Each Trust has received two ratings on a four-point scale of ‘excellent’, ‘good’, ‘fair’ or ‘weak’. One rating covers the quality of services measured against the government’s core standards, existing NHS commitments and new national priorities. The other relates to the use of resources, measured against how well Trusts manage their finances.
Matthew Kershaw, Chief Executive of Salisbury NHS Foundation Trust said: “Our staff work hard to provide high standards of care for our patients and our rating of good for quality of services reflects their commitment and professionalism. These ratings give us a feel for how we have achieved overall this year and reflect the fact that we have good quality and efficient systems in place to tackle the things that matter most to our patients – the provision of good quality, safe, timely, care. Clearly this is one way in which we are measured, and it’s important that we also continue to listen and learn from individual patient experiences and the feedback we receive from them.”
The Annual Health Check gives a broad assessment of how services are provided for patients and the quality of care and treatment they receive. Key to the overall assessment is the focus on ‘getting the basics right’. This is achieved through a number of core standards that focus on what really matters to patients such as safety, quality of care and how responsive a Trust is to patients. Cleanliness, hygiene standards and issues around dignity are just some of the aspects covered.
It also takes into account existing NHS commitments. These are mainly concerned with inpatient, outpatient and Accident and Emergency waiting times, as well as access to specific services such as the chest pain clinic and sexual health facilities. New national priorities promote improvement in health outcomes such as smoking during pregnancy, patients experiences of care and incidence of clostridium difficile and MRSA bacteraemia. The score for use of resources is based on how well an NHS organisation manages its finances and achieves value for money.
Mr Kershaw said: “Good quality safe care is important to our patients and throughout the core standards we can see that infection prevention and control continues to be a high priority for us with robust policies and proactive infection prevention and control measures in place. Clostridium difficile numbers and MRSA rates have continued to improve and our low rates ensure that we remain one of the best performing hospitals in the region. Close links between our in house cleaning team, infection control nurses and ward staff is a vital part of our approach in this area.”
“We also met our key targets around inpatient, outpatient, Accident and Emergency and cancer waiting times, and we received an Excellent rating for Use of Resources. Efficient use of resources is a key factor in providing good quality healthcare and this is an area that we must continue to concentrate on in the coming years.”
Although overall performance was good, the Trust acknowledges that there are several areas where further improvement is needed. This includes the number of cancelled operations. Out of around 28,000 operations that took place last year at Salisbury District Hospital, 274 were cancelled, which is not the level of service the Trust would like to provide to its patients. There are a number of reasons why planned operations are cancelled such as emergency cases, staff sickness and theatre over-runs. Although 100% of patients received a new binding date within the required 28 days, the Trust feels more work needs to be done and will shortly be starting a new initiative called the productive theatre project. This will improve efficiency in theatres by freeing up more time for planned surgery and will lead to fewer cancelled operations.
Luke March, Chairman of Salisbury NHS Foundation Trust: “ Overall the performance ratings provide a positive view of the care and treatment people can expect when they come to Salisbury District Hospital. All our staff work extremely hard to provide good quality treatment and care and I would like to thank them for their hard work, dedication and commitment to their patients throughout the year.” Ends
Notes to editors:
All performance ratings can be viewed on the Care Quality Commission website at: www.cqc.org.uk from 15 October 2009.
For further information please contact:
Patrick Butler, Public Relations Manager, Salisbury NHS Foundation Trust. Tel: 01722 425170.