NNPC Annual Quality Account 2023-2024 FINAL

CONTENTS Part 1: Introduction – Quality Account April 2023 to March 2024 ...........................................................3 1.1 Who we are............................................................................................................................................3 1.2 Our Values ............................................................................................................................................4 1.3 Forward from NNPC Chair & CEO .......................................................................................................6 1.4 Care Quality Commission (CQC) Registration ...................................................................................7 Part 2: Our Services ...................................................................................................................................8 2.1 ‘Core’ Services......................................................................................................................................8 2.2 Elective Recovery & Innovation.........................................................................................................12 2.3 Urgent & Emergency Care .................................................................................................................16 2.4 Research, Education, and Training ...................................................................................................22 Part 3: Clinical Quality and Safety Assurances......................................................................................25 3.1 Information Governance & Data Protection - Data Security & Protection Toolkit (DSPT).............27 3.2 Infection Prevention and Control (IPAC)...........................................................................................28 3.3 Audit - Clinical and Administrative....................................................................................................29 3.4 Safeguarding.......................................................................................................................................29 3.5 Incident reporting and investigations ...............................................................................................30 3.2 Complaint reporting and investigations ...........................................................................................31 Part 4: Our Key Priorities .........................................................................................................................32 4.1 Review of Key Priorities for quality improvements for 2023/24 ......................................................32 4.2 Key Priorities 2024/25.........................................................................................................................33 Part 5: Patient and Staff Feedback ..........................................................................................................35 5.1 Service Feedback – Patient Survey and Compliments ....................................................................35 5.2 Staff Experience Surveys – Clinical & Non-Clinical staff & General Practice Staff Survey 2023 ..38 Part 6: Overview of NNPC in the 2023/24 period and Into The Future ..................................................45

North Norfolk Primary Care - Quality Account 2023/24

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