Devon Partnership NHS Trust ... has been awarded an overall rating of ‘good’ by the Care Quality Commission (CQC).
The services inspected at Devon Partnership NHS Trust in December 2016 were rated as ‘good’ across the board in the five domains assessed by the CQC, these are Safe, Effective, Caring, Responsive and Well-led. Among these the Secure Service, which is based at Langdon in Dawlish, received a rating of ‘outstanding’ for its responsiveness.
Quality improvement (QI) offers a route to transforming care delivery at the scale and pace needed to ensure sustainability in the National Health Service. However, it is a complex endeavour with numerous challenges to consider, and it takes time. There are many ways of understanding quality and QI in healthcare, and it is important for doctors to develop knowledge of the core principles of QI, which increasingly feature in clinical settings and in training curricula for healthcare professionals. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
A south east London trust that specialises in mental health care and community services has been rated Good overall by the Care Quality Commission.
Oxleas NHS Foundation Trust was re-inspected between 27 February and 1 March 2017, following an inspection in April 2016 when it was rated Requires Improvement.
Leeds Teaching Hospitals NHS Trust and SFJ Awards have launched a new Level 5 Qualification to ensure staff recognise and develop the knowledge and skills required for intevestigating serious incidents in healthcare care.
Open access. Quality and safety in healthcare, as an academic discipline, has made significant progress over recent decades, and there is now an active and established community of researchers and practitioners. However, work has predominantly focused on physical health, despite broader controversy regarding the attention paid to, and significance attributed to, mental health. Work from both communities is required in order to ensure that quality and safety is actively embedded within mental health research and practice and that the academic discipline of quality and safety accurately represents the scientific knowledge that has been accumulated within the mental health community.
Open access. South West London and St George's Mental Health NHS Trust developed a system of weekend new patient reviews by higher trainees to provide senior medical input 7 days a week. To evaluate the effectiveness of these reviews, the notes for all patients admitted over 3 months were examined. The mean length of stay for patients before and after the introduction of the weekend new patient reviews were compared via unpaired t-test.
Calling for the rest of the UK to follow the example of Wales and enshrine safe staffing in law, the RCN reports that a dangerous set of pressures is putting patient safety at risk.
North Cumbria University Hospitals NHS Trust has placed a quality of care board on each of its wards.
The boards are part of the Trust’s commitment to be open and transparent by allowing patients to see key information when they enter a ward such as: staffing levels on that day, hygiene scores, cleaning scores, training rates, and waiting times (for outpatient areas).
Some exciting examples of how person centred care looks in practice from around the globe, following the International Conference for Integrated Care in Dublin.
Improvements in health services require a range of technical skills, but like all complex organisational tasks they also rely on the personal skills and attitudes of the staff carrying out the changes. That much is axiomatic.1 2 3 Less certain, but surely potentially helpful to front-line staff undertaking improvement initiatives, is ascertaining just what might be the right sets of skills needed for different kinds of improvement tasks in varying circumstances.4 To read the full article, log in using your NHS OpenAthens details.
Open access. Although previous research suggests that different kinds of patient feedback are used in different ways to help improve the quality of hospital care, there have been no studies of the ways in which hospital boards of directors use feedback for this purpose.
North Staffordshire Combined Healthcare NHS Trust is among just a handful of organisations to feature in a new Care Quality Commission (CQC) report showcasing how mental health trusts have led by example in raising standards.
The CQC’s ‘Driving Improvement’ report focusses on a select few mental health trusts that, like Combined Healthcare, have achieved significant improvement in their CQC ratings.
South West London and St George’s Mental Health Trust has been rated Good overall by the Care Quality Commission.
The trust which serves five London boroughs was rated Good for being safe, effective, caring, responsive and well-led.
Find out about the progress made by trusts to date in relation to the appointment of Freedom to Speak Up (FTSU) guardians and how Dr Hughes and her office are supporting guardians to improve the culture of speaking up safely.
The Care Quality Commission (CQC) has announced the reappointments of Sir Robert Francis QC and Paul Rew as non-executive directors for a second three-year term.
Audit and feedback improves clinical care by highlighting the gap between current and ideal practice. We combined best practices of audit and feedback with continuously generated electronic health record data to improve performance on quality metrics in an inpatient setting.. To read the full article, log in using your NHS OpenAthens details.
