PPI FORUM COMMENTARY for Tt Draft Declaration

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PPI FORUM COMMENTARY for Tt Draft Declaration Powered By Docstoc
					        COMMENTARY BY
YORK HEALTH SERVICES NHS TRUST
PATIENT AND PUBLIC INVOLVEMENT
            FORUM


  AN INDEPENDENT VIEW ON THE
 PERFORMANCE OF YORK HEALTH
       SERVICES NHS TRUST
   AGAINST THE HEALTHCARE
 COMMISSION’S CORE STANDARDS




      Submitted for the Final Declaration
    For the period April 2006 – March 2007.




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    (York Hospitals PPI forum Commentary – HCC Annual Health Check March 2007)
BACKGROUND

This document is the independent view of the York Health Services NHS
Trust Patient and Public Involvement Forum and forms part of their work-plan
for 2006-2007.

This document has been completed using the “Criteria for Assessing Core
Standards – Information for Acute Services” as produced by the Healthcare
Commission.

There are 24 core standards in total. These have been further broken down
into seven more detailed domains that are listed below:

      1.     Safety
      2.     Clinical and Cost Effectiveness
      3.     Governance
      4.     Patient Focus
      5.     Accessible and Response Care
      6.     Care Environment and Amenities
      7.     Public Health.

The forum was not expected to comment against each standard but where
comments have been made evidence has been gathered by the Forum.
Members have no reason to believe that the evidence provided by the Trust is
not accurate on standards where comments have not been provided by the
Forum.

The Forum has commented against Core Standards:

             C4                                    C16
             C13                                   C17
             C14                                   C20
             C15

York Health Services NHS Trust is required by the Healthcare Commission to
include this commentary verbatim in their declaration.

In responding to the Core Standards, the PPI forum gives below information
that it has gathered from its work. Comments in quotation marks are taken
from visit reports and represent the views of the forum and patients at the time
the visit was carried out.




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           (York Hospitals PPI forum Commentary – HCC Annual Health Check March 2007)
1. CORE STANDARDS


FIRST DOMAIN – SAFETY:

C4 Healthcare organisations keep patients, staff and visitors safe by
having to ensure that:
      (a)   the risk of healthcare acquired infection to patients is
            reduced, with particular emphasis on high standards of
            hygiene and cleanliness, achieving year on year reductions
            in MRSA.

      “The pH and temperature of the water (pH7.0 and 36c) is checked each
       morning by the Estates Department and monitored during the day by
       the Physiotherapy staff.”
      “Members had to wear white coats and scrub their hands prior to
       entering the kitchen.”
      “Visitors were asked to scrub their hands. The person serving the food
       wore rubber gloves.”
      “The Hospital Pharmacy has a sterile area for the preparation of sterile
       products for use in the hospital.”


FOURTH DOMAIN – PATIENT FOCUS:

C13. Healthcare Organisations have systems in place to ensure that:
      staff treat patients, their relatives and carers with dignity and
      respect:

      “Patients, carers and visitors are treated with dignity and respect.”
      “The consulting bays have curtains for privacy, but it is possible to hear
       conversations from the next cubicle but it is not known if this is a
       problem.”
      “The policy in the kitchen is to try and support any patients who have
       special requirements/eating difficulties.”
      “Patients, carers and visitors are treated with dignity and respect.” This
       comment was contained in the report covering the Short Stay Ward;
       similar comments were in the report covering Ward 15.
      “A privacy curtain was in place for screening the bath area. Patients
       appeared to be comfortable and happy.”
      Members of the Forum participated in the “Care Watch” Initiative
       organised by CPPIH to assess whether patients’ dignity and privacy
       are protected while they are in hospital. Members interviewed 14
       patients at York District Hospital, all of whom felt that their privacy was
       protected.




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            (York Hospitals PPI forum Commentary – HCC Annual Health Check March 2007)
C14. Healthcare Organisation have systems in place to ensure that
patients, relatives and their carers;

       (a) have suitable and accessible information to, procedures to
           register formal complaints and feedback on the quality of
           services:

      “Information available about PALS – comment cards available.” This
       comment is taken from the visit report to the Hydrotherapy Pool; similar
       comments are contained in the report covering the visit to the Main
       Kitchen, Short Stay Ward, Ward 15.


