Community Voice Health

Before the main meeting, there was a presentation by Stephen Ramsden on ‘Patient Safety First’. This was interesting and thought-provoking, with its commentary on how a management board should take actions to improve safety and performance.

 1          Trust performance             The NHS is reviewing performance of several trusts, including NWLH. For this trust consideration is being given to ‘Standards and Targets’ and ‘Quality and Safety’. The trust has been scored as ‘performance under review’ in Finance and ‘underperforming’ as a result of inpatient survey results, giving an overall score of ‘performance under review’.

            Regarding matters like hospital acquired infections, the situation is very good: Since April there have been 5 cases of MRSA (target to date 11) and 40 of C. difficile (target to date 79). The Hospital Standardised Mortality Rate is 68.8 (target 83.0, national average 100). The A&E treatment time of less than 4 hours averages 98.3%. The number of patients in A&E is 2% higher than last year. Choose and Book is now fully operational. 

 2          Finance                     The year-to-date deficit is £461k worse than budget. Much of this is due to overperformance on the SLAs with Brent and Harrow. A&E attendances are well above expectation, Brent by 6% and Harrow by 28%. Harrow disputes the figures and so far no payments have been made for the excess. The trust is required to treat all who arrive at A&E, finance comes later.

 3          Winter and Flu Resilience Plans            Much the same as the NHS Harrow document, although the hospitals has to make rather different arrangements.

Paul Samet

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