The full document can be downloaded from the Trust website:
The Quality Account is our report about the quality of services we deliver in the period April 2013 to March 2014. We have a duty to publish a Quality...
The Quality Account is our report about the quality of services we deliver in the period April 2013 to March 2014. We have a duty to publish a Quality Account and we welcome this as a valuable opportunity to help raise awareness of our work. In developing our Quality Account our staff have been able to reflect on and demonstrate their commitment to continuous, evidence-based quality improvement. This summary document gives a snapshot of the details we have included in the Quality Account. We have included the page numbers from the Quality Account document should you wish to read about this in more detail. The full document can be downloaded from the Trust website: www.lancashirecare.nhs.uk/communications/Publications/Corporate-Publications.php If you would prefer a hard copy of the Quality Account please contact the Quality and Governance Directorate on Tel: 01772 773489. We value your opinion on our quality account and if you would like to feedback your comments we have included a link to a short questionnaire on page 8.
Quality is about giving people treatments that work (effectiveness), making sure that they have a good experience of care (patient experience) and protecting them from harm (safety). Quality is part of our Trust value of excellence.
QUALITY
Safety
Effectiveness
Patient Experience
Quality Account Summary 2013-2014 • QA 1
QUALITY ACCOUNT SUMMARY 2013/14
Quality Account Summary 2013/14
Our Quality Priorities 2013-14 What we said we would do and our progress Quality Priority 1 - Effectiveness Quality Strategy Implementation 4 All teams have completed Quality SEEL (Safe, Effective, Experience and Leadership) self-assessments during 2012/13 and 2013/14 with these findings reflected on the Team Information Boards and in team level risk registers.
QUALITY ACCOUNT SUMMARY 2013/14
Quality Priority 2 - Patient Experience All teams will seek the views of service users and carers to inform quality improvements 4 A patient experience questionnaire including the Friends and Family question has been rolled out in Adult Community Services and Children and Families 0-19 Universal Services. Quality Priority 3 - Safety Compliance with ‘Harm Free Care’ national priority 4 Monthly submissions from all applicable services have been made. Quality Improvement target agreed with Commissioners reflecting a prevalence rate of 5% for all pressure ulcers.
Quality Performance 2013-14 Quality is reported using a combination of mandatory indicators which are set by the Department of Health and Monitor, and best practice examples from our services.
Mandatory Indicators Outcomes 2013-14 Outcomes for 16 mandatory indicators: 4 10 equal to or above the national target or benchmark 7 6 below the national target or benchmark To view the results and read about actions being taken to make improvements go to pages 12 to 21 of the Quality Account.
QA 2 • Quality Account Summary 2013-2014
The Baby Friendly Initiative is a stepped approach which assesses organisations or communities over a period of time to see if they meet key standards to evidence quality in infant feeding advice and that this is standardised across the health and children’s centres communities. This is just one example of effectiveness, other examples are given below: Network
Title of best practice example
Page
Adult Community
Treatment Room Service: 7 day working
28
Adult Community
Occupational Therapy provision within the Community Pulmonary Rehabilitation Team: Service quality evaluation
30
Specialist Services
Guild Lodge Male Service: 12 week Assessment Process
32
Specialist Services
Implementation of My Shared Pathway
33
Adult Mental Health
Use of nationally recognised standardised assessments in occupational therapy interventions
34
Adult Mental Health
Self-help for self-harm
35
Children and Families
Quality breastfeeding support evidenced through Baby Friendly re: accreditation
35
Children and Families
Improving the physical activity levels and gym retention rates of members within the Healthy Living Centre, Burnley
37
Corporate Services
Aspiring Leaders: Quality Ambassadors (The Lancashire Care Way)
38
Corporate Services Research and Development
39
Quality Account Summary 2013-2014 • QA 3
QUALITY ACCOUNT SUMMARY 2013/14
Effectiveness Service Stories
Patient Experience Service Stories The Criminal Justice Liaison and Diversion Team devised a service user forum to engage service users. Read more about the development of the service on P45. This is just one example of patient experience, other examples are given below: QUALITY ACCOUNT SUMMARY 2013/14
Service User Forum Poster
Network
Title of best practice example
Page
Adult Community
Older Adult Mental Health Inpatients: Opening of Wordsworth Unit
44
Adult Community
Development of Home Exercise DVD – Get Moving Get Breathing
45
Specialist Services
Development of Service User engagement and forum
45
Specialist Services
SEED project: Service User involvement – Everyone’s Business
45
Adult Mental Health
Assessment of the impact of the implementation of the Clinical Practitioner role on Service User experience
47
Adult Mental Health
Community Restart – Service User Experience Feedback
48
Children and Families
Sexual Health Services – Volunteer Scheme
49
