings with complainants where it looks like this would resolve the issues quickly (every Thursday) A third member of the complaints team is now drafting formal complaint responses. Allocation of the patient relations team to response drafting is being spread between the backlog and newer complaints 7.5 Serious Complaints There were 33+ moderately severe and major complaints received in Q2, compared with 46 and 5 respectively in the previous quarter. There is a risk of a clinical negligence claim arising from 2 complaints (assessment based on initial letter)

16 8. Informal Complaints Type Total Access 3 Admission 9 Appointments 12 Attitude 26 Clinical Care/assessment/treat 1 Communication 43 Diagnosis 1 Discharge 17 Discriminatory Abuse 1 Environment 3 Equipment 4 Food/beverages 3 Health Records 7 Information 29 Lost Property 1 Medication Error 4 Patient Transport 1 Privacy/dignity 2 Referrals 7 Staffing 1 Transfer 1 Violence/aggression 1

17 8.2 Informal Complaints by Category and Division 13 concerns related to clinical care, assessment and treatment in Q1, a slight decrease from 113 in the previous quarter. Attitude related concerns are being raised in similar numbers to the previous quarter. There has been a 3% reduction in concerns being raised about appointments, redusing form 147 to 12, but still higher than Q4 212/13 (71). Trauma and Orthopaedics, Easi-book and Access are receiving concerns in high numbers. Accident and Emergency receive the most informal complaints, mainly concerned with clinical care, assessment and treatment, followed by Trauma and Orthopaedics, with the most common themes emerging from issues around appointments. Surgery and MLTC continue to see higher numbers of concerns being raised around clinical care, assessment and treatment compared with previous quarters. These are most being received in the highest numbers in relation to: Trauma and Orthopaedics Accident and Emergency Imaging Table 8.3 provides a breakdown of individual areas receiving the most informal complaints. The Divisional Quality Teams review all issues to identify action required against themes within theses areas.

18 8.3 Informal Complaints by Ward/Department

19 9. Clinical Negligence Claims Category Total Clinical Care/assessment/treat 17 Diagnosis 5 Patient Fall 1 Pregnancy/Birth Clinical Negligence Claims by Category and Division There are currently 25 active clinical negligence claims files. 148 of these have been referred to the NHSLA and of this group, 36 are being handled by Trust solicitors. Where a claim has been referred to the NHSLA, the case has progressed to a Formal Letter of Claim or proceedings have been issued. During Q2, 25 new claims were received. Of those received in Q2, there are 2 common themes, consistent with previous periods, quality of clinical treatment provided and diagnosis. In Q2, the specialties receiving most claims are Surgery, Obstetrics & Gynaecology and Trauma and Orthopaedics. Claims related to Accident and Emergency dropped to 2 from 3 last quarter. All claims are assessed as to their merit as soon as they are received and the Divisional Quality teams are provided with reports on activity.

20 9.3 Clinical Negligence Claims by Specialty

21 Serious Claims There has been 1 new obstetric claim with the potential for resulting in a significant compensation award. No specific allegations have yet been made. 9.5 Closed Claims 33 claims closed during Q2: 25 closed with no compensation awarded - these claims closed due to lack of merit. 8 closed with compensation: 2 related to diagnosis 4 related to inadequate care 1 related to consent to treatment The Quality and Safety Committee has been kept abreast with the outcome of closed claims and the action taken to address risk issues via the Board Performance and Quality Report. There are no trends arising from the claims closed in Q4 with regard to specialty or department. 1 Safeguarding 26. Page21 of 21

CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/10/2013 to 31/12/2013

CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/10/2013 to 31/12/2013 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 1/1/213 to 31/12/213 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 1. Introduction On a quarterly basis,

More information

CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/01/2015 to 31/03/2015

CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/01/2015 to 31/03/2015 CLIPS Report (Complaints, Litigation, Incidents, PALS and Safeguarding) 01/01/2015 to 31/03/2015 1. Introduction CLIPS Report (Complaints, Litigation, Incidents, PALS and On a quarterly basis, aggregation

More information

Trust Board 8 May 2014

Trust Board 8 May 2014 Trust Board 8 May 2014 Title of the Paper: Quarter 4 (1 st January 2014 31 st March 2014) CLIPS Report Agenda item: 205/17 Author: Jackie Ardley, Interim Chief Nurse Trust Objective: 1) Achieving continuous

