Management of dysphagia patients in video fluoroscopy clinic and outcomes Adult Speech and Language Therapy Vicki Weekes (Speech & Language Therapist) P3 - Royal College Physicians stroke guidelines 2010. Not initiated Radiology Radioembolisation for the treatment of colorectal liver metastasis Radiology Mark Callaway (Cons) P2 - Clinical Effectiveness Group priority Introduction of a new interventional procedure Not initiated Re-audit non-anaesthetist conscious sedation during intervention radiology Radiology Daire Allen McGee (SHO) P3 - ID 2748. UH Bristol Conscious Sedation Policy In progress - ID3238
Asymptomatic Screening Contraception/ Sexual Health Andrew Leung (Cons) Leonor Herrera-Vega P3 - National Audit (British Association for Sexual Health and HIV) Not initiated Management of pelvic inflammatory disease Contraception/ Sexual Health Andrew Leung (Cons) Leonor Herrera-Vega P3 - Regional Audit (South West BASHH) Not initiated
Management of epididymitis Contraception/ Sexual Health Cunningham (SpR) P3 - National and guidelines In progress - ID3251 Management of gonorrhoea Contraception/ Sexual Health Lead not specified P3 - National and local guidelines Abandoned - ID3217 Management of balanitis Contraception/ Sexual Health Lead not specified P3 - National and local guidelines Not initiated
HIV testing in patients with hepatitis Contraception/ Sexual Health Wheeler (Cons) P3 - National and local guidelines In progress - ID3167 Management of young patients Contraception/ Sexual Health Judy Berry (Cons) P3 - National and local guidelines Not initiated HIV testing in patients with lymphoma Contraception/ Sexual Health Helen Wheeler (Cons) P3 - National and guidelines Not initiated
Management of patients in massage parlours and saunas Contraception/ Sexual Health Michael Clarke (Cons) P3 - Local guidelines Not initiated Management of partner notification Contraception/ Sexual Health Rachel Ford P3 - National and local guidelines Not initiated One-25-Sexual Health Outreach services Contraception/ Sexual Health Nikki Jeal (Cons) P3 - guidelines In progress - ID3205
PGD Nexplanon Contraception/ Sexual Health Lead not specified P3 - guidelines In progress - ID3344 Long-acting reversible contraception Contraception/ Sexual Health Jody Craft (SHO) P3 - Faculty guidelines Not initiated Emergency contraception Contraception/ Sexual Health Jody Craft (SHO) P3 - Faculty guidelines In progress - ID2990
NICE TA180 Psoriasis - Ustekinumab Dermatology Giles Dunhill (Cons) Tracey Wheeler P1 - BNSSG NICE Commissioning College priority In progress - ID3367 NICE TA134 Psoriasis - Infliximab Dermatology Jane Samson (Cons) P1 - NICE Commissioning College priority No longer required The prescription of biologics for the treatment of moderate to severe psoriasis Dermatology Giles Dunnill (Cons) P1 - NICE Commissioning College priority Completed - ID3128
PUVA Dermatology Giles Dunhill (Cons) Tonia Clarke (Nurse) P3 - Re-audit ID 773 Not initiated Isotretinoin audit Dermatology Lynne Skrine (Mgr) Jane Samson (Cons) P3 - National (British Association of Dermatology) Not initiated Skin cancer excision Dermatology Adam Bray (Cons) P3 - Re-audit ID 2623 Not initiated
Fumaric Acid Esters prescribing and monitoring Dermatology Helen Whitley (SpR) P3 - concern In progress - ID3124 Basel cell carcinoma waits Dermatology David DeBerker (Cons) P3 - Re-audit ID 2935 Completed - ID3265 Content of two week wait consultations Dermatology Suchi Rajan (Nur) P3 - Local concern In progress - ID 3031
