Minutes:
The Board considered a report of
the Strategic Director, Communities which gave Members a summary of the Quality Accounts
2010/11 for
The Board was advised the Quality Accounts
summary detailed a comparison between 2009/10 figures and 2010/11 figures for
various subject areas, for example, infection control, pressure ulcers, Thromboprophylaxis, falls, Hospital Standardised Mortality
Review (HSMR), along with a narrative for each area.
Mr David Melia,
Director of Nursing, Warrington and St Helens NHS Foundation Trust attended the
meeting to present the report, Mr Melia outlined the issues and priorities that had been
identified last year for improvement and provided assurance on performance in
respect of:-
The following comments arose from the
discussion:-
·
Clarity was sought on the procedures that were in
place for when a patient used their call bell, In response, it was reported
that one of the priorities for the organisation was to look at ways of freeing
up nurse time to enable them to have more control of their wards, spend more
time with patients and relatives and undertake regular ward rounds. This would result in nurses being more aware
of any issues/concerns that a patient may have and reduce the need for that patient
to use a call bell. It was noted that
this would present a challenge. However,
it was also noted that work was being undertaken with staff to identify areas
of duplication, work processes and what activities take nurses away from
providing clinical care;
·
It was noted that a recent unannounced inspection
had shown that staff were very responsive to the needs of the patient and the
dignity in care for older people had received an endorsement;
·
It was noted that there had been some improvement in
electronic systems such as the transfer of images between the sites, but as yet
electronic records had not been developed;
·
Clarity was sought on whether there were any action
plans for the eight target areas. In
response, it was reported that each area was project led, with clear aims and
objectives and a monitoring process in place.
It was suggested that this information could be presented to a future
meeting of the Board;
·
Clarity was sought on the information relating to
falls – out of the 55 patients, how did they fall,
where they alone when they fell and the age range. In response, it was reported that the
detailed information was available on the website. Members requested the link to the website and
it was agreed that this would be circulated to all Members of the Board;
·
Clarity was sought on MRSA procedures in relation to
informing family members or carers when the patient was discharged from
hospital, In response, it was reported that this
raised issues of confidentiality and the patient would indicate who they wished
to be informed of their condition.
However, universal precautions were undertaken to minimise the risk to
patients and their families / carers etc;
·
It was noted that a question had been submitted
prior to the meeting and a response provided which had been circulated at the
meeting and attached as Appendix 1 to the minutes.
RESOLVED: That
(1)
the report and comments raised be noted; and
(2) Mr Melia be thanked for his informative verbal presentation.
Supporting documents: