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Performance against Targets (KPI) / performance framework

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 Kettering General Hospital NHS Foundation Trust has a "brand" which states our values and defines our patient promise of "We will always treat you as an individual...always working together, always there for you...and always improving"

 

The Clinical Governance Department collect and collate information to evidence compliance against a number of national criteria to the Care Quality Commission (CQC).  Information about the results can be found on our Care Quality Commission (link) webpage.

 

As a public funded organisation we have to ensure we achieve targets set by central government, legislation and external bodies who inspect us.

 

The Board regularly receives reports from external bodies and monitors performance against targets. 

 

How the Trust performed in 2010-2011

The Trust is regularly measured against key performance indicators in various aspects of the care it provides. Performance is monitored continually and reported at monthly meetings to the Board of Directors. Please follow this link to the Trust Board papers

 

Each year the Trust submits its annual report to Monitor which details the Trusts achievements Monitor.

CQC Registration

During 2010-2011 the Trust was successfully registered with the new health and social care regulators the Care Quality Commission without any conditions.

Inpatient Survey

KGH's scores have improved significantly compared to the last year where we had 7 areas in the green (top 20%), 37 in the middle 60% and 19 in the bottom 20%.

 

The Trust scored highly (in the top 20% of Trusts in England) in areas around cleanliness, hospital food, nurses washing their hands and overall waiting times for treatment.

 

It scored in the middle 60% of Trusts for the majority of the questions that were asked – 37 out of 63. Fifteen of the 37 were close to the top 20% border line.

 

It scored in the lower 20% of Trusts in categories related to choice of admission dates, questions around communication with doctors and information being given to patients about procedures.

 

Patient Environment Action Team (PEAT) inspections 2011   

The Trust’s score of excellent for food is an improvement on the rating of good for 2010. The area that brought us up from good to excellent this year was fully introducing protected meal times for patients - that is where ward staff stop routine duties and concentrate on helping patients with their food during meal times. Last year this idea was mostly but not fully introduced.

 

Overall, our privacy and dignity scores are good and last year we were graded excellent for the huge amount of work we have done. This year we were scored good because in a very small number of areas assessors found some minor issues that needed to be dealt with.  All of these works have now been completed.

 

The environment score of good is equal to last year's results however some minor issues were raised and all of these works have now been completed.

 

Environment scores are based on a very wide range of factors including things like the fabrics used for floors, window frames, cleaning, signage and disabled access.      

 

Environment scored  = 4 = good

Food scored = 5 = excellent

Privacy and Dignity = 4 = good  

Cardiac 24/7 Primary Percutaneous Coronary Intervention Service

 In October 2010, the Trust launched a new 24 hours a day/seven days a week emergency Primary Percutaneous Coronary Intervention Service. The new service is based at Kettering General Hospital (KGH) and supported by clinical staff from Northampton General Hospital (NGH) to ensure there is full 24/7 cover for the county. 

Infection control 

The Trust only had 1 MRSA bacteraemia during the year which was below the national target of having no more than three and on 26th April 2011 passed the 1 year milestone since the last reported hospital acquired MRSA bacteraemia.  We also only had 55 Trust attributed C difficile cases, below the Trust stretch target of having no more than 60. 

Infection Control Team win awards

Kettering General Hospital’s infection control team were shortlisted for a national award for one of its patient safety initiatives – The Nursing Times Award.

 

The hospital’s pioneering Kettering Infection Predictor (KIP) system (a way of helping to reduce the risk of patients getting infections) is one of six top projects in the UK being considered for the Nursing Times Award 2009 – Infection Control Category. (Full story)

 

The team had previously  won the patient safety category in the regional final of the Health and Social Care Awards 2009 (Full story)   

Trust Wins Gold Heartbeat Award for Catering 

The Trust has received the 2010 Northamptonshire Heartbeat Gold Award from Kettering Borough Council for its staff restaurant, kitchens and café and coffee shops.

 

The award means that the hospital has good standards of hygiene and provides healthy food choices to patients, visitors and staff.

 

The Northamptonshire Heartbeat Award is a countywide scheme promoted and managed by Local Authority Environmental Health Departments in partnership with Northamptonshire County Council and NHS Northamptonshire. 

Learning Disability Has Two New Champions

Two local people with learning disabilities started working at KGH during 2010-2011 to help staff better understand the needs of people with learning disabilities.

 

It is all part of a major improvement programme currently underway at the hospital to help enhance care for people with learning disabilities and ensure that staff get real, relevant and inspiring training in how to make a hospital visit less stressful for them.

 

The Trust’s view is that if it can learn how to get care right for people with learning disabilities then it will have a lot of very useful information on how to improve care across the board. 

National Award for Think Home First Scheme Pioneered at  KGH

 A new initiative pioneered at KGH has won two prestigious national awards. The Think Home First team won both the ‘Success in Partnership Working’ award and the ‘Putting Patients and the Public First’ category of the national Health and Social Care Awards 2010. The awards – the most prestigious available in the NHS and social care -are held each to highlight and celebrate innovation and excellence.

 

Think Home First has involved KGH, the county council, NHS Northamptonshire, Northampton General Hospital and other voluntary groups working closely together to ensure that patients get the appropriate support to enable them to be discharged swiftly from hospital. 

KGH Staff Develop Pioneering Critical Care Trolley

The Trust has worked with East Midlands Ambulance Service to successfully develop a new critical care transfer trolley. The trolley enables patients with a serious injury or illness to be transferred to a specialist hospital (or within a hospital itself) more safely.

 

The KGH trolley was developed by three staff – senior medical devices technician, Bob Bewers, consultant anaesthetist, Dr Phil Watt, and critical care outreach nurse, Andy Chatwin. The KGH critical care transfer trolley has just reached the end of a successful two-year trial with East Midlands Ambulance Service.

 

As a result of the trial East Midlands Ambulance Service has ensured that its new fleet of 91 ambulances all have a larger alternator and cable connection to enable the new type of trolley to be more widely used.

National Health Service Litigation Authority (NHSLA)  

The NHSLA is a Special Health Authority (part of the NHS), responsible for handling negligenceclaims made against NHS bodies in England. In addition to dealing with claims when they arise, we have an active riskmanagement program to help raise standards of care in the NHS and hence reduce the number of incidents leading to claims.

 

The Trust were inspected in September 2011 and achieved level 1.

 

Maternity services are assessed separately and the trust underwent an assessment in September 2009 achieving level 2. 

Links

Board of Directors meeting papers - www.kgh.nhs.uk/about-us/trust-board/meetings/

 

National Patient Safety Agency PEAT - http://www.msnpsa.nhs.uk/PEAT/Results/Trust/?id=10209