NICE TA187 Infliximab and adalimumab for the treatment of Crohn’s disease Gastroenterology Tom Creed (Cons) P1 - BNSSG NICE Commissioning College priority In progress - ID3122 SpyGlass Peroral Direct Visualisation Cholangioscopy Hepatology Jim Portal (Cons) P2 - Clinical Effectiveness Group priority Introduction of a new interventional procedure Not initiated GI bleeding Hepatology Anne McCune (Cons) P3 - NICE Guidance Not initiated
Antidepressant prescribing in chronic physical health Liaison Psychiatry Amy (CT3) P3 - ID 2703 In progress - ID3197 Illicit drug users in Accident and Emergency Liaison Psychiatry Emergency Department Lewis (Spec Nur) P3 - ID 2220 Not initiated
Out of hours calls to on-call psychiatric doctors Liaison Psychiatry Emergency Department Salena Williams (Cons) P3 - Royal College guidance In progress - ID3145 Emergency use of oxygen Respiratory Nabil Jarad (Cons) P1 - National Audit (Quality Accounts) In progress
Adult asthma Respiratory Lead not specified P1 - National Audit (Quality Accounts) Not initiated Bronchiectasis Respiratory Nabil Jarad (Cons) P1 - National Audit (Quality Accounts) In progress - ID3354 Asthma Deaths (NRAD) Respiratory Liz Gamble (Cons) P1 - National Audit (Quality Accounts) In progress
Adult cystic fibrosis Respiratory Kathryn Bateman (Cons) P1 - Quality dashboard/CQUIN Completed - ID3283 NICE Osteoporosis - secondary prevention including strontium ranelate Rheumatology Shane Clarke (Cons) P1 - BNSSG NICE Commissioning College priority In progress - ID3406 NICE TA204 Denosumab - osteoporotic fractures Rheumatology Clarke (Cons) P1 - BNSSG NICE Commissioning College priority Completed - ID3407
Phototherapeutic laser keratectomy Cornea & Cataract Phil Jaycock (Cons) P2 - Clinical Effectiveness Group priority Introduction of a new interventional procedure Not initiated Cataract outcomes Cornea & Cataract Tole (Cons) P3 - Annual audit (4000 - 5000 cases per annum) contributing to National Ophthalmic Dataset, Completed
Endophthalmitis rate Medical & Surgical Retina Richard Haynes (Cons) P3 - surgical complication and patient safety issue for cataract surgery, Completed - ID3234 Retinal detachment surgery outcomes Medical & Surgical Retina Richard Haynes (Cons) Andrew Dick (Cons) P3 - Assess improvement since previous audit cycles. Change in surgical technique requiring monitoring. Not initiated
Immuno-suppression clinics (Uveitis and Corneal external eye disease) Medical & Surgical Retina / Cornea & Cataract Catherine Guly (Cons) Derek Tole (Cons) P3 - Local protocol for monitoring of patients on immuno-suppressants. Important patient safety issue. Completed - ID3162
Retinopathy of prematurity screening Paediatrics, Oculoplastics & Squint Cathy Williams (Cons) P3 - Royal College guidelines. Assess improvement since previous audit cycles. In progress - ID3210 Eyelid Gold/Platinum Weight Paediatrics, Oculoplastics & Squint Helen Herbert (Cons) P2 - Clinical Effectiveness Group priority Introduction of a new interventional procedure Not initiated
Ptosis surgery outcomes Paediatrics, Oculoplastics & Squint Helen Garrott (Cons) P3 - Using British Oculoplastic Surgery Society national survey benchmarks In progress - ID3166 Adult Surgical Specialties National Patient Safety Alert audit Division Wide Kate Thompson (Patient Safety Mgr.) P2 - Patient Safety issue Not initiated
