3.3 OUR KEY ACHIEVEMENTS IN 2021/22
3.3.1 CLINICAL, QUALITY ASSURING, & PATIENT SAFETY AUDITING Clinical audit is undertaken to systematically review the care that the Trust provides to patients against best practice standards and is an essential activity to take actions to improve the care provided. In 2021-22 we have conducted audits which evaluates the quality and safety of services across infection control, safeguarding, administrative, information governance, and quality assurance. Examples of some of the audit activity is listed below in Table 1, relevant to the services we provide. The way in which audits are presented provides a clear and concise method, benchmarks of standards, outcomes of the audit, and action plans put in place when required. These are all agreed and validated by the service and clinical leads who then presents them to the Quality Committee monthly. The number of clinical and administrative audits carried out in 2021/22: 27 across all services which demonstrated critical evaluation of evidence based clinical practice with organisational learning and changes to practice made, where required. Here are a few examples:
Table 1
Service
Standard Area
Audit Aim
Date
Outcomes: Key findings
Recommandations, changes, comment, or improvements Lessons learned from this is that the re-audit has clearly demonstrated that to provide regular, ongoing support, targeted teaching, clinical supervision does go some way to improve the outcomes and quality of the ECHT’s the quality of their consultation documentation. Outcome: Bespoke teaching and education programme is continually reviewed to meet the needs of the team. Clinical supervision sessions continue to be integral to the support given to the team.
Enhanced Care Home Team (ECHT)
Quality Assurance & Patient Safety
This ongoing audit is designed to demonstrate compliance with good governance in documentation of consultations and to facilitate the identification of any further ongoing training needs.
06.2021, undertaken quarterly
This audit demonstrated an overall 90% compliance with the standards set in each of the 8 criteria’s (previously 72.5%, 83%, & 72%). Therefore, this demonstrates some success in the ongoing training and education programme, and the implementation plans of 1:1 clinical supervision. The implementation of both of those elements were based on the results of the 2 nd re-audit, and the results of the 3 rd re-
audit clearly demonstrates some measurable success in those plans.
Child Safeguarding audit: Who is accompanying the child and clear documentation of who has given consent
Safeguarding To ensure compliance with standards set in the NNPC Policies - consent, safeguarding children, and phlebotomy & blood
06.2021
57% overall compliance against expected standards.
Education and training implemented to address areas of education and learning for staff. Recommended to re- audit in 6-8 weeks after training is put into place Outcome: Achieved 100% compliance in 08.2021
handling. To highlight any areas of learning required by the clinical staff
NNPC Quality Account 2021/22
13|Page
Made with FlippingBook - PDF hosting