Children and Families
Sexual Health Services – Service User Group
50
Corporate Services Music and The Mind Festival
50
Corporate Services Time to talk, time to listen
51
QA 4 • Quality Account Summary 2013-2014
Safety Service Stories
Cody the police dog and handlers
Network
Title of best practice example
Page
Adult Community
Ensuring safe medicines management in place prior to ward opening
58
Adult Community
Improving the quality of dental unit water lines
59
Specialist Services
Adopting a Public Health Strategy to promote Violence & Restraint Reduction within a Secure Mental Health Setting
60
Specialist Services
Risk Assessment/Review of Policy and Procedure
61
Adult Mental Health
Reducing Medication Errors: The coaching and mentoring of staff nurses
62
Adult Mental Health
Borderline Personality Disorder Pilot using a Personal Budget
62
Children and Families
Implementation Smoke Free Play Areas in Hyndburn
63
Children and Families
Safeguarding Children Training for staff working directly with children, young people and their carers
64
Corporate Services Non-Medical Prescribing Clinics by Pharmacists
65
Corporate Services Drug Detection Dog Searches
66
Quality Account Summary 2013-2014 • QA 5
QUALITY ACCOUNT SUMMARY 2013/14
The service is provided by the Local Security Management Specialists in collaboration with Lancashire Constabulary. Drug detection dogs are used as a deterrent and as a way of detecting hidden substances in order to prevent them being used by people in mental health settings. This is just one example of safety, other examples are given below:
Service Awards 2013-14 Preston’s Rheumatology Team awarded for excellent care: The team, based at the Minerva Health Centre in Preston were among 10 winners from across the UK to be awarded for the excellent and compassionate care they provide to people with the Rheumatoid Arthritis.
QUALITY ACCOUNT SUMMARY 2013/14
The Rheumatology Team receiving the award
Specialist Services The Substance Misuse Service Blackpool Pregnancy Partnership Clinic has now won 3 National awards. The service aims to reduce the risk to the unborn child and neonates by targeting support for the substance-using mother, so that the child is less likely to need intensive care following birth.
The Early Start Team Our small team of health visitors deliver an innovative and dynamic programme, engaging with first time parents who face life challenges and adversity, achieving exceptional positive outcomes for themselves and their children. Collecting the National Nursing Times award
The Crew Two parents who work in partnership with staff at The Junction and The Platform have been awarded for their commitment to supporting and improving services for young people and families in Lancashire and South Cumbria. The award acknowledges their commitment to service development.
Excellence in Participation Awards
QA 6 • Quality Account Summary 2013-2014
New quality priorities have been agreed which link to national policy drivers and initiatives, including: • Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry February 2013 (Francis 2) www.midstaffspublicinquiry.com/report • The NHS Friends and Family Test www.nhs.uk/NHSEngland/AboutNHSservices/ Pages/nhs-friends-and-family-test.aspx • Harm Free Care www.harmfreecare.org • The Keogh Review (2013) www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/ outcomes/keogh-review-final-report.pdf • The Berwick Report (2013) - improving standards of patient care and safety www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/ Berwick_Report.pdf
All teams will have completed the Quality SEEL All teams will have monitored progress against the Quality SEEL All teams will have completed the risk register and managed risks appropriately All teams will have team information boards and use these to drive quality improvements • All teams will have a quality improvement framework
Patient Experience - All teams will seek the views of service users and carers to inform quality improvements • Taking the learning from the local implementation in line with Lancashire Care NHS Foundation Trust’s project plan • Implement the NHS Friends and Family Test across the organisation in line with national guidance
Safety - Compliance with Harm Free Care national priority • Monthly submissions of the physical health safety thermometer for all applicable services to the Information Centre • To achieve the improvement target in relation to pressure ulcers • Implementation of Mental Health Harm Free Care Programme in accordance with the Trust project plan
Quality Account Summary 2013-2014 • QA 7
QUALITY ACCOUNT SUMMARY 2013/14
Our Quality Priorities 2013-15
Your chance to influence the Quality Account 2014/15 We value your opinion and would like some feedback on the Quality Account 2013/14 to help us plan the Quality Account 2014/15. We are asking 3 questions which you can see below. These questions can be accessed by following this link: https://www.surveymonkey.com/s/qualityaccount13-14
QUALITY ACCOUNT SUMMARY 2013/14
Or if you would prefer you can contact the Quality and Governance Directorate on Tel: 01772 773489 with your feedback. Thank you for reading the summary document and for any feedback you provide.
? Question 2 What dis you like about this year’s quality account?
? QA 8 • Quality Account Summary 2013-2014
Question 1 What does quality mean to you?
? Question 3 How could we improve future quality accounts?