Poly Implant Prothèse (PIP) implant referrals Breast Surgery Zen Rayter (Cons) Rachel Forsythe (SHO) P2 - Patient Safety issue In progress - ID3189 GP notification of a new cancer diagnosis Breast Surgery Angie Nicholson (Breast Care Nurse) P2 - Cancer Peer Review Completed - ID3123 Multicentre audit of outcomes following appendicectomy General Surgery Alex Boddy (SpR) P3 - National audit (other) Completed - ID3279
of extended VTE prophylaxis in colorectal cancer patients Lower GI Surgery Rob Longman (Cons) P2 - Re-audit ID 3140 Completed - ID3414 Surgical site infections in emergency laparotomies Lower GI Surgery Rob Longman (Cons) P2 - ID 3084 In progress - ID3084 Time-to-transfer and time-to-surgery for urgent referrals for thoracic surgery Thoracic Surgery Doug West (Cons) P1 - CQIN Not initiated
Effectiveness of routine lung cancer follow-up Thoracic Surgery Doug West (Cons) P3 - Planned work on streamlining follow up clinics. In progress - ID2384 Assisted (VATS) Lobectomy Thoracic Surgery Gianluca Casali (Cons) P2 - Clinical Effectiveness Group priority - introduction of a new interventional procedure Not initiated
Transcervical thymectomy Thoracic Surgery Tim Batchelor (Cons) P2 - Clinical Effectiveness priority - Introduction of a new interventional procedure Not initiated National Joint Registry (NJR) Trauma & Orthopaedics Adrian Weale (Cons) P1 - National audit (NCAPOP) In progress - ID2568
Trauma (TARN) Trauma & Orthopaedics Livingstone (Cons) P1 - National (Quality Accounts) In progress Post-operative orthopaedic notes Trauma & Orthopaedics James Livingstone (Cons) P3 - Re-audit following change in practice Not initiated Head injury management Trauma & Orthopaedics Steve Mitchell (Cons) P3 - NICE Guidance CG56 In progress - ID3223
VTE Risk Assessment Trauma & Orthopaedics Steve Mitchell (Cons) Mark Jones (SHO) P3 - NICE Guidance In progress National Oesophago-Gastric Cancer Audit (NAOGC) Upper GI Surgery Paul Barham (Cons) P1 - National audit (NCAPOP) In progress - ID2484
HALO therapy for the treatment of Dysplastic Barrett’s Oesophagus Upper GI Surgery Dan Titcomb (Cons) P2 - Clinical Effectiveness Group priority - Introduction of a new interventional procedure Not initiated Percutaneous tibial stimulation (PTNS) for faecal incontinence Upper GI Physiology Katherine Mabey (Physiologist) P2 - Clinical Effectiveness Group priority - Introduction of a new interventional procedure Not initiated
of recording of MDT results and anaesthetic pre-operative assessment in medical notes Vascular Surgery Marcus Brooks (Cons) P3 - concern Completed - ID3281 of community AAA screening clinics Vascular Surgery Marcus Brooks (Cons) P3 - Local concern In progress - ID3282
Enteral feed discharge checklist Dietetics David Hopkins (Dietitian) Risk management / quality and safety checking Not initiated Growth monitoring in renal disease Dietetics Laura Sealy (Dietitian) P3 - Re-audit/National Guidelines (BDA/Renal Association) Completed - ID3253 Audit of feed usage on the Special Feed Unit Dietetics David Hopkins (Dietitian) P3 - Best practice/Cost efficiency Not initiated Timeliness of recipes to the Special Feed Unit Dietetics David Hopkins (Dietitian) P3 - Best practice/Cost efficiency Not initiated
