Professional Documents
Culture Documents
Changes to patient Documentation from From the 1st April 2015 all disciplines will record
care contemporaneously in the case note file.
1st April 2015 Sequential notes for all clinical care will be
recorded on history sheets.
A nursing care plan using a structured nursing
During the CQC inspection in February 2014 omissions were model has been agreed to ensure consistency and
found in patient risk assessments and care planning quality of documentation. It is recognised however
documentation. Patient records were not always accurately that some specialist areas already use a
maintained and consequently posed a potential risk to patients. recognised model and this is expected to continue,
The CQC recommended that the Trust must act to improve e.g. ICU. The use of an integrated pathway will
record keeping in the Trust. only be acceptable where it is being used by all
A Trust wide audit of medical and nursing documentation took members of the multidisciplinary team to
place in December and January 2014/15. The audit helped to document management plans and evidence of
identify any areas that required immediate improvement and care provided. GMC and NMC stamps must be
areas for improvement that needed to be addressed in the short used by all staff. Further work will now take place
and medium term. across divisions and specialities to develop a
A task and finish group agreed a number of key actions to comprehensive model for documentation from
standardise record keeping which could be implemented quickly admission to discharge and to develop a
across all wards in the Trust. standardised interdepartmental handover tool
using the SBAR model.
andrew.pryde@mbht.nhs.uk
Food to Go Bags rolled out across the Trust
andrew.pryde@mbht.nhs.uk
Millom Alliance
Last week we were asked to present to other NHS organisations at the Kings
(www.around-the-combe.co.uk), a detailed clinical model
Fund in London, exploring what best practice looks like in
developed including: the first advanced community
community health services. The one-day conference explored how NHS
paramedic in the North West, a nurse linked to community
organisations can improve and develop community health services. It
group mobilising the population for health and wellbeing,
also provided a forum for the sharing of good practice in community
school plays on using the health services properly, healthy
health care. The presentations showcased how the Trust , Cumbria
eating initiatives, a pharmacy minor illness scheme , care
Partnership and the local community have all worked together to develop
homes support scheme, new access system in general
services in the town - involving patients, families and carers to make sure that
practice, a community hospital reopened and a significant
they truly put the patient at the centre. The Millom model of healthcare was
reduction in length of stay was seen. The Millom model
developed following historical frustrations by the community in Millom which
shows just how much can be achieved when everyone works
culminated in a march by hundreds of people through the town. They
together to achieve a shared goal and is the ethos behind
demanded better healthcare services. What followed was incredible. The new
Better Care Together our shared strategy to make
model was formed with input from the community, patients, staff, the third
healthcare services in the Morecambe Bay area fit for a
sector and representatives from all NHS organisations and included: a
sustainable future.
community led GP recruitment campaign, 3 doctors recruited, a new
newspaper full of health promotion messages
andrew.pryde@mbht.nhs.uk
PLACE - Patient Led Assessment Care Environment -
Furness General Hospital
Every NHS patient should be cared for with compassion and dignity in a
clean, safe environment. The PLACE assessments provide motivation for
improving care by providing a clear message, directly from patients, about
how the environment or services might be enhanced. On Friday 27 th March
a team of 10 Patient assessors made up of Healthwatch Cumbria
ambassadors, volunteers, foundation trust members, governors and
members of the public joined together to assess the environment both
inside and outside at FGH. Barry Rigg Community Engagement
manager said PLACE assessments put patient views at the centre of the
assessment and continuous improvement process, and use information Shahnaz Asgahr - public governor said The
assessments are undertaken annually, and results
gleaned directly from patient assessors to report how well a hospital is per-
will be reported publicly to help drive
forming in the areas assessed privacy and dignity, cleanliness, food and
improvements in the care environment.
general building maintenance. It focuses entirely on the care environment
The results will show how our hospitals are
and does not cover clinical care provision or staff behaviors
performing nationally.
andrew.pryde@mbht.nhs.uk
Other News
The mock CQC Inspection at the RLI went well. We are seeing
some great improvements. We are not there yet but heading Nursing Times Awards 2015 Reminder:
in the right direction. You only have until 17 April to complete
and submit your Nursing Times Award
Recruitment update - We will be attending the RCN Jobs Fair entries. Full details here:
on 9/10th April and taking part in a virtual careers fair on http://awards.nursingtimes.net/
May 11th. We are also continuing our recruitment drive in
Spain and looking further afield to Singapore.
A new dedicated Bereavement Office opened at FGH this Im hearing some great feedback about our new
month . Thanks to all the team involved. nurses who have recently joined the Trust from
Spain. Your nursing colleagues tell me you are a
Did you all see the animation video that our comms teams
pleasure to work with. Benvenida to you all and
have produced? I think the clip articulates our Better Care
well done on making such a great first impression!
Together strategy really well: http://www.uhmb.nhs.uk/
I look forward to meeting you soon.
strategy/
andrew.pryde@mbht.nhs.uk