Priority Four: Learning from deaths in hospital and improving end of life care Executive Lead: Medical Director Where will the data Milestones/ Key Objective Suggested Outcome measures Comments / Next Steps be Trajectory Embed the Monitor the percentage of Deliver teaching to MAU, Generated from a Aim 50% reviews structured judgement deaths undergoing mortality Sandford and Surgical mortality database by end of quarter 1, review within the review on the Mortality teams with help from report. 2018 organisation. Database. consultants at internal directorate meeting named Minutes of the To establish Establish regular directorate - Cabinet meeting meetings. meetings by end of mortality reviews. July 2018 Improve our Gather feedback from Audit. Data collection By the end of 2018 bereaved families to reported to patient have collected relative’s experiences when a understand their experience Deliver teaching to all staff experience group information from patient has died. of care in the Trust and groups within the and clinical bereaved incorporate learning within organisation. effectiveness group families/carers the work plan. about improved communication and Improved staff confidence, experience at the skills and knowledge through time of death. education. By April 2019 have implemented changes based on feedback to demonstrate improved communication and satisfaction. Develop and The identified outcomes from Develop an implementation Improved outcomes Increase the implement an end of the National Audit for End of workplan for the next 5 from the annual numbers of life strategy following Life. year. national audit of patients whose life national guidance. End of Life Care. ends in a place of their choosing and whose family/carers report satisfaction with the care they receive at the time of their death.
Priority Four: Learning from deaths in hospital and improving end of life care Executive Lead: Medical Director Key Objective Suggested Outcome measures Comments / Next Steps Where will the data be Milestones/ Trajectory Embed the structured judgement review within the organisation. Monitor the percentage of deaths undergoing mortality review on the Mortality Database. Establish regular directorate mortality reviews. Deliver teaching to MAU, Sandford and Surgical teams with help from consultants at internal directorate meeting named - Cabinet meeting Generated from a mortality database report. Minutes of the meetings. Aim 50% reviews by end of quarter 1, 2018 To establish meetings by end of July 2018 Improve our relative’s experiences when a patient has died. Gather feedback from bereaved families to understand their experience of care in the Trust and incorporate learning within the work plan. Improved staff confidence, skills and knowledge through education. Audit. Deliver teaching to all staff groups within the organisation. Data collection reported to patient experience group and clinical effectiveness group By the end of 2018 have collected information from bereaved families/carers about improved communication and experience at the time of death. By April 2019 have implemented changes based on feedback to demonstrate improved communication and satisfaction. Develop and implement an end of life strategy following national guidance. The identified outcomes from the National Audit for End of Life. Develop an implementation workplan for the next 5 year. Improved outcomes from the annual national audit of End of Life Care. Increase the numbers of patients whose life ends in a place of their choosing and whose family/carers report satisfaction with the care they receive at the time of their death.
Quality%20Account%202017-2018%20v10.docx