1
Addressed to: The health board
No Response Published
Link to recommendation 1
Recommendation · source text
The health board must consider its responsibilities in line with the NHS Wales Putting Things Right process. This is to establish whether timelier responses could have been given following the two formal complaints it received, and whether it is assured that updates were given appropriately throughout the course of the complaint investigation. The health board should set out what action will be taken to ensure that in future, people are communicated with in a timely manner when raising concerns.
2
Addressed to: The health board
No Response Published
Link to recommendation 2
Recommendation · source text
The health board must maintain the record keeping audit process, to assure itself that the standards expected for record keeping, are consistent and are being maintained in the immediate and long term. Particularly within its vascular services, but also across the health board. This includes record keeping for all members of the MDT.
3
Addressed to: The health board
No Response Published
Link to recommendation 3
Recommendation · source text
The health board must explore the reasons for reported inconsistencies in the implementation of the Diabetic Foot Pathway across its three acute sites.
4
Addressed to: The health board
No Response Published
Link to recommendation 4
Recommendation · source text
The health board must consider and address the issues reported to us regarding the lack of clinical areas at YG, to review patients pre and post operatively.
5
Addressed to: The health board
No Response Published
Link to recommendation 5
Recommendation · source text
The health board must consider the comments and findings in this report regarding staff culture and the perceptions of different teams. This is to establish whether there is learning, or development required to improve the working relationships across all teams, to support a positive working culture.
6
Addressed to: The health board
No Response Published
Link to recommendation 6
Recommendation · source text
The health board must consider the comments made by staff regarding the ongoing issues following the implementation of new pathways. This is to establish whether the pathways need to be revised, or further action is required for compliance with the pathways as appropriately.
7
Addressed to: The health board
No Response Published
Link to recommendation 7
Recommendation · source text
The health board must ensure that all staff are completing all aspects of the consent process as applicable and are documenting this within the relevant clinical records. In addition, further consent process audits must be undertaken and continue on a regular basis, with feedback provided to all staff and actions implemented as applicable.
8
Addressed to: The health board
No Response Published
Link to recommendation 8
Recommendation · source text
The health board must ensure that:
a) All clinical record entries are filed in chronological order
b) Surgical operation records are filled promptly after the surgical procedure.
9
Addressed to: The health board
No Response Published
Link to recommendation 9
Recommendation · source text
The health board must address the issue where we found examples of misfiling an incorrect patient clinical record, in a different person’s record.
10
Addressed to: The health board
No Response Published
Link to recommendation 10
Recommendation · source text
The health board must ensure that clinical documentation entries are signed with the clinician’s name legibly printed for identification of the author.
11
Addressed to: The health board
No Response Published
Link to recommendation 11
Recommendation · source text
The health board must ensure a process is in place to evaluate the sustainability of its vascular service support from UHNM to determine what arrangements will be in place once current agreements end in 2024.