Issue - meetings

The draft Quality Account of the Cheshire and Wirral Partnership NHS Foundation Trust is attached for the Committee’s consideration and comment.  The draft document is currently undergoing a consultation period prior to the publication of the final document in June.

Sheena Cumisky, Chief Executive of the Cheshire and Wirral Partnership NHS Foundation Trust (CWP) presented the Quality Account for 2009/10.

The Quality Account was in three parts:

·        A strategic overview;

·        A forward look at priorities and statement of assurance against the three priorities identified against the three principal areas of service quality – ie patient safety, clinical effectiveness and patient experience;

·        A backward look and review of quality performance over the past year.

The Quality Account as presented to the Committee was a draft document for the Committee to comment upon and any comments would be considered by CWP’s Board the following day.

The priorities for improvement included:

Patient Safety

-         improve safety by monitoring trends from Serious Untoward Incident investigations and development of systems to monitor reduction of repeatable themes;

-         reduce preventable falls in in-patient areas by at least 10% by end of March 2011 – the Committee was advised that the current level of falls was 180 per quarter although 97% of these caused low to no harm.  The target would be addressed through monitoring every fall and mapping it against the Falls Policy;

Clinical Effectiveness

-         implement the Advancing Quality programme for schizophrenia and dementia (including development of Patient Reported Outcome Measures).  This was a new regional priority for mental health services and measured clinical and patient reported outcomes to determine the level of care that patients had received benchmarked against a set of agreed “best practice” criteria.

-         Develop integrated care pathways in mental health – this had been highlighted as a priority by commissioners, CWP staff and also service users and carers with an aim of seamless care between primary and secondary care;

-         Review physical healthcare for CWP service users – based on research that suggested people with mental health problems had an increased likelihood of physical health problems and premature death.

Patient Experience

-         Collect real time patient experience data – seek the views of patients and carers/relatives during or immediately after treatment to get accurate and timely feedback.

-         Ensure that patient experience of previous Assertive Outreach service users and carers is sought and continuously monitored during the merger of the Assertive Outreach function into Community Mental Health Teams (CMHTs) – this would include regular reporting to the Joint Scrutiny Committee and the Local Involvement Network.

Part 3 of the Quality Account contained a Review of Quality Performance over 2009/10 and specific work to improve the quality of services included:

·        Investment of £2.8 million to co-locate all adult and older people’s services on a single site with improved facilities at Springview Hospital on Wirral;

·        Establishment of three health facilitator posts in mental helath services to support public health and health promotion and work with partners;

·        Opening in September 2009 of the Maple Ward, a new 10 bedded emergency service for young people aged betweek 13 and 18 to enable in-patient mental health care to be available for admissions from across Cheshire and Merseyside for 24 hours a day;  ...  view the full minutes text for item 46