Quality and safety are at the foundation of all we do. They form the basis for our Trust strategy and our focus on providing high quality, safe care that reaches all parts of the organisation.
- Acknowledged as having a positive culture of safety, openness, transparency and incident reporting by our peers in the NHS Learning from mistakes league
- Consistently investing in and embedding regulatory requirements across the Trust
- Providing multiple opportunities for Board to floor programmes, Governor visits, peer review and service user involvement to ensure transparency and quality
- Identifying and managing risks to the quality of care
- Focussed on triangulation of activity, embedding good practice and learning from lessons.
Our services are registered and regulated by the Care Quality Commission (CQC) and OFSTED (Short Breaks Services). To maintain registration, we must meet standards set by the regulators and maintain ongoing compliance to these standards.
CQC – OUR MOST RECENT FEEDBACK
Our CQC Report, August 2018
Following a CQC routine inspection in June 2018 the Trust has been rated Outstanding.
NHFT also received its first well-led inspection from the CQC, examining the quality of the leadership and management of the Trust, and has been rated Outstanding in this area too.
The CQC conducted the routine inspection and well-led inspection through their new procedural and investigative processes which were introduced nationwide at the beginning of the year. The new process still continues to use the five areas of inspection: Care, Responsive, Safe, Effective and Well-led. The Trust has been rated Good for Safe, Responsive and Effective and Outstanding for Care and Well-led.
The Trust’s CQC report for the routine and well-led inspection has been published and available on the CQC website. The CQC report summarises the findings of the inspection along with a rating for each area. We are particularly pleased with the following highlights from the report:
- Staff showed caring, compassionate attitudes, proud to work for the Trust and dedicated to their roles. We were impressed by the way all staff have embraced and modelled the Trust’s values
- Impressed by the strength and depth of leadership at the Trust and displaying integrity on an ongoing basis
- The Trust has a clear vision and set of values with quality and sustainability as top priorities. The Trust benchmarked their ‘business as usual’ against the vision and values and kept the message the heart of all aspects of the running of the organisation
- Staff treated patients with kindness, dignity and respect. Consistently staff attitudes were helpful, understanding and staff used kind and supportive language which patients would understand. The style and nature of communication was kind, respectful and compassionate. Staff showed strong therapeutic relationships with their patients and clearly understood their needs
- Managers investigated incidents appropriately and shared lessons learned with staff in a number of ways. We reviewed serious incident reports and found investigations were thorough and included participation from family and carers, where appropriate
- The Trust responded in a positive way to the improvements we asked them to make following our inspection in January 2017.
Full details of the ratings, including a ratings grid, are given in the report published online here.
Sign up to Safety
NHFT has signed up to the national Sign up to Safety initiative. We have made a commitment to do what is right for our patients. In 2014, the Secretary of State for Health set out the ambition of halving avoidable harm in the NHS over the next three years, saving 6,000 lives as a result. This is supported by a campaign that aims to listen to patients, carers and staff, learn from what they say when things go wrong and take action to improve patients safety. This also includes helping to ensure patients receive harm-free care every time, everywhere.
There are five Sign up to Safety pledges
- Putting safety first. Commit to reduce avoidable harm in the NHS by half and make public our locally developed goals and plans
- Continually learn. Make our organisation more resilient to risks, by acting on the feedback from patients and staff and by constantly measuring and monitoring how safe our services are
- Being honest. Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong
- Collaborating. Take a lead role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use
- Being Supportive. Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate progress.
Taking into account the number of incidents reported within the patient safety forums and Trust board, NHFT has agreed the following areas as a priority within our commitment to the wider programme:
- National Early Warning Score (NEWS)
- Reduction in medication errors
- Reducing violence and aggression
- Suicide and self harm prevention
- Information management and technology
Our Quality Account describes our performance and progress with meeting our priorities for quality improvements at Northamptonshire Healthcare NHS Foundation Trust. You can find more information by reading our full Quality Account, within our NHFT Annual Report and Accounts 2017-18.
All Trusts with inpatient areas are required to publish information about the number of nursing, midwifery and care staff working on each ward, together with the percentage of shifts meeting safe staffing guidelines.
NHS England and the Care Quality Commission (CQC) have issued joint guidance on the ‘Hard Truths’ commitments regarding nursing, midwifery and care staff capacity and capability. The ‘Hard Truths’ commitments represent the government’s response to the Francis Report (2013) into the poor care identified at Mid Staffordshire NHS Foundation Trust.
The key priorities from the ‘Hard Truths’ for Trusts are to provide:
- A six-monthly board report describing the staffing capacity and capability, following an establishment review, using evidence-based tools where possible
- To display information at ward level about the nurses, midwives and care staff deployed for each shift compared to what has been planned
- A monthly board report containing details of planned and actual staffing levels on a shift-by-shift basis at ward level for the previous month
- The monthly report must also be published on the Trust’s website. We are expected to link or upload the report to the Trust’s webpage on NHS Choices.
At NHFT, we take the care of our patients very seriously and already have a number of mechanisms in place to ensure that our wards are safely staffed. Each month, we will publish information about our staffing levels and provide links to papers discussed in public at our Trust board meetings.
For further information on safe staffing please contact the Safe Staffing Team: SafeStaffing@nhft.nhs.uk