More information

Annual Report on Complaints, PALS, incidents, claims

Annual Report on Complaints, PALS, incidents, claims Annual Report on Complaints, PALS, incidents, claims Trust Board Meeting - Part 1 Item: 9.4 July 31 st 2013 Enclosure: M Purpose of the Report: To provide the Board with assurance around the processes

More information

PALS & Complaints Annual Report 2013 2014

PALS & Complaints Annual Report 2013 2014 PALS & Complaints Annual Report 2013 2014 This report provides a summary of patient complaints received in 2013/14. It includes details of numbers of complaints received during the year, performance in

More information

Safety Improvement Plan. Phao Hewitson Head of Clinical Governance

Safety Improvement Plan. Phao Hewitson Head of Clinical Governance Meeting Trust Board Date 29 th January 2015 ENC No 8 Title of Paper Lead Director Author Sign up to Safety Safety Improvement Plan Amir Khan Medical Director Phao Hewitson Head of Clinical Governance PURPOSE

More information

Sarah Bloomfield - Director of Nursing & Quality. Jackie Harrison - Head of PALS & Complaints

Sarah Bloomfield - Director of Nursing & Quality. Jackie Harrison - Head of PALS & Complaints Reporting to: Trust Board, February 2015 Enclosure 8 Title Q3 Complaints & PALS Report October - December 2014 Sponsoring Director Author(s) Sarah Bloomfield - Director of Nursing & Quality Jackie Harrison

More information

DATE APPROVED: DATE EFFECTIVE: Date of Approval. REFERENCE NO. MOH/04 PAGE: 1 of 7

DATE APPROVED: DATE EFFECTIVE: Date of Approval. REFERENCE NO. MOH/04 PAGE: 1 of 7 SOURCE: Ministry of Health DATE APPROVED: DATE EFFECTIVE: Date of Approval REPLACESPOLICY DATED: 1 POLICY TITLE: Incident/Accident Reporting REFERENCE NO. MOH/04 PAGE: 1 of 7 REVISION DATE(s): Ministry

More information

Review of compliance. Mid Staffordshire NHS Foundation Trust Stafford Hospital. West Midlands. Region:

Review of compliance. Mid Staffordshire NHS Foundation Trust Stafford Hospital. West Midlands. Region: Review of compliance Mid Staffordshire NHS Foundation Trust Stafford Hospital Region: Location address: Type of service: Regulated activities provided: Type of review: West Midlands Mid Staffordshire NHS

More information

Report submitted to: Trust Board Wednesday 25 th July 2012. Martin Emery, Head of Patient Experience Denise Flowers, AD Clinical Governance

Report submitted to: Trust Board Wednesday 25 th July 2012. Martin Emery, Head of Patient Experience Denise Flowers, AD Clinical Governance Southend University Hospital NHS Foundation Trust Board of Directors Meeting Report Agenda item 3/1 Agenda item 3/1 Report submitted to: Trust Board Wednesday 5 th July 1 Title: Complaints Quarter 1 report

More information

Complaints Annual Report 2011/2012

Complaints Annual Report 2011/2012 Complaints Annual Report 2011/2012 This report incorporates complaints handling for Basingstoke and North Hampshire NHS Foundation Trust and Winchester and Eastleigh Healthcare Trust for the period 1 April

More information

Analysis of cases reviewed by the Clinical Risk Team at the State Claims Agency

Analysis of cases reviewed by the Clinical Risk Team at the State Claims Agency SCA Analysis of cases reviewed by the Clinical Risk Team at the State Claims Agency Cases settled and resolved in 0 Anne Marie Oglesby Contents Introduction... Breakdown of Closed Claims Outcomes... Incident

More information

Data Quality Rating BAF Ref Impact on BAF Risk Rating

Data Quality Rating BAF Ref Impact on BAF Risk Rating Board of Directors (Public) Item 6.4 Subject: Annual Review of Complaints Process Date of meeting: 28 th April, 2015 Prepared by: Lisa Gurrell Patient and family support Manager Presented by: Sue Pemberton

More information

Departmental Solicitors Office

Departmental Solicitors Office 323-037f-001 One should not try to deduce solely from the classifications used whether or not there was an absence of care or whether lessons can be learned which would materially have affected what happened.