Asthma Deaths (NRAD) Emergency Department Nick Sargent (Cons)/ Deb Marriage (CNS) P1 - National Audit (Quality Accounts) In progress Audit of the electronic discharge system and GP satisfaction survey General Paediatrics Reg Bragonier (Cons) P3 - New system requiring evaluation. Recommendation from previous audit Completed - ID3044 Management of General Paediatrics Anna Thursby Pelham (Cons) P3 - UHB Guideline New guideline In progress - ID3203 Intravenous fluid prescriptions General Paediatrics Alison Kelly (Cons) P3 - UHB New Guideline Not initiated
Urinary Tract Infection: MC&S requesting and reporting General Paediatrics Alison Kelly (Cons) P3 - NICE Guidance CG54 Not initiated Appropriateness of antibiotic prescribing Immunology Jolanta Bernatoniene (Cons) P3 - Medicines Management Antibiotic Guidelines Not initiated Paediatric Intensive Care (PICANet) Intensive Care Peter Davis (Cons) P1 - National Audit (NCAPOP) In progress - ID2583
Blood product transfusion practices Paediatric Intensive Care Peter Davis (Cons) P3 - Guidelines for blood product and fluid administration – rationalising blood product usage In progress - ID3394 Regional diabetic ketoacidosis (DKA) admissions to PICU Paediatric Intensive Care Davis (Cons) Reg Bragonier (Cons) P3 - Re-audit ID 2102. South West DKA Pathway Completed Patient retrieval audit Paediatric Intensive Care Helene Craddock (Nur)/ Michaela Dixon (Nur) P3 - of retrieval process to include parent satisfaction (National Audit PICANET) Not initiated
Appropriateness of EEG request Neurology Phil Jardine (Cons) P3 - Recommendation from national epilepsy audit Not initiated Vermont-Oxford Benchmarking Project Neonatal Intensive Care Harding (Cons) P2 - National/International quality improvement project In progress - ID1142 Admission to Neonatal Unit Neonatal Intensive Care Anoo Jain (Cons) P2 - CNST Maternity Standard 3.5.3 Completed - ID3332
Postnatal care Neonatal Intensive Care Janet Pollard (Patient Safety Manager)/ Anoo Jain (Cons) P2 - CNST Maternity Standard 3.5.9 Completed - ID3024 Immediate care of the Neonatal Intensive Care Anoo Jain (Cons) Lisa Damsell (Matron) P2 - CNST Maternity Standard 3.5.4 Not initiated Examination of the Neonatal Intensive Care Anoo Jain (Cons)/ Lisa Damsell (Matron) P2 - CNST Maternity Standard 3.5.6 Completed - ID3017
Support for parents Neonatal Intensive Care Anoo Jain (Cons) P2 - CNST Maternity Standard 3.5.8 Completed - ID3339 Paediatric asthma Respiratory Deb Marriage (CNS)/ Huw Thomas (Cons) P1 - National Audit (Quality Accounts) In progress - ID3109 Paediatric pneumonia Respiratory John Henderson (Cons) P1 - National Audit (Quality Accounts) Not initiated Cystic fibrosis management Respiratory Simon Langton Hewer (Cons)/Kathy Wedlock (CNS) P3 – UH Bristol Cystic Fibrosis Guidelines Not initiated
Asthma management Respiratory Deb Marriage (CNS)/ Tom Hilliard (Cons) P3 - NICE Guidance Completed - ID3213 Management and outcome of isolated preputial reconstruction in distal hypospadias Surgery Mark Woodward (Cons) P3 - Comparison of national outcomes/ local parent feedback In progress - ID3150 Consent audit Surgery Janet McNally (Cons) P2 - NCEPOD self-assessment recommendations/local policy In progress - ID3358
Antibiotic prescribing for children following Appendicectomy Surgery Janet McNally (Cons)/ Jon Wells (SpR) P3 - New hospital guideline In progress - ID3201 Women’s Services Genetic antenatal care pathway for haemoglobinopathies Clinical Genetics Sarah Buston (Genetic Counsellor) P2 - Assess effectiveness of new pathway Completed - ID3164 menstrual bleeding (HMB) Gynaecology Pip Mills (Cons) P1 - National Audit (NCAPOP) In progress - ID2661