Following improved access and optimisation of the website, the NICE guidance app will no longer be available for download with plans to phase it out by January 2019.
Open access. Lack of resources is often cited as a reason for long waiting times and queues in health services. However, recent research indicates these problems are related to factors such as uncoordinated variation of demand and capacity, planning horizons, and lower capacity than the potential of actual resources.
This study aimed to demonstrate that long waiting times and wait lists are not necessarily associated with increasing demand or changes in resources. We report how substantial reductions in waiting times/wait lists across a range of specialties was obtained by improvements of basic problems identified through value-stream mapping and unsophisticated analyses.
The Shrewsbury and Telford Hospital NHS Trust (SaTH) is one of five hospital trusts in the UK taking part in an exciting partnership with VMI and last week it held a Regional Sharing Event to celebrate some of the significant improvements to patient care which have been made since this began.
The Care Quality Commission (CQC) has today (Friday, June 2) published its report on the trust, which provides mental health services in Sussex and specialist community mental health services for children and young people in Hampshire and Kent and Medway. These include two adult social care services and primary medical services for HMP Lewes and HMP Ford.
Inspectors found many examples of excellent care – but they also found too much poor care and far too much variation in both quality and access across different services. This is particularly concerning given the increasing demand for mental health services, meaning that more people risk receiving care that is not good enough – or no care at all.
This article, part two, explores the wider involvement of individuals, organisations and nurse education in preventing care erosion, with a particular focus on reflection; mastery of nursing skills and care; supporting nursing values; and addressing denial and trivialisation of, and justifications for, substandard care. To read the full article, log in using your NHS OpenAthens details.
A safety organisation drawing on lessons from the airline industry will have new legal powers to investigate serious patient safety incidents in the NHS in England, under plans laid before parliament today (14 September 2017).
service is under intense pressure to innovate given the ever increasing demands placed upon it. Whilst many studies have looked at diffusion of innovation from an organisational perspective, few have sought to understand how individuals working in healthcare innovate successfully. We took a positive deviance approach to understand how innovations are achieved by individuals working in the NHS.
We conducted in depth interviews in 2015 with 15 individuals who had received a national award for being a successful UK innovator in healthcare. We invited only those people who were currently (or had recently) worked in the NHS and whose innovation focused on improving patient safety or quality. Thematic analysis was used.
just a phenomenon embraced by the young—31% of all seniors are on Facebook.2 With growing engagement across demographics, social media networks offer new platforms of digital interaction at a scale that is hard to comprehend—313 million active Twitter users sending half a billion tweets and 1.9 billion Facebook accounts uploading 350 million photos every day. SnapChat has created some of the country's youngest billionaires. All these activities, driven by the public's desire to curate and share life experiences, provide new opportunities to observe and understand lived reality in greater detail and closer to real time than ever before. To read the full article, log in using your NHS OpenAthens details.
This consultation is targeted at providers of health and social care services registered with CQC. It seeks your views as to whether it is appropriate for CQC to extend performance assessment and ratings to include independent community health services and independent doctors.
These Specialised Services Quality Dashboards (SSQD) are designed to provide assurance on the quality of care by collecting information about outcomes from healthcare providers. SSQDs are a key tool in monitoring the quality of services, enabling comparison between service providers and supporting improvements over time in the outcomes of services commissioned by NHS England.
Although the Commission has improved as an organisation, it needs to overcome some persistent issues with the timeliness of some of its regulation activities if it is to sustain further improvement.
England’s Chief Inspector of Hospitals has found that Devon Partnership NHS Trust has maintained a high standard in the quality of services for patients.
The Care Quality Commission has told Kent and Medway NHS and Social Care Partnership Trust that it must make significant improvements to its community-based mental health services for adults of working age, following its latest inspection by the Care Quality Commission.
A team of CQC inspectors visited Southern Health in June and July 2018 to check 10 mental health services and five of its community services. Inspectors also looked specifically at management and leadership to answer the key question: Is the trust well led?
As a result of this inspection the trust remains rated as Requires Improvement overall. However, Inspectors rated the trust as Good for the key questions: Are services caring and responsive and Requires Improvement for safety and effectiveness. Inspectors also rated the trust Requires Improvement for the key question: Is the trust well-led.
