Quality Improvement Actions Safe care and treatment Patient Care – – How the regulation was not being met CQC findings There was no medical staff allocated to the pink area of AMU or the winter pressures ward. Patients did not routinely have robust, individualised care plans to enable staff to plan and deliver their care and treatment appropriately and mitigate any identified risks. Patients in the emergency department who had been referred to the medical team were not routinely reviewed in a timely way (Medical Model). Staff working within the emergency pathway did not recognise that patients with mental health needs present with increased risk and did not take practicable steps to mitigate risks (Mental Health plan). How the regulation will be met Patients on the emergency pathway will be referred and seen by the medical team in a timely manner Areas for Improvement action Outcome Responsible Deadline Assurance /Evidence Current Improvement person Date status Recruitment of staff Proactive recruitment Compliant rota Director of 31/5/17 Timeliness of medical review strategy Unscheduled Green Care Not all patients have a Review use of existing Patients will have an Chief of 30/6/17 Audit of Bedview plan of care flags within the Bedview individualised plan of Service Documentation audit system to identify care Emergency Green vulnerable patients and Department how this information can (ED) be used in a more intelligent manner.
Quality Improvement Actions – Safe care and treatment – Patient Care How the regulation was not being met CQC findings There was no medical staff allocated to the pink area of AMU or the winter pressures ward. Patients did not routinely have robust, individualised care plans to enable staff to plan and deliver their care and treatment appropriately and mitigate any identified risks. Patients in the emergency department who had been referred to the medical team were not routinely reviewed in a timely way (Medical Model). Staff working within the emergency pathway did not recognise that patients with mental health needs present with increased risk and did not take practicable steps to mitigate risks (Mental Health plan). How the regulation will be met Patients on the emergency pathway will be referred and seen by the medical team in a timely manner Areas for Improvement Improvement action Outcome Responsible person Deadline Date Assurance /Evidence Current status Recruitment of staff Proactive recruitment strategy Compliant rota Director of Unscheduled Care 31/5/17 Timeliness of medical review Green Not all patients have a plan of care Review use of existing flags within the Bedview system to identify vulnerable patients and how this information can be used in a more intelligent manner. Patients will have an individualised plan of care Chief of Service Emergency Department (ED) 30/6/17 Audit of Bedview Documentation audit Green
QIP%20Plan%20-%20by%20stages%20for%20Launch_Phase%201.docx