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GP Bulletin - July 2016

CQC highlights our progress on improvement journey

The CQC has published the report of the follow-up inspection carried out at BTHFT in January 2016. We are pleased to confirm the report states significant improvements in a range of areas have been made. In particular, we no longer have any areas which are judged to be ‘inadequate’.

The ‘good’ ratings refer to how effective and caring we are in services such as ED, surgery and critical care, maternity, and children and young people’s services. We have also been rated ‘good’ in relation to how responsive we are to medical care and end of life care.

We are pleased to say that the report records a number of areas of ‘outstanding practice’. These include:

- Our work towards recruiting and retaining a workforce that reflects the ethnicity of our local population

- Our leadership of the Well Bradford programme, aimed at improving the health of some of the poorest communities in the most deprived areas in the north of England

- The success of the Bradford, Airedale, Wharfedale and Craven Managed Clinical Network of Specialist Palliative Care winning the British Medical Journal ‘Palliative Care Team of the Year’ award in 2015.

We were also praised because we performed better than the England average for all indicators in the 2015 Hip Fracture Audit, and for our engagement with staff and the public to contribute to the design of our new hospital wing at BRI. Inspectors also hailed as ‘outstanding practice’ our Project Search internships which support and develop the skills of local young adults with learning disabilities, helping them to find work opportunities.

The report also highlights areas where we must improve. Together, the ratings awarded to us by the CQC translate into an overall score for the Trust as ‘requires improvement’.

The full report can be found on the CQC website.

Urogynaecology unit receives British Society of Urogynaecology (BSUG) accreditation

Our Urogynaecology Unit has achieved accreditation from the British Society of Urogynaecology (BSUG) - joining just 13 other units in the country. The team provides a wide range of services to around 3,000 patients every year including those with problems relating to prolapse, overactive bladder, urinary incontinence, perineal trauma during childbirth, voiding problems, recurrent urinary tract infections and bladder pain syndrome.

The accreditation process involved a rigorous paper-based assessment of pathways, processes, patient information, consent forms, surgical procedure data, patient outcomes, administration processes, training and continued professional development of our staff, which took around 18 months to collate. Consultant Urogynaecologist Carmel Ramage said: “We see 560 new patients annually and attend to 2,440 follow-up appointments. Many of these are ongoing, nurse-led treatments, such as percutaneous tibial nerve stimulation (PTNS) which is neuromodulation for overactive bladder and bladder instillations for bladder pain syndrome. We also run a telephone follow- up clinic which accounts for 15-20 patient contacts every week.”

Carmel added: “The assessors were particularly impressed with the standard of data presented to them and with the cohesive integrated working systems which the team have developed. We were also able to introduce them to our community continence team, pelvic floor physiotherapist, clinical physiologists, secretaries, colorectal and urological surgeons,

as well as the urogynaecology consultants and nurses, demonstrating how well we work together in providing an excellent service to our patients. They also praised the integrated care pathway from primary to secondary care and it was recognised that our standards, experience and expertise are such as to justify NHS England commissioning for complex pelvic floor procedures, which is set to come into force in 2017.”

Our new virtual fracture clinic is improving patients’ experience

Our new pilot virtual fracture clinic in trauma and orthopaedics is helping provide a better quality, more efficient service - as well as reducing missed appointments, needless hospital attendances and getting people to the right place of care in the quickest time. When patients are seen initially in our Emergency Department (ED) they are discharged to the virtual fracture clinic after they receive treatment and information. They are reviewed remotely within 72 hours by a consultant orthopaedic surgeon and specialist nurse.

The clinician reviews the patient’s x-rays via the picture archive and communication system (PACS) and their ED notes while a nurse contacts them by phone to discuss their ongoing treatment. This may consist purely of advice or alternatively a subsequent appointment may be arranged for the most appropriate clinic. The service is also reinforced by a dedicated advice telephone line and information leaflets for patients.

Those patients who have been injured in another city/area, or those with dementia, cognitive impairments, learning difficulties and those for whom English is not a first language, are not suitable to take part in the virtual clinic and will always be seen face-to-face. The full effect of the pilot will be known following completion of the nine-month evaluation but already the team – and our patients – are seeing many benefits.

Electronic Patient Record (EPR) Go-Live date unveiled

Over the past few weeks, our three-way partnership between ourselves, Calderdale and Huddersfield NHS Foundation Trust and Cerner has agreed a target Go-Live date of 19 November 2016. The internationally recognised programme for digital patient records will be accessible at the touch of a button throughout all our hospitals.

EPR is going to be one of the biggest changes to our work and will be key to helping us to continue to put our patients first. Drawing upon the skills of those clinical and technical staff who have joined the delivery team, this major investment will break new ground in the way it promotes standardised care and best practice in line with clinical guidelines.

EPR also offers us an exciting opportunity to look at how we all work and provide more joined up, safer care. This is an exciting chapter in our history which will deliver an electronic records system that is safer for our patients and more efficient for us as we go about our daily work.

Trust Grand Round in July 2016

The next Trust Grand Round will take place on Tuesday 26th July. These meetings provide an excellent opportunity to meet with fellow professionals whilst remaining up to date with key issues and developments.

The subject covered in July will be –

- Volunteer End-of-Life Companion Project presented by Paul Fernandez (Last Days of Life Educator), Mohammed Arshad (Head of Chaplaincy) and Shelley Bailey (Assistant Director of Nursing)

The Foundation Trust invites all local GPs to attend the Grand Round which are held monthly. The Grand Round is held in the Sovereign Lecture Theatre at Bradford Royal Infirmary. Meetings start at 12.45pm and last for an hour. Lunch is available from 12.15pm.

This monthly bulletin aims to keep local GPs up to date with the trust’s new services and developments. If you’d like any further information about any of the items in this month’s briefing contact Naveed Saddique on 01274 272635, email gp.comments@bthft.nhs.uk