Agenda and minutes

RESOLVED:  That all items of business be considered in public. 

The Hillingdon Hospitals NHS Foundation Trust (THH)

Ms Jacqueline Walker, Deputy Director of Nursing and Integrated Governance at THH, advised that there had been a range of quality achievements in 2015/2016 which included:

·         Levelling of weekend / weekday mortality which had achieved the 'lower than expected' SHMI band (Summary Hospital-level Mortality Indicator);

·         30% reduction in Clostridium difficile since 2014/2015 - there had been 12 reported cases during 2015/2016.  Root/cause analyses had been undertaken which had shown that only one case had been as a result of a lapse in care;

·         one case of MRSA attributed to THH during the year which had been as a result of a contaminated culture rather than the patient actually being infected;

·         Continued high performance in relation to the 18 week target for referral to treatment and the national waiting time standards for key cancer performance indicators;

·         Reduction in the number of hospital acquired pressure ulcers and inpatient falls - although this was just shy of the target; and

·         Improved patient safety incident reporting rate - this was better than the London average and had received a 'good' rating in the 'Learning from Mistakes League' published by Monitor and the NHS Trust Development Authority.

Members were advised that more than 25,000 responses had been received in relation to the Friends and Family Test (FFT) and that 93% of inpatients had been happy to recommend THH services.  The number of FFT respondents that would recommend A&E and inpatient service was higher than for London and England. 

The annual staff survey had shown that 65% of staff would recommend THH has a good place to work.  This was 4% higher than the average acute Trust score.  This survey had also shown that staff engagement was 3.86 out of 5 which was above the national average.  The Trust had also received national recognition for outstanding core skills compliance by the London Streamlining Programme. 

Insofar as CQUIN (Commissioning for Quality and Innovation) was concerned, THH had achieved 100% of its requirements in the following areas:

·         Developing IT systems to support integrated care;

·         Reducing unnecessary admissions and A&E attendances;

·         Reducing unnecessary follow-up appointments for outpatients;

·         Improving communication with GPs for patients who have long term conditions;

·         Timely referrals to specialist cancer centres; and

·         Recovery at home for appropriate elderly patients (Homesafe). 

However, THH had received partial achievement in the following areas:

·         Improving services for patients with dementia (96%);

·         Working towards implementation of 7 day services (70%); and

·         Improving services for patients with a sepsis (70%).

More than £3m had been invested in the improvement and expansion of THH's children's services as part of the Shaping a healthier future programme.  In addition, more than £1m had been invested in establishing a new Nuclear Medicine Facility to house the latest SPECT CT scanner and a £240k simulation suite had been created to ensure that staff could develop their skills in a safe and supportive environment. 

There were a number of areas where THH's  ...  view the full minutes text for item 55.

It was agreed that the Democratic Services Manager would collate comments from the Committee in relation to the Royal Brompton and Harefield NHS Foundation for submission to the CQC prior to its inspection of the Trust starting on 14 June 2016. 

Suggestions for future reviews included:

·         Female Genital Mutilation (FGM);

·         Hospital discharges; and

·         Frequent callers.

RESOLVED:  That:

1.     the Democratic Services Manager collate comments from the Committee in relation to the Royal Brompton and Harefield NHS Foundation for submission to the CQC; and

2.     the Work Programme be noted.