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Chief Executive's Clinical Audit Awards

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Quality and improvement were celebrated as part of the Chief Executive’s Clinical Audit Awards.

Departments were encouraged to enter the awards with a summary of any clinical audit or quality improvement project carried out within the last 12 months. There were 27 submissions from departments across the Trust covering a range of topics, from gout management to, women’s views on the service in maternity care.

Winner of the clinical audit category was Liz Shaughnessy with her audit, ‘Improving patient safety through ensuring effective ward round processes in critical care’. The audit reviewed the quality of the ward round process, before and after the introduction of a new approach. This subsequently improved practice, enhancing the quality of care, patient safety and patient experience.

Winner of the quality improvement category was Sarah Clarke, Amanda Fife, Leena Patel and Ee Laine Tang. Their audit was titled ‘Treatment Escalation Plan (TEP) – increasing compliance across medical patients’. The new TEP process was introduced to the medical division and rolled out across surgical specialities and the audit checked compliance with the new plan across the Trust.

At the award ceremony, Clare Panniker, Chief Executive, said: “It’s great to see so many people here this year and I think it is indicative of the growth, energy and enthusiasm our staff have for improving care for patients.

“Talking to people around the Trust there has been a real change in the mood and morale in the past year. Everyone is involved in improving what we do every day, even in a small way. In order to improve, you have to measure your success and these audits show the quality improvements being made and how they are making a real difference to patient care.”

Royal Voluntary Service donation helps stroke patient recovery

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Stroke patients having rehabilitation therapy at Basildon University Hospital are benefiting from high-tech equipment to help them recover movement in their hands and arms.

The upper body is affected in the vast majority of people who have had a stroke, affecting their ability to carry out many day-to-day tasks.

The kit, worth £17,000, was a gift from the Royal Voluntary Service (RVS) to the stroke wards and is made by Saebo, a global company that specialises in pioneering treatment for people with disabilities.

The equipment donated to Basildon Hospital has three elements – Saeboflex, (pictured left) a spring-loaded ‘glove’ with multiple settings to support weakened hand, wrist and fingers; Saeboreach to help recover elbow extension and Saebomas, to support the arm while the patient exercises it to avoid shoulder strain. 

Rachel Dove, Team Lead Occupational Therapist on the stroke unit, explains: “The equipment is used to help patients build up strength and recover movement through exercise. It can also be used to support arm and hand movements in everyday tasks like washing and dressing, which enables people to regain some of their independence.”

Frances Alexander, Joint Head of Therapies, said: “Saeboflex has been clinically proven to improve hand and arm movements and balance for stroke patients. Stroke patients may stay in Basildon Hospital for several months during their rehabilitation and it will be of great benefit to many of them. We are extremely grateful to the RVS for their donation”

The stroke team invited Doreen Lagdon, an RVS volunteer, to see the new equipment in action with patient Franco Faranda.

Franco, 71, from Grays was enjoying an active retirement with his wife Mary when he suffered a mild stroke, followed by a major one, in May this year. His left side and speech have been affected. Mary says: “Up until then he had been so active, swimming and cycling, and we were doing lots of travelling.

“At first we thought it might be a detached retina as his sight was affected, but the optician sent us to the GP, who sent us to hospital. Then he had a major stroke with a blood clot on the back of his brain. He was in intensive care and we were told it was extremely serious.

“The care has been fantastic from all staff, and as soon as he arrived on Pasteur Ward the rehabilitation started immediately. The compassion from everyone is second to none, and if I have any questions they are always answered.”

Mary and Franco, a retired research worker at Ford, have been married for more than 40 years. They met at language classes; he was learning English and she was learning Italian.

She added: “He has a long way to go, but hopefully with the rehabilitation things will get better.”

Open Day at Basildon University Hospital – Saturday 20 September

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Basildon Hospital is opening its doors on Saturday 20 September 2014, 10am – 3pm, to give local people a behind the scenes glimpse of their hospital and the services it offers.

For many people the only time they visit hospital will be in a stressful situation. Holding events like this can help reduce uncertainty and anxiety, and offer a fascinating insight into the workings of a busy hospital. There will be a chance to meet some of the staff, tour departments and take part in fun activities.

