The Panel considered the Berkshire Healthcare
NHS Foundation Trust draft Quality Account 2014 (as at Quarter
3). David Townsend, the Chief Operating
Officer for the Trust presented the report, due for publication in
June 2014, which set out progress made against quality priorities
for the year and planned priorities for next year with respect to
clinical effectiveness, patient experience and patient safety, and
invited comments and questions.
The Panel asked a number of questions from
which the following points arose:
- The 2013 National Staff Survey
referred to comparisons with other (unnamed) mental health/learning
disability trusts. It was suggested
that an indication of the comparator Trusts be included, together
with confirmation that the Trust was taking account of the survey
results in its future planning. The
Panel was pleased to note the improvement in the ‘staff
recommendation of the Trust as a place to work’ compared to
the previous year.
- The concept of Harm Free Care was
designed to bring focus to the patient’s overall experience
and was measured by reference to four ‘harms’ (pressure
ulcers; falls; urinary infection in patients with catheters; and
venous thromboembolism). There had been
a gradual increase in the number of patients receiving harm free
care from the Trust although this was still a little below the
national average.
- Clarification was given of the
figures relating to absence without leave (AWOL) where a patient
had failed to return after being given leave and the number of
patients absconding whilst under a Mental Health Act
Section. It was confirmed that the
reasons for each case were investigated and reviewed to check for
any emerging trends.
- Medication errors fluctuated but
amounted to an average of 140 per month, with no clear
trend. None had resulted in moderate or
severe harm to patients.
- Additional information was to be
included, relating to complaints and how they had been dealt with,
which would be added as an appendix.
Resolved -
That the draft Quality Account
2014 be noted and the suggestions made at the meeting and referred
to above be included in a formal response to be sent to the
Trust.