This guideline covers decision-making in people 16 years and over who may lack capacity now or in the future. It aims to help health and social care practitioners support people to make their own decisions where they have the capacity to do so. It also helps practitioners to keep people who lack capacity at the centre of the decision-making process.
Health systems invest in diabetes quality improvement (QI) programmes to reduce the gap between research evidence of optimal care and current care.1 Examples of commonly used QI strategies in diabetes include programmes to measure and report quality of care (ie, audit and feedback initiatives), implementation of clinician and patient education, and reminder systems. A recent systematic review of randomised trials of QI programmes indicates that they can successfully improve quality of diabetes care and patient outcomes.2 Changes in surrogate markers such as blood glucose control, blood pressure or cholesterol levels are used to measure QI intervention effectiveness.2
However, investments in QI strategies are only worthwhile if the programmes that effectively improve care are sustained after trial completion.3. To read the full article, log in using your NHS OpenAthens details.
England's Chief Inspector of Hospitals has praised Shropshire Community Health NHS Trust following an inspection by the Care Quality Commission.
Shropshire Community Health NHS Trust was rated as Good overall following an inspection which took place between January and March this year.
The child and adolescent mental health wards were rated Inadequate overall and for safe, responsive and well-led services, and Requires Improvement for caring and effective services.
The concerns primarily focused on West Lane Hospital, it was not delivering safe care. There were substantial and frequent staff shortages and staff did not adequately assess, monitor or manage risks to patients. When patients demonstrated higher levels of risk, staff did not follow processes and procedures to mitigate these through appropriate observation and engagement.
Driving improvement through technology’ includes examples from across health and social care. These range from apps that help people to take more control of their care, to digital systems for sharing care records.
Northamptonshire Healthcare NHS Foundation Trust (NHFT) have made significant improvements to their Workforce Race Equality Standard (WRES) indicators. They have done some great work to improve equality within their workforce. This is making a real difference in the working environment and the quality of care they provide.
Open access. International guidance on models of care stress the importance of good quality, continuous patient-provider relationships to support high quality and efficient care and hospital avoidance. However, assessing the quality of patient-provider relationships is challenging due to its experiential nature. The aim of this study was to undertake a systematic review to identify questionnaires previously developed or used to assess the quality of continuous relationships between patients and their provider in primary care.
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
Open access. To explore how the South-West Foundation Doctor Quality Improvement programme affected foundation year 1 (F1) doctors’ attitudes and ability to implement change in healthcare.
Despite concerns about the degree of compassion in contemporary healthcare, there is a dearth of evidence for health service managers about how to promote compassionate healthcare. This paper reports on the implementation of the Creating Learning Environments for Compassionate Care (CLECC) intervention by four hospital ward nursing teams. CLECC is a workplace educational intervention focused on developing sustainable leadership and work-team practices designed to support team relational capacity and compassionate care delivery. To read the full article, log in using your NHS OpenAthens details.
Open access. Editorial. Alongside concern about avoidable mortality, one of the key findings of the public enquiry into failings at Mid Staffordshire NHS Foundation Trust,1 which ran Stafford Hospital in England, was the lack of compassion in care delivery. Sir Robert Francis, who led the enquiry, laid the blame for the compassion deficit at the door nursing and support staff. He recommended, among other things, that people should work as care assistants prior to nurse training and that values-based recruitment should be used to ensure that the ‘right’ people are recruited to be nurses. However, there has been little evidence to support these propositions. For example Snowden et al 2 found that nursing students who had previous care jobs scored no higher for emotional intelligence than those without prior experience.
During the weeks either side of the Easter holidays the Trust will focus on working differently, testing new ideas; and with local partners such as local authorities and other community providers keep ‘patient flow’ as smooth as possible.
This means resolving any blockages in a patient’s pathway on the same day to ensure the Royal Shrewsbury Hospital and the Princess Royal Hospital in Telford do not go into the following day with any unresolved patient issues.
This guideline covers assessing and reducing the risk of venous thromboembolism (VTE or blood clots) and deep vein thrombosis (DVT) in people aged 16 and over in hospital. It aims to help healthcare professionals identify people most at risk and describes interventions that can be used to reduce the risk of VTE.
The trust was rated as Good following an inspection in January 2017 but on CQC’s return inspectors found a number of improvements had been made resulting in it receiving an Outstanding rating.
