Quality Improvement

The Board of Directors has approved the Trust’s Quality Improvement Strategy for 2017 to 2020. To view a copy of the strategy please click on the link below.

Quality Improvement Strategy 2017 to 2020 [3mb] PDF

Sign up to safety

Listen, Learn, Act

Listening to patients, carers and staff, learning from what they say when things go wrong and take action to improve patients’ safety.

Sign up to Safety logoBolton NHS Foundation Trust has signed up to the new national patient safety campaign called Sign up to Safety and is committed to improving the quality of our services for patients. The campaign was announced in March 2014 by the Secretary of State for Health and was launched on 24 June 2014 with the mission to strengthen patient safety in the NHS and make it the safest healthcare system in the world.

The Secretary of State for Health set out the ambition of halving avoidable harm in the NHS over the next three years, and saving 6,000 lives as a result. This is supported by a campaign that aims to listen to patients, carers and staff, learn from what they say when things go wrong and take action to improve patient’s safety helping to ensure patients get harm free care every time, everywhere.

The five Sign up to Safety pledges

Organisations and individuals who sign up to the campaign commit to setting out actions they will undertake in response to the following five pledges:

  1. Put safety first. Commit to reduce avoidable harm in the NHS by half and make public the goals and plans developed locally.
  2. Continually learn. Make their organisations more resilient to risks, by acting on the feedback from patients and by constantly measuring and monitoring how safe their services are.
  3. Honesty. Be transparent with people about their progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong.
  4. Collaborate. Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.
  5. Support. Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate the progress.

Bolton NHS Foundation Trust has set out the following actions which we are committed to doing:

  1. Put safety first

  • Bolton to be within the top ten NHS hospitals for risk adjusted mortality
  • Bolton to be a leading unit for low perinatal mortality
  • Strengthen the infection control culture, with infection control champions in all clinical areas
  • Deliver 50% year-on-year reduction in C. Difficile rates
  • Deliver target reduction in other forms of healthcare acquired infection
  • Ensure compliance with antibiotic policy across the Bolton healthcare community
  • No ‘Never Events’ (specific types of healthcare-related harm, or potential harm, that are judged to be ‘zero tolerance’)
  • Achieve levels of quality care that ensure maximum reward from CQUINS funding, and year on year improvement in Harm Free Care performance (relating to catheter care, prevention of falls, prevention of pressure ulcers, and assessing patients for the risk of blood clotting).
  1. Continually learn

  • Provide risk management training to all key staff over the course of 2014
  • Ensure that staff receive timely feedback in relation to incidents, complaints and claims to ensure prompt learning is recycled across the organisation
  • Ensure that we have a workforce that understands and values how as a trust we demonstrate that the services offered are safe, effective, caring, well-led and responsive
  • Hold listening events that capture ‘soft intelligence’ from the patients and relatives that use our services to ensure their voices are heard.
  1. Honesty

  • Sign up to the Nursing Times Speak out Safely campaign pledge, ensuring that the organisation is committed to listening to staff, patients, relatives and visitors with any safety related concern
  • Encourage incident reporting across the organisation, ensuring that patients are appropriately informed when something does go wrong
  • Feedback to patients and/or relatives the results of reviews after something has gone wrong in a timely, consistent and compassionate manner
  • To fully take on board the views of patients and families in the investigation of incidents ensuring that the final root cause analysis report answers any concerns they have.
  1. Collaborate

  • Establish a local collaborative with Bolton Clinical Commissioning Group (Quality Forum) where improvements in care can be shared, adjusted and adopted elsewhere
  • Ensure that the Quality Forum is a further opportunity to listen to primary care providers about how as an integrated care provider Bolton NHS FT can further enable and deliver seamless integrated care for our patients
  • Invite Healthwatch representatives to join the Quality Forum.
  1. Support

  • The Trust will debrief (either individually or collectively) staff involved in Serious Untoward Incidents, supporting them to reflect on events and identify early learning lessons
  • To ensure that reviews of incidents are conducted fairly, with clear focus on understanding the root causes of serious untoward incidents
  • To provide key staff with Root Cause Analysis training, enabling the Trust to have a cohort of trained and skilled staff to investigate incidents carefully and accurately
  • To share at the earliest opportunity the outcomes from Root Cause Analysis investigations ensure that staff are empowered to be engaged in the solutions.

For further information on the Sign up to Safety campaign please visit the NHS England website: http://www.england.nhs.uk/signuptosafety/