As part of the Annual Health Check the Trust received an overall Excellent for use of resources and Fair for the quality of services.
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, existing national targets and the way in which Trusts have used their resources.
The extent to which services are improving is measured through a number of new developmental standards, specific service reviews and new national targets that focus mainly on public health issues and health inequalities. The new national targets also incorporate patients’ experiences of hospital care taken from the annual patient survey.
Dr Frank Harsent, Chief Executive of Salisbury NHS Foundation Trust said: “The annual health check provides a broad assessment of a hospital’s performance and it is essential that in the first instance Trusts meet all the core standards. The Trust has performed well around all the core standards, with good systems in place to tackle the things that matter most to our patients – the provision of good quality safe care. This reflects the commitment and professionalism of our staff.”
The core standards focus on a wide range of systems that ensure clinical risks are managed effectively and that hospitals use patient’s views and experiences to develop services. Cleanliness, hygiene standards and issues around dignity are just some of the aspects covered within seven key themes that make up the Core Standards: These are:
· Clinical and Cost Effectiveness
· Patient Focus
· Accessible and Responsive Care
· Care Environment and Amenities
· Public Health
Existing national targets take into account waiting times, cancelled operations and delayed transfers of care, with use of resources focusing on financial management and reporting with an emphasis on efficiency, effectiveness and value for money. The developmental standards focus on improvements made within the seven core standard themes.
Dr Frank Harsent said: “ We know that the provision of 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 the Trust with robust policies and a proactive infection prevention and control measures. Low MRSA rates maintain the Trust’s position as one of the best performing hospitals in the region. The close link between our in house cleaning team, infection control nurses and ward staff is a vital part of our approach in this area as well as hospital cleanliness.”
“We met inpatient, outpatient and Accident and Emergency Department targets, as well as those for patients who have cancer. Efficient use of resources is a key factor in providing good quality healthcare and this is recognised by the Healthcare Commission in its assessment of Trust’s financial performance. Good financial management is essential to our organisation and this is reflected in our Excellent rating for Use of Resources.”
Although overall performance was good, the Trust acknowledges that there are some areas where further improvement is needed. In 2005/2006, 100% of patients were seen within 14 days of referral to a rapid access chest pain clinic. However, a downturn in the first quarter of the last year meant that the Trust just fell short of the 98% needed to achieve on this indicator. Since November 2006, 100% of patients have been seen within 14 days.
Despite a reduction in the number of delayed transfers of care, the Trust did not achieve in this area. Although the Trust has little control over placements that should be made within a community setting, it continues to work closely with other organisations to help this particular group of patients. The number of cancelled operations also needs to improve, even though 100% of patients received a new binding date within the required 28 days.
And with primary care trusts needing to have systems in place to ensure that their services are able to cater for public health matters, hospitals now have a greater role in referring patients on for help and advice when patients come into hospital for general care. In particular, adults who want to give up smoking and mothers who smoke during pregnancy. The Trust will look to see how it can influence these areas during the coming year.
Luke March, Chairman of Salisbury NHS Foundation Trust: “ Our staff work hard to provide good quality treatment and care for our patients and this can be seen in the annual health check. I would like to take this opportunity to thank them for all their hard work, dedication and commitment to their patients throughout the year.” Ends
For further information please contact:
Patrick Butler, Public Relations Manager, Salisbury NHS Foundation Trust. Tel: 01722 425170.