More information

Patient Complaints Annual Report 2012 2013

Patient Complaints Annual Report 2012 2013 Patient Complaints Annual Report 2012 2013 Executive Summary This report provides a summary of patient complaints received in 2012/13. It includes details of numbers of complaints received during the year,

More information

Complaints Annual Report 2014-15. Author: Sarah Housham, Senior Complaints and PALS Officer

Complaints Annual Report 2014-15. Author: Sarah Housham, Senior Complaints and PALS Officer Complaints Annual Report 2014-15 Author: Sarah Housham, Senior Complaints and PALS Officer 1 Rnoh Complaints Annual Report 2014 / 2015 Complaints Handling & the Principles of Remedy Introduction Complaints

More information

PALS, Complaints, Claims and Incidents Annual Report 2013-14

PALS, Complaints, Claims and Incidents Annual Report 2013-14 PALS, Complaints, Claims and Incidents Annual Report 2013-14 Trust Board Item: 10.7 30 th July 2014 Enclosure: U Purpose of the Report: To provide the Trust Board with assurance around the processes to

More information

EXECUTIVE SUMMARY FRONT SHEET

EXECUTIVE SUMMARY FRONT SHEET EXECUTIVE SUMMARY FRONT SHEET Agenda Item: Meeting: Quality and Safety Forum Date: 09.07.2015 Title: Monthly Board Report- Publication of Nursing and Midwifery Staffing Levels June 2015 Exception Report

More information

REPORT TO THE TRUST BOARD OF DIRECTORS MEETING HELD IN PUBLIC ON 24 FEBRUARY 2015

REPORT TO THE TRUST BOARD OF DIRECTORS MEETING HELD IN PUBLIC ON 24 FEBRUARY 2015 Enc L REPORT TO THE TRUST BOARD OF DIRECTORS MEETING HELD IN PUBLIC ON 24 FEBRUARY 21 INTEGRATED GOVERNANCE REPORT Trust objectives supported by this paper To provide healthcare of the highest standard

More information

Clinical Governance Development Committee October 2007 Dr Foster RTM Alerts Progress Report

Clinical Governance Development Committee October 2007 Dr Foster RTM Alerts Progress Report Clinical Governance Development Committee October 2007 Dr Foster RTM Alerts Progress Report 1. Background Information 1.1. Initial review of the tool in November 2006, and subsequent queries in January

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Royal Free Hospital Urgent Care Centre Royal Free Hospital,

More information

Quality and Safety Report Quarter 2 13/14 Clinical Governance Manager Q2 - July - Sept 2013

Quality and Safety Report Quarter 2 13/14 Clinical Governance Manager Q2 - July - Sept 2013 Quality and Safety Report Quarter 2 13/14 Clinical Governance Manager Q2 - July - Sept 2013 Q21314 Quality and Safety Report - Public Quality and Safety Report Q2 July September 2013 1.0 Patient Safety

More information

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services.

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services. Job Description POSITION: PHYSICIAN RESPONSIBLE TO: CLINICAL DIRECTOR, MEDICAL SERVICES PRINCIPAL OBJECTIVES: 1. To provide medical services to the community served by the South Canterbury District Health

More information

Policy and Procedure for Claims Management

Policy and Procedure for Claims Management Policy and Procedure for Claims Management RESPONSIBLE DIRECTOR: COMMUNICATIONS, PUBLIC ENGAGEMENT AND HUMAN RESOURCES EFFECTIVE FROM: 08/07/10 REVIEW DATE: 01/04/11 To be read in conjunction with: Complaints

More information

Patient Experience Report June 2011

Patient Experience Report June 2011 Patient Experience Report June 2011 Section Page number 1. Patient Experience 2 a) Cumulative Complaints & PALS 2 b) Complaints response times 2 c) Complaints by category 3 d) Litigation 3 e) Inpatient

More information

Project title. The true cost of Clinical Negligence? Rachel Brown. Date Month 2014 17 November 2015. Slater and Gordon Limited 2014

Project title. The true cost of Clinical Negligence? Rachel Brown. Date Month 2014 17 November 2015. Slater and Gordon Limited 2014 Project title The true cost of Clinical Negligence? Date Month 2014 17 November 2015 Rachel Brown 1 The true cost of clinical negligence? To a patient: pain, suffering, loss of amenity. Loss of life, independence,

More information

Risk Management and Patient Safety Evolution and Progress

Risk Management and Patient Safety Evolution and Progress Risk Management and Patient Safety Evolution and Progress Madrid February 2005 Charles Vincent Professor of Clinical Safety Research Department of Surgical Oncology & Technology Imperial College London

More information

DNV Healthcare Maternity Quality and Risk Forum

DNV Healthcare Maternity Quality and Risk Forum DNV Healthcare Maternity Quality and Risk Forum Alison Bartholomew Director of Business Development, Baby Lifeline Training Ltd December 2013 - London Ensuring the healthiest outcome possible from pregnancy

