Upload
dana-walton
View
225
Download
6
Embed Size (px)
Citation preview
Purpose of the session• To provide an oversight the key national and local concerns and
challenges in respect to quality and safety of patient care
• To identify the current structures and processes Birmingham CrossCity Clinical Commissioning Group utilises to monitor and improve quality and safety of patient care
• To consider and discuss the draft priority areas for the Quality and Safety Strategy for Birmingham CrossCity Clinical Commissioning Group
Quality and Safety of Patient Care – National Concerns and Challenges
• Shock stories of failed patient care o Mid Staffordshire NHS Foundation Trusto Winterbourne View
• Delayed or cancelled treatments • Ambulance waits• Winter Pressures• Hospital mortality rates (The Keogh Review) • Increased public expectation • Increased demand on services• MAJOR reorganisation within both the NHS
and Partner Organisations
Quality and Safety of Patient Care – National Concerns and Challenges
• Creating the right culture that puts the patient first• Ensuring respect, dignity and compassion for all• Duty of candour• Robust commitment to quality of care• Staff who feel able to raise issues and concerns• Early recognition of warning signs • Triangulation of hard and soft intelligence to
understand quality• Development of nationally agreed and locally owned
measures of success, focussed on what matters most to patients that are effectively monitored
• Minimising bureaucracy, enabling time to care and time to lead
• Taking time to listen – and when we have heard what is said, to ensure that we act
• To never again allow targets or finance to come before the quality of care
Quality and Safety of Patient Care – National Concerns and Challenges
Ensuring that ALL patients receive the care and treatment they need, and that this care and treatment is delivered by a caring workforce
Quality and Safety of Patient Care – National Concerns and Challenges
Recurrent Themes• Promoting patient safety and reducing harm• Ensuring effective early warning systems and appropriate
escalation procedures for deteriorating, high-risk patients, in particular at weekends and out of hours
• Ensuring that lessons are learnt, changes are embedded• Ensuring that all services effectively use and learn from
hard and soft data to understand quality, maximising opportunities for Benchmarking
• Promoting and learning from “real-time” patient feedback• Ensuring that the most vulnerable are protected from harm• Workforce development - sharing skills, knowledge and
expertise, ensuring strong clinical leadership• Supporting the growth of Clinical supervision• Ensuring that all services have a shared understanding and
vision of what “good” looks like, and how to achieve this
Quality and Safety of Patient Care – Local Concerns and Challenges
General Issues for all Serviceso Increasing public expectations in respect to healthcare
oWorking within a tight financial envelope
o Busy services, busy staff
o Complex systems of healthcare
o Increased multi-agency and multi-professional working
o Competing demands for services
o Maintaining the Quality Agenda
o Ensuring systems oversight
o Ensuring care for the most vulnerable
Quality and Safety of Patient Care – Local Concerns and Challenges
Birmingham is a diverse city.
Birmingham is a growing city. Since 2001 the population has increased by almost 100,000 (10.2%). This is an average rate of 0.9% per year.
Whilst we have some world renowned healthcare services, we also have significant problems:
o Serious Case Review - Keanu Williams
o Birmingham City Council's Children Services
o Homeless epidemic
o Highest rate of diabetes in the UK
Quality and Safety of Patient Care – Local Concerns and Challenges
As a Clinical Commissioning Group
We are a new organisation with a massive and ever-changing agenda
We serve a large, complex and diverse population often with a variety of health and social care needs
We currently have over 50 Provider contracts including:University Hospital Birmingham Foundation TrustRoyal Orthopaedic Hospital Foundation TrustBirmingham and Solihull Mental Health Foundation TrustHeart of England Foundation Trust (Good Hope Hospital) Hospices, Primary Care, Urgent Care
We have a difficult role, achieving a balance in the relationship we have in respect to “support and scrutiny” of our providers.
Quality and Safety of Patient Care
CCG Oversight
Providers
Hard Intelligence• Incident data• Complaint data• Mortality rates• Readmission rates• Length of stay• Delivery against
contract standards• National
benchmarking• Survey data• CQC reviews
Soft Intelligence• Feedback from
patients• Themes from
complaints• Experiences of care• GP feedback• Informal staff
feedback• Assurance
spotchecks
CCG Structures and Processes to Monitor Quality and Safety
Quality and Safety of Patient Care
AssuranceClinical Quality Review Meetings
Assurance Visits to Providers
Monitoring Safety DataContract Review Meetings
External Assurances (CQC, Monitor)
GP Feedback
Themed Reviews
CCG Structures and Processes to Monitor Quality and Safety
Quality and Safety of Patient Care Driving change forwards
Birmingham CrossCity Clinical Commissioning Group is currently in the process of developing a Quality and Safety Strategy which will help us to continue to drive forwards the Quality and Safety agenda. It is suggested that the draft Quality and Safety Strategy has 5 Key Quality Priority Areas:
Primary Care
Safeguarding
vulnerable patients
Patient Experien
ce
Workforcedevelopm
ent
Patient Safety
Quality and Safety of Patient Care Driving change forwards
Primary Care
Safeguarding
vulnerable patients
Patient Experien
ce
Workforcedevelopm
ent
Patient Safety
Question 1: Are these the right 5 Key Quality Priority Areas for the CCG to focus on?