Get documents about "single sex gap analysis
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- 9/11/2012
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- 9
Document Sample
Single Sex Accommodation Gap Analysis/Action Plan
‘There are no exemptions from the need to provide high standards of privacy and dignity. This applies to all areas…
High standards usually involve a presumption that men and women do not have to sleep in the same room, or use mixed bathing and WC
facilities. These presumption are intended to protect patients from unwanted exposure, including casual overlooking and overhearing.
Patients should not have to pass through opposite sex areas to reach their own facilities.’
May 2009
DH Letter from CNO and Director General NHS Finance, Performance & Operations.
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
T8 Partial – open bays Evidence of DDN/Matrons
(Annex B) discussion with Aug’09
pt., as duration of
stay <6 hrs
Ensure
appropriate gowns
& screening are in
use.
T7 Faith Compliant – needs 1 set of doors to be Compliant June/July’09
some refurb installed to corridor
1
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
for segregation
T7 Hope Compliant Compliant
T6 Gastro Partially compliant – Provision of Compliant – HD Team (KH)
Open Bays, may additional doors in single gender bays June/July’09
have to cross open corridors to enable
bay reach gender greater flexibility in
specific toilets use of bays and
reprovision of
sanitary facilities
T6 CCU Partially compliant – Provision of Critical Care, Evidence of Environment:
(Annex C) Open Bays, may additional doors in central bay mixed. discussion with HD Team (KH)
have to cross open corridors to enable patients. June’09
bay reach gender greater flexibility in CCU bay – clinical Ops
specific toilets use of bays and condition will over- Management
reprovision of ride. DDN/HoN/Matrons
sanitary facilities July’09
T5 Compliant – needs Refurb to include Compliant as Environment:
some refurb, provision of gender specific HD Team (KH)
additional doors to wings. (North & June/July’09
provide greater South)
flexibility in use of
bays and reprovision
of sanitary facilities.
Doors in corridor to
enable flexibility of
ward
2
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
T4 (maternity) Compliant General refurb Compliant Environment:
needed. (cross HD Team (KH)
reference to
maternity action
plan)
T3 Compliant Compliant
T2 Compliant Compliant
(Annex D)
T1 Compliant Compliant –
single rooms
Labour Ward Compliant General refurb Compliant Environment:
needed. (cross HD Team (KH)
reference to
maternity action
plan)
Oncology Ward Partial compliance – Provision of Compliant –
open bays additional doors in Gender specific
corridors to enable bays
greater flexibility in
use of bays.
Oncology Day Unit (chemo Day) Compliant – has Compliant –
(Annex B) side room if required patients remain
fully clothed
Day Surgery Compliant – Partially Compliant Review of Ops
(Annex B) enclosed bays, – as children and operational Management
gender specific LDs not always management DDN/HoN/Matrons
toilets, needs refurb segregated. policy required. July’09
3
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
Short Stay Compliant – Partial compliant – Evidence of Ops
enclosed bays, identified as a discussions with Management
gender specific gender specific patients required, DDN/HoN/Matrons
toilets, needs refurb bays, but gender when need to July’09
mix driven by admit overrides
Emergency Care waiting for gender
Standard, patients appropriate bed.
not highlighted via
Site Office for
transfer within
24hrs.
Endoscopy Partially compliant – Compliant
(Annex B/C) may be considered Screens/curtains
compliant if Disabled used in Recovery
toilet can be either
sex. Otherwise has
gender specific
toilets and
bathrooms
OPD Urology Procedure room Non-compliant – no Needs review No. because of Environment:
(Annex B) gender specific significant HD Team (KH)
toilets, changing environment Review/relocate
cubicles screened issues May/June 2010
with curtains. Cubicle
changing area is
shared with recovery
trolley (on risk reg)
4
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
Pymmes: Partially compliant, Full refurb of wards Compliant – Environment:
MW, MB & CC open bays, to ensure compliance gender specific HD Team (KH)
insufficient – commencing June bays. June’09
wash/bath rooms for 2009. Managerial
gender specific compliance by end of
allocation, and June, physical works
potential to cross complete September
open bay to get to 2009
toilet
CoE Day Hospital Compliant – and Compliant
(Annex B) will be so in
relocated space
Nightgale East Compliant Refurb to increase Complaint – Environment:
the number of gender specific HD Team (KH)
toilet/showers. ward July’09
Ian McDonald Compliant Refurb to increase Compliant – Environment:
the number of gender specific HD Team (KH)
toilet/showers. ward June’09
Eleanor East Not Compliant – Needs refurb – to Non-Compliant: Evidence of Environment:
insufficient toilets, include provision of Speciality specific discussion with pt. HD Team (KH)
wash.shower additional bathroom bays (trauma or June/July’09
facilities, and toilet. elective), IP&C Ops
Access to ward thru measures dictate Management
centre of bay. mixing of sexes. DDN/HoN/Matrons
July’09
Eleanor West Not Compliant – Needs refurb – to Non-compliant: 4 Review policy on Environment:
5
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
insufficient toilets, include provision of bedded level 1 management of HD Team (KH)
wash.shower additional bathroom bay, HDU bay, to July’09
facilities, and toilet. include provision Ops
Needs refurb – plan of patient Management
in place which will information. DDN/HoN/Matrons
address. Access to July’09
ward thru centre of
bay.