Maternity records Obstetrics & Midwifery Janet Pollard (Patient Safety Manager) P2 - CNST Maternity Standard 3.1.7 In progress - ID2930 Care of women in Labour Obstetrics & Midwifery Emma Treloar (Cons)/ Belinda Cox (Midwife) P2 - CNST Maternity Standard 3.2.1 In progress - ID2844 Intermittent auscultation Obstetrics & Midwifery Emma Treloar (Cons)/ Belinda Cox (Midwife) P2 - CNST Maternity Standard 3.2.2 In progress - ID2845 Continuous electronic fetal monitoring Obstetrics & Midwifery Emma Treloar (Cons)/ Belinda Cox (Midwife) P2 - CNST Maternity Standard 3.2.3 In progress - ID2846
Severely ill women Obstetrics & Midwifery Emma Treloar (Cons)/ Belinda Cox (Midwife) P2 - CNST Maternity Standard 3.2.8 In progress - ID2730 High Dependency care Obstetrics & Midwifery Emma Treloar (Cons)/ Belinda Cox (Midwife) P2 - CNST Maternity Standard 3.2.9 Completed - ID3126 pVaginal birth after caesarean section Obstetrics & Midwifery Emma Treloar (Cons)/ Belinda Cox (Midwife) P2 - CNST Maternity Standard 3.2.10 In progress - ID2796 Severe pre-eclamplsa Obstetrics & Midwifery Rachna Bahl (Cons)/ Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.3.1 Completed - ID3151
Shoulder dystocia Obstetrics & Midwifery Rachna Bahl (Cons)/ Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.3.6 In progress - ID2276 Postpartum haemorrhage Obstetrics & Midwifery Rachna Bahl (Cons)/ Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.3.7 In progress - ID2449 Venous thromboembolism Obstetrics & Midwifery Rachna Bahl (Cons)/ Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.3.8 Completed - ID 3135 Pre-existing diabetes Obstetrics & Midwifery Rachna Bahl (Cons)/ Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.3.9 Completed - ID3025
Obesity Obstetrics & Midwifery Rachna Bahl (Cons)/ Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.3.10 Completed - ID3071 Booking appointments Obstetrics & Midwifery Sara-Jane Sheldon (Matron) P2 - CNST Maternity Standard 3.4.1 Completed - ID3127 Missed appointments Obstetrics & Midwifery Sara-Jane Sheldon (Matron) P2 - CNST Maternity Standard 3.4.2 In progress - ID3067 Clinical Risk Assessment (Antenatal) Obstetrics & Midwifery Sara-Jane Sheldon (Matron) P2 - CNST Maternity Standard 3.4.3 In progress - ID3023
Patient information Obstetrics & Midwifery Sara-Jane Sheldon (Matron)/Naomi Jobson (ST6) P2 - CNST Maternity Standard 3.4.4 Not initiated Maternal antenatal screening tests Obstetrics & Midwifery Ring (Antenatal Screening Co-ordinator) P2 - CNST Maternity Standard 3.4.5 Not initiated Clinical Risk Assessment (Labour) Obstetrics & Midwifery Emma Treloar (Cons)/Belinda Cox (Practice Development Midwife) P2 - CNST Maternity Standard 3.4.6 In progress - ID3232
Mental health Obstetrics & Midwifery Sara-Jane Sheldon (Matron)/Rachel Liebling (Cons) P2 - CNST Maternity Standard 3.4.7 In progress - ID3232 Handover of care (Onsite) Obstetrics & Midwifery Lisa Damsell (Matron)/ Janet Pollard (Patient Safety Manager) P2 - CNST Maternity Standard 3.4.8 In progress - ID3369 Maternal transfer by ambulance Obstetrics & Midwifery Ann Tizzard (Matron) P2 - CNST Maternity Standard 3.4.9 Completed - ID3252