More information

POLICY FOR HANDLING OF CLINICAL NEGLIGENCE CLAIMS

POLICY FOR HANDLING OF CLINICAL NEGLIGENCE CLAIMS POLICY FOR HANDLING OF CLINICAL NEGLIGENCE CLAIMS Date Comments Approved by Oct 07 Updated in line with NHSLA Standards Michaela Morris, Dir. Of Nursing & Operations Oct 09 General update and review. TEC

More information

Hip replacements: Getting it right first time

Hip replacements: Getting it right first time Report by the Comptroller and Auditor General NHS Executive Hip replacements: Getting it right first time Ordered by the House of Commons to be printed 17 April 2000 LONDON: The Stationery Office 0.00

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Harmoni - Hanley Health Centre Tel: 03001236759 Date of Inspection:

More information

A Review of the NHSLA Incident Reporting and Management and Learning from Experience Standards. Assessment Outcomes. April 2003 - March 2004

A Review of the NHSLA Incident Reporting and Management and Learning from Experience Standards. Assessment Outcomes. April 2003 - March 2004 A Review of the NHSLA Incident Reporting and Management and Learning from Experience Standards Assessment Outcomes April 2003 - March 2004 September 2004 1 Background The NHS Litigation Authority (NHSLA)

More information

Table of Contents Page Figures/Tables:

Table of Contents Page Figures/Tables: NTMA Clinical Adverse Events Notified to the State Claims Agency under the terms of the Clinical Indemnity Scheme. Incidents occurring between 1/1/212 and 31/12/212 Final Report. National Report Anne Marie

More information

Learning when things go wrong. Marg Way Director, Clinical Governance Alfred Health, Melbourne

Learning when things go wrong. Marg Way Director, Clinical Governance Alfred Health, Melbourne Learning when things go wrong Marg Way Director, Clinical Governance Alfred Health, Melbourne Safety and Quality Management in hospitals Things have changed a lot over the last 10 years.. HOSPITAL catastrophes

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Warrington Hospital Lovely Lane, Warrington, WA5 1QG Tel: 01925635911

More information

Contents. Appendices. 1. Complaints Relating to Commissioned Services Page 15

Contents. Appendices. 1. Complaints Relating to Commissioned Services Page 15 COMPLAINTS POLICY 1 Contents 1. Introduction Page 3 2. Purpose Page 3 3. Principles Page 4 4. Scope Page 4 5. Exclusions Page 5 6. Responsibilities Page 5 7. Complaints Management Process: Local Resolution

More information

Complaints Annual Report

Complaints Annual Report Complaints Annual Report 1 st April 31 st March 2011 Date: May 2011 Prepared by: Martin Emery, Head of Patient Experience Sue Hardy, Director of Nursing 1 1. Introduction This report provides information

More information

Review of compliance. Redcar and Cleveland PCT Redcar Primary Care Hospital. North East. Region: West Dyke Road Redcar TS10 4NW.

Review of compliance. Redcar and Cleveland PCT Redcar Primary Care Hospital. North East. Region: West Dyke Road Redcar TS10 4NW. Review of compliance Redcar and Cleveland PCT Redcar Primary Care Hospital Region: Location address: Type of service: Regulated activities provided: Type of review: Date of site visit (where applicable):

More information

AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Verificatoin Criterea EFFECTIVE JANUARY 1, 2015. Criterion. Level (1 or 2) Number

AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Verificatoin Criterea EFFECTIVE JANUARY 1, 2015. Criterion. Level (1 or 2) Number Criterion AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Criterion Level (1 or 2) Number Criterion BURN CENTER ADMINISTRATION 1. The burn center hospital is currently accredited by The

More information

National Clinical Programmes

National Clinical Programmes National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission

More information

Chesterfield Royal Hospital NHS Foundation Trust THE ADVICE CENTRE AND COMPLAINTS POLICY

Chesterfield Royal Hospital NHS Foundation Trust THE ADVICE CENTRE AND COMPLAINTS POLICY Chesterfield Royal Hospital NHS Foundation Trust THE ADVICE CENTRE AND COMPLAINTS POLICY 1. INTRODUCTION 1.1 The aim of the Advice Centre is to support the Trust s Service Experience Strategy by providing

