Trust members have given their personal contributions to the development of a new clinical strategy.
At the autumn members’ event in Liverpool (15 October) members also heard how innovative approaches at all levels are improving quality of services and people’s lives.
Updating the 120 strong audience on quality developments, Deputy Director of Nursing Jenny Hurst said while there was never room for complacency, many important pieces of work launched in the past year were ‘beginning to feel embedded’ in care.
She said Perfect Care – care that is outstanding, integrated, compassionate and safe – was at the heart of everything we do, but we must continue our focus on ensuring that we strive for continuous improvement of delivering quality care.
A CQC result of ‘Good’ across the board and Outstanding in the ‘Well Led’ section had been a source of pride.
The Trust has continued with its six quality priorities, adding a new strategic goal; Reducing Delays in Discharge, to ensure people get home from hospital in a timely way.
Jenny described progress made under other strategic goals such as integrating physical and mental health – 91 percent of mental health inpatients had a physical health assessment compared with 33 percent in the previous year.
Our Zero Suicide Awareness programme had been such a success that we are being asked to support other trusts on how to raise awareness of suicide. 95 percent of Mersey Care staff have now taken the suicide awareness training, including community physical health teams. Enhanced training is being undertaken in identified teams. District nurses had reported how the training has given them the skills to signpost people in their care who had suicidal thoughts to the right services.
Staff have been trained to develop safety plans by the end of 2020, with the aim that all patients who have a risk of self harm will have an agreed safety plan.
Progress in reducing pressure ulcers was thanks to ‘some fabulous work in the community’. There had been a 22 percent reduction in pressure ulcers among patients in the past year. A three month period without any of the most serious grade pressure ulcers was ‘a remarkable achievement’.
Mersey Care is one of the first trusts to fully implement the latest National Early Warning Score (NEWS2). All inpatient wards now use this system to get early help for acute illnesses and sepsis.
The Trust had also recognised that not all services offered the pathway of care for patients at the end of their life. New pathways are being developed with the Palliative Care team to ensure people end their lives in a place they choose, with care wrapped around them to support them and their family.
Our Just and Learning Culture initiative includes a framework to support staff to talk openly about issues in a safe place. Workshops and campaigns encourage everyone to be respectful and to talk about what went well as well as what didn’t.
A new safety framework means that reports of incidents are fed right up through the divisional management system to the Executive team to ensure we learn lessons and improve the quality of care delivered across the Trust.
Members contribute to new Clinical Strategy
Members were told how we currently have a strong well developed Trust Strategy that provides a firm foundation and framework for going forward. Now we want to develop a clinical strategy.
Emerging themes are:
They came together in groups to offer their personal views on what constitutes outstanding safe care; and to identify the priorities for them.
A 45 minute Question and Answer session afterwards gave members the chance to ask questions of the Trust’s senior management team.
Tuesday 5 February 2019 saw the first of this year’s Mersey Care members’ events take place. Joe Rafferty and Beatrice Fraenkel welcomed almost 100 trust members to Aintree Racecourse to hear a review of last year and plans for the future. Each of the chief operating officers gave updates from their divisions.
Pictured from left to right: Chairman Beatrice Fraenkel; Des Johnson, secure division; Susan Wrathall, specialist learning disabilities; Chief Executive Joe Rafferty; Lee Taylor, community services and Donna Robinson, local division
It was an opportunity for Mersey Care members to put questions to the Chief Operating Officers and engage in conversation with the panel.