Ivor Lewis East Compliant Full refurb of wards Partial compliant – Evidence of Environment:
(Annex A) to ensure compliance identified as a discussions with HD Team (KH)
– commencing June gender specific patients required, June’09
2009. Managerial ward, but gender when need to
compliance by end of mix driven by admit overrides Ops
June, physical works Emergency Care waiting for gender Management
complete September Standard, patients appropriate bed. DDN/HoN/Matrons
2009 not highlighted via July’09
Site Office for
transfer within
24hrs.
Ivoer Lewis West Compliant Full refurb of wards Partial compliant – Evidence of Environment:
(Annex A) to ensure compliance identified as a discussions with HD Team (KH)
– commencing June gender specific patients required, June’09
2009. Managerial ward, but gender when need to
compliance by end of mix driven by admit overrides Ops
June, physical works Emergency Care waiting for gender Management
complete September Standard, patients appropriate bed. DDN/HoN/Matrons
2009 not highlighted via July’09
Site Office for
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Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
transfer within
24hrs.
Theatres Compliant Portable screens in Compliant – Environment:
(Annex C) place; need curtain screens in place HD Team (KH)
tracking in main and used. July’09
theatre recovery
A&E Partially Compliant – Review signage for Compliant Environment:
need to consider toilets in main A&E HD Team (KH)
designation and dept. June’09
signage of toilets in
main dept.
A&E Paeds Compliant. Compliant
Admissions Lounge Partially Compliant – Non- compliant as, Operational Policy Ops
(Annex B) single toilet. patients sitting in review with focus Management
common area in on patient DDN/HoN/Matrons
gowns wait to preparation and July’09
‘walk’ to theatre. transfer to
theatre.
ICU Partially Compliant, No physical changes Non-compliant Evidence of Ops
(Annex C) only one toilet for – new hospital, discussion with Management
HDU, no shower or single room pt., where DDN/HoN/Matrons
washing facility possible, or with July’09
family members
X-Ray Partially Complaint – Need to check Compliant: Environment:
7
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
patients change in toileting facilities for HD Team (KH)
curtained area, in-patient & on bed Review/relocate
patients in gowns in dept. May/June 2010
have to pass thru a
common waiting
area to reach exam
room.
Inpatient waiting too
small, non-segrated,
and often overspill
into corridor.
Pre-Assessment Partially complaint as Permanent location Partial compliance Documentary Environment:
in area designed for to be identified, as evidence of HD Team (KH)
children. Thin walls, current location discussion with
lack of temporary. patients at time of
confidentiality, poor pre-assessment Ops
toilet facilities for regarding Management
adults. potential for DDN/HoN/Matrons
accommodation in July’09
bays, admissions
lounge and choice.
Therapies (SALT) co-located Partially compliant, Moving to dedicated Environment:
with Fracture Clinic due to number of Therapies Unit HD Team (KH)
toilets Aug’09
Generic Issues: Non-compliant Bedside guide due JK/SM
Patient Information for review. Aug’09
Paragraph drafted
8
Ward Compliance/Action Required Action Lead/Due
Environment Action Req Operational Action Req Date
management
Pt Info leaflet JK/SM
work commenced. July’09
Template for patient discussion Non-compliant Draft Template JK
form to June’09
demonstrate
discussions with
patients when
have to nursing
mixed-sex
environments
which and be
inserted into
health care record
(Annexes relate to the appendices attached to the CNO/DG Finance letter May 2009)
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