More information

Lessons Learned paper Q1 and Q2 2014/15

Lessons Learned paper Q1 and Q2 2014/15 MEETING TITLE Trust Board Meeting in Public TITLE of PAPER STRATEGIC OBJECTIVE PURPOSE OF THE PAPER Bi-Annual Significant Events & Lessons Learned paper Q1 and Q2 2014/15 MEETING DATE 26/01/2015 PAPER

More information

Patient Experience Report August 2011

Patient Experience Report August 2011 Patient Experience Report August 2011 Section Page number 1. Patient Experience 2 a) Cumulative Complaints & PALS 2 b) Complaints response times 2 c) Complaints by category 3 d) Litigation 3 e) Inpatient

More information

Claims Management Policy

Claims Management Policy Claims Management Policy April 2015 Author: Responsibility: Janet Young, Governance & Risk Manager All Staff should adhere to this policy Effective Date: April 2015 Review Date: April 2017 Reviewing/Endorsing

More information

Board of Directors Meeting Report 27 May 2015. Agenda item 51/15

Board of Directors Meeting Report 27 May 2015. Agenda item 51/15 Board of Directors Meeting Report 27 May 2015 Agenda item 51/15 Title Complaints Annual Report 1 April 2014 to 31 March 2015 Sponsoring Director Authors Purpose Cheryl Schwarz Acting Chief Nurse Denise

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. Safe staffing for nursing in adult inpatient wards in acute hospitals overview bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed

More information

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST MAIN BOARD - JANUARY 2015 LEGAL SERVICES REPORT 1 Executive Summary 1.1 The Legal Services Report for Gloucestershire Hospitals NHS Foundation Trust is submitted

More information

MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION. Downe Acute Inpatient Unit. South Eastern Health and Social Care Trust

MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION. Downe Acute Inpatient Unit. South Eastern Health and Social Care Trust MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION Downe Acute Inpatient Unit South Eastern Health and Social Care Trust 9 and 10 May 2012 1 Table of Contents 1.0 Introduction... 3 2.0 Ward Profile...

More information

Welcome to our Clinical Negligence Service

Welcome to our Clinical Negligence Service CLINICAL NEGLIGENCE Welcome to our Clinical Negligence Service What is Clinical Negligence? This is proving that the standard of care received from a health care professional fell below that of a reasonably

More information

Royal Berkshire NHS Foundation Trust

Royal Berkshire NHS Foundation Trust Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital Quality Report London road Reading RG1 5AN Tel:: 0118 3225111 Website: www.royalberkshire.nhs.uk Date of inspection visit: 11 and 12 November

More information

Key purpose Strategy Assurance Policy Performance

Key purpose Strategy Assurance Policy Performance Trust Board Meeting: Wednesday 11 March 2015 Title Quality Committee Chairman s Report Status History For Information This is a regular report to the Board Board Lead(s) Mr Geoffrey Salt, Committee Chairman

More information

Liverpool Women s NHS Foundation Trust. Complaints Annual Report : 2013-14

Liverpool Women s NHS Foundation Trust. Complaints Annual Report : 2013-14 Liverpool Women s NHS Foundation Trust Complaints Annual Report : 203-4 Contents Summary... 3 Strategic Context... 4 Complaint Levels... 5 Location of Complaints... 6 Causes of Complaints... 8 Timeliness

More information

South Eastern Health and Social Care Trust

South Eastern Health and Social Care Trust South Eastern Health and Social Care Trust JOB DESCRIPTION TITLE OF POST: Consultant General Surgeon LOCATION: This post is part of the South Eastern Trust and will be based at the Ulster Hospital. However,

More information

RISK MANAGEMENT STRATEGY

RISK MANAGEMENT STRATEGY RISK MANAGEMENT STRATEGY Version 4 Document History/Progress Author Version 1: Jill Henderson, Clinical Governance Coordinator Version 1 approved by: Trust Board 6th April 2004 Author Version 2 Dorothea

More information

MID STAFFORDSHIRE NHS FOUNDATION TRUST

MID STAFFORDSHIRE NHS FOUNDATION TRUST MID STAFFORDSHIRE NHS FOUNDATION TRUST Report to: Report of: Joint Health Scrutiny Accountability Session Antony Sumara Chief Executive Date: 20 April 2011 Subject: Mid Staffordshire NHS Foundation Trust

More information

Pauline Jones, Director of Nursing. Approve Adopt Receive for information. No Score. Carbon Reduction. Management Board