Free. Editorial. All healthcare systems show variation in the quality of care provided, whether that means access to primary care services,1 ambulance response times,2 Accident & Emergency waiting times3 or treatment processes and outcomes.4–6 Monitoring this variation in quality can serve multiple purposes: informing patients about where best to seek care;7 allowing clinicians to compare their performance with that of their peers and thus identify targets for local-level quality improvement efforts, and supporting the development of national policy. Though, what all these have in common is a trust in the reliability of the data to adequately reflect healthcare quality—sometimes a questionable assumption.
In BMJ Quality and Safety, Hofstede et al 8 have addressed a common situation where providers (such as hospitals, general practices or community teams) are ranked according to their performance on a quality indicator.
The Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project included a cluster-randomised, stepped wedge, controlled study to evaluate multiple strategies to prevent catheter-related bloodstream infection. We report an in-depth investigation of the main barriers, facilitators and contextual factors relevant to successfully implementing these strategies in European acute care hospitals.
. To read the full article, log in using your NHS OpenAthens details.
Open access. Editorial. An enduring challenge for the improvement of healthcare quality is variation in the success of quality improvement (QI) interventions when implemented across settings.1 This is particularly true in the field of healthcare-associated infection (HAI) prevention. Some of the brightest success stories in QI have emerged from large-scale efforts to reduce HAIs such as central venous catheter-related bloodstream infections (CRBSIs)2 or catheter-associated urinary tract infections.3 The light dims, however, when efforts to export these interventions to other settings fail to meaningfully improve outcomes.4 5
Patient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. We sought to understand the incidence and nature of patient-reported safety concerns in hospital.. To read the full article, log in using your NHS OpenAthens details.
The NHS is today publishing guidance to help trusts work with bereaved families and carers.
Over 70 families and carers worked with NHS England on the guidance which will provide advice to hospitals, mental health and community trusts on how to involve families following the death of a loved one.
A discussion of key considerations related to selecting instruments and tools for evaluating healthcare professionals’ evidence‐based practice competencies.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Open access. Several countries have national policies and programmes requiring hospitals to use quality and safety (QS) indicators. To present an overview of these indicators, hospital-wide QS (HWQS) dashboards are designed. There is little evidence how these dashboards are developed. The challenges faced to develop these dashboards in Dutch hospitals were retrospectively studied.
To identify the methodological quality of each study and analyse the psychometric properties of instruments measuring quality and satisfaction with care from the perspective of mental health patients and professionals.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The three new areas we have now been asked to review and will report on individually by December are:
Staffordshire
Leeds
Reading
We have also been asked to choose three local system areas, from those that we carried out in our programme of work in 2017/18, to follow up on progress made.
The three follow-up areas are:
Stoke-on-Trent
York
Oxfordshire
As part of its work to improve staff engagement scores on the NHS Staff Survey, Lincolnshire Community Health NHS Trust has taken inspiration from the London Underground to develop a staff engagement tube map.
The case study looks at how the trust aimed to improve its Care Quality Commission rating and NHS Staff Survey score by focused on getting three areas right.
Open access. The growing interest in hospital users’ complaints appears to be consistent with recent changes in health care, which considers the patient’s voice a valuable information source to improve health care. Based on the assumption that the clinicians’ lived experience is an essential element of health care and to neglect it may have serious consequences, this study aimed to explore how physicians experience hospital users’ complaints and the associated mediation process.
Free access. All healthcare systems show variation in the quality of care provided, whether that means access to primary care services,1 ambulance response times,2 Accident & Emergency waiting times3 or treatment processes and outcomes.4–6 Monitoring this variation in quality can serve multiple purposes: informing patients about where best to seek care;7 allowing clinicians to compare their performance with that of their peers and thus identify targets for local-level quality improvement efforts, and supporting the development of national policy. Though, what all these have in common is a trust in the reliability of the data to adequately reflect healthcare quality—sometimes a questionable assumption.
In BMJ Quality and Safety, Hofstede et al 8 have addressed a common situation where providers (such as hospitals, general practices or community teams) are ranked according to their performance on a quality indicator.
Health inspectors say there has been a “significant improvement” in how public sector organisations work together to provide services for older people who need care in Stoke-on-Trent.
The Care Quality Commission (CQC) has revisited the city to look at how well older people – and specifically those over 65 – can move through the health and social care system following an initial inspection in September 2017.
