Agenda item

Presentation by the Associate Director of Strategic Planning and Programmes and Director of Quality Governance, Tees, Esk and Wear Valley NHS Foundation Trust

The Associate Director of Strategic Planning and Programmes and Director of Quality Governance, Tees, Esk and Wear Valley NHS Foundation Trust gave a presentation (previously circulated) presenting the Quality Account 2021/22 including Quality Improvement priorities planned for 2022/23.

It was reported that of the nine Quality Metrics, four were reported as red by the Trust at the end of Quarter 4 2021/2022; details were provided for those missed targets and the actions being taken by the Trust to address these; whilst four metrics were reported as red, two were close to meeting their target; and that the Trust deliberately set stretching targets.

Reference was made to the Quality Metrics for 2022/23; Members noted that a review of the suite of metrics was underway to align them more closely with the Trusts new quality journey and the improvement priorities.

The Quality Account Improvement Priorities for 2021/22 were outlined and it was reported that of the 46 actions 30 had been achieved or were on track; the reasons for delays in implementation of the actions, both covid and non-covid, were outlined and details were provided for the 2022/23 improvement priorities and associated actions.

Discussion ensued regarding care planning and implementation of the dialogue system; and particular concern was raised regarding the high number of incidents of physical intervention/restraints per 1000 occupied bed days with 37.66 against the Trust target of 19.25. Members were advised that the incidents related to a small number of patients; details were provided of the work programme that was in place to address this issue; and Members were assured that this was a key workstream for the Trust.

Following a question in relation to benchmarking, Members requested the inclusion of comparative data in future Quality Account update reports in order to provide context for Members.

Discussion also ensued regarding recording of incidents involving staff; learning from best practice and collaborative working; and following a question regarding training of agency staff, Members were assured that staff were employed from agencies on the NHS framework; that as part of the framework the agency staff were required to have received statutory and mandatory training; and bespoke training would be offered for any specific training requirements prior to starting to work on the ward.

Members requested regular briefings on various aspects reported on in the Quality Accounts at future meetings of the Joint Committee, with a focus on topics based on the priorities/concerns at that given time; and it was suggested that an update be provided on the clinical and quality journey at the next meeting of this Committee.

RESOLVED –  That the Tees, Esk and Wear Valley NHS Foundation Trust Quality Account 2021/22 be noted and the Committee’s comments be submitted as part of TEWV’s consultation on the Quality Account.