Pauline Jones, Director of Nursing. Approve Adopt Receive for information. No Score. Carbon Reduction. Management Board Trust Board Part 1 Agenda Item 14. Date: 27 March 2013 Title of Report Legal Services Annual Report 2011/12 Purpose of the report and the key issues for consideration/decision The Board is asked to review

More information

H ORGANISATIONAL LEARNING REPORT 2011/12 ITEM NO 7

H ORGANISATIONAL LEARNING REPORT 2011/12 ITEM NO 7 H ORGANISATIONAL LEARNING REPORT 2011/12 ITEM NO 7 Discussion X Report written by: Julie Hargreaves, Interim Head of Quality Governance Purpose of the report: To provide the Committee with a summary of

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience

More information

Integrated Performance Report

Integrated Performance Report Integrated Performance Report M03 June 2015 Presented by: Angela Stevenson (Deputy Chief Operating Officer) Des Holden (Medical Director) Fiona Alsop (Chief Nurse) Paul Simpson (Chief Financial Officer)

More information

Changes throughout in relation to processes

Changes throughout in relation to processes Policy and Procedure for the Management of Complaints State whether the document is: State Document Type: Trust wide Business Group Local Policy Standard Operating Procedure Guideline Protocol APPROVAL

More information

TRUST BOARD PUBLIC SEPTEMBER 2015 Agenda Item Number: 169/15 Enclosure Number: (9) Subject: Complaints, PALS and Plaudits Annual Report 2014/15

TRUST BOARD PUBLIC SEPTEMBER 2015 Agenda Item Number: 169/15 Enclosure Number: (9) Subject: Complaints, PALS and Plaudits Annual Report 2014/15 TRUST BOARD PUBLIC SEPTEMBER 2015 Agenda Item Number: 169/15 Enclosure Number: (9) Subject: Complaints, PALS and Plaudits Annual Report 2014/15 Prepared by: Presented by: Purpose of paper Why is this paper

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 JULY 2011

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 JULY 2011 SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST D1 EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 JULY 2011 Subject Annual Complaints Report 20/11 Supporting Director

More information

Other Clinical Support services available on site include Oncology, Laboratory, Pharmacy, Physiotherapy and Audiology.

Other Clinical Support services available on site include Oncology, Laboratory, Pharmacy, Physiotherapy and Audiology. BMI Albyn Hospital Quality Accounts April 2013 to March 2014 ALBYN HOSPITAL BMI Albyn Hospital is part of BMI Healthcare a leading provider of healthcare services throughout the UK. Located in the west

More information

Complaints Policy. Controlled Document Number: Version Number: 6 Controlled Document Sponsor: Controlled Document Lead: Approved By:

Complaints Policy. Controlled Document Number: Version Number: 6 Controlled Document Sponsor: Controlled Document Lead: Approved By: Complaints Policy CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: PURPOSE Controlled Document Number: Version Number: 6 Controlled Document Sponsor: Controlled Document Lead: Approved By: Policy Governance

More information

09 July 2013. Julie Timbrell Project Manager Scrutiny team Southwark Council PO BOX 64529 London, SE1P 5LX. Dear Julie

09 July 2013. Julie Timbrell Project Manager Scrutiny team Southwark Council PO BOX 64529 London, SE1P 5LX. Dear Julie St Thomas' Hospital Westminster Bridge Road London SE1 7EH Tel: 020 7188 7188 09 July 2013 Julie Timbrell Project Manager Scrutiny team Southwark Council PO BOX 64529 London, SE1P 5LX Dear Julie Further

More information

Introduction. Definition

Introduction. Definition DIRECTIVES FOR PRIVATE AMBULATORY SURGICAL CENTRES PROVIDING AMBULATORY SURGERY: REGULATION 4(1) OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1 These directives

More information

NHS outcomes framework and CCG outcomes indicators: Data availability table

NHS outcomes framework and CCG outcomes indicators: Data availability table NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential

More information

Guidelines for the Operation of Burn Centers

Guidelines for the Operation of Burn Centers C h a p t e r 1 4 Guidelines for the Operation of Burn Centers............................................................. Each year in the United States, burn injuries result in more than 500,000 hospital

More information

Root Cause Analysis Investigation Tools. Concise RCA investigation report examples

Root Cause Analysis Investigation Tools. Concise RCA investigation report examples Root Cause Analysis Investigation Tools Concise RCA investigation report examples www.npsa.nhs.uk/nrls Acute service example Mental health example Ambulance service example Primary care example Acute service

