Programme

End of Life Care

What are we trying to do?

To improve end of life care across adult in-patient areas through the appropriate use of nationally recognised end of life care tools, which include the Integrated Care Pathway for the Dying Patient (ICP), Preferred Priorities for Care (PPC) and Rapid Discharge at the End of Life.

To increase the number of anticipated deaths managed on the ICP from 28% to 50% by 2012.

How will we know that a change is an improvement?

Monitor through audit the % of patients whose death was anticipated and who:

Had the ICP in place.

Had a written record of their preferred place of care.

Expressed a wish to die outside hospital.

Were discharged home to die.

What changes can we make that will result in improvement?

A Trust ICP has been developed which will enable us to capture clearly the patient and family preferences.

End of life care facilitators are being trained to promote and advise on the implementation of end of life tools in their area.

Programme

Patient Experience Metrics

What are we trying to do?

To improve the patient's experience of care across a number of domains: this includes communication, privacy & dignity, pain management, food, cleanliness and infection control.

How will we know that a change is an improvement?

In the 2011 National In Patient survey, the scores for these domains will lie in the top 20% of Trusts nationally.

A reduction of 10 % in complaints that feature food choice and/or presentation 12 months following the implementation of the new methodology.

What changes can we make that will result in improvement?

A triangulated approach to data collection has been developed which incorporates Matrons Walk Rounds, Senior Leader Walk Rounds and Patient Experience Trackers.

Data is collated in a patient experience dashboard to provide the status at a glance of the individual ward or department and enables targeted improvements to be made on issues that can directly affect the overall patient experience.

Programme

Environment of Care

What are we trying to do?

To improve the environment of care for patients, visitors and staff.

To be a responsible corporate citizen through the implementation of a Trust Carbon
Reduction Programme.

How will we know that a change is an improvement?

A reduction of 10% in complaints that feature way finding and/or signage 12 months following the implementation of the strategy.

A reduction in the Trust's carbon emissions by 20% by 2013.

What changes can we make that will result in improvement?

A new patient catering methodology for adults is being implemented which will improve patient choice, reduce pre-ordering time and improve presentation.

Development of a Wayfinding Strategy and Business case to improve the ease of site navigation for patients and visitors. The Strategy will focus on a “holistic” patient experience integrating information provided (e.g. letters and appointments) with both an off site and on site improvement to hard signage.

A Trust Carbon Reduction Programme has been launched with the aim or raising awareness, change culture & behaviour and reduce the Trust's carbon footprint.