Partnership in Care
Other
Action Taken
All qualified staff at relevant sites have been retrained on NEWS following the inquest, and this will form part of the induction training. Annesley House has a service level agreement with the local GP practice. (AI summary)
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Dear Dr Didcock Inguest into the death o Jayne Jowett Resnonse to 4 Regulation 28 Repor ] write in response to your Regulation 28 Report dated Is 2015, am grateful to you for bringing these matters to my attention as Partnerships in Care ("PIC ) lake all patient safety issues very seriously, particularly where there may be lessons to be learnt morc widely: Thank you also for the extension of time that you kindly granted to enabie us to respond fully The death of Jowett was obviously an extremely sad event and my sympathy goes to everyone who knew her: From the perspective of PIC, if there are lessons to be learnt; we will ensure that these are appropriately addressed_ Your Report of ]st raises thrcc issues pursuant to Rcgulation 28 t0 which ] will respond in tum_ PIC Staff Training in National Early Warning Scores ("NEWS"): Training in both interpretation of Scores and response to Escalaticn in Scores has not to datc demonstrated improvement in assessment of & patient's clinical condition. The impact of training on paticnt assessment requires ongoing audit and monitoring; All nursing staff at rclevant sites were trained on the NEWS when this was rolled out originally in 2013, and all qualified staff at those sites have been retrained on this following this inquest. We have now also arranged for this to form part of the induction training so that all new qualified staff will be trained on this as part of their induction to PIC. Additionally, the training is to be refreshed annually. Staff receive an email reminder of the need 10 do this annual refresher training: Part of the PIC internal audit system includes checking that staff complete their necessary training; Further; the policy and details relating t0 NEWS are available for staff t0 access on the PIC intranet s0 that they can refresh themselves at any time where necessary. INVESTORS IN PEOPLE Bronze Partnerships in Cere Limited i6 registered in England, n10, 02622784 Our va ues- Registered 0ii44s80? Inperial Plece Maxwel Road, Eorehanwood, Valuing poople Cering safely Integrily Herttordshire; WDS {JN Working together Quality May ` Jayne May
PIC has reviewed its medical emergencies policy with the assistance of the Group Medical Director and we have placed a physical hcalth NEWS algorithm in each clinic room and ward office at Annesiey House. Overview monitoring of the use of NEWS is undertaken by OuT registered managers aS part of their general duties and through corporate clinical govcrnance mcetings, which are held monthly. Direct monitoring is undertaken by physical health care issues slanding agenda ilem in the moming management meeting at Annesley hospital and anybody who has had any physical health concerns requiring the NEWS to be used will be discussed at that meeting: The successful use of NEWS is evidenced by the fact that patienls have been referred ta the GP or A & Eas & result of the use of this. PIC Staff at Annesley House have low levels of understanding of the significancc of clinical signs such as cyanosis, pallor; brcathlessncss, and thc significancc of & patient nceding oxygen trcatment, There are nO plans currently in place to address this: The training provided by PIC is extensive This includcs training in Intermediate Life Support (ILS") for all doctors, registered nurses, and tutors responsible for training staff in relation to the management of violence and aggression. The ILS training that we provide includes recognition of these issues The training providers who deliver this are all externally accredited to provide on these matters, and the content of the courses is periodically reviewed by PIC &8 part of its governance processes. We will also be cnsuring that Staff arc aware of the specific identification of clinical issues that you have raiscd here through the one to One supervisions in which staff have their clinical practice discussed by a Senior Manager. There remains no clear current Service Level Agreement regarding how best for PIC to work with the local GP Surgery to provide high quality joint care There is no clcar guidance that ensures all information regarding the patient's physical condition is com municated to a GP when patient: Annesley House works closely with the local GP practice at Ashfield House Surgery- am pleased t0 say that we have a Service Level Agreement in place and a cOpy of this is attached_ In your Regulation 28 Report, You indicaled that you would find it helpful for both PIC and the GP practice to consider a joint response. am pleased to say that Annesley House has a working relationship with Ashfield House which believe can only be to the benefit of our residents and will further assist in addressing the issues raised at paragraph 3 above The efficacy of that working relationship is evidenced by the fact that this response is indeed sent to You &5 & joint response both on behalf of PIC and Ashfield The content of this letter has been expressly approved by [ t0 whom your Report was sent on behalf of Partnerships in Care Wtots belle: contee tpgcinet being training training seeing good Surgery, House Surgery.
the surgcry: have signed this letter on behalf of both Respondents which ] (rust is acceptable_ In conclusion; am grateful to you for bringing these matters (0 my atlention and ] hope this lettcr provides uscfuul information aS to how these issules are addressed_
PIC has reviewed its medical emergencies policy with the assistance of the Group Medical Director and we have placed a physical hcalth NEWS algorithm in each clinic room and ward office at Annesiey House. Overview monitoring of the use of NEWS is undertaken by OuT registered managers aS part of their general duties and through corporate clinical govcrnance mcetings, which are held monthly. Direct monitoring is undertaken by physical health care issues slanding agenda ilem in the moming management meeting at Annesley hospital and anybody who has had any physical health concerns requiring the NEWS to be used will be discussed at that meeting: The successful use of NEWS is evidenced by the fact that patienls have been referred ta the GP or A & Eas & result of the use of this. PIC Staff at Annesley House have low levels of understanding of the significancc of clinical signs such as cyanosis, pallor; brcathlessncss, and thc significancc of & patient nceding oxygen trcatment, There are nO plans currently in place to address this: The training provided by PIC is extensive This includcs training in Intermediate Life Support (ILS") for all doctors, registered nurses, and tutors responsible for training staff in relation to the management of violence and aggression. The ILS training that we provide includes recognition of these issues The training providers who deliver this are all externally accredited to provide on these matters, and the content of the courses is periodically reviewed by PIC &8 part of its governance processes. We will also be cnsuring that Staff arc aware of the specific identification of clinical issues that you have raiscd here through the one to One supervisions in which staff have their clinical practice discussed by a Senior Manager. There remains no clear current Service Level Agreement regarding how best for PIC to work with the local GP Surgery to provide high quality joint care There is no clcar guidance that ensures all information regarding the patient's physical condition is com municated to a GP when patient: Annesley House works closely with the local GP practice at Ashfield House Surgery- am pleased t0 say that we have a Service Level Agreement in place and a cOpy of this is attached_ In your Regulation 28 Report, You indicaled that you would find it helpful for both PIC and the GP practice to consider a joint response. am pleased to say that Annesley House has a working relationship with Ashfield House which believe can only be to the benefit of our residents and will further assist in addressing the issues raised at paragraph 3 above The efficacy of that working relationship is evidenced by the fact that this response is indeed sent to You &5 & joint response both on behalf of PIC and Ashfield The content of this letter has been expressly approved by [ t0 whom your Report was sent on behalf of Partnerships in Care Wtots belle: contee tpgcinet being training training seeing good Surgery, House Surgery.
the surgcry: have signed this letter on behalf of both Respondents which ] (rust is acceptable_ In conclusion; am grateful to you for bringing these matters (0 my atlention and ] hope this lettcr provides uscfuul information aS to how these issules are addressed_