More information

The NHS complaints procedure (England only) August 2009

The NHS complaints procedure (England only) August 2009 The NHS complaints procedure (England only) August 2009 Introduction This document has been produce to provide LMCs, practices and GPs with guidance on the requirements of the NHS complaints system, including

More information

Complaints Annual Report 2013/14

Complaints Annual Report 2013/14 Complaints Annual Report 2013/14 1. INTRODUCTION This is the complaints annual report for Hampshire Hospitals NHS Foundation Trust (HHFT) for the period 1 April 2013 to 31 March 2014. Hampshire Hospitals

More information

Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT. Performance Review Unit

Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT. Performance Review Unit Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT Performance Review Unit CONTENTS page I INTRODUCTION... 2 II PRE-OPERATIVEASSESSMENT... 4 III ANAESTHETIC STAFFING AND

More information

MANAGEMENT OF COMPLAINTS, CONCERNS, COMMENTS AND COMPLIMENTS POLICY. Documentation Control

MANAGEMENT OF COMPLAINTS, CONCERNS, COMMENTS AND COMPLIMENTS POLICY. Documentation Control MANAGEMENT OF COMPLAINTS, CONCERNS, COMMENTS AND COMPLIMENTS POLICY Documentation Control Reference GG/CM/002 Date approved Approving Body Trust Board Implementation date Supersedes Patient and Carer Feedback

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Southdowns Private Healthcare 97 Havant Road, Emsworth, PO10

More information

Code of Practice for Records Management NHSLA Risk Management Standards Contributes to Care Quality Commission: Outcome 4

Code of Practice for Records Management NHSLA Risk Management Standards Contributes to Care Quality Commission: Outcome 4 Cardiac Nurse Practitioner Clinical Operational Policy Policy Register No: 09143 Public Developed in response to: Information Governance Toolkit Code of Practice for Records Management NHSLA Risk Management

More information

COUNCIL OF GOVERNORS 23 rd June 2014

COUNCIL OF GOVERNORS 23 rd June 2014 Paper 7.2 COUNCIL OF GOVERNORS 23 rd June 2014 TITLE EXECUTIVE SUMMARY The Council is asked to: Submitted by: Complaints procedure Driven by the national context of changes in expectation, scrutiny and

More information

Title. Learning from Incidents, Complaints and Claims. Description of Document

Title. Learning from Incidents, Complaints and Claims. Description of Document Title Description of Document Scope Author and designation Equality Impact Assessment (EIA) Associated Documents Supporting References Learning from Incidents, Complaints and Claims This policy identifies

More information

Incident reporting procedure

Incident reporting procedure Incident reporting procedure Number: THCCGCG0045 Version: V0d1 Executive Summary All incidents must be reported. This should be done as soon as practicable after the incident has been identified to ensure

More information

Trust Board Meeting: Wednesday 10 September 2014 TB2014.106

Trust Board Meeting: Wednesday 10 September 2014 TB2014.106 Trust Board Meeting: Wednesday 0 September 204 Title 203/4 Annual Health and Safety Report Status For information Board Lead(s) Mr Mark Trumper - Director for Development and the Estate Key purpose Strategy

More information

Dr. Safaa Hussein Mohammad. Lecturer Medical &Surgical Nursing

Dr. Safaa Hussein Mohammad. Lecturer Medical &Surgical Nursing Dr. Safaa Hussein Mohammad Lecturer Medical &Surgical Nursing ISSUES IN RISK MANAGEMENT - The legal setting - Malpractice - Avoid Malpractice - The medical record - Patients rights Identifying and analyzing

More information

Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage

Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage SIXTY-EIGHTH WORLD HEALTH ASSEMBLY WHA68.15 Agenda item 17.1 26 May 2015 Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage The Sixty-eighth

More information

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST CLINICAL NEGLIGENCE, PERSONAL INJURY, AND PROPERTY CLAIMS HANDLING POLICY APPROVED BY: THE TRUST BOARD DATE: 6 TH JUNE 2002 REVIEW: ORIGINATOR: ANNUALLY MICHAEL

More information

About the Trust. What you can expect: Single sex accommodation

About the Trust. What you can expect: Single sex accommodation About the Trust The Royal Berkshire NHS Foundation Trust is one of the largest general hospital trusts in the country. We provide acute medical and surgical services to Reading, Wokingham and West Berkshire

More information

Agreed Job Description and Person Specification

Agreed Job Description and Person Specification Agreed Job Description and Person Specification Job Title: Line Manager: Professionally accountable to: Job Purpose Registered Nurse Lead Nurse Inpatient Unit Clinical Director Provide specialist palliative