C.15 Where food is provided healthcare organisations have systems in
place to ensure that:

       (a) patients are provided with a choice and that it is prepared
           safely and provides a balanced diet:

      “There is a monthly food tasting panel to ensure good quality control,
       comments on the menu etc.”


       (b) patients individual nutritional personal and clinical dietary
           requirements are met, including any necessary help with
           feeding and access to food 24 hours a day:

      “Individual dietary needs are met, including provision for any ethnic and
       religious groups.”
      “All dietary needs including requirements for ethnic and/or religious
       groups were catered for. There was a good variety of dishes available
       on the day of our visit. Most of the dishes were sampled and found to
       be hot and tasty.
      “Patients were satisfied with the food”
      “Members were advised that Ward 15 no longer employs Patient
       Service Assistants. This would seem to be false economy as simple
       tasks, i.e. patients’ food and drink have to be the responsibility of the
       nursing staff. We think there is a good case for employing Patient
       Service Assistants on this type of ward.”


C.16 Make information available to patients and the public on their
services, provide patients with suitable and accessible information on
the care and treatment they receive and, where appropriate, inform
patients on what to expect during treatment, care and aftercare:

      “We noted the good system of information for patients and very neat,
       up to date notice boards.”
      “Information available about PALS – comment cards available.” This
       comment is taken from the visit report to the Hydrotherapy Pool; similar



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            (York Hospitals PPI forum Commentary – HCC Annual Health Check March 2007)
          comments are contained in the report covering the visit to the Main
          Kitchen, Short Stay Ward, Ward 15.


FIFTH DOMAIN – ACCESSIBLE AND RESPONSIVE CARE

C.17 The views of patients, their carers and others are sought and taken
into account in designing, planning, delivery and improving healthcare
services:

         “Information available about PALS – comment cards available.” This
          comment is taken from the visit report to the Hydrotherapy Pool; similar
          comments are contained in the report covering the visit to the Main
          Kitchen, Short Stay Ward, Ward 15.
         Forum Members visited Ward 14 on the 19th July and highlighted
          problems around cleanliness issues in Bays 1, 2, 3, 4, 5, Shower
          Room, Rooms 8 and 9 and the Bathroom. Members re-visited the
          Ward on the 11th October and stated “Members were delighted with
          their findings on this visit. All the recommendations made after their
          Visit on the 19th July 2006 had been taken forward by the Trust for the
          benefit of the patients’ experience.


SIXTH DOMAIN – CARE, ENVIRONMENT AND AMENITIES
C.20 Services are provided in environments which promote effective
care and optimise health outcomes by being:

(a)       a safe and secure environment which protects patients, staff,
          visitors and their property, and the physical assets of the
          organisation:

         “The pool has been in operation for some 20-30 years and is now
          showing signs of wear and tear however the general condition (bearing
          in mind the age of the unit) was good indicating a satisfactory level of
          maintenance and cleaning.”
         “The changing rooms were neat and clean. In the vicinity, an electric
          plug was situated near a wash basin. It is suggested that a better
          situation would be on the outside wall or with a pull switch provided.
          The curtains throughout were clean and in good condition. The second
          waiting room is clean and bright.”
         “Bays were generally clean and tidy. Some dust on ledges; Member
          dealt with this problem. The bathroom, with a hoist for the bath, was
          clean.”
         Several issues around cleanliness were raised on a visit to Ward 14 but
          Forum Members re-visited the Ward in October and “were delighted
          with their findings on this visit. All the recommendations made after the
          Visit on 19th July 2006 had been taken forward by the Trust for the
          benefit of the patients’ experience.”
         “We were impressed by the enthusiasm of the Sister for the
          organisation and cleanliness of her ward – this has resulted in the



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              (York Hospitals PPI forum Commentary – HCC Annual Health Check March 2007)
      creation of a smart, clean general appearance generally and a good
      atmosphere for patients. Bays with 4-5 beds instead of 6 resulted in
      these areas being less cluttered, easier to keep clean and more
      pleasant for patients.”




DECLARATION

On behalf of the York Health Services NHS Trust PPI Forum, we confirm that
this commentary is an independent, open and transparent view of the Trust’s
performance against the Healthcare Commission core standards.

Signed at a meeting of the PPI forum held in York on the 11th April 2007.



………………………………………………………………………………………..
Richard Smith, Chairperson.




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           (York Hospitals PPI forum Commentary – HCC Annual Health Check March 2007)

				
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