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Monthly reviews: Assurance

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Meets fortnightly

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Case review group
Thursday 08.30-10.3

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https://www.mindtools.com/pages/article/newLDR_41.htm

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http://www.nhs.uk/NHSEngland/keogh-review/Documents/quick-guides/Quick-Guide-discharge-to-access.pdf

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https://improvement.nhs.uk/uploads/documents/the-safer-patient-flow-bundle.pdf

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https://twitter.com/NHSEngland

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STPs
https://council.lancashire.gov.uk/documents/s87831/Appendix%20B%20-STP%20April%20submission%20final%20v4.2.pdf

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What policies support your practice?
Are they up to date?
Do they reflect current guidelines?
When did you last review them?

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Lancashire Lair - Lancashire Teaching Hospitals

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Uploaded by LTH Blended Learning on 2015-12-24.

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Lancashire Teaching Hospitals Education Centres Team Video

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This short video was created as part of a submission for an award for the Education Centres Team. Shot on location at Preston Hospital over the course of one day

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Nottingham hospitals video on improving patient flow, their experience of the journey and how we are all responsible and play a part in improving patient outcomes

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Improve the access and flow of patients through the trust.

Review and improve the governance processes for the organisation to ensure robust policies and processes are in place that support safe care delivery, risk management and the management and learning from incidents and complaints.

Ensure the medicines management policy is robust and adhered to particularly with regards to self-medicating and controlled drugs management.

Ensure that the mandatory training programme supports staff attending and maintaining their mandatory training requirements.

Ensure that the process and practice for the escalation of the deteriorating patient is reviewed and embedded across the organisation.

Improve the facilities utilised as a discharge lounge.

Review and improve the staffing levels to ensure safe care and treatment, particularly within maternity, children’s and neonatal services and where patients require intensive nursing at either level 2 or Level 3.

Ensure that Safeguarding resources are adequate and training meets national standards and is taken up by relevant staff.

Work with the Local authorities to improve the timeliness of authorisation of Deprivation of Liberty applications.

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Planning for discharge before admission

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Mandatory training - we are we up to? (See CQC #4)

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From Special Measures to Good at East Lancs

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From Special Measures to Good at East Lancs

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Once in `special measures` now the CQC have rated East Lancashire Hospitals NHS Trust as 'good'. A big turnaround in 3 years. Report from BBC North West Tonight 04/01/2017

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Patient Flow: Where to Start at Your Hospital

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Dr. Eugene Litvak, PhD, Institute for Healthcare Optimization, JCAHO Patient Flow Editor, Harvard Adjunct Professor, gives ideas on where to get started with improving patient flow at your hospital. View Dr. Litvak's complete 2013 Patient Flow Summit presentation on Managing Variability in Hospital Patient Flow by going here: http://www.centrallogic.com/resources/presentation-page?id=74

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Improving patient flow at Cambridge University Hospitals NHS Foundation Trust

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Staff at the trust talk about how they managed to improve patient flow by focusing on emergency care in A&E and length of inpatient stay.

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Increasing the clinical capacity of specialist nurses at Imperial College Healthcare Trust

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Diane Dunn, lead cancer nurse at the Imperial College Healthcare Trust, London, UK, talks about initiatives to improve patient experience through increasing the clinical activity of specialist nurses in the Imperial College Cancer Service. Burdened by administration and having to respond to calls, cancer nurses reported that they didn't have the capacity in their job plans to provide a patient focused service.

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“I would say specialist advanced practice nurses are the key to self management in long term conditions,”
https://www.hsj.co.uk/hsj-knowledge/downloads/workforce-supplement-the-benefits-of-specialist-nurses/5082712.article

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NHS England. “A number of the roles that nurse specialists do were roles that were previously done by consultants and now they’re doing it at a fraction of the cost.”

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Communication & Health Promotion
Advocacy
Admission & discharge planning
Psychosocial / rescue work

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What are they?

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http://www.macmillan.org.uk/documents/aboutus/commissioners/excellenceincancercarethecontributionoftheclinicalnursespecialist.pdf

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Risk Management
Clinical Audit
Education/Training/Prof development
Staffing/Staff Management
LINKS:
https://www.nice.org.uk
http://www.npsa.nhs.uk
http://www.ncepod.org.uk