A Duty of Candour Policy has been written and is out for consultation with key members of The policy includes incidents that have caused moderate/prolonged psychological/severe harm or death and the Trust acknowledging, apologising, investigating and explaining when something has gone wrong. The duty includes informing the patient/next of kin within ten working days (verbally) that harm has occurred and offering a sincere apology along with an explanation of what has happened (this must be documented in the medical records). This is then followed up by letter reiterating the verbal discussion and offering apologies. Following the investigation the patient/Next of kin will then receive feedback on the investigation outcome and actions taken to prevent reoccurrence. Collaborate On 14 October the NHS England Patient Safety Collaboratives were launched. This confirmed the position of CARE SOUTH WEST (the five year South West Safety Collaborative) within the West of England Academic Health Science Network (WoEAHSN). WoEAHSN covers the geography of the Northern part of the previous South West Strategic Health Authority and in addition three Universities, Commissioning Groups, Ambulance Trust and Primary Care. Sign up for Safety, a national safety initiative is working alongside the AHSN based Safety Collaboratives to build a culture of safety and of quality improvement through the use of campaign approaches. The Safer Care South West will be reviewing its work plan this autumn. There is a commitment to using the same collaborative model and improvement methods going forward and to partnering where possible with Academic and Industry. The previous work streams; peri-operative, critical care, general physical care, medicines and leadership will continue. The measurement strategy will be simplified for existing work streams so that new of work can be introduced. These new areas will be; emergency laparotomy, acute kidney injury, sepsis, ends of life priorities of care. Following the appointment of a Care South West Programme facilitator” for Weston General “Safer Hospital, nurse-led groups have been developed to look at opportunities for improvements, regarding pressure ulcer prevention, falls prevention and avoidance of catheter urinary tract infection. Work relating to safer anticoagulation has also commenced by Pharmacy staff, Laboratory Technicians and Doctors who prescribe anticoagulant therapy. The aim will be to enable collaboration on ideas and shared learning across all providers in the AHSN as well as local focus on issues that matter.
A Duty of Candour Policy has been written and is out for consultation with key members of The policy includes incidents that have caused moderate/prolonged psychological/severe harm or death and the Trust acknowledging, apologising, investigating and explaining when something has gone wrong. The duty includes informing the patient/next of kin within ten working days (verbally) that harm has occurred and offering a sincere apology along with an explanation of what has happened (this must be documented in the medical records). This is then followed up by letter reiterating the verbal discussion and offering apologies. Following the investigation the patient/Next of kin will then receive feedback on the investigation outcome and actions taken to prevent reoccurrence. Collaborate On 14 October the NHS England Patient Safety Collaboratives were launched. This confirmed the position of CARE SOUTH WEST (the five year South West Safety Collaborative) within the West of England Academic Health Science Network (WoEAHSN). WoEAHSN covers the geography of the Northern part of the previous South West Strategic Health Authority and in addition three Universities, Commissioning Groups, Ambulance Trust and Primary Care. Sign up for Safety, a national safety initiative is working alongside the AHSN based Safety Collaboratives to build a culture of safety and of quality improvement through the use of campaign approaches. The Safer Care South West will be reviewing its work plan this autumn. There is a commitment to using the same collaborative model and improvement methods going forward and to partnering where possible with Academic and Industry. The previous work streams; peri-operative, critical care, general physical care, medicines and leadership will continue. The measurement strategy will be simplified for existing work streams so that new of work can be introduced. These new areas will be; emergency laparotomy, acute kidney injury, sepsis, ends of life priorities of care. Following the appointment of a “Safer Care South West Programme facilitator” for Weston General Hospital, nurse-led groups have been developed to look at opportunities for improvements, regarding pressure ulcer prevention, falls prevention and avoidance of catheter urinary tract infection. Work relating to safer anticoagulation has also commenced by Pharmacy staff, Laboratory Technicians and Doctors who prescribe anticoagulant therapy. The aim will be to enable collaboration on ideas and shared learning across all providers in the AHSN as well as local focus on issues that matter.
Agenda%20Item%20951%2014%20%20Harm%20Free%20Care%20Report.docx