The fun and informative activities on the day will include:

  • tours of the cardiac catheter labs in The Essex Cardiothoracic Centre
  • a behind the scenes tour to find out how essential supplies such as oxygen are delivered around the hospital
  • visit our ultrasound department to find out how scans help with diagnosis and treatment
  • see our medical equipment workshop to find out how technicians manage and maintain thousands of items of medical equipment
  • take a look around the dermatology unit
  • make your own healthy drink on a smoothie bike
  • meet Polly Parrot, and find out how kind donations help provide additional items which improve the experience for patients
  • have your blood pressure checked

Parking at the hospital will be free for all visitors on the day.

Monitor lifts Trust licence conditions

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Basildon and Thurrock University Hospitals NHS Foundation Trust has been given a clean bill of health by regulator Monitor after all of its licence conditions were removed.

The decision by Monitor comes just weeks after the Trust was removed from special measures and given a ‘good’ overall rating by the Care Quality Commission (CQC). Despite a positive report from the CQC, the Trust was still formally in breach of its licence to provide NHS funded services because of historic issues with A&E performance, mortality, waiting time targets and governance arrangements.

Adam Cayley, Regional Director at Monitor, said: “We are pleased that patients are receiving better care at Basildon and Thurrock University Hospitals as a result of improvements the trust has made in A&E, paediatric services and mortality rates.

“Both the trust and Monitor have worked incredibly hard to ensure patients in Basildon can get the best quality of care possible. Monitor has decided that the trust is no longer in breach of its licence as a result of this hard work.”

Clare Panniker, Trust Chief Executive, said: "Monitor's decision to remove all of their outstanding conditions from our licence is the culmination of a huge amount of hard work by all staff across the Trust. We know that we have been improving the quality of our services for some time but this decision should give patients further confidence that when they walk through our door they will receive the best care the NHS has to offer."

How the Trust addressed the regulator’s concerns:

A&E performance

A concerted team effort has improved performance and reduced waiting times in A&E. Steps taken include improved bed management, additional staff and rapid assessment and treatment by a senior doctor and nurse. Attendances have risen over the summer and the Trust is working hard to continue providing a prompt and safe emergency service for patients. 

Mortality

The Trust’s performance in this area has been a priority over the past 18 months and a key factor in our exit from special measures. The Trust’s summary hospital-level mortality indicator (SHMI) – which assesses how likely a patient is to die in hospital or soon after – has improved significantly and is now consistently within the expected range.

Waiting time targets

In autumn 2013, the Trust invested in an additional 68 beds and 200 new nursing staff so that planned care could continue through the busy winter period when often a high number of planned procedures have to be postponed. To further reduce patient waiting times additional evening and weekend clinics are being held.

Governance arrangements

The Trust has strengthened systems for staff to raise concerns, and staff are given clear guidance on their responsibilities to report incidents. This, along with better training for clinicians to ensure investigations are rigorous, enables the Trust to learn from all incidents. A recent external review rated the Trust highly for its quality governance arrangements.

Basildon was one of 11 hospitals to be put into special measures in July 2013, and was the first to have the sanction removed after receiving a ‘good’ rating from the Care Quality Commission (CQC). Following their inspection, the CQC described services as effective, caring, responsive and well-led with seven out of eight areas rated as ‘good’ or ‘outstanding’. The hospital was the first in the country to be rated as ‘outstanding’ for its maternity care.

In March 2014, Monitor lifted a licence condition covering paediatric services, reflecting the significant improvements which had taken place including the appointment of three additional paediatric consultants and the introduction of a dedicated children’s assessment area in A&E.

Play golf for Polly

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A charity golf day is being held to raise funds for Basildon Hospital’s Polly Parrot Appeal.

The golf day is being held on Monday 22 September and the £40 per person entry fee includes 18 holes of golf, a bacon roll with tea, coffee and lunch.

For an additional £10 on the day you will have the chance to win more prizes with our mini games competition.

The golf day is taking place at the Burstead Golf Club in Tye Common Road, Little Burstead.

The money raised will go towards the Polly Parrot Appeal which supports our women’s and children’s services.

For more information or to make a booking, call Clair or Helen in the charity office, Level K, 01268 524900 ext 2894 or email charity@btuh.nhs.uk.

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  • Basildon and Thurrock University Hospitals NHS Foundation Trust
    Nethermayne, Basildon
    Essex  SS16 5NL
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