Agenda item

Report of Chris Lanigan, Head of Planning Development and Laura Kirkbridge, Planning and Business Development Manager

The Head of Planning and Business Development and the Planning and Business Development Manager submitted a report (previously circulated) to provide Members with an update against each of the four key quality improvement priorities for 2018/2019 identified in the current Tees, Esk and Wear Valleys (TEWV) Quality Account including performance against the agreed quality metrics up to 30 September 2018.

The submitted report also set out the priorities for next year’s Quality Account approved by the TEWV Board of Directors on 30 October 2018.

Members were advised that the four quality improvement priorities for 2018/19 were supported by 46 actions to assist delivery of those priorities, 40 of which were Green at 30 September 2018. The actions that were reporting Red at 30 September 2018 were outlined in the submitted report.

The submitted report also detailed the performance against the 9 Quality Metrics at Quarter 2 using RAG ratings and Members were advised that 33 per cent (3 metrics) were reporting green and 66 per cent (6 metrics) were reporting red.

Representatives from the Trust provided further information in relation to those six red Quality Metrics which were Metric 1 – percentage of patients who report ‘yes always’ to the question ‘do you feel safe on the ward?’; Metric 3 –number of incidents of physical intervention/restraint per 1000 occupied bed days; Metric 6 – average length of stay for patients in Adult Mental Health Services and Mental Health Services for Older People Assessment and Treatment Wards; Metric 7 – percentage of patients who reported their overall experience as ‘excellent’ or ‘good’; Metric 8 - percentage of patients that report that staff treated them with dignity and respect; and Metric 9 percentage of patients that would recommend the Trusts service to friends and family if they needed similar care or treatment,

In relation to Metric 1 which was 28.33 per cent below the Trust target of 82 per cent it was reported that the main reason or patients feeling unsafe was due to other patients and patient’s vulnerability.

In relation to Metric 3 it was reported that the Trust’s position for Quarter 2 was 15.18 per cent above the Trust target of 19.25 almost identical to Quarter 1.

With regard to Metric 6 it was reported that the target was not being met in relation to older people having to remain on the Ward for longer and the Trust were engaging with some local authorities on locality specific schemes to reduce delayed discharge.  It was reported however that the median length of stay within Mental Health Services for Older People was 49 days which was within the target threshold of less than 52 days which demonstrates that the small number of patients that had very long lengths of stay had a significant impact on the mean figures reported.

In relation to Metric 7 Members were advised that there had been an improvement from Quarter 1 and a number of initiatives were taking place to improve patient experience. The Trust were currently at 91.34 per cent for Quarter 2, just below the target of 94 per cent.

With regard to Metric 8 Members were advised that the Trust position for Quarter 2 was 86.08 per cent, which was 7.92 per cent below the Trust target of 94 per cent. An Autism Awareness Training Programme was being delivered so staff can better understand how best to interact with, and take account of the needs of this particular service user group so adjustments to services can be made.

In relation to Metric 9 it was stated that the Trust position for Quarter 2 was 87.76 per cent, 6.24 per cent below the target of 94 per cent. However this was an improvement on Quarter 1.

Member were advised that the Trust were working hard to try and ensure that the targets in relation to Patient Experience were met in future and that action plans are put into place to address any issues.

With regard to the improvement priorities for 2019/20 Members were advised of the introduction of a fifth priority – Review of urgent care services and identify a future model for delivery.

Members noted that the Trust’s Draft Quality Accounts would be presented to TEWV’s Quality Account Stakeholder event at Scotch Corner on 5 February 2019; and TEWV’s Quality Assurance Committee on 7 February prior to the completion of the daft Quality Account document and formal consultation with stakeholders in April and May 2019.

RESOLVED – (a) That the report be noted.

(b) That the Head of Planning and Business Development and the Planning and Business Development Manager be thanked for their informative presentation.