This guideline covers diagnosing and managing chronic obstructive pulmonary disease (COPD) in people aged 16 and older, which includes emphysema and chronic bronchitis. It aims to help people with COPD to receive a diagnosis earlier so that they can benefit from treatments to reduce symptoms, improve quality of life and keep them healthy for longer.
The Care Quality Commission has rated the care being provided by MOSAIC to be Outstanding after an inspection in January 2019.
MOSAIC is a substance misuse service operated by Stockport Metropolitan Borough Council and provides support and treatment for people with drug and alcohol issues, as well as support for young people whose parents misuse substances.
The local authority area data profiles bring together data to give an indication of how different services work together, providing a picture of the health and social care system in each local authority area.
Researchers at the University of York have shown that costly external NHS hospital inspections are not associated with improvements in quality of care.
England’s Chief Inspector of Hospitals has rated the services run by Mersey Care NHS Foundation Trust as Good, following an inspection by the Care Quality Commission.
CQC carried out an inspection at the trust during October and December 2018, overall the trust has maintained its rating of Good. In respect of safe, effectiveness, responsiveness and caring, the trust has been rated as Good. In respect of well led the trust have been rated as Outstanding. This is an improvement on their last inspection, March 2017, when safety was rated as Requires Improvement.
Performance measurement (PM) and management for quality have become ubiquitous in 21st-century healthcare. Numerous entities have independently developed measures for assessing mortality, quality of chronic-disease care, access and patient satisfaction. Consequently, measures have mushroomed; for example, the National Clearinghouse for Quality Measures houses nearly 1100 active measures.1 Despite this proliferation, those whose performance is being measured have had little input in measure development.
This report provides examples of the local changes that have been made to services so far and highlights the extensive work which is happening nationally in response to common themes raised through LeDeR reviews across the country.
The steps between receiving a query or referral and allocating it to the right team is shown below. In this resource, we have referred to this as the 'access process'. Getting this process right can improve waiting times, patient flow and quality of care.
Silk, being the “queen of textiles”, passes through various procedures to ensure its quality. Pre-treatment is the process of soaking raw silk in a solution consisting of soap, oil, and water. Its primary purpose is to smoothen and elasticize the raw silk to expedite throwing operations. This paper aimed to modify the soaking solution for raw silk being used at DMMMSU-Sericulture Research and Development Institute, to improve the quality of fabric produced. The study utilized an experimental research design, using raw silk from silkworm hybrid DMMMSU 406. Pre-treatment was done using three types of edible oils such as castor oil, corn oil, and coconut oil as soaking agents with a material liquor ratio of 1:4:5:6. All the treatments passed the standards for breaking strength, dimensional change, and colorfastness. Results revealed that coconut oil had the lowest registered number of breaks, and the highest registered reflectance percentage. The same treatment also performed better in terms of cleanness, evenness, and neatness test.
Mit dem Deutschen Qualifikationsrahmen für lebenslanges Lernen wird erstmals ein umfassendes, bildungsbereichsübergreifendes Profil der in Deutschland erworbenen Kompetenzen vorgelegt.
P. Mohagheghi, и J. Aagedal. MISE '07: Proceedings of the International Workshop on Modeling in Software Engineering, стр. 6--11. Washington, DC, USA, IEEE Computer Society, (2007)
M. Hu, E. Lim, A. Sun, H. Lauw, и B. Vuong. Proceedings of the Sixteenth ACM Conference on Conference on Information and Knowledge Management, стр. 243--252. New York, NY, USA, ACM, (2007)
M. Hu, E. Lim, A. Sun, H. Lauw, и B. Vuong. Proceedings of the sixteenth ACM conference on Conference on information and knowledge management, стр. 243--252. New York, NY, USA, ACM, (2007)
M. Hu, E. Lim, A. Sun, H. Lauw, и B. Vuong. Proceedings of the Sixteenth ACM Conference on Conference on Information and Knowledge Management, стр. 243--252. New York, NY, USA, ACM, (2007)
H. Hedberg, N. Iivari, M. Rajanen, и L. Harjumaa. Proceeding of the First International Workshop on Emerging Trends in FLOSS Research and Development (FLOSS 2007), (2007)
L. O'Brien, P. Merson, и L. Bass. Proceedings of the International Workshop on Systems Development in SOA Environments, стр. 3--10. Washington, DC, USA, IEEE Computer Society, (2007)