needs for future team development. High 1.4 Launch newly revised and Division Lead Nurse August/ New in use printed bespoke record keeping Professional September 2013 packs for the Bradgate Unit. Standards Medium 1.5 Trust-wide record keeping Trust Clinical October 2013 Audit support Audit data (second stage) to be Effectiveness Report completed on all Bradgate Unit Lead Action plan wards in October 2013. High 1.6 Review the care pathway for all Chief Nurse August 2013 Two Ward Weekly reports patients at the Bradgate Unit Lead Nurse Matrons Audit data through scrutiny and development Seconded seconded of care plans on all wards. Matrons Systematically review all care records on Bradgate Unit ward. Identify and address shortfalls. Embed a system of ongoing monitoring. 2. Develop High 2.1 Completion of Trust-wide Trust Clinical Audit October 2013 Auditors to be Audit report standardised Observations (Handover) re-audit Team identified and handover this is being preceded by a released – processes programme of spot checks by a clinical audit assistant. Medium 2.2 Review of Handover Clinical November 2013 Revised policy Policy in line with NHSLA Governance requirements. Lead AMH & LD 3. Cultural High 3.1 Devise a cultural change Division Senior HR Results and Final report change programme for the AMH Division Business report funding – including a dashboard. Partner September 2013 sourced to Achieved ‘culture’ Milestones have been agreed with support the actions commissioners (see below) and a programme
needs for future team development. High 1.4 Launch newly revised and printed bespoke record keeping packs for the Bradgate Unit. Division Lead Nurse Professional Standards August/ September 2013 New in use Medium 1.5 Trust-wide record keeping (second stage) to be completed on all Bradgate Unit wards in October 2013. Trust Clinical Effectiveness Lead October 2013 Audit support Audit data Report Action plan High 1.6 Review the care pathway for all patients at the Bradgate Unit through scrutiny and development of care plans on all wards. Systematically review all care records on Bradgate Unit ward. Identify and address shortfalls. Embed a system of ongoing monitoring. Chief Nurse Lead Nurse Seconded Matrons August 2013 Two Ward Matrons seconded Weekly reports Audit data 2. Develop standardised handover processes High 2.1 Completion of Trust-wide Observations (Handover) re-audit – this is being preceded by a programme of spot checks by a clinical audit assistant. Trust Clinical Audit Team October 2013 Auditors to be identified and released Audit report Medium 2.2 Review of Handover Policy in line with NHSLA requirements. Clinical Governance Lead AMH & LD November 2013 Revised policy 3. Cultural change High 3.1 Devise a cultural change programme for the AMH Division including a ‘culture’ dashboard. Milestones have been agreed with commissioners (see below) and a Division Senior HR Business Partner Results and report – September 2013 funding sourced to support the programme Final report Achieved actions
PaperGApplebyActionPlanversion99thAugust2013.docx