THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST DELIVERING ‘HARM FREE CARE’ FALLS AND PRESSURE DAMAGE UPDATE INTRODUCTION / BACKGROUND The delivery of Free for all patients is a national and Trust priority. ‘Harm Care’ The Trust consistently report above (better than) the national mean average for delivery of Free using Safety Thermometer data (Appendix 1, graph ‘Harm Care’ 1). The of Harm Free Care has varied over the last 6 months. Trust’s overall rate Analysis shows performance was better than the Trust mean in June to August 2016 dipping below the mean in September 2016. The cause of this is predominantly increased pressure damage although incidence of the other harms does vary over the year. (Appendix 1, graph 2). The Trust has committed to reduce the incidence of harm from pressure ulcers and falls, and whilst the Trust recognises that it consistently reports better than the national average for Free there are still further improvements which ‘Harm Care’, could be achieved. In relation to pressure ulcers the reductions frequency achieved in the Trust have not been sustained, other than for moisture lesions (Appendix 2, graphs 2 and 3). In relation to patient falls, there has been a reduction in falls over the last year (Appendix 5, graph 1) with particular progress being noted over the last six months (Appendix 5, graph 2). The Speciality Teams for each category of harm regularly analyse local data to monitor the number of harms reported and this is outlined in more detail, for pressure ulcers and falls, within this report. The report also outlines the current workstreams which are ongoing to try and further reduce harm and the future initiatives which are planned by the individual Teams to ensure we strive to deliver Free ‘Harm Care’. HARM FREE CARE The Trust carefully monitors individual harms and, as detailed below, has a significant number of work streams to minimise rates of patient harm. The extract from the Safety Thermometer tool (Appendix 1, graph 2), shows the rates for the four types of Pressure Damage, Catheter Associated Urinary Tract ‘Harm’ (Falls, Infections (CAUTI) and Urinary Tract Infection (UTI) and new Venous Thrombotic Embolism (VTE). The data shows that pressure damage accounts for the most harm on any given day, with the other contributing on a smaller scale. In ‘harms’ part this is because a patient with pressure damage and a long length of stay will
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST DELIVERING ‘HARM FREE CARE’ FALLS AND PRESSURE DAMAGE UPDATE INTRODUCTION / BACKGROUND The delivery of ‘Harm Free Care’ for all patients is a national and Trust priority. The Trust consistently report above (better than) the national mean average for delivery of ‘Harm Free Care’ using Safety Thermometer data (Appendix 1, graph 1). The Trust’s overall rate of Harm Free Care has varied over the last 6 months. Analysis shows performance was better than the Trust mean in June to August 2016 dipping below the mean in September 2016. The cause of this is predominantly increased pressure damage although incidence of the other harms does vary over the year. (Appendix 1, graph 2). The Trust has committed to reduce the incidence of harm from pressure ulcers and falls, and whilst the Trust recognises that it consistently reports better than the national average for ‘Harm Free Care’, there are still further improvements which could be achieved. In relation to pressure ulcers the reductions frequency achieved in the Trust have not been sustained, other than for moisture lesions (Appendix 2, graphs 2 and 3). In relation to patient falls, there has been a reduction in falls over the last year (Appendix 5, graph 1) with particular progress being noted over the last six months (Appendix 5, graph 2). The Speciality Teams for each category of harm regularly analyse local data to monitor the number of harms reported and this is outlined in more detail, for pressure ulcers and falls, within this report. The report also outlines the current workstreams which are ongoing to try and further reduce harm and the future initiatives which are planned by the individual Teams to ensure we strive to deliver ‘Harm Free Care’. HARM FREE CARE The Trust carefully monitors individual harms and, as detailed below, has a significant number of work streams to minimise rates of patient harm. The extract from the Safety Thermometer tool (Appendix 1, graph 2), shows the rates for the four types of ‘Harm’ (Falls, Pressure Damage, Catheter Associated Urinary Tract Infections (CAUTI) and Urinary Tract Infection (UTI) and new Venous Thrombotic Embolism (VTE). The data shows that pressure damage accounts for the most harm on any given day, with the other ‘harms’ contributing on a smaller scale. In part this is because a patient with pressure damage and a long length of stay will
A5(iii)_Board_Paper_-_Harm_Free_Care_Nov_16_v4.docx