Quality, safety and experience

Our quality priorities 2020/21

Priority 1

Improve patient experience



Improve patient, family and carer experience of loved ones with dementia

  • Implement the Trust’s Dementia Strategy

Improve the quality of complaint investigations and responses

  • Implement the Complaints Quality Improvement Plan

Provide timely and useful patient information

  • Information leaflets will be accessible and in a format that meets patient, carer and family needs


Priority 2

Improve patient safety




Escalate and respond to deteriorating patients in a timely manner

  • The national NEWS2 CQUIN will be used as a lever to support improvements in care of the acutely unwell patient (with an ambition to reduce unplanned ward transfers to Critical Care)
  • A focus on A-E patient assessment (and standardised management planning) will form part of high-quality reviews of acutely unwell patients
  • A Trust, Division and Speciality QLik app will be developed to make visible key measures of care of the acutely unwell patient to measure and monitor for improvement
  • Investment in the City Hospital campus medical specialities through SPR level twilight cover will be implemented
  • NUH will scope the feasibility of implementing an electronic fluid balance system via Nervecentre

Reduce the incidence of grade 3 and 4 pressure ulcers

  • The Trusts pressure ulcer prevention strategy will be reviewed, updated and implemented to positively impact the care of patients who are at risk of developing pressure ulcers.

Optimise information flow by implementing a standardised handover process

  • A standardised handover process will be defined and implemented to improve the transfer of critical information within and across teams.
  • Initial work will focus on a daily clinical handover at the end of the day on city-based medical admission areas.


Priority 3

Improve clinical effectiveness



Improve the way we plan and respond at the end of life with patients and families

  • Focus on improving conversations and documentation of Do Not Attempt Resuscitation (DNACPR) decisions

Improved Local Surveys Programme

  • Develop and enhance our Local Surveys Programme to identify actions for improvement

Align improvement resources to support the delivery of Trust objectives

  • Develop a programme of Trust-wide Quality Improvement projects aligned to Trust objectives