More information

Special Report. September 2015

Special Report. September 2015 Special Report September 2015 Serious Reportable Events Thursday 26 th November 2015 Contents Section Page 1. Summary 2 2: Introduction 3 3: Establishing the SRE Framework 4 4: Analysis of SREs reported

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Eastham Walk In Centre Eastham Clinic, Eastham Rake, Eastham,

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Vision MH - Cornerstone House Barnet Lane, Elstree, WD6 3QU

More information

Hospital of St Cross

Hospital of St Cross Hospital of St Cross, Rugby A guide to services provided at the Hospital of St Cross University Hospitals Coventry and Warwickshire NHS Trust We care. We Care. We We achieve. Achieve. We We innovate. Innovate

More information

Board of Directors 24 October 2014

Board of Directors 24 October 2014 Board of Directors 24 October 2014 AGENDA ITEM: Item 16 PRESENTED BY: Richard Jones, Trust Secretary & Head of Governance PREPARED BY: DATE PREPARED: 19 September 2014 Richard Jones, Trust Secretary &

More information

Trust Board Meeting: Wednesday 10 September 2014 TB2014.95. Annual Report on the Complaints and Patient Liaison Service (PALS).

Trust Board Meeting: Wednesday 10 September 2014 TB2014.95. Annual Report on the Complaints and Patient Liaison Service (PALS). Trust Board Meeting: Wednesday 10 September 2014 Title Annual Report on the Complaints and Patient Liaison Service (PALS). 2014 Status For report History Trust Management Executive 28/8/2014 Board Lead(s)

More information

ADVERSE INCIDENT REPORT FORM (AI-1)

ADVERSE INCIDENT REPORT FORM (AI-1) REF NO: ADVERSE INCIDENT REPORT FORM (AI-1) This form should be used to report any incident/accident or potential incident (i.e. a near miss ) which has caused loss, harm or damage, or has the potential

More information

Board Executive and Divisional High Level Structure. 16-Dec-15 Version 3.4 1

Board Executive and Divisional High Level Structure. 16-Dec-15 Version 3.4 1 Board Executive and Divisional High Level Structure 16-Dec-15 Version 3.4 1 Non-Exec Vice Chairman Chair of FIBDC Chief Exec Director of Finance Non-Exec Chair of Q&P Medical Director Non-Exec Chair of

More information

Measures for the Australian health system. Belinda Emms Health Care Safety and Quality Unit Australian Institute of Health and Welfare

Measures for the Australian health system. Belinda Emms Health Care Safety and Quality Unit Australian Institute of Health and Welfare Measures for the Australian health system Belinda Emms Health Care Safety and Quality Unit Australian Institute of Health and Welfare Two sets of indicators The National Safety and Quality Indicators Performance

More information

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations.

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to February 12, 2011. It is intended for information and reference purposes

More information

The NHS complaints procedure (England only): guidance for primary care

The NHS complaints procedure (England only): guidance for primary care The NHS complaints procedure (England only): guidance for primary care August 2015 Introduction This document provides LMCs (local medical committees), practices and GPs with guidance on the requirements

More information

CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE

CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Obstetric Early Warning Score Guideline Implementation

More information

Neil Brady, Deputy General Manager, Emergency Department Robert Pinate, ED Professional Development Nurse

Neil Brady, Deputy General Manager, Emergency Department Robert Pinate, ED Professional Development Nurse ITEM: 5 MEETING: Trust Board 16 April 2008 TITLE: Nurse Consultant in Paediatric Emergency Care SUMMARY: Attached is the business case to create a new post of Nurse Consultant in Paediatric Emergency Care,

More information

The practice of medicine comprises prevention, diagnosis and treatment of disease.

The practice of medicine comprises prevention, diagnosis and treatment of disease. English for Medical Students aktualizované texty o systému zdravotnictví ve Velké Británii MUDr Sylva Dolenská Lesson 16 Hospital Care The practice of medicine comprises prevention, diagnosis and treatment

More information

CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST

CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Report of: CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Paper prepared by: Date of paper: June 2012 Director of Patient Services/Chief Nurse Deputy Director of Nursing (Quality) Subject:

More information

Policies, Procedures, Guidelines and Protocols

Policies, Procedures, Guidelines and Protocols Policies, Procedures, Guidelines and Protocols Document Details Title Complaints and Compliments Policy Trust Ref No 1353-29025 Local Ref (optional) N/A Main points the document This policy and procedure

More information