THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date 16/11/2016 Report Title Harm Free Care Agenda Item A5(iii) Lead Director Report Author Nursing and Patient Services Director Helen Lamont, Fania Pagnamenta, Rachel Carter, Frances Blackburn Classification NHS Unclassified / NHS Protect / NHS Confidential Purpose (Tick one only) Approval Discussion For Information Links to Strategic Objectives To put patients and carers at the centre of all we do and to provide care of the highest standard in terms of both safety and quality. To continue to be recognised as a first-class teaching hospital, counted amongst the top 10 in the country, which promotes a culture of excellence, in all that we do. Links to CQC Domains/ Fundamental Standard(s) Regulation 9,12 Domains Safe Effective Well-led Responsive to people’s needs Identified Risk? (If yes, risk reference) No. Resource Implications No resource implications. Legal implications and equality and diversity assessment This paper demonstrates that the Trust takes seriously its responsibilities in relation to Equality and Human Rights, and Health and Safety and recognises that individual needs need to be responded to. It also demonstrates Trust commitment to the Duty of Candour. Benefit to patients and the public Demonstrates Trust commitment to providing services which are safe and do not harm patients and that where harm occurs this is reviewed in detail to consider what learning can be taken to improve the care of all patients and meet the needs of all patients. Provides examples of practice development that have been undertaken to meet these duties. Report History Regular Report – previous report July 2016. Next steps Trust Board to approve ongoing work.
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST DELIVERING ‘HARM FREE CARE’ FALLS AND PRESSURE DAMAGE UPDATE INTRODUCTION / BACKGROUND The delivery of ‘Harm Free Care’ for all patients is a national and Trust priority. The Trust consistently report above (better than) the national mean average for delivery of ‘Harm Free Care’ using Safety Thermometer data (Appendix 1, graph 1). The Trust’s overall rate of Harm Free Care has varied over the last 6 months. Analysis shows performance was better than the Trust mean in June to August 2016 dipping below the mean in September 2016. The cause of this is predominantly increased pressure damage although incidence of the other harms does vary over the year. (Appendix 1, graph 2). The Trust has committed to reduce the incidence of harm from pressure ulcers and falls, and whilst the Trust recognises that it consistently reports better than the national average for ‘Harm Free Care’, there are still further improvements which could be achieved. In relation to pressure ulcers the reductions frequency achieved in the Trust have not been sustained, other than for moisture lesions (Appendix 2, graphs 2 and 3). In relation to patient falls, there has been a reduction in falls over the last year (Appendix 5, graph 1) with particular progress being noted over the last six months (Appendix 5, graph 2). The Speciality Teams for each category of harm regularly analyse local data to monitor the number of harms reported and this is outlined in more detail, for pressure ulcers and falls, within this report. The report also outlines the current workstreams which are ongoing to try and further reduce harm and the future initiatives which are planned by the individual Teams to ensure we strive to deliver ‘Harm Free Care’. HARM FREE CARE The Trust carefully monitors individual harms and, as detailed below, has a significant number of work streams to minimise rates of patient harm. The extract from the Safety Thermometer tool (Appendix 1, graph 2), shows the rates for the four types of ‘Harm’ (Falls, Pressure Damage, Catheter Associated Urinary Tract Infections (CAUTI) and Urinary Tract Infection (UTI) and new Venous Thrombotic Embolism (VTE). The data shows that pressure damage accounts for the most harm on any given day, with the other ‘harms’ contributing on a smaller scale. In part this is because a patient with pressure damage and a long length of stay will
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