Emergency Care Transformation Programme - Newsletter - Issue 2

Newsletter - Issue 2

DEAR COLLEAGUE Welcome to the latest edition of your newsletter dedicated to sharing with you all the latest updates on the improvements that we are making as part of the Emergency Care Transformation Programme.

OUR WORKSTREAMS

Due to the ongoing high demand for the services that you all provide, it has been a significantly challenging few weeks. I recognise

that it can be difficult to do your day-to-day roles and also focus on the improvements we need to make, so I am incredibly grateful for your commitment and support.

We want to make our Emergency Departments a brilliant and safe place to work for everyone, so your input is so valuable in helping us to get it right.

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Significant improvements in the efficient discharge of patients from the Left Box including length of time patients remain on that list Communications with RCNs about the tasks which need to be completed as part of initial assessment Further work to embed a consistent process for initial assessment across both sites which includes ringfencing of cubicles at RSH Planned: Ringfencing of fit to sit spaces at PRH Planned: Revisiting processes for patients who leave the department without being seen Planned: Improvements to pinning out processes

Thank you for everything you are doing, it is very much appreciated.

STAFF CULTURE, RESILIENCE AND HEALTH &WELLBEING

CLINICAL QUALITY, OUTCOMES & CO-ORDINATION OF CARE •

You can see from the workstream updates below what our aims are, the progress that we are making and next steps. This is a shared improvement journey, so if you have any feedback or if would like to get involved, please do let me know.

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Delivery and feedback from Debrief training sessions Planned: Consistent approach to reimbursing time lost due to missing breaks Planned: Review into changes in rostering practices Planned: Publication of refreshed Standards of Behaviour

Sara Biffen, Executive Sponsor

GOVERNANCE AND RISK

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Sustained improvement in backlog of Datix reports Training gap reviewed for colleagues required to maintain the risk register Planned: Rollout of training for colleagues on risk register Planned: Gap analysis of risk register

Dear colleague, Since sharing with you the themes from the neutral evaluation, we have received some really helpful and pertinent feedback. In particular that the themes do not provide you with sufficient detail in order to support meaningful change.

We understand and recognise this concern.

We would like to thank those who have taken the time to contact us, it is really valued.

We have met with the team who provided the neutral evaluation report and they have now provided a detailed report which will be shared with our teams in December.

Briefing sessions are also

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Feedback received on ED Logo from ED colleagues Planning underway for logo launch and use Improvewell Team site visit planning Planned: Communication of lessons learned from service user complaints to be reviewed

Thank you.

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Ensuring that younger patients arriving in our Emergency Departments are receiving high quality care is a key priority on our improvement journey.

Dr Saskia Jones-Perrott, Divisional Medical Director Laura Graham, Divisional Director of Operations Donna Hadley, Divisional Director of Nusring

ENVIRONMENT, PATHWAYS AND FLOW

COMMUNICATIONS AND ENGAGING WITH COMMUNITIES

Our aims

being planned for December and all colleagues will be invited to participate in these.

Review of DTA data from past 6 months to determine appropriate pathways for workstream to focus on SDEC referral processes and criteria reviewed Planned: Scoping of pathways derived from DTA review Planned: Feedback from reception on new security measures delivered Planned: SDEC Streaming App follow up trial

134 actions, 39 (29.1%) Delivered, Not Yet Evidenced, 24 (17.9% Evidenced and Assured

Zara Stubbs is Paediatric Lead Nurse for Accident & Emergency. Zara has been in post since the beginning of the year and with her support, our teams are already making a difference for our young patients and their families.

Zara works between the Telford and Shrewsbury hospital sites managing and supporting a team of paediatric nurses and five ED play practitioners (two at RSH and three at PRH), whilst also working clinically. She also liaises with colleagues on the children’s ward.

Among the priorities are improving paediatric initial assessment times in line with national recommendations and the requirements of the CQC, and we are already seeing improvements in this area.

“I have made changes to our processes and procedures, including SOPs. This is to ensure that patients are receiving the right care at the right time, in the right place. The feedback that I have had from the teams has been very supportive,” she said.

This work builds on previous improvements required by the CQC including the creation of a dedicated children and young person’s waiting area at RSH, which features artwork from the Doodle Boy.