Quality Improvement Actions Privacy, Dignity and respect – How the regulation was not being met CQC findings Patients should not be transferred from ambulance trolleys in the corridor outside pit stop. Staff should move the patient to a more discreet area before attempting transfer, unless urgent transfer is required due to the condition patient’s clinical The hospital must declare mixed sex accommodation breaches as they occur in line with Department of Health guidance Conversations between the navigator nurses should be held in a private area to preserve the dignity and respect patient’s How the regulations will be met Zero mixed sex accommodation breaches occur in line with DH guidance Staff to consistently maintain patient privacy and dignity Areas for Improvement action Outcome Responsible Deadline Assurance /Evidence Current Improvement person Date status Ensure that staff adhere Review areas Risk assessment will Head of 31/07/17 Safety Learning Events (SLE) to DH guidance to avoid highlighted e.g. Cardiac be carried out and Nursing for raised for non clinically any mixed sex Day Unit, Renal and where potential Critical justified breaches accommodation (MSA) escalation areas appropriate, screens HSDU, Clinically Justified breaches breaches should be used in line Anaesthetics included in report to Board Amber with DH guidance and Theatres Screens observed in use Daily reporting of compliance with MSA requirement Ensure that staff Embedding of staff Patients are moved to Head of 31/8/17 Feedback from : maintain patients responsibilities a discreet area in a Nursing for Quality Care reviews privacy and dignity regarding meeting timely manner. each Clinical Sit and see programme Amber along the emergency patient privacy, dignity Patient privacy and Service Peer reviews pathway and respect dignity is maintained Centre CCG visits (CSC)
Quality Improvement Actions – Privacy, Dignity and respect How the regulation was not being met CQC findings Patients should not be transferred from ambulance trolleys in the corridor outside pit stop. Staff should move the patient to a more discreet area before attempting transfer, unless urgent transfer is required due to the patient’s clinical condition The hospital must declare mixed sex accommodation breaches as they occur in line with Department of Health guidance Conversations between the navigator nurses should be held in a private area to preserve the patient’s dignity and respect How the regulations will be met Zero mixed sex accommodation breaches occur in line with DH guidance Staff to consistently maintain patient privacy and dignity Areas for Improvement Improvement action Outcome Responsible person Deadline Date Assurance /Evidence Current status Ensure that staff adhere to DH guidance to avoid any mixed sex accommodation (MSA) breaches Review areas highlighted e.g. Cardiac Day Unit, Renal and escalation areas Risk assessment will be carried out and where potential appropriate, screens should be used in line with DH guidance Head of Nursing for Critical HSDU, Anaesthetics and Theatres 31/07/17 Safety Learning Events (SLE) raised for non clinically justified breaches Clinically Justified breaches included in report to Board Screens observed in use Daily reporting of compliance with MSA requirement Amber Ensure that staff maintain patients privacy and dignity along the emergency pathway Embedding of staff responsibilities regarding meeting patient privacy, dignity and respect Patients are moved to a discreet area in a timely manner. Patient privacy and dignity is maintained Head of Nursing for each Clinical Service Centre (CSC) 31/8/17 Feedback from : Quality Care reviews Sit and see programme Peer reviews CCG visits Amber
QIP%20Plan%20-%20by%20stages%20for%20Launch_Phase%201.docx