CLINICAL QUALITY, OUTCOMES & CO-ORDINATION OF CARE

Our aims

• To improve and protect patient safety in ED

• To ensure our patients receive the best quality care

Our progress

• Review of initial assessment process with plan to improve

• Full time CYPU Lead nurse to support improvements to paediatric ED

• Highlighting of time critical medications on whiteboard

Next steps

• Pilot of Fit to Sit Job Request sheet to support Initial Assessment

• Work to boost numbers of colleagues trained in End of Life Care

Our aims

• To ensure that our colleagues feel listened to and supported

• To develop and empower our team to fulfil their full potential

• To ensure that our team feel respected and valued

Our progress

• Rosters now reviewed pre-approval to ensure fair allocation of shifts

• Culture-related training given increased priority

• Staff away days being planned

Next steps

• Delivery of debrief training to enable support following an adverse event on shift

• Standards of behaviour to be republished

Governance And Risk

Our aims

• To underpin care delivered in ED by robust clinical governance

• To ensure risk management processes are effective

Our progress

• Weekly safety huddles in place

• Report completed detailing SI themes which informs the ECTP overall work

• Datix backlog reduced

Next steps

• Identifying where training is required on risk register maintenance

• Maintenance plan for Datix closures

Improving the experience of our patients when they first attend our Emergency Departments is a key priority on our improvement journey.

It is vital that a robust initial assessment takes place during those crucial first steps in the patient journey for both adults and children. This means they can be directed to the services that best fits their needs, and that the most poorly patients are identified and treatment is started as soon as possible, for example pain relief.

We have recently rolled out a new process for initial assessment (triage within 15 minutes) which involves carrying out any additional diagnostics for our patients separately, enabling the next patient to be assessed quicker.

This is already starting to make a difference and we are seeing a reduction in the time patients are waiting for initial assessment. Thank you to colleagues who are supporting this new process.

The Emergency Care Transformation Programme is a huge opportunity for us to work together to create a fantastic place to work and to be cared for – for everyone.