Agenda item

The Committee received a report by the, Great Western Hospital (GWH) NHS Foundation Trust, on the Great Western Hospitals NHS Foundation Trust’s Annual Quality Account for 2016/17.  Julie Marshman, Deputy Chief Nurse, GWH, presented a report and advised that the information related to the effective care of both adults and children. It was noted that the Annual Quality Account would be audited by KPMG.  She elaborated on the structure of the Annual Quality Account, referring to the Dr Foster audit processes undertaken at GWH. 

Julie Marshman explained the national key priorities, national mandated indicators, governor mandated indicator, and GWH’s own key priorities. The Committee noted that these national accounts were officially laid before Parliament by the end of May 2017. Julie Marshman advised that the Annual Account relates to the work undertaken over the past year and to the priorities for 2017/18 to meet the changing needs of the local population. She explained that all NHS quality accounts include information on the quality of services offered by both NHS and non-NHS healthcare providers. 

          Following her presentation of the report, Julie Marshman and Teresa Harding, Divisional Director for the Women and Children’s Division, (GWH) responded to members’ questions and comments on the following issues:

·        Referral to treatment targets.

·         Waiting times for young people at the Emergency Department.

·         Re-admission rates and reasons for re-admission.

·         Discharge procedures.

·         Monitoring the Multi Agency Safeguarding Hub.

·         Monitoring sepsis in children.

·         Cardiac arrest and survival rates.

·         Mortality rates of young people under 18.

·         Set up of transition clinics for young adults.

·         Working with the Clinical Commissioning Group and community paediatrics to review resources.

·         Collaborative work with external agencies through the “Ready, Steady, Go” programme.

·         Palliative care figures included in the report related to adults but information for young people was available.

·         Information sharing with partners, particularly regarding children. 

·         Community paediatrics.

·         The investigations carried out on clostridium difficile cases.

·         The national clinical audit and clinical outcome review programmes.

·         Patient Reported Outcome Measures (PROMS) and patient involvement in the process.

·         A potted view of services provided within the Children’s Unit.

·         The need to recruit more nurses to the Children’s department. 

• The interaction between paediatricians and the work being undertaken to address the link between looked after children and those self-harming.

·         The interaction between locum general practitioners, patients and the emergency department to ensure patients attend the right venue for their needs. 

·         Safeguarding work being undertaken with the paediatrics department.

Resolved: (1) That the report be noted.

(2) That the Divisional Director for the Women and Children’s Division, be requested to circulate information to the Committee regarding (a) from referral to treatment time targets including paediatric surgeries, (b) waiting times for children at the Emergency Department, (c) children’s mortality rates, d) discharge and re-admission procedures and rates for under 18 year olds, e) the number of young people under 18 years old that contracted sepsis, f) the number of young people under 18 years old that suffered from cardiac arrest and associated survival rates, g) the number of young people readmitted due to mental health issues , h) discharge procedures for young people (i) palliative care data for young people (j) an update on community paediatrics, and (k) data on the clostridium difficile cases.

(3) That the Divisional Director for the Women and Children’s Division be requested to submit a report on the strengths and challenges of the department to the Committee’s meeting in March 2018.