Non-obstetric emergency care Obstetrics & Midwifery Naomi Jobson (ST6) P2 - CNST Maternity Standard 3.4.10 Completed - ID3294 Referral when a abnormality is detected Obstetrics & Midwifery Wendy Ring (Antenatal Screening Co-ordinator) P2 - CNST Maternity Standard 3.5.1 Completed - ID3083 Bladder care Obstetrics & Midwifery Pollard (Patient Safety Manager) P2 - CNST Maternity Standard 3.5.7 Completed - ID3088 Recovery Obstetrics & Midwifery Claire Dowse (Cons) P2 - CNST Maternity Standard 3.5.10 In progress - ID2729
2.7 Non-division specific This year Previous year Planned projects in progress or complete at end of financial year 33% (7/21) 78% (7/9) The following table shows the status at year end of those projects in progress or completed during the financial year that were identified as priorities within the forward plan for 2012/13. Sub-Specialty Lead Rationale Status Audit of ward moves for patients with dementia Care of the Elderly Helen Morgan (Dept. Chief Nurse) P1 - CQUIN Completed - ID3396 National Cardiac Arrest Audit (NCAA) Resuscitation Jo Bruce Jones (Resuscitation Manager) P1 - National Audit (Quality Accounts) In progress - ID3139 Health promotion in hospital (NHPHA) Trustwide Lead not specified P1 - National Audit (Quality Accounts) No longer required Inpatient documentation audit Records Jane Luker P2 - NHSLA In progress - ID2945 Outpatient documentation audit Records Lead not specified P2 - Information Risk Issue Not initiated End of life care in the acute hospital setting Palliative Care Karen Forbes (Cons) P1 - CQUIN Completed - ID3193 Medicines loading doses Medicines Management Lead not specified P2 - Identified by Medicines Governance Group NPSA priority Not initiated Injectable medicines Medicines Management Lead not specified P2 - Identified by Medicines Governance NPSA priority Not initiated Gentamicin Medicines Management Georgina Holmes pharmacist) P2 - Identified by Medicines Governance Group NPSA priority In progress IV Medications Medicines Management Lead not specified P2 - Identified by Medicines Governance Group NPSA priority Not initiated Anticoagulation Medicines Management Lead not specified P2 - Identified by Medicines Governance Group NPSA priority Not initiated Midazolam Medicines Management Lead not specified P2 - Identified by Medicines Governance Group NPSA priority Not initiated Low Molecular Weight Heparin Medicines Management Lead not specified P2 - Identified by Medicines Governance Group NPSA priority Not initiated Medicines Storage Medicines Management Steve Brown (Director of Pharmacy) P1 - Identified by Medicines Governance Group Re-audit ID 3174. CQC priority for inspection Completed - ID3174 Insulin usage Medicines Management Lead not specified P2 - Identified by Medicines Governance Group NPSA priority Not initiated The following activity was also in progress during the financial year (either rolled over from previous year or not identified through plan): Ref Provisional Title of Project Specialty Status
Microbial Keratitis re-audit Cornea and Cataract Tole (Cons)/Stuart Cook (Cons) Re-audit of drug sensitivities and treatment response. Rolled over from 2012/13 plan. 4 Q2 (Jul 2013)
Paediatric Eye Service Satisfaction Survey Paediatrics, Oculoplastics and Squint Amanda Churchill (Cons) Deferred from 2012/13 due to changes on ward and staff availability 4 Q2 (Jul 2013)
Discharge of paediatric patients from orthoptic department Orthoptics and Optometry Ann Starbuck (Orthoptist)/ Estelle Bishop (Orthoptist) Departmental standards - Increased activity and clinicians 4 Q1 (Apr 2013)
