Open and honest, safer staffing
We are one of a number of NHS organisations who want to be open and transparent with our patients. This is how a modern NHS hospital should be - open and accountable to patients, relatives and the general public. Absolute transparency, after all, is key to continually driving improvements in care, practice and culture.
We have made a commitment to publish data concerning the harm that patients sometimes experience in our care, and in those areas where the harm occured, we will examine both the inpatient and staff experience. Patients and the public can then see how we are performing in these areas on our internet pages as well as on our 'How we are doing' boards situated on all wards:
As a hospital we will also collaborate with other care providers at regular intervals to share what we have learned and use this information to identify changes that can be made to enhance quality of care.
July 2017 results:
It is our ward manager's responsibility to monitor staffing levels within their wards on a daily basis. The number of staff hours required per shift is split by registered and non-registered (Nursing Assistants) and published monthly to measure staffing levels per ward. This allows the Trust to review and adjust staffing levels locally to support patient needs.
||Percentage staffing level
For the most recent staffing review and a ward by ward breakdown exception report click here
Our staffing boards are updated daily on all of our wards and will provide you with real time staffing data:
Bi-annual Nursing & Midwifery Staffing Reviews
The hospital has a duty to ensure that nursing & midwifery staffing numbers consistently meet the healthcare needs and expectations of patients, relatives and the wider community. In addition to the monthly monitoring of staffing levels (found in the section above), a twice yearly detailed assessment is also undertaken on all inpatient ward areas. The reports found below are the most recent assessments for nursing & midwifery staffing establishments across the hospital, these were published in January 2017.
Safe Nursing Staffing Establishment Review (Jan 2017)
Midwifery Establishment Review (Safer Staffing January 2017)
If you want to view a copy of our latest Nursing and Midwifery Strategy click here
To view our Nursing and Midwifery Strategy 2015 video click here
To view our 2016/2017 Quality Accounts click here
To view our latest patient story click here
Friends and Family Test
Patients are asked to complete the Friends and Family test within 48 hours of discharge. The survey consists of two questions:
- How likely are you to recommend our ward to friends and family if they needed similar care or treatment?
- What was good about your care, and what could be improved?
Click here to see the latest Trust FTT Results for July 2017.
NHS England’s vision for Staff FFT is that all staff should have the opportunity to feedback their views on their organisation at least once per year. It is hoped that Staff FFT will help to promote a big cultural shift in the NHS, where staff have further opportunity and confidence to speak up, and where the views of staff are increasingly heard and are acted upon.
- The Staff FFT includes two simple questions. Staff respond using a scale between “extremely likely” and “extremely unlikely”.
- Staff should also have the opportunity to provide a free-text comment after each FFT question.
- All staff working within the organisation should have the opportunity to provide their feedback via Staff FFT once per year, as a minimum requirement.
Click here to view the Staff FFT 2015/16 results.
Health care associated infections (HCAIs)
Our infection prevention and control practice plays a key part in ensuring hospital acquired infections do not occur and is essential to delivering safe, kind and effective services. Reducing the number of HACIs is a priority within the hospital and measures are in place to monitor the number of infections that occur. If a HCAI does occur we undertake a comprehensive review of the case to assess if all the correct practices were in place. Where practice has not been to the expected standard the learning is shared with staff and improvements are implemented and monitored.
Public Health England has outlined a monitoring programme for HCAI and has set targets for the hospital to achieve. The table below provides information on how we are doing in relation to the Clostridium difficile (C.difficile) and Methicillin-Resistant Staphyloccus Aureus (MRSA) targets.
||No more than 24 Cases
|Actual to date
A pressure ulcer is a localised injury to the skin and/or underlying tissue, often seen over a bony prominence as a result of pressure. Patients who are ill in hospital, particularly if being nursed in bed or with reduced mobility have a higher risk of developing a pressure ulcer. There is a number of compounding and/or contributing factors to developing a pressure ulcer, some of these are:
- Reduced mobility (in bed or sitting in chair for long periods)
- Poor diet/nutrition
- Skin integrity (condition of skin)
Our hospital focuses on the prevention of pressure ulcers and the monitoring of incidents. If an ulcer does occur it is graded between 1-4 (with 1 being the least serious and 4 being the most serious) and measures are put into place to prevent the ulcer deteriorating further. Each ward area in the hospital has a safety cross (visible to patients & families), each day the safety cross is updated to display if any pressure ulcers have occurred. The table below provides information on the number of grade 3 and 4 pressure ulcers acquired in the hospital during July 2017:
||Number of pressure ulcer incidents
Trips, slips & falls can occur anywhere including in the hospital environment. Some patients are at higher risk of falling as a result of illness, impairment and/or medication. Our hospital is doing a lot of work around the prevention of falls and has started to implement a national ‘Fallsafe’ programme developed by the Royal College of Physicians. This means that all patients are assessed for their risk of falls and measures are introduced to reduce the risk if needed.
If a fall does occur it is recorded on the ward safety cross (visible to patients and families in the ward area) and investigated to assess if all care and treatment was appropriate. The number of incidents is monitored overtime to look for trends that may help support any improvements needed. The table below provides information on the number of falls with harm (i.e. the patient injured themselves as a result of the fall) that occurred during July 2017:
||Number of patients