Audit of paediatric asthma management Emergency Department Nick Sargant (Cons) National college of Emergency Medicine based on BTS/SIGN Asthma guideline 2012 1 Q1 (Apr 2013) Consultant sign off for febrile children < 1 year old in the ED Emergency Department Mark Lyttle (Cons) National college of emergency medicine audit and DoH clinical quality indicator 1 Q1 (Apr 2013)
Support for Parents (Joint project with Obstetrics and Midwifery) Neonatology Jackie Moxham (Patient Safety Manager)/Anoo Jain (Cons) CNST Maternity Standard 3.5.8 2 Q2 (July 2013)
Patient administration and compliance issues when prescribed Proton Pump Inhibitors Pharmacy Nicola (Pharm) Cost-effectiveness and patient safety across the SW region 2 To be confirmed Accurate CRIS documentation of consultant checks Radiology Grier (Radiologist) Re-audit confirmed from previous action plan 3 To be confirmed
West of Britain Group joint audit – probably Lynch syndrome screening Clinical Genetics Alan Donaldson West of Britain Group Genetics audit – 2013/2014 3 To be confirmed Total Laparoscopic Hysterectomy (TLH) Gynaecology Caroline Overton (Cons) New interventional procedure approved by the Clinical Effectiveness Group 2 To be confirmed
Caesarean Section Obstetrics/Midwifery Emma Treloar (Consultant)/ Belinda Cox (PD Midwife) CNST Maternity Standard 3.2.6 2 Q1 (Apr 2013) Induction of Labour Obstetrics/Midwifery Emma Treloar (Consultant)/ Belinda Cox (PD Midwife) CNST Maternity Standard 3.2.7 2 Q2 (July 2013)
Shoulder Dystocia Obstetrics/Midwifery Rachna Bahl (Consultant)/Lisa Damsell (Modern Matron) CNST Maternity Standard 3.3.6 2 Q1 (Apr 2013) Obstetric Haemorrhage Obstetrics/Midwifery Rachna Bahl (Consultant)/Lisa Damsell (Modern Matron) CNST Maternity Standard 3.3.7 2 01 (Apr 2013)
Pre-existing Diabetes Obstetrics/Midwifery Rachna Bahl (Consultant)/Lisa Damsell (Modern Matron) CNST Maternity Standard 3.3.9 2 To be confirmed Obesity Obstetrics/Midwifery Rachna Bahl (Consultant)/S-J Sheldon (Community Matron) CNST Maternity Standard 3.3.10 2 Q1 (Jun 2013)
Mental Health Obstetrics/Midwifery S-J Sheldon (Community Matron)/Rachel Liebling (Cons) CNST Maternity Standard 3.4.7 2 To be confirmed Handover of Care (Onsite) Obstetrics/Midwifery S-J Sheldon (Community Matron) CNST Maternity Standard 3.4.8 2 Q1 (Apr 2013)
Immediate Care of the Newborn project with NICU) Obstetrics/Midwifery Jackie Moxham (Patient Safety Manager)/Anoo Jain (Cons) CNST Maternity Standard 3.5.4 2 Q1 (Apr 2013) Newborn feeding (Joint project with NICU) Obstetrics/Midwifery Joan Beales (Infant Feeding Co-ordinator) CNST Maternity Standard 3.5.5 2 To be confirmed
Examination of the Newborn (Joint project with NICU) Obstetrics/Midwifery Wendy Ring (Screening / Anoo Jain (Cons) CNST Maternity Standard 3.5.6 2 To be confirmed Bladder Care Obstetrics/Midwifery Jackie Moxham (Patient Safety Manager) CNST Maternity Standard 3.5.7 2 To be confirmed
Inpatient documentation audit Records Jane Luker (Cons) CQC Outcome 21/NHSLA 2 Q3 (Nov 2013) Dementia Screening Trustwide Natalie Godfrey (Dementia Lead Nurse) Regional CQUIN/Trust Quality Objective 1 Q1 (Apr 2013)
Ward Transfers for patients with cognitive impairment Trustwide Natalie Godfrey (Dementia Lead Nurse) Regional CQUIN/Trust Quality Objective 1 Q1 (Apr 2013) Patient Safety Thermometer Helen Morgan (Dep Head of Nursing) CQUIN 1 Q1 (Apr 2013)